There’s a lot of buzz nowadays about low testosterone, now known colloquially as “low T.” Lots of guys assume they have low T because their symptoms appear to match the condition. They’re tired. Their libido is in the toilet. They’re worried about brain fog.
To be clear, I believe in hormone replacement therapy. I use hormone replacement therapy for low T. But it’s expensive and it’s a big, life-long commitment. The good news is that there are other things you can try before taking the plunge and signing up at a hormone replacement clinic. Symptoms associated with low T can also be coming from nutritional deficiencies, lack of sleep, stress or a number of other causes that should be addressed before reaching for a testosterone injection.
Wait, is that a zebra?
One of the cleverest pieces of advice I got in grad school was from a professor who said, “If you hear hoofbeats outside your window and you don’t know where they’re coming from, don’t start by assuming they’re coming from zebras.” In other words, always start with the simplest explanation. Before jumping to the “zebra hypothesis” let’s rule out the possibility that a horse got loose from the barn!
In the same way, some men experience symptoms associated with low T and immediately start assuming they need hormone replacement therapy. And they might. Just as hoofbeats might be from zebras. But the more logical explanations are also the simplest. (In science, it’s called the Principle of Parsimony, which basically means start with the easy stuff.) If you’re tired, it may be because you don’t sleep enough. Instead of looking for a pharmaceutical solution, first try improving your sleep by getting 7 to 8 solid hours each and every night.
Just because someone snores, doesn’t mean they have sleep apnea. And just because you don’t feel as vigorous as you did 10 years ago, that doesn’t mean your testosterone levels are so seriously out of whack that you need a lifetime of expensive, weekly injections. (Not that there’s anything wrong with that; it’s just not the best place to start.)
Try the easy stuff first
I’m somewhat leery of doctors trying to medicalize ordinary symptoms that can often be addressed easily and naturally. If you get more sleep, you may have less fatigue. If you improve your diet and exercise more, you’ll have more stamina. Sometimes — not always, but sometimes — it’s as simple as that.
What many men may really be missing is certain vitamins. Trying simple tactics first may eliminate your need to go to a clinic for testing. When my friends bring up low T, I tell them to first try certain natural, over-the-counter ingredients for a couple of months. You’d be surprised at how often these natural products can bring symptom relief.
How to evaluate over-the-counter men’s supplements
All over-the-counter men’s formulas are far from created equal. Beware of products with outrageous promises and mystery “proprietary” formulas. Here’s why: Some opportunistic supplement manufacturers are putting the kitchen sink into a pill, then calling it a proprietary formula to avoid telling you what’s in it. If you’re getting a Viagra-like reaction, be concerned! The FDA has pulled some products off the market because manufacturers were slipping Viagra into their formulas.
Instead, look for supplements that list all their ingredients on the label. I’m a big proponent of transparency on labels because I want to know what I’m getting. That way, I can make an intelligent decision about whether or not to take it.
When looking for supplements here are a few ingredients to look for. They’ve been researched, tested and scrutinized for quality, safety and efficacy.
- KSM-66 Ashwagandha extract. Ashwagandha is a terrific herb that’s helpful for energy levels and is particularly good for men. KSM-66 is a form of ashwagandha that’s been clinically tested and found to be particularly effective. Ashwagandha has been shown in clinical testing to support healthy testosterone levels.
- L-OptiZinc, a l-methionine bound zinc complex, and vitamin D3: Preliminary clinical research shows a strong correlation between cellular zinc and vitamin D deficiencies on one hand, and testosterone levels on the other.
- Vitamins B6 and B12: These vitamins are known to enhance energy and support cellular health.
- Bioperine (piperine): A derivative of black pepper, piperine is what’s called a bio-enhancer. The patented form in this formula, Bioperine, was shown to increase the absorption of beta-carotene, CoQ10, resveratrol, vitamin B6, vitamin C, selenium and curcumin.
If you’ve been tempted to consult a doctor about your waning vigor, stamina and libido, I challenge you to first try these ingredients for two months. See how you feel before you jump into testosterone therapy.