You might have noticed that things aren’t quite what they used to be. Whether it’s a dip in energy, a foggy mind, or changes in your body, these symptoms could be more than just part of aging — they might be signs of low testosterone (low T). 

Here are 10 study-backed indicators to help you spot the problem.

1. Decreased Energy and Persistent Fatigue

Low T can zap your energy, leaving you feeling drained no matter how many hours you sleep. Research has shown that low testosterone reduces mitochondrial efficiency, directly affecting energy production.

How to Spot It:

  • You struggle to get through your workday and rely on multiple cups of coffee;
  • Even after a full night’s sleep, you still feel exhausted;
  • You find it hard to muster the energy for weekend activities or exercise.

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2. Reduced Sex Drive and Diminished Libido

A decline in sexual desire is a common red flag of low testosterone. Numerous clinical studies link reduced T levels to a decrease in libido, affecting both your confidence and your relationships.

How to Spot It:

  • You notice less interest in physical intimacy compared to previous years;
  • Your partner comments on a lack of passion or enthusiasm;
  • Attempts to rekindle intimacy often fall flat, leaving both of you frustrated.

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3. Unexplained Weight Gain, Especially Around the Midsection

Low testosterone can shift your body composition, increasing fat storage — particularly around the belly. Research indicates that men with low T tend to have a higher percentage of body fat. [3]

How to Spot It:

  • Your clothes suddenly feel tighter around the waist even though your diet hasn’t changed;
  • You struggle to shed those extra pounds despite regular workouts;
  • Your midsection is noticeably expanding while other parts of your body remain unchanged.

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4. Loss of Muscle Mass and Strength

Testosterone is essential for muscle maintenance. When levels drop, you may notice a decline in both muscle mass and overall strength, regardless of how hard you hit the gym. [4]

How to Spot It:

  • Your usual workout routine isn’t yielding the same results as before;
  • Daily tasks that used to be effortless now require extra effort;
  • You feel less robust and notice a decline in muscle tone over time.

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5. Mood Swings, Irritability, and Depression

Low T isn’t just about physical changes — it also impacts your emotional well-being. Studies have found a clear link between low testosterone and mood disorders, including irritability and depression.

How to Spot It:

  • You find yourself snapping at colleagues or loved ones over minor issues;
  • A persistent low mood or a sense of melancholy lingers without clear reason;
  • Situations that once made you happy now leave you feeling frustrated or indifferent.

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6. Cognitive Decline (aka Brain Fog)

Struggling with concentration, memory, or decision-making can be a sign that your testosterone levels are off. Research has linked low T to cognitive decline and a pervasive “brain fog”.

How to Spot It:

  • You have difficulty remembering details or following conversations;
  • Tasks that require focus take significantly longer than they used to;
  • You often feel mentally sluggish, even after a good night’s sleep.

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7. Sleep Disturbances

Low testosterone can affect the quality of your sleep, making it hard to fall asleep or stay asleep throughout the night. Numerous studies have shown that low T correlates with disrupted sleep patterns.

How to Spot It:

  • You frequently wake up in the middle of the night, feeling restless;
  • Mornings are rough, and you rarely feel truly refreshed;
  • Despite following a consistent sleep schedule, you get insomnia.

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8. Reduced Bone Density

Testosterone plays a key role in maintaining bone health. When levels are low, you might experience a decrease in bone density, which increases the risk of fractures and chronic bone pain.

How to Spot It:

  • You suffer minor injuries or bone aches more frequently;
  • A routine check-up raises concerns about your “bone mineral density”;
  • You notice that your recovery from falls or bumps is slower than it used to be.

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9. Decreased Motivation and Self-Confidence

Low T can destroy your mojo, your drive and self-esteem, leaving you feeling unmotivated and less confident about your decisions. Studies suggest that testosterone influences mood and ambition, and low levels can lead to a noticeable dip in self-confidence.

How to Spot It:

  • Goals and challenges that once excited you now seem overwhelming;
  • You feel stuck in your career or personal life, doubting your capabilities;
  • A persistent lack of motivation hinders your ability to take on new opportunities.

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10. Infertility or Reduced Sperm Count

For those considering starting or expanding a family, low testosterone can be a critical factor. Scientific research has consistently linked low T with reduced sperm production and fertility issues.

How to Spot It:

  • You and your partner encounter difficulties when trying to conceive;
  • Medical tests indicate a lower than average sperm count;
  • Fertility issues arise despite a healthy lifestyle and no obvious medical cause.

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Conclusion: Taking Charge of Your Health

If several of these signs sound familiar, it might be time to consider that low testosterone IS affecting your life.

Instead of writing off these symptoms as just another part of aging, recognize them as signals from your body that it needs help.

Whether through lifestyle changes or TRT, addressing low testosterone could be the key to restoring your energy, vitality, and overall well-being.

Take control of your health — your body and your future self will thank you for it.

Author

  • Dr. Derek Winsfield is a board-certified endocrinologist with over 15 years of clinical experience specializing in hormone therapy. He earned his medical degree from the University of Toronto and completed his endocrinology residency at McMaster University. Now in his 40s and for over 6 years on TRT himself, Dr. Winsfield is recognized in Toronto’s medical community for his evidence-based approach.

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