This one’s for the boys

By Caroline Shannon-Karasik


Remember this past July when the Internet was set ablaze by the guy who made a spreadsheet detailing all of the reasons his wife declined sex?

For those of you who need a refresher, it goes a little something like this: An unnamed man put together a three-column spreadsheet where he listed the date, and whether or not he and his wife had sex on that day. In the event they did not have sex, he used the third column to list the excuse his wife had issued him for not engaging in intercourse. Reasons ranged from “I have to be up early” to “You’re too drunk.” The man then sent this spreadsheet to his wife and she proceeded to post it on the Internet.

As one might imagine, people weighed in from all angles. Some defended the husband, claiming marriage implies intimacy and therefore it should be expected, while other people went as far to suggest she was having a relationship outside of the marriage. “Let me tell you something bro: Your wife is cheating on you,” one commenter wrote on a Huffington Post article.

Other people rallied for the wife, pointing their fingers at the husband’s lack of emotional connection and the fact he seemingly only had one thing on the brain – sex, sex and more sex.

Of course, no one really knows what happens behind closed doors and, therefore, we can’t really assume this woman is “frigid” – as one commenter suggested – any more than we can suggest the husband is a pig. (But, I mean, really – a spreadsheet?!)

But since this was flung into a very public forum for everyone to analyze, I found it interesting how very few people suggested the more reasonable assumptions: A lack of communication, a deeper problem within the marriage and even health issues, like depression and low libido.

And guess what? It’s not always the gal who suffers from these sexual health issues, according to Dr. Robert Kominiarek, author of “The Low T Book: A Man’s 30-Day Guide to Improve Your Strength, Energy, Libido and Fitness” ( and director of the Alpha Male Medical Institute in Springboro.

“There are an estimated four to five million American men that suffer from low testosterone, while only about 5 percent ever receive treatment for their condition,” Kominiarek said. “As a man ages, there is a slow decline in hormone levels that starts to occur around the age of 30, so that by the time a man reaches the age of 40 he is suffering from the numerous effects of low testosterone and reports such symptoms as brain fog, loss of muscle mass, gaining fat weight around the middle, lack of motivation, decreased libido and more.”

While there are medical solutions, like testosterone replacement therapy, Kominiarek explained, the premise of “The Low T Book” is to first research all natural solutions that might help restore testosterone levels.

“My hope is men will come away understanding that there are natural methods, which should be employed first to restore testosterone, and if restoration therapy fails then they can move knowledgeably into replacement therapy,” he said.

This natural health approach is what Kominiarek calls testosterone restoration therapy, the approach he encourages men to take before selling testosterone replacement therapy.

“After a formal diagnosis and search for identifiable causes is completed for low testosterone, employing a plan to naturally increase his testosterone levels is the initial step if it is a viable option,” Kominiarek said. “Testosterone restoration therapy is accomplished by adopting healthy lifestyle habits such as strategic exercise, low glycemic nutrition, correcting intracellular nutrient deficiencies and controlling age-related increases in estrogen and sex hormone binding globulin. When these steps fail, then it is time to consider testosterone replacement therapy, appropriately administered and monitored by a physician.”

Want to take a few simple steps toward better sexual health? (Of course you do.) Kominiarek said there are two things all men can do to not only to optimize their testosterone levels, but improve their sexual health.

“First, if you smoke, then stop!” he said. “Smoking causes incredible amounts of inflammation in the vascular endothelium, which is the lining of the blood vessels that is crucial to your overall sexual health.

“Secondly, follow a low glycemic or Mediterranean nutrition plan on a regular basis. Numerous studies have proven these types of eating plans will not only optimize your testosterone levels, but growth hormone levels as well, which leads to lean, strong, healthy muscle.”

Kominiarek explained there are also supplements and vitamins that can help improve a man’s testosterone levels, but it’s best to meet with a professional who can administer food sensitivity testing, as well as tests for nutrient deficiencies, in order to tailor the approach to an individual’s specific needs.

“Merely ‘shot-gunning’ multiple general vitamins and supplements is a hit-or-miss approach to naturally restoring testosterone levels that generally fails miserably,” Kominiarek said.

Meeting with a health practitioner will also help to identify other health issues, like metabolic syndrome, atherosclerosis, diabetes, hypertension and obesity, which may be contributing to a low libido. All of these diseases, Kominiarek said, are treatable with lifestyle adjustments.

Need more of a reason to explore the reasons behind your low libido? Kominiarek points to one patient, a 30-year-old man who had multiple hormone deficiencies, including thyroid, adrenal and testosterone issues.

“As it turned out, his well water had significantly high levels of iron,” Kominiarek said. “Excessive iron levels in the body depress testicular function just like a disease called hemochromatosis, which is an iron storage disease that causes low testosterone. His daily water consumption came exclusively from his home well, which inevitably led to him having high iron levels that depressed his testosterone. We placed him on a heavy-metal-detoxification program and switched his water supply and within a three-month period his testosterone levels were optimized, saving him from replacement therapy that was not needed just yet!”

Caroline Shannon-Karasik is the author of The Gluten-Free Revolution and a certified health coach. She is also the author of the popular gluten-free blog, Her writing and recipe development has been featured in several publications, including, VegNews, Kiwi and REDBOOK magazines. Caroline lives with her husband Dan and four adopted cats in Pittsburgh, Penn. Caroline can be reached at

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