Ask the Expert: Healthcare, sponsored by Dr. Gunjan Raina

Dr. Gunjan Raina
Primary Care

Could Low Testosterone Be the Reason You’re Feeling Off?

Many men experience fatigue, low motivation, weight gain, reduced muscle mass, or changes in sexual health and assume it’s just part of getting older. In reality, these symptoms may be related to low testosterone, a common and treatable condition that can impact overall health and quality of life. Testosterone plays a key role in energy, strength, metabolism, mood, and sexual function, and while levels naturally decline with age, a significant drop can make a noticeable difference in how you feel day to day.


Are You Missing the Signs of Low Testosterone?

Low testosterone can show up in ways that are often overlooked, including persistent fatigue, decreased libido, erectile dysfunction, loss of muscle mass, increased abdominal fat, brain fog, irritability, reduced motivation, and poor recovery from exercise. Many men describe it simply as not feeling like themselves anymore, a gradual shift that’s easy to dismiss but important to recognize.


Is Your Testosterone Level the Whole Story?

Diagnosing low testosterone requires both symptoms and proper lab testing. Because levels fluctuate throughout the day, testing should be done in the morning and confirmed with at least two separate blood draws. While levels below approximately 300 ng/dL are often considered low, numbers alone don’t tell the full story. A full evaluation may include additional labs to understand why levels are low and how factors like age and overall health play a role.


What Are Your Options for Treating Low Testosterone?

Treatment is always individualized. Some men benefit from improving sleep, weight, exercise, and metabolic health, while others may require testosterone replacement therapy such as injections, topical treatments, or long-acting pellets. With proper medical follow-up and monitoring, many men experience improvements in energy, focus, muscle mass, libido, and overall well-being, with ongoing care ensuring levels remain balanced and safe


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