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Are Testosterone levels really dropping?

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Have you heard that testosterone levels seem to be dropping?

It’s true, but there’s no need to panic. Let’s separate fact from fiction and explore the nuance!

Some have used this as an opportunity to spread fear, conspiracy theories, and to push unproven products and practices.

Sources
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  2. Secular Decline in Male Testosterone and Sex Hormone Binding Globulin Serum Levels in Danish Population Surveys | The Journal of Clinical Endocrinology & Metabolism | December 2007
  3. Decline in Serum Testosterone Levels Among Adolescent and Young Adult Men in the USA | European Urology Focus | July 2021
  4. A cohort effect on serum testosterone levels in Finnish men | European Journal of Endocrinology | February 2013
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  8. Low Testosterone In Men: Symptoms, Causes, And Treatment | Canadian Men’s Health Foundation | September 2023
  9. Testosterone use and male infertility patient education fact sheet | American Society for Reproductive Medicine | 2021
  10. The Relative Contributions of Aging, Health, and Lifestyle Factors to Serum Testosterone Decline in Men | The Journal of Clinical Endocrinology & Metabolism | February 1, 2007
  11. Assays of Serum Testosterone | Urologic Clinics of North America | May 2016
  12. Decline in Serum Testosterone Levels Among Adolescent and Young Adult Men in the USA | European Urology Focus | July 2021
  13. Estimating age-specific trends in circulating testosterone and sex hormone-binding globulin in males and females across the lifespan | Annals of Clinical Biochemistry: International Journal of Laboratory Medicine | October 2015
  14. Testosterone deficiency and the aging male | International Journal of Impotence Research | April 2022
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  21. Sleep Problems: An Emerging Global Epidemic? Findings From the INDEPTH WHO-SAGE Study Among More Than 40,000 Older Adults From 8 Countries Across Africa and Asia | Sleep | August 2012
  22. Sleep: a neglected public health issue | The Lancet Diabetes & Endocrinology | June 2024
  23. Effect of 1 Week of Sleep Restriction on Testosterone Levels in Young Healthy Men | JAMA | June 2011
  24. Gen Z adults and younger millennials are “completely overwhelmed” by stress | American Psychological Association | November 2023
  25. World Unhappier, More Stressed Out Than Ever | Gallup | June 2022
  26. American Adults Express Increasing Anxiousness in Annual Poll; Stress and Sleep are Key Factors Impacting Mental Health | American Psychiatric Association | May 2024
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  28. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants – The Lancet Global Health | October 2018
  29. Nearly 1.8 billion adults at risk of disease from not doing enough physical activity | World Health Organization | June 2024
  30. Trends over 5 Decades in U.S. Occupation-Related Physical Activity and Their Associations with Obesity | PLoS One | May 2011
  31. Recent Trends in Sedentary Time: A Systematic Literature Review | Healthcare | July 2021
  32. New global guidelines on sedentary behaviour and health for adults: broadening the behavioural targets | International Journal of Behavioral Nutrition and Physical Activity | November 2020
  33. Low Testosterone In Men: Symptoms, Causes, And Treatment | Canadian Men’s Health Foundation | September 2023
  34. Canadian Urological Association guideline on testosterone deficiency in men: Evidence-based Q&A | Canadian Urological Association Journal | February 2021
  35. Testosterone-Associated Dietary Pattern Predicts Low Testosterone Levels and Hypogonadism | Nutrients | November 2018
  36. Dietary trends and the decline in male reproductive health | Hormones | February 2023
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  40. The Relative Contributions of Aging, Health, and Lifestyle Factors to Serum Testosterone Decline in Men | The Journal of Clinical Endocrinology & Metabolism | February 2007
  41. Changes in Testosterone, Cortisol, and Estradiol Levels in Men Becoming Fathers | Mayo Clinic Proceedings | June 2001
  42. Testosterone Deficiency Guideline | American Urological Association | 2018
  43. What Is a Normal Testosterone Level for Young Men? Rethinking the 300 ng/dL Cutoff for Testosterone Deficiency in Men 20-44 Years Old | The Journal of Urology | December 2022
  44. Testosterone levels show steady decrease among young US men | Urology Times Journal | July 2020
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  46. Individual testosterone decline and future mortality risk in men | European Journal of Endocrinology | January 2018
  47. Low Testosterone in Adolescents & Young Adults | Frontiers in Endocrinology | January 2020
  48. Injection of testosterone may be safer and more effective than transdermal administration for combating loss of muscle and bone in older men | American Journal of Physiology-Endocrinology and Metabolism | June 2015
  49. Low Serum Testosterone and Estradiol Predict Mortality in Elderly Men | The Journal of Clinical Endocrinology & Metabolism | July 2009
  50. Low Serum Testosterone and Mortality in Older Men | The Journal of Clinical Endocrinology & Metabolism | January 2008
  51. Endogenous Testosterone and Mortality in Men: A Systematic Review and Meta-Analysis | The Journal of Clinical Endocrinology & Metabolism | October 2011
  52. Serum testosterone, testosterone replacement therapy and all-cause mortality in men with type 2 diabetes: retrospective consideration of the impact of PDE5 inhibitors and statins | International Journal of Clinical Practice | February 2016
  53. Alternatives to Testosterone Therapy: A Review | Sexual Medicine Reviews | January 2018
  54. Relative Contributions of Aging, Health, and Lifestyle Factors to Serum Testosterone Decline in Men | The Journal of Clinical Endocrinology & Metabolism | February 2007
  55. Relationship between testosterone serum levels and lifestyle in aging men | The Aging Male | July 2009 
  56. Lifestyle strategies to help prevent natural age-related decline in testosterone | Harvard Health Publishing | August 2024
  57. Lifestyle modification increases serum testosterone level and decrease central blood pressure in overweight and obese men | Endocrine Journal | 2015
  58. Effect of 1 Week of Sleep Restriction on Testosterone Levels in Young Healthy Men | JAMA | 2011
  59. Increased physical activity has a greater effect than reduced energy intake on lifestyle modification-induced increases in testosterone | Journal of Clinical Biochemistry and Nutrition | November 2015

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