01/28/2026
The conventional medical model didn’t just change how young men feel.
It changed how their biology functions.
Over the last two decades, long-term SSRI use in adolescent and young adult males has become common—often without full discussion of downstream effects on hormones, metabolism, fertility, sexual function, and drive.
Low motivation.
Low libido.
Fatigue.
Emotional flatness.
Brain fog.
These are frequently labeled “depression,” yet they overlap almost perfectly with testosterone suppression, HPT-axis disruption, metabolic dysfunction, and altered neurotransmitter signaling.
This is NOT anti–mental health care (so do NOT try and come for me 😵💫) .
This is PRO–root cause medicine.
Mental health, hormones, metabolism, and sexual function are not separate systems, they are one conversation.
When we treat symptoms in isolation, we create downstream problems and blame the patient instead of the physiology.
Young men deserve:
Mental health support
Hormone-aware prescribing
Informed consent
This should never be a trade-off between mood and masculinity.
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