How To Increase Testosterone Naturally With Functional Medicine
Since your hormones control almost every area of your health, it can be extremely frustrating when something goes wrong. For many of my patients in my telehealth functional medicine clinic, low testosterone is something that can significantly impact their lives to the point where daily activities are no longer enjoyable. From low libido to weight gain, low testosterone can put a damper on your self-confidence, mood, and general wellbeing. So if you are wondering how to increase testosterone naturally, read on for all the best lifestyle tips, supplements, and foods to finally reclaim your hormone health.
What is testosterone?
Testosterone is a hormone that plays a critical role in the development and maintenance of male reproductive tissues and characteristics. It belongs to a class of hormones called androgens, which are responsible for the development of male secondary sexual characteristics, such as facial and body hair, deeper voice, increased muscle mass, and a more masculine body shape.
In addition to its effects on physical traits, testosterone also has important roles in various physiological processes, including:
- Sexual Development: Testosterone is responsible for the development of the male reproductive organs, including the testes and prostate gland, during fetal development.
- Sperm Production: In adult males, testosterone stimulates the production of sperm cells in the testes, which is essential for fertility.
- Muscle and Bone Health: Testosterone promotes the growth and maintenance of muscle mass and bone density, contributing to overall strength and physical performance.
- Libido and Sexual Function: Testosterone plays a key role in the regulation of sexual desire (libido) and sexual function in both men and women.
- Mood and Cognitive Function: Some studies suggest that testosterone might influence mood, cognitive function, and behavior. Low testosterone levels have been associated with symptoms like fatigue, depression, and reduced cognitive function.
- Red Blood Cell Production: Testosterone stimulates the production of red blood cells, which are responsible for carrying oxygen throughout the body.
Testosterone levels are typically higher in men than in women, but both sexes have some level of testosterone. In men, testosterone is primarily produced by the testes, while in women, it is produced in smaller amounts by the ovaries. Testosterone production is regulated by the hypothalamus and the pituitary gland in the brain, which release hormones that signal the testes (or ovaries in females) to produce testosterone.
It's important to note that testosterone levels can vary throughout a person's life and can be influenced by factors such as age, genetics, health status, and lifestyle choices. In some cases, individuals might have abnormally high or low levels of testosterone, which can lead to various health issues. In conventional medicine hormone replacement therapy (HRT) may be used to manage conditions associated with imbalanced testosterone levels. However, in functional medicine we set signs on how to improve testosterone naturally in order to avoid any side effects often associated with HRT.
Symptoms of low testosterone + related health issues
Low testosterone, a condition known as hypogonadism or low T, can lead to a variety of physical and psychological symptoms in both males and females. The symptoms can vary depending on the age at which the condition develops and its underlying causes. Some common symptoms of low testosterone include:
For men:
- Low libido
- Erectile dysfunction
- Depression
- Fatigue
- Poor concentration
- Decreased muscle mass
- Weight gain + weight loss resistance
- Reduced bone density
- Irritability
- Loss of body hair
For women:
- Irregular menstrual periods
- Low libido
- Vaginal dryness
- Reduced bone density
- Fatigue
- Mood changes
It's important to note that these symptoms can also be caused by various other health conditions, so a proper medical evaluation is necessary to determine the underlying cause. Low testosterone can result from natural aging, certain medical conditions (such as hypogonadism), obesity, chronic illness, certain medications, and more.
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- Ambroży, Tadeusz et al. “The Effect of High-Intensity Interval Training Periods on Morning Serum Testosterone and Cortisol Levels and Physical Fitness in Men Aged 35-40 Years.” Journal of clinical medicine vol. 10,10 2143. 15 May. 2021, doi:10.3390/jcm10102143
- Smith, Stephen James et al. “The effects of alcohol on testosterone synthesis in men: a review.” Expert review of endocrinology & metabolism vol. 18,2 (2023): 155-166. doi:10.1080/17446651.2023.2184797
- Brownlee, Kaye K et al. “Relationship between circulating cortisol and testosterone: influence of physical exercise.” Journal of sports science & medicine vol. 4,1 76-83. 1 Mar. 2005
- Patel, Premal et al. “Impaired sleep is associated with low testosterone in US adult males: results from the National Health and Nutrition Examination Survey.” World journal of urology vol. 37,7 (2019): 1449-1453. doi:10.1007/s00345-018-2485-2
- Chen, Chi et al. “Causal Link Between Vitamin D and Total Testosterone in Men: A Mendelian Randomization Analysis.” The Journal of clinical endocrinology and metabolism vol. 104,8 (2019): 3148-3156. doi:10.1210/jc.2018-01874
- Pilz, S et al. “Effect of vitamin D supplementation on testosterone levels in men.” Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme vol. 43,3 (2011): 223-5. doi:10.1055/s-0030-1269854
- Te, Liger et al. “Correlation between serum zinc and testosterone: A systematic review.” Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) vol. 76 (2023): 127124. doi:10.1016/j.jtemb.2022.127124
- Prasad, A S et al. “Zinc status and serum testosterone levels of healthy adults.” Nutrition (Burbank, Los Angeles County, Calif.) vol. 12,5 (1996): 344-8. doi:10.1016/s0899-9007(96)80058-x
- Melville, Geoffrey W et al. “Three and six grams supplementation of d-aspartic acid in resistance trained men.” Journal of the International Society of Sports Nutrition vol. 12 15. 1 Apr. 2015, doi:10.1186/s12970-015-0078-7
- Roshanzamir, Farzad, and Seyyed Morteza Safavi. “The putative effects of D-Aspartic acid on blood testosterone levels: A systematic review.” International journal of reproductive biomedicine vol. 15,1 (2017): 1-10.
- Rao, Amanda et al. “Testofen, a specialised Trigonella foenum-graecum seed extract reduces age-related symptoms of androgen decrease, increases testosterone levels and improves sexual function in healthy aging males in a double-blind randomised clinical study.” The aging male : the official journal of the International Society for the Study of the Aging Male vol. 19,2 (2016): 134-42. doi:10.3109/13685538.2015.1135323
- Lopresti, Adrian L et al. “A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha ( Withania somnifera) in Aging, Overweight Males.” American journal of men's health vol. 13,2 (2019): 1557988319835985. doi:10.1177/1557988319835985
- Cinar, Vedat et al. “Effects of magnesium supplementation on testosterone levels of athletes and sedentary subjects at rest and after exhaustion.” Biological trace element research vol. 140,1 (2011): 18-23. doi:10.1007/s12011-010-8676-3
What causes low testosterone?
Low testosterone can have various causes, ranging from natural aging to underlying medical conditions. Here are some of the common causes of low testosterone in both males and females:
1. Aging
Testosterone levels naturally decline with age. In males, this decline typically starts around the age of 30 and continues gradually over the years. In females, testosterone levels also decrease with age, especially after menopause.
2. Underlying health problems
Various health problems can lead to low testosterone levels, including:
- Chronic medical illnesses such as chronic kidney disease, liver disease, and type 2 diabetes.
- Hormonal disorders like Klinefelter syndrome (a genetic disorder resulting in low testosterone in males), Turner syndrome (a genetic disorder affecting females), and pituitary disorders.
- Obesity, as excess fat can convert testosterone to estrogen, leading to lower testosterone levels.
- Hemochromatosis (excess iron in the body), which can damage the testes.
3. Medications
Certain medications can lower testosterone levels, including some pain medications, glucocorticoids (steroids), and opioids.
4. Radiation or Chemotherapy
Cancer treatments like radiation therapy and chemotherapy can damage the testes or ovaries, leading to reduced hormone production.
5. Lifestyle Factors
Unhealthy lifestyle habits can contribute to lower testosterone levels, including excessive alcohol consumption, smoking, lack of exercise, poor nutrition, and chronic stress
It's important to note that the causes of low testosterone can differ between males and females, and the symptoms may also vary. If you suspect you have low testosterone or are experiencing symptoms related to hormonal imbalances, it's recommended to consult your healthcare professional who can run labs to assess your hormone levels.
Lifestyle tips to increase testosterone
If you are struggling with low testosterone levels, there are thankfully many things that you can start doing as soon as today to naturally increase testosterone.
1. Exercise regularly
We all know that exercise is important for your overall health, but it can also increase your testosterone levels. Studies have found that both weight training (1) and high intensity interval training (HIIT) (2) can boost testosterone in the short and long term.
2. Limit alcohol intake
Excessive alcohol consumption can actually lower (3) your testosterone levels. If you choose to drink, remember to do so in moderation.
4. Manage your stress levels
There are many reasons to monitor your stress levels with healthy testosterone balance being one of them. During times of stress, your body releases an excess of cortisol as part of your fight-or-flight response. When this happens, testosterone is actually blocked (4) from being circulated in your body. Therefore, the more stressed you are, the higher your cortisol levels, and the lower your testosterone is going to be.
5. Get enough sleep
I may sound like a broken record because I recommend sleep for almost everything, but when it comes to hormone balance sleep reigns supreme. Since your body uses this time for hormone synthesis, it is vital to get enough with studies even showing that poor sleep can result in a decrease (5) in testosterone levels.
Supplements to increase testosterone
As with any sort of health problem, sometimes we can use a little extra support when it comes to our healing journey. And that’s where supplements come in. In addition to lifestyle and dietary changes, there are several supplements that are clinically proven to help improve testosterone levels.
1. Vitamin D:
Vitamin D deficiency has been linked (6) to low testosterone levels with studies showing (7) that regular supplementation can help increase testosterone levels in men. While you can get Vitamin D through sun exposure and eating foods rich in Vitamin D, most people don’t get enough of either in their daily lives, making supplementation essential.
Based on where your starting level is, I typically suggest supplementing with anywhere between 2,000 and 6,000 IU of vitamin D each day. I also recommend pairing your Vitamin D with another fat-soluble vitamin like K2 to increase absorption. My supplement The D3-K2 is designed to harness the fat-soluble synergy of these two nutrients.
2. Zinc
Zinc deficiency has long been a suspected cause (8) of low testosterone. One study (9) set out to prove this theory by restricting the intake of zinc in young, healthy men to assess its effect on testosterone. After 20 weeks of restriction, each participant’s testosterone levels fell by a shocking 73%!
3. D-Aspartic Acid
D-Aspartic acid is an amino acid that has been studied for its potential to temporarily increase (10) testosterone levels, particularly in men with low levels. However, more research (11) is needed to fully understand its effects and if it is a beneficial long-term solution for low testosterone levels.
4. Fenugreek
Fenugreek is an herb that has been the subject of recent studies for its potential to increase testosterone levels. In fact, one study (12) found that supplementing with 600mg of fenugreek was able to improve both testosterone levels and sexual function of older men in as little as 12 weeks!
5. Ashwagandha
This adaptogenic herb has been a staple in Ayurvedic medicine for years due to its ability to help manage stress and cortisol levels. Studies have also found that supplementing with ashwagandha can increase testosterone levels. A recent 2019 study published in the American Journal of Men’s Health (13) found that men who took ashwagandha for as little as 8 weeks were able to increase their testosterone levels by as much as 14%. Check out my favorite Ashwagandha supplement.
6. Magnesium
Researchers have looked at the correlation between magnesium supplementation and testosterone levels and found that magnesium was able to significantly increase (14) testosterone in both active and sedentary men with the greatest intake found in those who exercised on a regular basis. This is likely due to exercise’s already positive effect on testosterone. Check out my best selling magnesium supplement.
Foods to increase testosterone
While there is no “one-size-fits-all” diet for low testosterone, incorporating certain foods into your diet can help lay the foundation for optimal hormone balance. These are my favorite foods that are rich in nutrients known to support healthy testosterone levels.
1. Healthy fats
Consuming healthy fats is essential, as they are important for hormone production. Opt for sources such as:
- Avocado
- Nuts (almonds, walnuts, pistachios)
- Seeds (flaxseeds, chia seeds)
- Olive oil
- Wild-caught fish
2. Zinc-rich foods
Since zinc supports testosterone production, include zinc-rich foods in your diet, such as:
- Oysters
- Grass-fed beef
- Pumpkin seeds
- Chickpeas
3. Vitamin D-rich foods
My favorite sources of vitamin D include:
- Fatty fish (salmon, mackerel, sardines)
- Grass-fed dairy products (milk, yogurt)
- Eggs
4. Magnesium-rich foods
Magnesium is involved in various biochemical processes, including hormone production. Include magnesium-rich foods, such as:
- Spinach
- Swiss chard
- Pumpkin seeds
- Almonds
- Dark chocolate (with at least 70% cocoa content)
5. Omega-3 fatty acids
Sources of omega-3s include:
- Wild-caught fatty fish (salmon, trout, sardines)
- Chia seeds
- Flaxseeds
- Walnuts
Finding the right plan for you
Ultimately, how to increase testosterone naturally starts with a combination of lifestyle choices, dietary adjustments, and targeted supplements.Once you understand the underlying factors contributing to your hormonal imbalance, you’ll be able to start taking steps toward reclaiming your health. In my telehealth functional medicine clinic, we specialize in identifying the root cause of your symptoms and personalizing a plan of action tailored to your specific needs and health case.
If you are ready to learn more about how we can help you with functional medicine, schedule a telehealth consultation today and for a complete deep dive into testosterone levels and your health, listen to my episode of The Art Of Being Well.
As one of the first functional medicine telehealth clinics in the world, we provide webcam health consultations for people around the globe.
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BY DR. WILL COLE
Dr. Will Cole, DNM, IFMCP, DC is a leading functional medicine expert who consults people around the globe, starting one of the first functional medicine telehealth centers in the world. Named one of the top 50 functional and integrative doctors in the nation, Dr. Will Cole provides a functional medicine approach for thyroid issues, autoimmune conditions, hormonal imbalances, digestive disorders, and brain problems. He is also the host of the popular The Art of Being Well podcast and the New York Times bestselling author of Intuitive Fasting, Ketotarian, Gut Feelings, and The Inflammation Spectrum.
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