Top Interventions
- progressive resistance training
- sleep optimization (7-9 hours)
- body fat reduction
- zinc and vitamin D optimization
- stress reduction
Condition Strategy
Low Testosterone and Andropause
Restore testosterone to functional range, preserve muscle mass and cognitive vitality
Evidence Level B
Evidence and Risk Labels
Evidence A/B/C reflects research maturity, and risk levels reflect monitoring needs. These labels support comparison, not diagnosis or treatment decisions.
See full scoring guideGuidance Summary
Testosterone declines ~1% per year after age 30 in men. Lifestyle interventions — particularly resistance training, sleep, and correcting nutrient deficiencies (zinc, vitamin D) — are first-line. Ashwagandha and fenugreek show modest RCT support. TRT is indicated when levels fall below clinical thresholds with symptoms.
Monitoring Priorities
- total testosterone (morning draw)
- free testosterone
- SHBG
- LH and FSH
- hematocrit (if on TRT)
- PSA (if on TRT)