Here Are the Top Causes of Low Testosterone

We’re one of the oldest health optimization clinics in Miami specializing in helping men optimize their testosterone levels. In the period of time since we’ve been serving our patients, we’ve seen men with drastically low levels of testosterone start on our TRT program and experience a breakthrough physically, mentally, and even financially. Many patients have had low-t most of their adult life and never realized it until getting a low-t test, but why did they have it

What can affect your testosterone levels?

Did you know Testosterone levels fall naturally every year by 1 to 2 percent? This is the case especially for men after 30 years of age. Your natural testosterone production may be affected by one or more factors: Injury, Medical Conditions, Poor Nutrition, Use of Alcohol or Drugs, Lack of Quality (REM) Sleep, and Lifestyle Choices like frequency of physical activity and exercise.


Testosterone Production can be limited by injury and infection. Injuries to the testes or inflammation of the testes caused by an infection called Orchitis. This infection can be caused by bacteria traveling in the blood system throughout your body but is most often caused by a Sexually Transmitted Infection (STI).

Spinal cord injuries and other chronic conditions related to spinal cord damage are reported to cause low testosterone in patients. Read more:

Medical Conditions

  • Cancer
  • Metabolic disorders such as hemochromatosis (too much iron in the body)
  • Dysfunction or tumors of the pituitary gland
    Medications, including opioids, hormones used to treat prostate cancer, and steroids (such as prednisone)
  • Acute (short-term) or chronic (long-term) illness
  • Alcohol abuse
  • Cirrhosis of the liver
  • Chronic renal (kidney) failure
  • Inflammatory conditions such as sarcoidosis (a condition that causes inflammation of the lungs and other organs)
  • Kallman syndrome (abnormal development of the hypothalamus, a gland in the brain that controls many hormones)
  • Klinefelter syndrome (a genetic condition in which a male is born with an extra copy of the X chromosome). Also called XXY syndrome
  • High levels of the milk-producing hormone prolactin
  • Obesity or extreme weight loss
  • Uncontrolled type 2 diabetes mellitus
  • Congenital defect (present at birth)
  • Obstructive sleep apnea
  • Aging
  • Estrogen excess (usually from an external or environmental source)
  • Previous anabolic steroid abuse
  • Severe primary hypothyroidism
  • Pubertal delay
  • Trauma (head injury)
  • Radiation exposure or prior surgery of the brain

Poor nutrition

While many people know that poor nutrition can contribute to serious chronic health problems, it is not as widely known that some foods may actually lower the natural production of testosterone in your body, and may even increase levels of estrogen, the female hormone which can lead to gynecomastia in men. Avoid foods like Soy, Milk, Alcohol, and Processed Foods.

Read more about how foods can lower your testosterone

Alcohol / Drugs

Lack of quality sleep

Lifestyle Choices

If you’re living with a sedentary lifestyle, your testosterone can go up with regular intensive exercise. Accordin to a study published in the National Istitutes of Health,

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