Testosterone levels may reflect current health status rather than predict optimal health.
Sexual function cannot be solely attributed to testosterone levels; other factors play a significant role.
Baseline testosterone levels do not predict changes in body composition over time; focus on overall health and lifestyle factors.
Deep dives
Optimal Testosterone Levels for Health and Performance
The podcast episode explores the concept of optimal testosterone levels for health and performance in men and women. It discusses the increase in testosterone prescribing and the use of supplements to achieve optimal levels. The episode questions whether there is a specific testosterone level that reduces the risk of cardiovascular disease or diabetes, or if these diseases actually cause reduced testosterone levels. It also examines the relationship between testosterone levels and muscle mass, as well as the impact of body composition on testosterone. Overall, the episode emphasizes that testosterone levels may be reflective of current health status rather than predictive of optimal health.
The Complex Relationship Between Testosterone Levels and Sexual Function
The podcast delves into the complex relationship between testosterone levels and sexual function in men and women. It highlights that sexual disorders cannot be solely attributed to low testosterone levels, as other factors such as organic, relational, and psychological issues can also impact sexual function. The episode notes the absence of a specific testosterone level that reliably predicts erectile dysfunction. Additionally, it examines the influence of testosterone levels on women's libido, highlighting that data in this area is varied and requires further study.
The Role of Testosterone Levels in Muscle Mass and Sport
The podcast explores the relationship between testosterone levels and muscle mass in men and women, particularly in the context of athletic performance. It states that cross-sectional data suggests a positive correlation between testosterone levels and lean body mass, as well as an inverse correlation with adipose tissue. However, longitudinal studies show that baseline testosterone levels do not predict changes in body composition over time. This suggests that body composition may influence hormone levels rather than the other way around. The episode advises focusing on overall health and lifestyle factors for improving body composition rather than specifically targeting testosterone levels.
The impact of testosterone on mortality
Several studies have found an association between low testosterone levels and increased all-cause mortality. In one study of older men, those with low total testosterone levels had a higher mortality rate compared to men with higher levels. However, the relationship between testosterone and mortality is complex and not fully understood.
The relationship between testosterone, body composition, and diabetes
Testosterone levels have been linked to body composition, with lower levels associated with increased fat mass and decreased lean body mass. In terms of diabetes, there is conflicting evidence on the relationship between testosterone levels and diabetes risk. Some studies suggest that higher testosterone levels decrease the risk of type 2 diabetes, but the causality of this association is still unclear.
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TRT Podcast Episode #228: https://tinyurl.com/37caren7
BMJ Variance Calculator: https://tinyurl.com/4uujv27a
2018 Endocrine Society Guidelines: https://tinyurl.com/yc3nu4cp
Women’s Testosterone Levels: https://tinyurl.com/mw79p92r
Population Trends in T Levels: https://tinyurl.com/5fykrzfe
Erectile Dysfunction and T Levels: https://tinyurl.com/mrxxn7he
LBM, Strength and T Levels: https://tinyurl.com/3rcnfdbz and https://tinyurl.com/3p4vekcs
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Women’s T Levels and Muscle Mass: https://tinyurl.com/59nn4eac
Hormone Hypothesis: https://tinyurl.com/k4twjrtv
Women’s Strength and T Levels: https://tinyurl.com/bdfdb3su
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