The Big T - Part 2

How your lifestyle influences your Testosterone levels

Testosterone, Environment, and Lifestyle


After last week's physiology and endocrine primer, I thought you might need a break, a chance to let the smoking gray matter cool down. All that science is heavy. As a result of your week off, I hope you're ready to move on to this week's topic. This week we delve into the factors that affect T and what you can do about your own T levels.

A Testosterone Summer


Summer time is just about gone, and in addition to there having been lots of extra daylight and vacation time, there seems to have been lots of extra Testosterone floating around. This may just be a personal observation but in the summer, men and women seem more likely to want to meet, and as my 10th grade musical hero, Tone Loc, would say do the wild thing.


Ever wonder why? Sure it may have something to do with the fact that there's less thread and more tanned flesh readily visible. But it may be something else as well.


In a study examining the effects of season on total Testosterone levels, men with average T levels of 666 ng/dl (normal levels are between 300-1000 ng/dl) were studied during the months of April, July, October, January, and April again.(21) It appears that T levels increase about 12% during July and 15% during October and return to April levels throughout the rest of the winter. So remember, summer and early fall may be the time to start a growth phase since T will be the highest. In addition, the winter might be a nice time to cycle prohormones or other Testosterone boosters in an effort to keep the T up to summer highs.


One side note. No one knows why T levels fluctuate this way, but researchers speculate that T levels may be regulated by light-dark cycles. If this is true, then perhaps exposing yourself to extra sunlight throughout the winter months may keep T levels up. Who knows, a little extra winter tanning might even help to keep the T up, but that's just speculation. Give it a try. If your T doesn't go up, then at least you'll have a nice tan.


Training With A Capital T


There's nothing new about the fact that acute exercise increases T levels. It's been shown that in men, T levels rise both during exercise and up to about 15 minutes after exercise. But not all exercise increases T levels. Certain workloads and intensities produce no increase at all. Exercise at a certain threshold, however, leads to T increases that are proportional to the amount of muscle mass involved in the workout, the amount of total work (sets X reps), and the intensity.


With respect to weight training, a powerlifting-type workout consisting of 3 sets of 5 reps with 3 minutes rest between sets and a bodybuilding-type workout consisting of 3 sets of 10 reps with 1 minute rest between sets were compared. It appears that total T levels were increased for 15 minutes following exercise and that the bodybuilding workout (67% increase) is superior to the powerlifting workout (32% increase) for increasing total T levels.(14)


What about an activity like running? In a study done comparing elite distance runners with sedentary men, it was interesting to note that at rest, the sedentary men had 54% more total and free T floating around in their blood than the runners. It seems to be the case that most volume-training athletes have lower levels of T. The volume threshold seems to be at about 8 hours of exercise per week. In this study, the runners did, however, have larger free T increases in response to the running. Here's a table of the results:

Running Intensity
and Duration
Sedentary
Runners
Elite Runners
80% HR max
for 120 minutes
47% Increase 76% Increase
80% HR max
for 20 minutes
31% Increase 62% Increase
50% HR max
for 120 minutes
Nothing Nothing
50% HR max
for 20 minutes
Nothing Nothing

From these results, it appears that intense running (80% of max HR) can lead to increases in free T similar to the increases seen with resistance training.(6) If your goal is to increase your Testosterone, though, I wouldn't necessarily recommend very intense continuous running or a very high volume of exercise (greater than 8 hours per week).


Doing so would probably ensure that any increased T as a result of a single exercise session would probably be canceled out by lower resting levels of T. If you still insist on volume training, supplementing with over-the-counter androgens might help normalize T levels during intense periods of training.


Unfortunately and paradoxically, although T levels are increased directly after a training bout, some research has shown that they might then take a nosedive into subnormal levels for 1-3 days after the exercise session.


This means that although your squat day might jack your T levels up for a little while, ultimately those T levels are destined to come back down and end up lower than you started with. They might also stay low for a day or two before coming back to normal.


With that said, my advice would be to stop training altogether. Well, no, but I thought that might get your attention. Actually, inserting rest days between intense exercise bouts might be a better solution to allow T to come back to normal before hammering out another intense workout. Of course, you could always rely on OTC androgens, but since intense exercise might always promote this effect and you don't want to stay on androgens year round, perhaps program manipulation might be the best option.

Mood, Sex, and T


Most people think that stress and depression are psychological phenomenon that have minimal impact on the body. Wrong! Mood states and stressors have major effects on physical systems, especially the endocrine system.


In a bad mood? Stress and depression tend to cause the release of a hormone called corticotropin-releasing hormone (CRH) from our friend, the hypothalamus. This hormone ultimately leads to increases in the release of cortisol, the nasty catabolic adrenal hormone that munches up hard-earned muscle tissue with extreme prejudice.


Increases in CRH and cortisol as a result of both physical and psychological stress, including depression, anxiety, injury, fever, disease, etc. lead to decreased T levels.(25) To highlight the importance of this, one marker of overtraining and a catabolic state is the Testosterone-cortisol ratio. The higher the ratio, the more anabolism. The lower the ratio, well, let's not discuss that.


Many studies have been conducted to examine the relationship between stress, mood, cortisol, and Testosterone. Studies in humans and animals show that both acute and chronic stress lower total Testosterone levels. Here's the evidence:


• Psychiatric inpatients with major depression tend to have higher cortisol and 40% lower T than control subjects with no depression.(19)


• Healthy male internal medicine residents have higher stress and cortisol levels than controls and as a result, have 80% lower T levels.(20)


• Chronic headache sufferers have 50% lower T vs. controls.(7)


• In male endurance athletes T decreases by 17% as cortisol increases post exercise.(13)


• In monkeys forced to remain seated in a chair for 30 minutes, cortisol goes up and T levels decrease.(22)


• Police officers who were threatened with the loss of their jobs had lower T and higher cortisol than after the job stress had subsided.(11)

So relax and take things easy. Life delivers some pretty hefty blows but the less stress, anxiety and depression you feel as a result of it, the lower your cortisol will stay, the more muscle you will retain, and the higher your T will soar.(18)


Perhaps during stressful times in your life, your training intensity should be moderated. Don't plan a growth cycle when you know your mental and emotional circumstances will prevent your best gains. Or if you do want to blast through personal crises, perhaps supplementing with T boosters might be the answer.


Enough about negative moods. What about when you feel good? I don't know about you, but when my favorite hockey team stomps the hell out of a rival I feel pretty good. Actually I feel better than pretty good, I feel obnoxiously, tauntingly good. Why? Perhaps victory, either personal or vicarious, can increase T. Here's the evidence:

• Spectators of a basketball event and a soccer event whose favorite teams won benefited from increased T while those rooting for the losing teams had decreased total T.(1)


• Male college students who won $5 on a task controlled entirely by chance had increased levels of total T when compared to baseline, while those who lost $5 had lower levels of total T.(16)


• Collegiate competitive tennis players show increases in T after winning a match while those who lose do not.(2)

And what about when you feel horny, baby? Well intercourse, masturbation, and viewing erotic stimuli may all cause rises in your T. Actually, LH is better correlated with sexual arousal than T, but if LH pulses occur during arousal, then T is soon to follow.(17) Take a look at the following findings, but I'll leave you alone to come up with your own conclusions.


• Measured over the course of several weeks, men's T levels went up on 11 nights in which they had sex while the T levels went down during 11 sexless nights.(5)


• Increases in LH are seen during sexual arousal while watching erotic movies.


• Increases in LH and T are seen during sexual activity including masturbation.


And finally, what about those horny rats? This study will have frightening implications if it's released to the females of the world. Think about it!


• Rats release LH and total T by being exposed to a sexually responsive female. In one particular study, the rats were conditioned, Pavlov style, by presenting a sexually receptive female along with a strong background odor.(9) In the future, the odor alone was enough to cause a similar increase in LH and T as when the sexy rat was present.

T and Drugs


As a former willing participant in the bodybuilding subculture, I know quite a bit about what makes bodybuilders tick as well as many of the oddities of the lifestyle. One observation I've made over the years is that bodybuilders really like to take pills.


Regardless of whether they're prescription drugs, OTC drugs and supplements, or even good old Fred, Barney and Wilma in sugary vitamin form, bodybuilders will down handfuls at a time as a ritual of worship to the muscle gods. And I'll be the first one to admit that in my day, I had a thing for Betty Rubble. I used to eat mouthfuls of the tiny vixen while making poor Barney watch.


Although Flintstones vitamins probably do not impact T, many recreational, prescription, and OTC drugs do. Lets start with everyone's favorite drug, alcohol. In my opinion, alcohol is the single best legal Testosterone suppressor known to mankind. And you don't need a biochemistry experiment to realize that. Just look at the physique of any alcoholic for the evidence. And not only do chronic alcoholics suffer from low T as a result of sippin' a cold one. Numerous studies have shown that even one night on the town can cause T levels to plummet.


In one particular study, men consumed the equivalent of giving 200 ml of alcohol to a 176-lb man. While intoxicated, T levels were 25% lower on average than before consumption. In addition, the time course of T decrease correlated exactly with blood alcohol so when blood alcohol was the highest, blood T was the lowest.(17) With even lower doses, T levels remained suppressed for 10-16 hours, even after blood alcohol returned to normal.(23,24)


As a side note, one question I'm often asked by men concerns why they get so aroused when drinking. Well gents, in addition to the decrease of inhibitions, the body is fighting to maintain Testosterone homeostasis. As a result, high amounts of LH are released in order to bring T levels back to normal. As mentioned earlier, LH is correlated more with arousal than T, so that's why you get horny, you dogs. The problem, though, is that high LH secretion is ineffective at increasing T during an alcoholic stupor. Alcohol, you see, prevents T production at the Leydig cell level and not at the pituitary level. So you're arousal is up, but T stays down.


You don't drink? Well here is just a list of other drugs that decrease T levels in one way or another:(3,4,25)


1) Aspirin


2) Marijuana


3) Codeine


4) Opioids like Morphine, Methadone, and Heroin


You'll notice that a few of these drugs are used for pain. These drugs act on the central nervous system to produce analgesia, a desired effect for guys who pound their muscles day in and day out in the gym. Before you load up on the painkillers though, consider that one group of researchers actually uses T depletion in the blood as an assay for narcotic effectiveness.(3)


What this means is that the better a drug is at producing analgesia, the more it will reduce Testosterone levels. It's believed that these drugs act on the pituitary to block LH secretion and ultimately, T production.(25)


Two other drugs I'd like to mention are Nolvadex and thyroid hormone. Some authors have speculated that both drugs can increase T levels. I'm not convinced. In men who are severely hypothyroid, thyroid medication can increase total T levels.(10) But the doses needed are high. If you're dumb enough to try huge doses of thyroid hormone to try to increase your total T, the catabolic effects of that amount of thyroid would negate any anabolic effects of the increased T.


Both Nolvadex and thyroid drugs also increase SHBG.(10) Remember that the goal in increasing Testosterone levels is to increase bioavailable T — not just total T. If SHBG goes up as total T goes up, then the bioavailable Testosterone may stay the same, or worse yet, decrease. Don't get the wrong idea, though. Optimizing thyroid function through supplements produces a different effect than taking thyroid drugs. Either way, this course of action should help you lose body fat, but I don't think it will increase T levels one bit.


In summary, for maximum T, be cautious of how you use alcohol, marijuana, and painkillers. If you're going to assault your boys with alcohol, perhaps a few shots of diol would be an appropriate chaser. If painkillers have a shelf of their own in your medicine cabinet, perhaps an LH booster like Tribulus would be of benefit to your testis.

T Diet


The effects of diet on Testosterone are very unclear, as the research tends to contradict itself over and over again regarding what impact protein, carbs, and fats have on T levels.


In reviewing the literature, I'm convinced of one thing, though. Diets higher in protein, cholesterol, and saturated fat — as well as total fat content — tend to maintain higher T levels. I know, I know, these recommendations fly right in the face of what is deemed "healthy," but I just report what I know.


One particular study showed that decreasing dietary fat from 40% to 25% while at the same time decreasing saturated fat and increasing polyunsaturated fats led to decreased total Testosterone levels (18%) and free Testosterone levels (15%). Upon resuming their normal diet, Testosterone levels increased back to normal.(12)


One problem with the study was that subjects ate about 500 fewer calories on the lower fat diet, so it's hard to say that fat levels and not the caloric restriction led to the decrease in T. From this and other research, though, it's obvious that eating an adequate amount of fat and cholesterol is necessary to maintain T levels.


Of course, I wouldn't recommend eating large amounts of saturated fats and cholesterol, but what I do recommend for maximizing T levels during a growth phase is eating a diet of about 30% fat with some saturates and unsaturates, as well as cholesterol.


I can hear the nutty dietitians going crazy now, squawking about heart disease, etc., but if you're training hard, the cardio protective effects of the training will far out weigh any negatives of moderate amounts of saturated fat and cholesterol in the diet.


As far as protein intake, there's some correlational research to suggest that those who consume more protein have higher T levels.(15) I have a feeling, however, that perhaps the reason for this is that those who eat more protein also typically eat more animal products higher in fat and cholesterol.


Since higher T levels are the goal, severe food restriction or undernutrition is a terrible idea. Negative energy balance (i.e., the precontest diet) is associated with very large decreases in T.


In a really Testosterone-ish study, army rangers going through summer training in climates like the forest, the desert, the mountains, and the swamplands were given only 1000 to 2000 calories per day while their bodies had requirements of about 5000 (sounds like how I used to diet for shows).


As a result of the extreme training and undernutrition, these soldiers had T levels that, as the authors stated, "approached castrate levels".(8) SHBG increased as well. We're talking about 350% decreases in T levels with 67% increases in SHBG. Fortunately, SHBG and T levels returned to normal within 7 days of re-feeding. Identical results have been seen with T decreases after 48 hours of fasting.


This is a frightening illustration of the endocrine crash that can happen when bodybuilders go into huge caloric deficits during pre-contest preparation. All the more reason to stagger and fluctuate caloric intake while attempting to stimulate T production with supplements during dieting. This way, you won't end up with the endocrine profile of a castrated man.

Long Live Testosterone


Although T levels will fluctuate throughout the day, the week, and the year, there are predictable times during which T will be high (summer, winning streaks, higher fat eating periods, or when you're gettin' some). And there are times when it will be low (winter, losing streaks, stress and depression, low fat diets, drug and alcohol binges, or "dry spells").


During these times we can plan our training around our hormonal changes or we can take aggressive supplemental and dietary action to maximize our T potential. Knowing how each factor affects T can help plan your supplemental strategies. Make your T all that it can be!


As a result of the surge in Testosterone's popularity, perhaps another question will be added to the age-old inquiries, "How much can you bench?" and "Let me see your muscle!" Perhaps in the not too distant future, muscleheads will be measuring their manliness by a new yardstick and asking each other "What's your free and total T?"

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18)Rosmond, R et al., J Endocrinol Invest 22 (4): 279-278, 1999.

19)Schweiger, U et al., Psychosom Med 61 (3): 292-296, 1999.

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21)Smals, AG, J Clin Endocrinol Metab 42 (5): 979-982, 1976.

22)Torii, R et al., Jikken Dobutsu 42 (1): 67-73, 1993.

23)Valemaki, M et al., Alcohol Clin Exp 14: 928-931, 1990.

24)Valemaki, M et al, Alcoholism 1: 89-93, 1984.

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John Berardi, PhD, is the founder of Precision Nutrition, the world's largest nutrition coaching and education company. Berardi advises organizations like Apple, Equinox, and Nike. He's coached the San Antonio Spurs, the Carolina Panthers, US Open Champ Sloane Stephens, and 2-division UFC Champ Georges St-Pierre.