Addressing Male Hormones

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MALE HORMONES

Hormones are our body’s messengers; they are transported through the body delivering messages from our organs to our brains and vice versa, to perform many body functions.

When we think male hormones, we think of testosterone, but that is not the only player to consider. Signalling from the brain sends the message to the testicles to produce testosterone, but small amounts also come from the adrenal glands, which are located just above the kidneys.

Testosterone is working to form male genitals even before the baby boy is born. During puberty, testosterone plays an important role in the development of male attributes such as a deeper voice, facial and body hair. It is also responsible for muscle mass and sex drive. Testosterone production surges during adolescence and peaks in the late teens or early 20s. After age 30, it’s natural for testosterone levels to drop by about one percent each year.

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Sue shares the benefits of working with our expert nutrition team at the HealthMatters Group

SIGNS AND SYMPTOMS

Symptoms of low testosterone can relate to mood including sadness, irritability, anxiety, insomnia, decreased sense of wellbeing.

Sexual indications may include erection weakness, decreased quality of orgasm, decreased interest or desire for sex, decreased volume of semen.

Other relevant symptoms include frequent joint and muscle aches, increased obesity (especially central), diminished muscle mass and strength, decreased vigour and physical activity.

Osteoporosis which we usually consider for women, can also be relevant for men.

Testosterone has beneficial effects on insulin regulation, lipid profiles and blood pressure.

Higher natural testosterone levels are associated with improved insulin sensitivity, HDL, lower central obesity, lower blood pressure, triglycerides, LDL and a reduced risk  of developing obesity. 

Low testosterone levels are an independent risk factor for insulin resistance, metabolic syndrome and Type 2 Diabetes.

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ANDROPAUSE

Andropause, otherwise known as the ‘male menopause’, is a term used to describe the changes in male hormones that occur, typically from your 40’s onwards. 

The hormonal changes that occur are more gradual that in the female menopause, and do not involve the complete cessation of reproductive functions, as is experienced by women. 

Andropause typically occurs in middle-aged and older men, usually starting in the late 40s or early 50s. The most significant hormonal change that occurs is a significant decline in testosterone levels. Testosterone is an important male sex hormone that contributes to multiple body systems and general maintenance of the body, such as muscle mass, bone density and energy levels. 

While not all men experience andropause, approximately 20% of men over the age of 60 experience low testosterone levels. 

Symptoms of Andropause

Symptoms can vary among individuals, however many commonly reported symptoms are listed below.

  • Fatigue
  • Reduced libido
  • Erectile dysfunction
  • Mood swings
  • Irritability
  • Depression
  • Sleep disruption

Treatment options for andropause may include hormone replacement therapy (HRT), however it can also be supported using a personalised dietary approach combined with lifestyle changes.

TESTOSTERONE AND WEIGHT MANAGEMENT

Research suggests that low testosterone may be associated with several metabolic changes in men. As testosterone declines, it is associated with an increase in body fat, particularly around the abdomen. Some of the mechanisms contributing to this weight gain are as discussed below.

  1. Decreased Muscle Mass: Testosterone is essential for the maintenance of muscle mass. As testosterone levels decline, this may lead to a reduction in muscle mass and the body’s overall metabolic rate. This may then lead to an increase in weight gain.
  2. Reduced Physical Activity: Low testosterone levels may impact energy levels by increasing feelings of fatigue and therefore contribute to a lack of motivation for physical activity. This can result in decreased exercise and contribute to weight gain.
  3. Changes in Fat Distribution: Low testosterone levels have been associated with an increase in visceral (internal) fat, particularly in the abdominal area. This type of fat is associated with various health risks, including metabolic disorders.
  4. Insulin Resistance: Low testosterone levels have been associated with insulin resistance, a condition where the body’s cells become less responsive to insulin. Insulin resistance can contribute to weight gain and an increased risk of developing type 2 diabetes.

Balancing Hormones

It’s important to address any imbalances as low testosterone is associated with an increase of all-cause mortality in men over 50 years old.

An overall balancing of hormones is important to manage testosterone levels. This means consuming a well-balanced, nutrient-dense diet.

A low glycemic load eating plan full of colour and including cruciferous vegetables can be helpful.

Nutrients such as zinc and vitamin D are precursors for the synthesis of testosterone.

Essential fatty acids including omega 3 fats from oily fish, linseeds and walnuts can help.

We need to reduce excess alcohol, caffeine, saturated fats and trans fats.

Exercise increases testosterone naturally, especially regular high intensity exercise and strength training for at least 150 minutes per week.

Improving lean body mass and addressing visceral fat is important.

Obesity can contribute to low testosterone.

There is also a relationship between sleep apnoea and low testosterone. This may be a vicious cycle as lack of sleep can lower testosterone and so can obesity.

Stress management is also important as our stress hormones and sex hormones share the same pathways.

Reducing your toxic load including organochlorides, pesticides, second-hand smoke, xenoestrogens and solvents can also be important.

FUNCTIONAL TESTING

Male hormone imbalances may be as a result of low testosterone or higher oestrogen or both – and we can test these markers using functional medicine. Testosterone is usually measured in blood, and due to its circadian rhythm, ideally the sample should be taken at the beginning of the day.

A male hormone testing profile may look at additional markers that are useful include liver function, female hormones such as estradiol, Luteinising hormone (LH) and Follicle Stimulating Hormone (FSH), Sex hormone binding globulin (SHBG) as well as PSA (Prostate Specific Antigen).

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“I cannot believe the difference in me after working with Chloe! I have started my period today, I actually did not see it coming because I have had no PMS symptoms! It feels like a miracle. I have been able to see directly how eating whole nourishing foods can transform how we feel. My skin is better, I have lost weight, I’ve had no bloating and my anxiety levels have reduced dramatically. I feel I couldn’t have got to this stage without Chloe’s support and the knowledge she shared.”

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“Before coming to Susanna, I was struggling with post-hormonal contraception acne and digestion inconsistencies. Susanna has really helped me understand my needs and what was missing from my diet in order to start healing from the inside. Her recommendation of doing the gut health test was extremely valuable as I was more aware of the deficiencies I had that may have been implicated in my problem areas. I would recommend Susanna to anyone.”

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Elizabeth

“When I started working with Susanna, I was concerned about how my diet was impacting my thyroid function and my ability to conceive. The advice, recommendations and testing provided by Susanna continue to be very beneficial, as I have been able to modify my diet to eliminate symptoms and to support my thyroid health. Susanna is very friendly and approachable and puts a lot of care into the service she provides. I feel this makes the whole experience positive and helped me to feel at ease. She has been extremely helpful and is very knowledgeable. It was a pleasure to have been under her care.”

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“My favourite part of the sessions was the detail Chloe shared with me around how specific nutrients impact the body. Chloe linked every single recommendation to my specific symptoms and test results, and provided a very personalised plan of support. I’d recommend it to anyone […] what you learn about your body and nutrition through this process is invaluable.”

Hannah

“My biggest concern was feeling stuck – believing that no matter what I tried, my body weight wouldn’t change, and feeling too busy with work to commit to dietary changes. What stood out to me the most was Chloe’s tailored approach. She’s incredibly passionate and knowledgeable, always well-prepared and ready to answer my questions. The detailed handouts and personalized plans fit seamlessly into my busy lifestyle, making the process both effective and enjoyable. If you’re considering working with Chloe, I’d wholeheartedly recommend it. The experience has transformed how I perceive food and improved my relationship with it”

“Seeing Nese throughout my weight loss period was a real pleasure and a great help. Not only was she able to advise me on planning, and other helpful strategies, but she was also perhaps more importantly, a true source of moral support.”

Dina

FAQs

What common signs and symptoms of male hormone imbalances can NutritionalMatters support?

Common symptoms include fatigue, low libido, mood swings, decreased muscle mass, increased central weight gain, joint aches, poor sleep, and reduced vitality. A gradual decline in testosterone levels in mid-life can lead to a cluster of these symptoms affecting some men, a condition referred to as Andropause.

What treatment options are available for male hormone imbalance?

Nutritional interventions vary depending on the underlying causes. Our nutritional therapists will provide you with tailored dietary and lifestyle recommendations, based on your nutritional needs and health goals. Our practitioners complement GP care and existing medical treatments such as testosterone replacement therapy, administered by medical professionals.

Can I still have support if I haven’t had a blood test with my GP?

Yes – your practitioner can work from a thorough health history and may recommend private functional testing if needed. We ask you to fill out forms prior to the initial consultation, to enable a thorough and effective nutritional analysis during the initial 60-minute consultation.

Will I be able to test my hormone levels?

Yes, tests that may be recommended by our nutritional therapists include a range of different hormone testing. If you would like to go ahead with the recommended testing, the clinic will arrange these tests for you, and the results will be discussed in a follow up consultation with your practitioner.

What results can I expect and how quickly?

Results depend on the complexity of your presenting health or existing health condition, and commitment to making the recommended dietary and lifestyle changes. A typical timeline spans 2 – 6 months for sustained improvements, however in your initial consultation your practitioner will discuss and agree the cadence of ongoing sessions, to support the reduction of your symptoms and improvement in your health and wellbeing. Nutrition support gives you the tools to manage your health in the long-term, focusing on sustainable changes.

Will dietary changes fit with my cultural or food preferences?

Yes! Recommended dietary changes can be tailored to your preferences, in addition to addressing your nutritional needs. Practitioners adapt recommendations to align with client’s cultural diets and existing habits, focusing on modifications rather than eliminations.

How much does this cost overall?

Your first session with one of our nutrition practitioners is more than just an assessment – it’s the beginning of a relationship built on trust, expertise, and care.

Initial 60-Minute Nutrition Consultation – £200

Whether you’re managing complex symptoms or just want to feel better in your body, this is the space where your journey starts with clarity and direction.

Healing your body and transforming your relationship with food takes time.

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After your initial consultation, you can choose to continue with a 1, 2, 3, or 4-hour bundle of time, which can be used however works best for you.

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