Testosterone: Understanding Levels and Function

Testosterone's Roles
While known for sexual function, testosterone influences:
- Muscle mass and strength
- Bone density
- Energy and mood
- Cognitive function
- Cardiovascular health
- Fat distribution
Low testosterone can create widespread health effects beyond sexual concerns.
Age and Testosterone
Testosterone naturally declines approximately 1% yearly after age 30. Wide normal ranges exist; what matters is how you feel at your level.
Typical normal ranges by age:
- 20-30 years: 400-700 ng/dL
- 30-40 years: 300-700 ng/dL
- 40+ years: 300-850 ng/dL (some decline expected)
Signs of Low Testosterone
- Reduced sexual desire or function
- Fatigue
- Muscle weakness
- Mood changes or depression
- Difficulty concentrating
- Increased body fat
Natural Ways to Support Testosterone
Sleep: Most testosterone is produced during sleep. Prioritize 7-9 hours nightly.
Exercise: Resistance training most effectively stimulates testosterone. High-intensity interval training also beneficial.
Stress management: Chronic stress elevates cortisol, which suppresses testosterone.
Nutrition:
- Adequate calories and protein
- Zinc-rich foods (oysters, beef, pumpkin seeds)
- Vitamin D (sun exposure, fatty fish, supplements)
- Healthy fats
Weight management: Obesity reduces testosterone. Maintaining healthy weight supports normal levels.
Alcohol moderation: Excessive drinking suppresses testosterone production.
Testing and Treatment
If symptoms suggest low testosterone, ask your healthcare provider for testing. Treatment options range from lifestyle modification to testosterone replacement therapy, depending on levels and symptoms.
Screening Recommendations
For men with symptoms suggestive of low testosterone or risk factors, discussion with healthcare provider is worthwhile. Routine screening of asymptomatic men is controversial.