Our expert says:
One almost thinks there should be a special tax or surcharge on sportscars and motorbikes, to be paid by any man over 40, and to be paid to the wife. The MLS isn't due to testosterone levels, and is not amenable to medical treatments - it's due to psychological factors, often in guys who didn't waste their younger years indulging themselves in clubbing and parties, but got down to work, and then suddenly realize that arthritis and aging are about to prevent them from ever enjoying the youthful flings they thought they were postponing till "later" - and now "later is upon them.
If he has high BP and it is under control, he wouldn't need to see anyone other than whichever doc is treating it currently. otherwise usually a GP is an adequate doc for treating high BP, with referral to a cardiologist if it is difficult to control buy the usual first line treatments.
MLC is a recognized phenomenon, not ever really adequately studied (thus no hard and fast rules or predictions ) amd very variable in characteristics
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