Testosterone and Men

Testosterone is the primary sex hormone in men, but its role goes far beyond sexual health. Because testosterone receptors are found throughout the body, low levels can impact much more than sex drive or erectile function. Symptoms may include changes in memory, energy, mood, sleep, bone strength, and muscle mass.

Although age is a common factor, it is not the only cause of low testosterone. Other conditions such as diabetes, sleep apnea, obesity, and long-term opioid use can also contribute to low levels.

Unfortunately, many men experiencing symptoms of low testosterone never discuss them with their physician—or even with their partner. In my practice, I use screening tools to help patients recognize symptoms and start the conversation about natural and medical options for improving testosterone levels.

Natural Ways to Boost Testosterone

Lifestyle changes can make a significant difference. These include:

• Limiting alcohol

• Quitting smoking

• Treating sleep apnea

• Managing stress

• Getting adequate, quality sleep

• Achieving and maintaining a healthy weight

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Both physical and mental health play key roles. For example, even the fittest man can have low testosterone if he struggles with chronic stress, depression, or anxiety. Likewise, excellent mental health cannot fully offset the impact of obesity or poor physical health.

The Role of Weight Loss

Weight loss is especially important:

• A 10% loss of body weight can increase testosterone by 85–90 ng/dL.

• A 15% weight loss can increase testosterone by up to 250 ng/dL.

However, weight loss must be approached carefully. Rapid weight reduction—especially with medications like GLP-1 agonists—can lead to muscle loss along with fat loss. Strength training and, in some cases, testosterone therapy can help preserve lean muscle mass.

Benefits of Testosterone Therapy

Optimizing testosterone levels can support:

• Improved sexual health

• Increased lean muscle mass

• Stronger bones

• Better mood and energy

• Lower risk of diabetes and cardiovascular disease

Treatment options include topical creams, injectable therapy, or medications that stimulate your body’s own production of testosterone such as HCG, Clomid, or Anastrozole. Each has unique benefits and considerations, which can be discussed during consultation.

Final Thoughts

You don’t need to suffer in silence. If you are experiencing symptoms of low testosterone, know that both natural strategies and medical treatments are available. Together, we can create a plan to help restore balance and improve your overall well-being.