07/09/2026
Men get told it's just their age about as often as women do.
The version I see in clinic: motivation gone flat, recovery from training taking days instead of hours, weight settling around the middle, drive that dropped off and never came back. Each one on its own sounds like a busy life. Together they look like something measurable.
Testosterone is part of that picture, and it doesn't sit on its own. It tracks insulin, sleep, body composition and stress load, which is why a single total-testosterone number on a morning blood test so often gets read as fine when the man in front of me clearly isn't.
A proper look includes free testosterone, SHBG, LH and FSH, oestradiol, thyroid, iron studies and a fasting insulin. That's usually where the reason shows up, and it's usually something that can be worked on rather than something to accept.
If you're reading this and quietly recognising the list, it's worth measuring instead of assuming.