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According to ABC 7 Joel Phillips had the same morning routine for so long, he barely noticed he was losing his edge. But his total lack of energy told him it wasn't just age.

"There's always denial, we don't want to get old," Phillips said. "When you have a good quality of life, you want to preserve it."

A talk with his doctor revealed the real problem was andropause, commonly known as male menopause.

Pennsylvania State University's College of Medicine says it affects half of all men over age 50, or about 25 million men.

"The men's symptoms, a lot of the times with andropause, it's more of an insidious onset," said hormone expert Dr. Benita Swartout of BodyLogicMD.

In fact, male testosterone levels fade slowly, 1 percent per year after age 40.

That drop in testosterone can mean a maddening lack of sleep and energy, and can translate into a decrease in sex drive and muscle mass.

"There is a little bit of a reluctance if, for no other reason than just embarrassment or shyness, to speak of it," Swartout said.

Swartout said hormone replacement is one solution to boost testosterone.

But doctors at Johns Hopkins University said that  they can also boost red blood cell production in some men.

As men age is sometimes difficult for them to notice the changes in their appearance. Men tend to age in common areas such as the eyes, neck, and brow. Dr. O'Toole advises his male patients not to wait too long for a facelift. The results are much more natural when men start improving their appearance with the first signs of aging.

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