Research
Energy balance
Lifestyle changes, specifically weight reduction and physical exercise, are the first-line approach for overweight and obese men with functional hypogonadism because weight loss can increase testosterone concentrations.
If you are overweight or obese and have low testosterone, lose weight and exercise before starting testosterone therapy. Weight loss can naturally raise your testosterone levels. This is the recommended first step.
GoodSupportsHIGH confidence
Lifestyle changes and weight reduction should be the first approach in all overweight and obese men. ... weight loss may increase T concentrations
Why this rating
Based on longitudinal data (EMAS) and meta-analyses showing proportional increase in T with weight loss.
Source
European Academy of Andrology (EAA) guidelines on investigation, treatment and monitoring of functional hypogonadism in males
Giovanni Corona et al. · Andrology · 2020
DOI 10.1111/andr.12770
clinical_guidelineCited 398×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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- Testosterone replacement therapy (TRT) reliably improves global sexual function (libido, erectile function, sexual satisfaction) in men with functional hypogonadism in the short term.Good
- Testosterone replacement therapy (TRT) is contraindicated in men with untreated prostate or breast cancer, and is not recommended for improving cognitive function, depressive symptoms, or exercise capacity in hypogonadal men.Good
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