How Low Level of Testosterone Hormone Can Cause Weight Gain

Last Updated Sep 1, 2024

Low testosterone levels can lead to weight gain by reducing muscle mass and increasing fat accumulation, slowing metabolism, and increasing appetite.

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Image of a doctor measuring the abdominal circumference of a man with excess belly fat

Key takeaways:

  • Low testosterone levels can lead to a loss of muscle tissue, decreasing the body's ability to burn calories efficiently, making it easier to gain weight.
  • Low testosterone promotes fat accumulation, especially around the abdomen.
  • It can result in fatigue and lower energy levels, making it harder to stay active and maintain a healthy weight.
  • Addressing low testosterone through lifestyle changes or medical treatments can help mitigate these effects and support better weight management.

Testosterone is a key hormone mainly produced in the testes in men and in smaller amounts in the ovaries in women. It is crucial for developing male characteristics like muscle and bone growth and body hair. 

Besides these roles, testosterone helps maintain muscle mass, manage fat distribution, and support bone strength and energy levels. It also affects mood and thinking, making it important for overall health and well-being.

Low testosterone levels can contribute to weight gain by reducing muscle mass and increasing fat accumulation, especially in the abdominal area.

Testosterone, an essential hormone in the human body, significantly influences a variety of physiological processes. Among its many roles, testosterone is particularly important for maintaining muscle mass and regulating fat storage. These functions are critical for understanding the connection between testosterone levels and body weight.

Testosterone and Muscle Mass

Testosterone plays a critical role in building and preserving muscle mass by promoting protein synthesis, which is crucial for muscle growth and recovery. 

Higher testosterone levels increase muscle size and strength, which in turn boosts metabolism. This heightened metabolic rate results in increased calorie burning, even during periods of rest.

Testosterone and Fat Storage

Testosterone additionally impacts fat storage by inhibiting the transformation of preadipocytes into adipocytes, which are responsible for storing fat in the body. Reduced testosterone levels diminish this inhibition, allowing for greater fat accumulation, especially around the abdomen.

Can low testosterone cause weight gain?

Low testosterone levels can contribute to weight gain in both men and women.

Low testosterone in men

Testosterone is vital for preserving muscle mass. When testosterone levels drop, muscle tissue can diminish, lowering the body's calorie-burning efficiency and possibly causing weight gain. 

Additionally, testosterone helps control fat distribution, especially by preventing fat build-up around the abdomen. With decreased testosterone, this control weakens, resulting in increased fat storage, particularly in the visceral area.

Low testosterone in women

Although testosterone is mainly linked with male physiology, it is present in lower amounts in women and can affect their weight as well.

In women, like in men, testosterone helps maintain muscle mass. Lower than normal testosterone levels in females can also cause muscle loss, leading to a slower metabolism and potential weight gain over time.

While estrogen is the main hormone that influences fat distribution in women, testosterone also has an impact. Reduced testosterone levels can change fat storage patterns, resulting in more fat, particularly around the abdomen.

How to know if you have low testosterone

Low testosterone, or low T, can manifest in various ways, but experiencing these symptoms does not necessarily mean you have low testosterone. Only a medical professional can provide a definitive diagnosis through proper testing. Here are some signs that may indicate low testosterone levels:

  • Fatigue: Constant fatigue and low energy levels may indicate low testosterone. If you feel continually tired even after getting enough rest, it's better to talk to your doctor.
  • Reduced muscle strength or mass: Testosterone is essential for muscle development and maintenance. If you notice a decrease in muscle strength or mass, it could be related to low testosterone levels.
  • Increased body fat: An increase in body fat, especially in the abdominal area, may be connected to low testosterone levels. This change in body composition can also come with a reduction in muscle mass.
  • Poor state of mental health: Low testosterone can impact mood and mental health, leading to symptoms like irritability, depression, or anxiety. If you experience notable mood swings or depressive feelings, it is crucial to consult a medical professional.
  • Reduced sex drive: A significant drop in sex drive is a typical indication of low testosterone. Both men and women might notice a decreased interest in sexual activity.
  • Low cognitive performance: Low testosterone can impact cognitive functions such as memory and concentration. If you notice difficulties with focus or memory recall, it's advisable to discuss this symptom with your healthcare provider.
  • Erection issues: Low testosterone levels in men can lead to challenges in achieving or sustaining an erection.
  • Hair loss: Testosterone affects hair growth, and lower levels of testosterone can result in thinning or loss of hair in certain parts of the body.

How doctors diagnose low testosterone

Doctors diagnose low testosterone through a series of steps:

1. Symptom Evaluation

They assess symptoms such as fatigue, decreased libido (sex drive), muscle loss, and mood changes.

2. Medical History

Doctors may also review your medical history to identify any potential factors contributing to low testosterone.

3. Physical Examination

Physicians might also conduct a physical assessment to look for indications such as hair thinning or breast enlargement (gynecomastia).

4. Blood Tests

Blood tests can be carried out to assess the levels of both total and free testosterone in the bloodstream.

5. Additional Tests

Occasionally, doctors may perform additional tests, such as checking levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), to identify the underlying reason for low testosterone.

Impact of testosterone replacement therapy: Does it cause weight loss?

Testosterone replacement therapy (TRT) can lead to weight loss in individuals with low testosterone levels. However, the degree of weight loss can vary based on individual factors such as age, health, diet, and exercise habits. Here's how TRT can influence weight:

Increase in Muscle Mass

Testosterone is essential for building and maintaining muscle. Testosterone replacement therapy (TRT) can increase muscle mass, which enhances metabolism. With a higher metabolic rate, the body burns more calories, promoting weight loss.

Reduction in Fat Mass

TRT can also lower fat mass, especially visceral fat in the abdominal area. By improving fat distribution in the body, TRT can help reduce overall body fat.

Improved Energy Levels

Elevated testosterone levels can boost energy and motivation, facilitating participation in physical activities. Regular exercise aids in weight loss and improves overall health.

Enhanced Mood and Well-being

TRT can enhance mood and alleviate depression symptoms, which may indirectly help with weight loss by encouraging a more active lifestyle and better eating habits.

How to increase testosterone levels naturally

To naturally increase testosterone levels, the following may be beneficial:

  • Take Supplements: Consider taking natural supplements like vitamin D, vitamin B6, zinc, and magnesium, which can support healthy testosterone levels.
  • Exercise Regularly: Engage in regular exercise for effective boosting of testosterone levels. Physical activity throughout the day can keep your testosterone levels up. Avoid long periods of inactivity.
  • Get Enough Sleep: Aim for 7-8 hours of quality sleep per night. Poor sleep can negatively affect your testosterone levels.
  • Reduce Stress: High levels of stress can increase cortisol, which can lower testosterone levels. Engage yourself in relaxation techniques like meditation, yoga, or deep breathing exercises to maintain a healthy lifestyle.
  • Maintain a Healthy Weight: Excess weight can reduce testosterone levels. Eating well and exercising regularly can help you stay at an ideal weight.
  • Eat a Balanced Diet: Include a balance of proteins, fats, and carbohydrates in your diet. Consuming foods high in zinc and vitamin D, like fish, nuts, and dairy, can boost testosterone levels.

Wrap up

Low testosterone can lead to weight gain by reducing muscle mass, decreasing metabolic rate, and encouraging fat accumulation, particularly in the abdominal area. These factors can result in increased body fat and reduced energy levels, making weight management more challenging. 

Implementing lifestyle adjustments or seeking medical treatment can help counteract these effects and promote a healthier weight and body composition.

Frequently Asked Questions (FAQs)

What does low testosterone feel like?

Low testosterone can feel like constant tiredness, low energy, reduced sex drive, mood swings, and trouble concentrating. Physical signs include less muscle, more belly fat, and hair thinning. These symptoms can affect overall well-being.

Can you have low testosterone at 30?

Yes, you can have low testosterone at 30. While it usually decreases with age, young men can also have low levels of testosterone due to genetics, health issues, obesity, stress, or testicular injury. If you think you might have low testosterone, see a doctor for diagnosis and treatment.

Can low testosterone cause weight gain in women?

Yes, low testosterone can also lead to weight gain in women. This hormone helps manage muscle mass and fat distribution, so when levels significantly drop below the normal range for females, it might lead to muscle loss and fat gain, especially around the belly.

Does low testosterone cause belly fat?

Yes, low testosterone can lead to an increase in belly fat. This hormone plays a role in how fat is distributed in the body, and when its levels are low, fat tends to accumulate more in the abdominal region.