Male Testosterone Optimization
A protocol to support healthy testosterone through sleep, training, diet and supplements, and to use testosterone therapy safely when a clinician confirms it is needed.
68/100
Abraham Morgentaler, Jay Campbell, functional medicine
Natural optimization 3 to 6 months; testosterone therapy is ongoing with monitoring
10 phases
5 conditions
Protocol Overview
A protocol to support healthy testosterone through sleep, training, diet and supplements, and to use testosterone therapy safely when a clinician confirms it is needed.
Used For
Key Resources
Supplements & Herbs
Further Reading
Safety Profile
Testosterone tends to drift down with age, and obesity, poor sleep and some medicines lower it further. Symptoms include fatigue, low libido, erectile problems, low mood, muscle loss and fat gain. A total testosterone below about 300 ng/dL on repeat morning tests, with symptoms, is the usual threshold for therapy. Morgentaler's research changed thinking on prostate cancer risk, and the 2023 TRAVERSE trial found no increase in major heart events in men with low testosterone on therapy. Lifestyle steps, weight loss and treating sleep apnea can raise testosterone for many men. Therapy can help those who need it a great deal, with careful monitoring by a licensed clinician.
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The Evidence Score (0 to 100) rates the strength of evidence from studies in people for the uses listed: higher means stronger, more consistent research. It does not measure safety. It is not medical advice.
For education, not medical advice. Talk with a licensed clinician before you start, and never stop or change a prescribed medication without your prescriber.