01/07/2026
The Real Truth About Testosterone Therapy in Men
Testosterone levels naturally decline with age, but that doesn’t always mean you need treatment. In fact, many men who are prescribed testosterone therapy don’t actually meet the criteria for true low testosterone (hypogonadism).
Direct-to-consumer ads often promote testosterone as a solution for fatigue, low libido, or weight gain — but these symptoms can be caused by many other common and treatable conditions such as hypertension, sleep apnea, depression, poor nutrition, or low physical activity.
The real risk? Starting testosterone without a clear medical need can suppress your body’s natural production, shrink the te**es, increase red blood cell count (raising risk of clots or stroke), worsen untreated sleep apnea, and even increase the risk of heart problems in certain populations.
Proper evaluation means checking levels 2-3 in the early morning and identifying a clear cause of deficiency. If you’re wondering about fatigue or sexual health, talk with your primary care provider — but don’t assume testosterone is the answer.
The best approach is targeted, evidence-based, and safe.