Testosterone is a key male sex hormone. However, it is also present in females but at a much lower level. During puberty, testosterone is responsible for the deepening of the voice, the growth of male sexual organs, and the development of pubic hair. It also plays a role in sperm production.
• Regulating sex drive
• Increasing bone mass
• Fat distribution and storage
• Muscle growth
• Red blood cell production
• Sperm production
Testosterone levels generally peak during adolescence and early adulthood. As we age, testosterone levels begin to decline. Levels typically decline about 1% each year after age 30 or 40. For older men, it is important to distinguish if a low testosterone level is due to aging or hypogonadism. Hypogonadism hampers the ability to produce normal amounts of testosterone due to a problem with the testicles or with the pituitary gland that controls the testicles.
What are the symptoms of testosterone deficiency?
Males
• Reduced sex drive
• Erectile dysfunction
• Reduced facial hair growth
• Loss of lean muscle mass
• Fatigue
Females
• Fatigue
• Difficulty sleeping
• Reduction in sex drive
• Weight gain
• Irregular menstrual cycles
• Vaginal dryness
• Worsening sleep apnea
• Causing acne or other skin reactions
• Stimulating noncancerous growth of the prostate
• Enlarging breasts
• Limiting sperm production or causing testicles to shrink
• Stimulating too much red cell production, which contributes to the increased risk of blood clots
What over-the-counter supplements can help boost testosterone levels?
• Vitamin D
Vitamin D may help boost your testosterone levels. A recent study in Journal of Steroid Biochemistry and Molecular Biology
found a link between vitamin D and testosterone levels. They found that men with a vitamin D deficiency had lower testosterone levels. It looks like Vitamin D isn’t just for your bones and immune system.
• Ashwaganda
Ashwaganda is an evergreen shrub, but the roots and fruit have medicinal properties. A 2019 study examined the effects of ashwagandha on hormone levels in males aged 40–70 years with overweight and mild fatigue. One group received a placebo while the others received ashwagandha. The researchers found that the testosterone levels of the participants taking ashwagandha increased by 14.7% more than they did among the placebo group.
• D-aspartic acid
D-aspartic acid is an amino acid. It plays a role in testosterone production and release. An older study showed that a daily dose of D-aspartate led to an increase in testosterone levels.
• Fenugreek
Fenugreek is plant belonging to the Fabaceae family. A meta-analysis of trials investigating the effect of Fenugreek on males suggests that it may have a significant effect on testosterone levels. A study involving the effects on females has produced similar results. The extract led to a significant increase in testosterone levels and sexual desire compared to placebo.
• DHEA
Dehydroepiandrosterone (DHEA) is naturally occurring in our bodies and is made by the adrenal glands. DHEA actually helps produce other hormones like testosterone and estrogen.
• Sleep
An older study found that a lack of sleep actually resulted in lower testosterone levels the following morning.
• Weight Loss
Males with obesity have lower testosterone levels. Losing weight may help
increase levels.
• Diet
Research has shown that males that eat diets lower in fat have lower levels of testosterone, regardless of body mass index (BMI) and physical activity level.
• Sunlight
Sunlight is a source of Vitamin D for our bodies. Research may have found a link between Vitamin D and testosterone levels. Higher vitamin D levels could lead to high testosterone levels.
What do I do if I think I may have low levels of testosterone?
• Talk to your doctor. They may want to do blood or saliva tests to get a baseline for your levels.
• Talk to your compounding pharmacist. Our compounding pharmacists have undergone extensive training on bio-identical hormones. Consultations are available to evaluate your symptoms and provide recommendations on prescription and over-the-counter medications.
• Take the ADAM Questionnaire. The ADAM questionnaire was designed to help determine whether a man may have low levels of testosterone. It is 10 questions and can be used as a tool to discuss symptoms with your doctor or pharmacist.
• Injection
• Topical Cream or Gel
• Troche (placed between gum and cheek)
• Oral capsules are available but may not be recommended. Testosterone quickly becomes degraded in the stomach, which may decrease the effectiveness of oral dosing.
Sources:
https://www.medicalnewstoday.com/articles/best-testosterone-supplements?utm_source=newsletter&utm_medium=email&utm_campaign=MNT%20Weekly%20News&utm_content=2020-09-16&utm_country=&utm_hcp=&apid=35886403&utm_term=MNT%20Weekly%20News#supplement-list
https://www.mayoclinic.org/healthy-lifestyle/sexual-health/in-depth/testosterone-therapy/art-20045728
https://www.mayoclinic.org/drugs-supplements-dhea/art-20364199https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834355/