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Paul Saladino MD profile picture
Paul Saladino MD
@saladino
Most doctors say declining testosterone is just normal aging... this is BS.

It’s actually a fixable warning sign of underlying problems.

Do not go on TRT until you find the CAUSE of your low testosterone.

Optimal ranges (will vary somewhat with age):
Men: 750–1,200 ng/dL
Women: 35–70+ ng/dL (yes, T is important for women!)
Free T: 1.5–2.5% of total

If your natural levels fall below these thresholds, this is basically a "check-engine light" from your body.

Optimal testosterone supports libido, arousal, orgasm, mood, motivation, energy, and healthy body composition in both men and women.

You can choose TRT later if you want, but first figure out why your levels are dropping.

Common causes include:
-Nutrient deficiencies (Zinc <90 µg/dL, Vitamin D <50 ng/mL, low Selenium/Iodine, RBC Magnesium <6 mg/dL)
-Chronic sleep deprivation (<8–9 hours of quality sleep)
-Low UV/red/IR light exposure (<1 hour outside daily)
-High stress and elevated cortisol
-Being overweight
-Smoking weed (yes, it's bad!) or heavy alcohol use
-Overtraining without proper recovery
-Endocrine disruptors (plastics, chemical sunscreens, phthalates)- your paper cup is lined with plastic!
-Excessive dieting or very low body fat (<8% in men, <14% in women)
-Certain medications (birth control, statins, antidepressants, opioids, glucocorticoids)

Most low T is fixable without TRT. Fix these things and your testosterone will improve without TRT.

And no — testosterone doesn’t just drop “as we age.”
I’m 49 with natural levels of 854 ng/dL (I’ve shown my bloodwork many times).

Don’t go on TRT until you understand the cause. Fixing the real problem improves your health for decades.

Ignoring it is like putting duct tape over a check-engine light. Don't do that!
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Y⚡ · 6d
thanks so much for sharing
hayden ⚡️ · 6d
💪
John · 6d
It’s insane how much younger a person looks when in fantastic shape. Absolutely cheat code.
Marcus Satbard · 6d
Here it may be worth to add Keto diet to common causes as it's popular among bitcoiners