Top 3 ways to increase testosterone naturally


Losing about ten percent of body weight can raise testosterone roughly 85 ng per dL. A fifteen percent loss can raise it around 250 ng per dL. Treating sleep apnea and guarding the second half of the night also supports testosterone [1]. Incorporating regular exercise, especially resistance training, can further enhance testosterone levels, complementing the benefits of weight loss. Additionally, prioritizing a balanced diet rich in healthy fats, proteins, and micronutrients can serve as a foundation for natural testosterone boosting techniques. Creating a consistent sleep routine and managing stress effectively are other critical factors that contribute to maintaining optimal hormone levels.
Many men in their late 30s and 40s ask how to increase testosterone naturally. The real levers are body weight, sleep quality, and stress control. A large review of men in weight loss programs found that losing about ten percent of total body weight raised total testosterone: the main sex hormone in men that supports sex drive, muscle, mood, and energy by about 85 ng per dL. More aggressive weight loss near fifteen percent raised testosterone by around 250 ng per dL [1]. Short sleep and loud snoring also drive testosterone down, and even one week of five-hour nights can drop levels by 10 to 15 percent in healthy young men [2]. Strong stress hormones can shut off the brain signal that tells the testicles to make testosterone [3].
“Testosterone is not random luck. Extra belly fat, broken sleep, and constant stress work together to push it down. The fix starts with fat loss, airway support at night, and stress control, long before medication.”
This article is written for men age 35 to 50 with weight gain, poor sleep, and high stress who want better energy, sex drive, and focus through natural change. We will cover how body fat, sleep apnea, and stress talk to your hormones. We will also give a clear plan for how to increase testosterone naturally with safe steps you can take now.
The relationship
Body fat and testosterone pull against each other. Men with more deep belly fat often have lower testosterone, and men with lower testosterone tend to keep storing fat around the waist [1,4]. Deep belly fat is called visceral fat: fat packed around the organs in your abdomen that behaves like an active gland and releases hormones and inflammation signals. Visceral fat is not just storage. It acts like a chemical factory and changes how your body makes and uses testosterone [4].
One key step is weight loss. A 2013 meta review in European Journal of Endocrinology looked at obese men who lost weight through diet or bariatric surgery. Diet and exercise programs that produced about ten percent total weight loss raised testosterone an average of about 2.9 nmol per L, which is about 85 ng per dL [1]. More aggressive loss, close to fifteen percent or more, raised testosterone around 8.7 nmol per L, which is about 250 ng per dL [1]. This is the core link behind the keyword weight loss testosterone increase.
Sleep matters too. Testosterone follows a daily rhythm. It should climb at night and peak in the early morning hours. Short sleep cuts that rise. Loud snoring with choking sounds, also called sleep apnea: a sleep breathing disorder where the throat closes again and again during sleep so you stop breathing for brief moments and oxygen drops, blocks deep sleep and is tied to lower morning testosterone and poor sexual function [2,5]. Men with sleep apnea often report low sex drive and weak morning erections [5].
How it works
Body fat lowers your signal
Visceral fat makes more of an enzyme called aromatase: a protein that turns testosterone into estradiol, which is a form of estrogen. High aromatase means you burn through testosterone faster and end up with less in the blood [4]. At the same time, extra visceral fat blunts luteinizing hormone: a signal from the pituitary gland that tells the testicles to make testosterone coming from the pituitary gland: a small control gland at the base of the brain that releases hormone signals into the blood [1,4]. This pattern is called functional hypogonadism: low testosterone caused by outside stressors such as obesity or illness, not by a damaged testicle [4]. Men with this pattern often fix a large part of the problem by losing weight [1].
Deep sleep drives the overnight pulse
Most daily testosterone release happens during sleep, mainly in the second half of the night when rapid eye movement sleep ramps up. Rapid eye movement sleep: the dream-heavy stage of sleep when brain activity is high and the body cycles growth and sex hormones. Cutting sleep to five hours for one full work week dropped morning testosterone by 10 to 15 percent in healthy men age 24 to 35 in a 2011 JAMA study [2]. This is why protecting the second half of the night sleep and testosterone go together. Your body needs those last hours, not just the first hours you get after midnight.
Stress hormones block the command chain
High work stress and high alert states raise cortisol: the main stress hormone made by your adrenal glands that helps you handle danger and low blood sugar. Lab studies in men show that raising cortisol can shut down pulses of luteinizing hormone in real time, which then lowers testicular testosterone output [3]. Chronic high cortisol keeps the brain from sending a strong signal to the testes, and low testosterone then feeds low drive, slow recovery, and stubborn belly fat. This is the stress and hormones problem.
Airway collapse at night chokes off testosterone
In untreated sleep apnea, oxygen dips and sleep breaks over and over. Men with sleep apnea often show lower morning testosterone and weaker luteinizing hormone signals compared with age matched men without apnea [5]. Treating sleep apnea with continuous positive airway pressure (CPAP): a bedside air pump that keeps the airway open with gentle air flow through a mask can improve sexual function and energy in many men, even if testosterone does not always shoot up in every study [1,5]. Strong treatment of sleep apnea and testosterone complaints often go together in clinic because both problems share the same root causes: weight around the neck and belly, and airway collapse during sleep [1,5].
Clinical cutoffs doctors use
Meta analyses indicate that symptomatic men with total testosterone below 350 ng/dL (≈12 nmol/L) are most likely to benefit from TRT. If total testosterone is borderline, measure free testosterone; values below 100 pg/mL (≈10 ng/dL) support hypogonadism. In practice, use 350 ng/dL for total or 100 pg/mL for free as decision thresholds when symptoms persist. Major groups such as the American Urological Association advise testing early in the morning on two different days and repeating tests after lifestyle steps when possible [6].
Conditions linked to it
Low testosterone is linked to several common problems in men 35 to 50. These are not random. They all track with extra visceral fat, poor sleep, or chronic stress.
- Obesity. Men with higher waist size tend to have lower testosterone and lower luteinizing hormone drive, a pattern often called functional hypogonadism [1,4]. This is often reversible with weight loss [1].
- Sleep apnea. Men with loud snoring, observed choking in sleep, or daytime nodding off often have lower morning testosterone and more sexual complaints [5]. Treating sleep apnea can improve energy, mood, and sexual function, and may also help testosterone rise in men who were sleep deprived [1,5]. Evidence here is mixed. Some studies show clear gains in testosterone after CPAP and some show only symptom relief [1,5].
- Metabolic syndrome. Metabolic syndrome: a cluster of high waist size, high blood pressure, high blood sugar, high triglycerides, and low HDL cholesterol that raises the risk of type 2 diabetes and heart disease. Men with metabolic syndrome often have lower total and free testosterone and higher estradiol, which is made from testosterone by aromatase in visceral fat [4].
- Chronic stress and burnout. Long term high cortisol blunts the brain pituitary testicle axis and drags down testosterone output [3]. This is the core link between stress and hormones in working men.
- Erectile problems. In one trial of obese men, intense lifestyle change with diet and activity improved erection score and also raised testosterone, showing that sexual function and hormone health share the same base causes, not just age [7].
Limitations note: Most of these data come from observational human studies and structured lifestyle trials. Cause and effect can be hard to prove in stress studies. Lab work with cortisol spikes shows a direct brake on luteinizing hormone and testosterone, but day to day job stress is harder to measure in a clean way [3]. Sleep apnea data are also mixed. Some men see large gains with CPAP. Others mainly feel less sleepy, even if lab testosterone barely moves [1,5].
Symptoms and signals
You cannot guess your testosterone level off one bad day. But certain warning signs tend to cluster when testosterone is low and stress is high.
- Low sex drive or less desire for touch
- Fewer morning erections or softer morning erections
- Tired mid day even after coffee
- Brain fog and low drive to start tasks you used to enjoy
- Loss of muscle or strength even though you still train
- More belly fat and a tighter belt notch even if your body weight on the scale did not change much
- Grumpy mood or short fuse with family or co workers
- Loud snoring, gasping in sleep, or waking up choking for air as reported by a partner
- Falling asleep in meetings or at red lights
These are not only hormone signs. They also match sleep apnea, high cortisol stress states, and metabolic syndrome [1,3,5]. If you see several of these at once and you are in the 35 to 50 range, you should treat them as data and not as normal aging.
What to do about it
Here is a clear plan for how to increase testosterone naturally. The steps are in order on purpose. Step 1 gives you data. Step 2 targets the causes. Step 3 keeps you safe.
- Get tested the right way. Ask for an early morning total testosterone blood test on two different days. Also ask for free testosterone if your total number is borderline. Free testosterone is the small part of testosterone that is not stuck to protein and can enter cells. A free testosterone under 100 pg per mL with classic symptoms supports true low testosterone. Bring up waist size, snoring, and stress exposure during the visit. This helps your doctor tell the difference between functional hypogonadism and a primary testicle problem [1,4,6].
- Cut visceral fat and fix sleep. A steady calorie deficit and more movement that leads to about ten percent total weight loss can raise testosterone around 85 ng per dL. Larger loss near fifteen percent can raise it around 250 ng per dL [1]. This is the most reliable natural lever we have in real human data. Protect sleep, with a target of at least seven hours in bed and no alarms that cut off the last third of the night. That late sleep window is when testosterone peaks [2]. If your partner says you gasp or choke, ask for a sleep apnea study. CPAP for apnea often improves daytime energy, sex drive, and mood and may improve testosterone in men who were sleep deprived [1,5]. This is the core of sleep apnea and testosterone.
- Control stress load and follow up. Block off true off time each day so cortisol can drop. Simple breath drills and short zone 2 cardio work can pull cortisol down and improve insulin action. Insulin resistance: when cells stop responding well to insulin so blood sugar stays high, which makes the pancreas pump out even more insulin. Lower insulin resistance takes pressure off visceral fat and helps testosterone recovery [1,3,4]. Recheck labs in 3 months. If you are still under about 350 ng per dL total testosterone with the same symptoms, guidelines say you may qualify for testosterone replacement therapy, also called TRT, under medical care [6]. TRT should also include blood count checks, prostate checks as advised, and repeat sleep apnea screening if you gain weight [6].
Myth vs Fact
- Myth: A single over the counter booster pill will fix low testosterone in a 45 year old man with a 42 inch waist.
Fact: Human data show that body weight loss of about ten percent can raise testosterone about 85 ng per dL. No legal pill in a gas station study has matched that [1]. - Myth: Only the hours before midnight count for sleep.
Fact: Most testosterone release happens in the second half of the night. Cutting the last few hours cuts testosterone the next morning [2]. - Myth: Stress is mental so it cannot affect hormones.
Fact: High cortisol can shut down the brain signal that tells the testes to make testosterone [3]. - Myth: CPAP will make you jacked in two weeks.
Fact: CPAP often improves energy and sex drive fast in men with sleep apnea. Testosterone may rise, but results vary from man to man [1,5].
Bottom line
The most proven way to raise testosterone without drugs is to drop visceral fat, protect deep sleep in the second half of the night, and lower chronic stress. Weight loss in the ten to fifteen percent range can raise testosterone by 85 to 250 ng per dL in real men [1]. Short sleep, loud snoring, and nonstop stress pull the number in the other direction [2,3,5]. Lab testing, smart lifestyle change, and medical follow up form one plan, not three different plans. This is how to increase testosterone naturally with real data, not hype.
References
- Corona G, Rastrelli G, Monami M, Saad F, Luconi M, Lucchese M, Facchiano E, Sforza A, Forti G, Mannucci E, Maggi M. Body weight loss reverts obesity-associated hypogonadotropic hypogonadism: a systematic review and meta-analysis. Eur J Endocrinol. 2013;168(6):829-843. PMID: 23482592.
- Leproult R, Van Cauter E. Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA. 2011;305(21):2173-2174. PMID: 21632481.
- Cumming DC, Quigley ME, Yen SS. Acute suppression of circulating luteinizing hormone levels by cortisol in normal adult men. J Clin Endocrinol Metab. 1983;57(3):671-673. PMID: 6348069.
- Kelly DM, Jones TH. Testosterone: a metabolic hormone in men. Endocr Rev. 2015;36(1):25-64. PMID: 25657350.
- Luboshitzky R, Lavie L, Shen-Orr Z, Herer P, Lavie P. Pituitary-gonadal function in men with obstructive sleep apnea: the effect of continuous positive airway pressure treatment. Clin Endocrinol (Oxf). 2002;56(4):463-468. PMID: 11966733.
- Mulhall JP, Trost LW, Brannigan RE, Kurtz EG, Redmon JB, Chiles KA, Lightner DJ, Miner MM, Murad MH, Nelson CJ, Parish SJ, Ramanathan LV, Souter I, Watkins C, Kim ED. Evaluation and Management of Testosterone Deficiency: AUA Guideline. J Urol. 2018;200(2):423-432. PMID: 29775637.
- Esposito K, Giugliano F, Di Palo C, Giugliano G, Marfella R, D’Andrea F, D’Armiento M, Giugliano D. Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA. 2004;291(24):2978-2984. PMID: 15213209.
- Reis LO, Favaro WJ, Barreiro GC, de Oliveira LC, Chaim EA, Simao AF, Fregonesi A. Erectile dysfunction and hormonal imbalance in morbidly obese men undergoing gastric bypass. Int J Impot Res. 2010;22(6):362-368. PMID: 20820192.

Alexander Grant, MD, PhD: Urologist & Men’s health advocate
Dr. Alexander Grant is a urologist and researcher specializing in men’s reproductive health and hormone balance. He helps men with testosterone optimization, prostate care, fertility, and sexual health through clear, judgment free guidance. His approach is practical and evidence based, built for conversations that many men find difficult to start.