Evidence-based

Testosterone — why it is declining in every man, and what to do about it

It is not just about libido. Testosterone drives energy, muscle mass, mood and your ability to make decisions. And today, it is declining in men faster than ever before.

MBMichal Bajus 3 min read Updated Book · chapter 5

How to read the numbers: Today’s average = common in today’s population – not a target or optimum · Risk = what to watch out for

Testosterone is not just a "male hormone". It is an anabolic steroid that the female body produces too — only in smaller amounts. In men, it is made by the Leydig cells in the testes; in women, by the ovaries and adrenal glands. It is regulated by the hypothalamic–pituitary–gonadal axis.

The problem is not only the decline with age. It is also the speed of that decline. Studies show that testosterone levels in a 40-year-old man today are 15–20% lower than in a 40-year-old man in 1980. That is not ageing — that is environment and lifestyle.

A key connection

Visceral belly fat is endocrinologically active — it produces aromatase, the enzyme that converts testosterone into oestradiol. The more visceral fat a man carries, the lower his testosterone and the higher his oestrogen.

What testosterone actually does

Testosterone regulates red blood cell production, bone density, muscle synthesis, mood, cognitive function, libido, erectile function and fat distribution. Low testosterone (hypogonadism) shows up as chronic fatigue, low mood, reduced muscle mass, visceral obesity, brain fog and low libido.

Why it is falling faster than in previous generations

Chronic stress raises cortisol, which competitively inhibits testosterone production. Lack of sleep — a single bad week lowers testosterone by 10–15%. A sedentary lifestyle, alcohol, plastics containing BPA/phthalates (xenoestrogens), excess weight and nutritional deficiencies (zinc, vitamin D, magnesium) are the main environmental causes.

Lab values — what to look for

The reference range used by most laboratories (10–35 nmol/L) is far too broad. The optimum for a vital man is 20–30 nmol/L total testosterone, with free testosterone above 300 pmol/L. SHBG (sex hormone-binding globulin) matters just as much — high SHBG reduces the amount of free testosterone available.

Minimum lab panel: Total T, free T, SHBG, LH, FSH, oestradiol (E2), prolactin, vitamin D, zinc, ferritin, fasting glucose.

How to optimise testosterone naturally

Strength training 3–4× a week (especially squats and deadlifts) is the most powerful natural stimulus. Sleep 7–9 hours — 80% of daily testosterone production takes place during the REM phase. Reduce visceral fat, manage stress and eliminate plastics when eating and drinking. Zinc (15 mg/day), vitamin D (2,000–5,000 IU) and magnesium bisglycinate (300 mg in the evening) are clinically proven support.

When to consider TRT

TRT (testosterone replacement therapy) is indicated for confirmed hypogonadism — total T below 10 nmol/L with clinical symptoms. It is a medical decision that requires a thorough examination. The consequences of inappropriate TRT include testicular atrophy, erythrocytosis and cardiovascular risks. Fénix Methode will help you identify whether you need natural optimisation or a medical consultation.

Sources

5

Scientific studies, reviews and guidelines this article is based on.

  1. 1
    A population-level decline in serum testosterone levels in American men The Journal of Clinical Endocrinology & Metabolism · 2007 Study
  2. 2
  3. 3
  4. 4
    Adipose Tissue Dysfunction and Obesity-Related Male Hypogonadism International Journal of Molecular Sciences · 2022 Review
  5. 5
    Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline The Journal of Clinical Endocrinology & Metabolism (Endocrine Society) · 2018 Guideline

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AuthorMichal Bajus

Author of the book NAVRHNUTÝ and the Fénix Methode. He turns biohacking into clear steps based on your results, not on the average.

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This content is for information only and does not replace professional medical care. Consult your doctor before changing treatment, taking supplements or making major lifestyle changes.

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