DRS 34 | Does Low Testosterone Cause Weight Gain?


Low Testosterone Weight GainIn this episode of the Dr. Rob Show we talk about low testosterone levels in men and some of the associated symptoms such as low sex drive, fatigue, depression and weight gain.  We reference DRS episode 21 where we discussed female hormones and how that compares to testosterone in men.  Dr. Rob talks about low testosterone levels and the dangers associated with it, as well as having too much testosterone. We discuss treatment options for low testosterone.  Dr. Rob also talks about the differences between conventional testosterone treatment and bio-identical testosterone treatment.   If you suspect you have low testosterone, you can answer a quick questionnaire to find out, so click here.

In this episode of The Dr. Rob Show

  • Discuss Testosterone
  • Discuss the difference between low and high testosterone
  • Discuss treatment options for low and high testosterone

What Do You Think?

  • Do you have low testosterone or know someone who does?
  • Take a short questionnaire to see if you have low testosterone, click here

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  1. Catherine says:

    Do you think that supporting the adrenals can influence testosterone levels in the same way where they are low?

  2. Dr. Rob says:

    Hello Catherine,

    Yes, absolutely. In fact, it is “stress” and adrenal burden that can lead to low testosterone production and all of the associated symptoms. Our bodies are designed for short periods of stress. A few seconds to a couple of minutes at the most, but in our society we have a constant level of psychological stress that eventually depletes the system and dysfunction occurs.

  3. Maybe you can help? I have an issue regarding omega-3 fats, and trying to raise my Testosterone levels (recently finished reading Tim Ferriss’ Four Hour Body in which this is referenced) fish send me into anaphalactic shock, so cod fish liver is out, and I’m too timid to try krill. I can tolerate flax seed oil, although i cough for and keep clearing my throat for about an hour, then i’m fine. I’m not smart enough to understand how the body synthesizes omega 3s, from plant vs. animal, and just what my problem is, but are there other sources of omega3 that i could take to help boost Testosterone levels and in what amounts?

    Here is the Protocol as defined in the 4 Hour Body:

    Blue Ice Royal Butter Oil / Fermented Cod Liver Oil Blend – Capsules: 2 capsules upon waking and 2 capsules before bed

    Vitamin D3: 3000 – 5000 IU upon waking and before bed (6,000 – 10,000 IU per day) until you reach blood levels of 55ng/ml.

  4. Dr. Rob says:

    Hello Stephen,

    The omega-3’s from flax and other plant sources provides mainly Alpha Linolenic Acid (ALA), but the body then converts ALA into EPA. ALA is not used by the body and the enzyme(Delta-6 desaturase) that converts ALA to EPA is a fairly weak enzyme. The Omega-3’s EPA and DHA mainly comes from animal sources. The only other source of EPA/DHA besides fish would be Krill oil. The only problem is that krill oil is only found in soft gel form. I prefer a liquid form for omega-3’s instead, so I would continue with the flax oil, 1-2 tbsp per day and try to boost testosterone by using herbs instead. I think you would have more success that way anyways. Let me know if you have more questions.


  5. I was on hormone replacement thereapy, specifically testosterone. At first I took the pellets, but the dose was too high, made me sick and I got off those. I use the cream, 1gram vaginally in the evening, 1 gram in the morning. I went off of them completely and felt great for 2 months, then got sick, headaches started again, etc. About 2-3 weeks ago I started back on the cream am and pm ( and discussed with my doctor). I am EXTREMELY fatigued. I am sleeping all the time. I also have gained weight very rapidly and my diet hasn’t changed, can this be the result of the testosterone? And I have very very bad headaches throughout the day/night. Can u help? Thanku!

  6. Hello! I have been on methadone treatment for about 8 months now due to pain medication addictation from multiple surgeries. The Methadone cause my Testosterone to drop to 123! At 25 years old I’ve lost all motivation to have sex with my girlfriend of 3 years and most certainly my future wife, I’ve began gaining weight like crazy, and at times have even had trouble keeping and erection. I spoke to my doctor and he started me on Axiron for testosterone replacement. Is Axiron a good medication for me ? Will it help my sex drive turn to my life? Do you have any recommendations for me?

  7. Hello Justin,

    Being as young as you are, taking testosterone is not really the best approach and not one I would take with you right away. You are young enough for your body to produce its own testosterone, so my goal would be to encourage “endogenous” production of testosterone. However, with the methadone, hormone replacement may be necessary temporarily, or intermittently until your levels increased.

  8. Is it possible I can’t gain any weight cause I may have low testosterone?
    I am 110 pounds.

  9. Hello Joseph,

    Yes, it is possible you are not able to gain weight due to low testosterone. Another possibility would be low growth hormone level, which is a hormone released in the brain while you sleep. If fact, it is possible you could be low in both testosterone and growth hormone. A simple blood test would determine your levels and determine if you would be a candidate for hormone therapy. Let me know if you have any more questions.

    Take Care

    Dr. Rob

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