Dr. Kyle Gillett, MD, (@kylegillettmd) is a dual board-certified physician and an expert in optimizing hormone levels to improve overall health and well-being
Practical
Lifestyle changes to improve fertility
No tight-fitting clothing, cold shower or cold plunge, no sauna use
Avoid cans/plastics with BPA: there is evidence it negatively impacts sperm count and fertility
Improving testosterone
Vigorous exercise 3-4x per week, less vigorous exercise a few times per week
Not more than an hour
Well-rounded diet (not a carnivore, not vegan – especially in teens)
Ample vitamin D
Managing stress
Creatine can help (maybe a little…see below about hair loss)
Questionnaire to determine if you may have low testosterone levels
Avoid
Smoking cannabis or tobacco
Alcohol in excess of 3-4 drinks every two weeks
Too much-seated cycling
Limit porn / masturbation
Can limit libido, even once per day is detrimental to hormones (and dopamine)
Don’t eliminate dairy from your diet, it’s helpful for development
Don’t restrict calories too much / for too long
Males in teens, 20s, and even 30s whose levels are within normal range should not have testosterone replacement therapy
Avoid eating two hours before bed (optimizing growth hormone release)
Eat iodine (cruciferous vegetables) to help with thyroid hormone levels
Theory
Unless you are overweight or obese, caloric restriction will reduce building blocks for hormones, leave the body in the catabolic state more frequently
Cycling can damage the prostrate if putting a lot of pressure on the perineum and lead to incontinence or impotence
Smoked cannabis will increase prolactin and decrease testosterone
Alcohol significantly increases aromatase (an enzyme that converts testosterone into estrogen) – avoid more than 3-4 standard drinks every two weeks
Creatine helps with amino acid synthesis, oxidative stress, backup fuel tank for mitochondria, slightly increases total testosterone, increases conversion of testosterone to DHT
If you’re worried about hair loss, creatine can potentially add fuel to the fire – but if the follicle is still there the hair will come back after a few months
Males get hair loss gene from their mother
If you have deficient vitamin D and replace it, you will optimize testosterone