Misdiagnosing Low Testosterone Symptoms in Men: The Real Story Behind Fatigue, Mood, and Motivation
- Rick Miller
- Jun 9
- 1 min read
Low testosterone in men - a misdiagnosis mess?
Low testosterone is common — but often missed. Executives are particularly at risk, with stress, sleep disruption, and diet all contributing.

Low testosterone symptoms often missed
Fatigue, low motivation.
Brain fog.
Loss of muscle mass, increased belly fat.
Low libido.
Why Doctors Miss It
Standard bloods often limited to total testosterone.
No free testosterone or SHBG (sex hormone binding globulin) measured.
Symptoms dismissed as “stress” or “age.”
Executive Lifestyle Factors
Travel, alcohol, lack of sleep, all lead to lower testosterone.
Circadian misalignment worsens symptoms.
Testing & Treatment
Advanced bloods: total and free Testosterone, SHBG, LH (luteinising hormone) and prolactin.
Nutrition, resistance training, circadian reset.
TRT considered only with full workup.
FAQs
Is TRT always necessary? → Not always, lifestyle + circadian first.
Why do execs suffer more? → Higher stress load + poor recovery.
Closing Thought
Don’t let low testosterone go unnoticed. The right testing can transform energy, focus, and long-term health.



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