Testosterone in men
// What the research shows
That testosterone builds muscle is clearly established: in a randomized trialRandomised controlled trial (RCT) A study in which participants are assigned to groups at random, e.g. creatine vs. placebo. More in the glossary → (Bhasin et al., 1996), men given 600 mg of testosterone per week, a dose far above the natural range, gained muscle even without training, and more with training. That doesn't carry over to natural fluctuations: the short hormone rises after training were unrelated to muscle growth or strength gains in trained young men (Morton et al., 2016). What lowers your own level is well studied. One week of 5 hours of sleep lowered daytime testosterone by 10 to 15% (Leproult & Van Cauter, 2011), and a low-fat diet by a similar amount on average (Whittaker & Wu, 2021). With excess weight, the level rises as you lose weight, more so the more you lose (Corona et al., 2013). Testosterone boosters, on the other hand, almost all claim to raise testosterone, but only about a quarter of their ingredients have any matching data, and some contain substances that tend to lower it (Clemesha et al., 2020).
// In practice
- The natural levers: sleep enough, lose excess weight, don't eat very low-fat long term, and train regularly.
- Skip testosterone boosters. The money is better spent on protein, creatine or a blood test.
- With lasting fatigue, low sex drive or muscle loss: see a doctor and have your level measured in the morning.
- Testosterone from outside works, but carries serious risks for the heart, hormone system and fertility. Treatment belongs in a doctor's hands and is not a training tool.
// Limitations & open questions
The sleep and diet studies are small and short and measure hormone levels, not muscle growth. Whether a 10% lower level within the normal range means noticeably less muscle is not established. The Bhasin study shows the effect of very high doses, not of natural differences.
// Sources
- Einzelstudie 1996Bhasin et al. – Supraphysiologic doses of testosterone on muscle size and strength in normal men (NEJM) ↗
- Einzelstudie 2016Morton et al. – Neither load nor systemic hormones determine resistance training-mediated hypertrophy (J Appl Physiol) ↗
- Einzelstudie 2011Leproult & Van Cauter – Effect of 1 week of sleep restriction on testosterone levels in young healthy men (JAMA) ↗
- Meta-Analyse 2021Whittaker & Wu – Low-fat diets and testosterone in men (J Steroid Biochem Mol Biol) ↗
- Meta-Analyse 2013Corona et al. – Body weight loss reverts obesity-associated hypogonadotropic hypogonadism (Eur J Endocrinol) ↗
- Einzelstudie 2020Clemesha et al. – 'Testosterone boosting' supplements: composition and claims not supported (World J Mens Health) ↗