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  3. Testosterone-optimizing Strategies In Athletes.
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Testosterone-Optimizing Strategies in Athletes.

Artemii Lazarev1,2, George G A Pujalte1,3, Christina Philibert1

  • 1Department of Family Medicine, Mayo Clinic College of Medicine and Science, Jacksonville, Florida.

Sports Health
|February 3, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Athletes can optimize testosterone levels through proper nutrition, sleep, and targeted exercise. Avoiding endocrine disruptors and certain medications is key for maintaining healthy hormone levels and supporting athletic performance.

Keywords:
anabolic androgenic steroidsathletesexercisetestosterone

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Area of Science:

  • Sports Science
  • Endocrinology
  • Human Physiology

Background:

  • Testosterone is vital for athletic performance, influencing muscle growth, bone density, and more.
  • Athletes often seek methods to enhance testosterone levels, leading to exploration of both legal and illicit strategies.
  • Understanding testosterone's role is crucial for optimizing athletic potential and well-being.

Purpose of the Study:

  • To review the physiology of testosterone in athletes.
  • To examine legal strategies for optimizing testosterone levels in athletes.
  • To discuss the practical applications of these strategies.

Main Methods:

  • The study employed a narrative review methodology.
  • Information was gathered through comprehensive database searches.
  • The evidence level was determined to be Level 5.

    • Main Results:

    • Healthy testosterone levels depend on balanced nutrition, adequate sleep, and specific exercises like moderate-to-high intensity free-weight training.
    • Athletes should be cautious of widely marketed testosterone boosters due to limited evidence and potential risks.
    • Exposure to endocrine-disrupting chemicals, certain analgesics, and possibly radiofrequency electromagnetic radiation may negatively impact testosterone levels.

    Conclusions:

    • Educating athletes on safe, effective testosterone-optimizing strategies is essential.
    • Further research is required to identify additional safe methods for enhancing testosterone.
    • Legal strategies can help manage functional low testosterone and mitigate harm in anabolic-androgenic steroid users.