Increase-testosterone

Testosterone builds muscle, improves energy and sex drive, increases feelings of well-being, and protects against diabetes and heart disease. Increasing levels of testosterone can help a man increase his lean muscle tissue, decrease his body fat, and basically feel better overall.1

There are a variety of ways to boost low testosterone. Exercise, proper nutrition, sleep and appropriate treatment of other medical conditions will help keep testosterone levels optimal. In addition, certain supplements can raise levels, and medically supervised hormone replacement therapy is available through qualified health care practitioners. And finally, to the subjective benefits of raising testosterone, higher levels will likely decrease a man’s chance of dying prematurely.2

1. Lower Your Body Fat

This is number one on the list because it is something most people should be doing anyway. Higher levels of body fat are correlated with lower total and free testosterone levels.3 4 Even if you do decide to seek hormone replacement therapy or take testosterone-boosting supplements, you should still make sure your body fat is low enough that you can see your abs. While testosterone levels can actually decrease with very low levels of body fat, this is not something the vast majority of people need to be concerned with. So exercise hard and eat smart. Your test levels will thank you.

2. Get Adequate Sleep

A study published in the Journal of the American Medical Association shows a 10-15% drop in testosterone levels in young men who slept only 5 hours per night.5 The effect of poor sleep on testosterone has been demonstrated in a number of other studies on both humans6 and rats.7 If you have a thick neck and snore, have your doctor order a test for sleep apnea (which can cause low testosterone levels by itself). Try to get 8 hours of restful sleep every night. Certain supplements, such as 5-HTP and melatonin, can be helpful but should only be tried after getting clearance from your health care provider.

3. Hormone Replacement Therapy

This is the most reliable way to boost testosterone but must be done under the care of a knowledgeable physician. When used properly, HRT can help restore lean muscle mass, improve quality of life, enhance sex drive and decrease risk of many series chronic diseases. However, there are potential downsides (worsening of sleep apnea, dangerous elevations in red blood cell counts and a theoretical possibility of unmasking a prostate cancer, though the research does not convincingly show this actually occurs) which must be carefully weighed against the benefits. Many doctors seem to be prescribing testosterone indiscriminately, and while in certain patient populations it is a great treatment (and I prescribe it often), the choice to take it should not be taken lightly.

4. Optimize Vitamin D Levels

In addition to helping increase bone density, decrease risk of certain cancers, improve immune function and protect against autoimmune diseases, there is increasing evidence vitamin D supplementation can increase testosterone levels.8 9 Have your levels checked (Ask your doctor to order a 25-hydroxy vitamin D level) and supplement based on that number. I like my patients to be in the 50-70 range, and I follow the levels closely because vitamin D can be toxic at high levels. Before starting supplementation, it is imperative to make sure that you have no health issues that could make vitamin D dangerous.

5. Consider Supplementation

This option should only be under a health care provider’s supervision. There are countless “testosterone boosters” out there, and only a few are backed by clinical research. D aspartic acid, l carnitine l tartrate, and Tongkat Ali may help increase testosterone. However, there are potential risks with all of these and a testosterone boosting supplement regimen should never be undertaken without professional supervision.

Show 9 References

  1. Testosterone replacement has great potential to help a lot of people, but there has to be caution. The serious side effects of the synthetic replacement in the normal middle aged and older population are serious — increased risk of deep venous thrombosis, pulmonary embolism and sudden death. These side effects are rare, but can be deadly. Be sure to consult with your physician prior to taking any kind of testosterone therapy.
  2. Laughlin G, Barrett-Connor E, Bergstrom J. Low Serum Testosterone and Mortality in Older Men. The Journal of Clinical Endocrinology & Metabolism. January 1, 2008 vol. 93 no. 168-75
  3. Vermeulen A, Goemaere S, Kaufman JM. Testosterone, body composition and aging. Medical Clinic, Department of Endocrinology, University Hospital, Ghent, Belgium. Journal of Endocrinological Investigation [1999, 22(5 Suppl):110-116.
  4. Zumoff B, Strain G, Miller L, Rosner W, Senie R, Seres D, Rosenfeld R. Plasma free and non-sex-hormone-binding-globulin bound testosterone are decreased in obese men in proportion to their degree of obesity. The Journal of Clinical Endocrinology & Metabolism. October 1, 1990 vol. 71 no. 4929-931.
  5. Leproult R, Van Cauter E. Effect of 1 Week of Sleep Restriction on Testosterone Levels in Young Healthy Men. 2011 Jun; v 305; 21.
  6. Cote K, McCormick C, Geniole S, Renn R, MacAulay S. Sleep deprivation lowers reactive aggression and testosterone in men. Feb 2013; V 92, 2 249-256.
  7. Liang-Wu J, Sai-Chuen R, Jyuer-Ger Y, Huang C, Chen K, Fang K, Horng-Der T. Effects of sleep deprivation on serum testosterone concentrations in the rat. Apr 2011; 494, 2: 124-129.
  8. Pilz S, Frisch S, Koertke H, Kuhn J, Dreier J, Pietsch B, Wehr E, Zitterman A. Effect of vitamin D supplementation on testosterone levels in men. HormMetab Res 2011; 43(3): 223-225.
  9. Nimptsch K, Platz E, Willett W, Giovannucci E. Association between plasma 25-OH vitamin D and testosterone levels in men. ClinEndrocrin. Jul 2012, 77;1; 106-112
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12 Comments

  1. profile avatar
    dave Oct 10, 2013 - 07:46 #

    Cool article. I didn’t know that sleep played such an important role in testosterone levels.

  2. profile avatar
    Charlie Seltzer, MD Oct 10, 2013 - 18:00 #

    Good sleep is extremely important to health in general. People who sleep poorly are much more likely to suffer from health ailments than those who sleep well. In my patients, sleep is one of the first things I address, even before nutrition and exercise habits.

  3. profile avatar
    Kent Westmoreland Oct 11, 2013 - 09:07 #

    Good article. I think it is important for men to know that libido isn’t always the best symptom of low testosterone levels. I had no symptoms that seemed to tell me, but I was often tired and sleepy. I read somewhere to have my doctor do a test, and he agreed after some questioning. Turned out- I was dangerously low. The medication may have gone a long way to saving my life.

  4. profile avatar
    uncadonego Oct 11, 2013 - 19:13 #

    At 51, muscle growth is stubborn, but coming slowly. Sex drive and energy are not a problem. Is HRT something you prescribe only to help low T, or do you think it is also safe as a “boost” for men my age, who simply don’t have the T they had at 18?

    1. profile avatar
      Charlie Seltzer, MD Oct 14, 2013 - 08:31 #

      There is a risk to benefit ratio for everything, and my patients and I put a lot of thought into the decision to treat with testosterone. While there are doctors out there who are willing to prescribe testosterone to just about anybody, I am not one of them. However, I may use give it to a patient who is still technically “normal” if it is appropriate. For example, I am more aggressive with TRT (testosterone replacement therapy) in patients with diabetes or metabolic syndrome. I would be very reluctant to prescribe testosterone to a 51 year-old guy who has a good sex drive and high energy unless he could benefit substantially from a medical standpoint. On another note, if muscle growth is coming at all you are doing better than most. Building muscle is a very tough process for anyone who has been training consistently for any length of time. Before considering TRT, I would make sure your training, lifestyle, nutrition and supplement regimens are on point. I hope this helps. Thanks.

  5. profile avatar
    HARBINDER SINGH Oct 13, 2013 - 05:06 #

    Very good article. I,m sure people will start caring about themselves.
    As for myself at 51 have started doing Clean & Press 30 reps , bench press 01 set 50 reps light wt, one back exercise 01 set 25-30 reps, shouderupright 30 reps, biceps 01 exercise 01 set 40-50reps, triceps 01 exercise 30-40 reps. One leg exercise 28-30 reps 01 set. I DO THIS 3 TIMES A WEEK. Is is O.K.
    My legs are weak & now they have become very lean. Even my buttocs have become lean. My job is sitting type. PL. GUIDE

  6. profile avatar
    uncadonego Oct 14, 2013 - 17:12 #

    Thanks for the reply Dr. Seltzer. I was just curious. I’ve put just about one inch on my flexed bicep and had growth around shoulders, etc., so I guess I should just keep plugging away at it. Like Marc told me once in an e-mail, it’s a marathon, not a sprint.

  7. profile avatar
    Charlie Seltzer, MD Oct 15, 2013 - 09:08 #

    Marc is a wise man. I completely agree. An inch on the arm is very impressive. Keep going! And congratulations.

  8. profile avatar
    christian Oct 15, 2013 - 18:03 #

    i got a question, how can you tell about Testoserone levels are low or high?

    1. profile avatar
      Charlie Seltzer, MD Oct 16, 2013 - 11:14 #

      Christian-
      I get a free and total testosterone level. It is a blood test. Some doctors use saliva testing but I believe blood is a better way to do it.

  9. profile avatar
    Frans Tonnaer Oct 28, 2013 - 11:39 #

    Hi there everyone,

    I should say having every day sex with your GF or wife is also a hell of an good exercise, especially when it tooks hours to do this.

    Good day to all,

    Frans Tonnaer
    Europe

  10. profile avatar
    uncadonego Nov 02, 2013 - 01:30 #

    Please…

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