Written by Carrie Jones, ND, MPH, Medical Director at Precision Analytical, Inc.
While women are classically defined by their estrogen and progesterone levels, men are defined by their androgen levels, namely testosterone. It is the differences in these hormones that help with secondary sex characteristics by gender; however, the extra testosterone produced by the gonads in men is what increases their body mass, muscle strength, alters fat distribution, and generally improves energy, mood, and sex drive. Through each stage in a man’s life, proper understanding of testosterone and age-dependent ranges become an absolute must in working to sustain a healthy lifestyle.
Testosterone levels are the highest at puberty (as the male body develops) and continue to fall through the years with experts saying it declines 1-2% every year after 30 years old. Unfortunately, this process can be sped up through poor lifestyle habits, dietary choices, exposures, lack of exercise, and increased stress, resulting in men in their 20’s and 30’s experiencing the fallout of a low testosterone level.
The DUTCH test gives a comprehensive evaluation of all androgen hormones and estrogen. While we already stated estrogen is what defines a woman, testosterone can be converted into estrogen in fat tissue (and elsewhere) through a process known as aromatization. Increased estrogen levels result in fatigue, depression, low libido, erectile issues, weight gain, and breast development. Therefore, the more fat a man has on his frame, the likelihood of having elevated estrogen and low testosterone is much higher. It is also important to understand which pathway the androgens are taking as some pathways result in male pattern baldness, anger, irritation, acne, and increased prostate problems.
Age ranges are set for men to see where they are compared to their peers and to determine if their “age range” and “optimal range” is the same range (ranges do not account for weight, health habits, or genetics). For example, a man might have an appropriate level for his age, but his symptoms of lean muscle loss, fatigue, mood swings, and lower libido may suggest he should be in a younger category. Age ranges also help for those on testosterone supplementation, as many healthcare practitioners have an ideal testosterone level for their patient to achieve in order to know if the replacement is working.
As a side note, it is helpful to evaluate the epi-testosterone level compared to the testosterone level when supplementing with testosterone. Epi-testosterone does not increase with replacement and acts more of a “baseline” level. The difference can indicate whether the replacement is increasing levels or not; see video.
Currently the DUTCH testosterone age ranges are as follows:
- and older than 60y/o
DUTCH also gives age ranges for the other androgens such as DHEA-s, etiocholanolone, and androsterone.
It is important to understand that “age range” and “optimal range” may not be the same range for every male. Symptom history and lifestyle play a big role in determining this decision. Becoming more aware of proper hormone levels and the effects of HRT treatments are key in sustaining a healthy lifestyle.
Reproduced with permission from DUTCH Testing.
Dr. Carrie Jones, ND, MPH is a naturopathic doctor whose passion and expertise lies in the areas of hormonal, adrenal, and thyroid health. She recognizes that imbalance can occur at any age and believes it is important to look at the big picture such as the appropriate use of lab testing. Dr. Jones graduated from the National University of Natural Medicine (NUNM) in Portland, Oregon then went on to complete her residency in women’s health, endocrinology and hormones. Later she graduated from Grand Canyon University’s Master of Public Health program with a goal of doing more international work and health empowerment. Dr. Jones is an adjunct professor at NUNM and regularly consults, lectures, and writes on the topic of hormones, thyroid, adrenals, digestive issues, autoimmune and more both nationally and internationally. As the Medical Director for Precision Analytical, Inc., her goals are to provide ongoing cutting edge integrative clinical education to the large network of providers paving the way of healthcare with functional medicine.
P2P integrates with specialty labs and allows you can create custom lab rages within the patient chart, plus track lab test trends over time!
Learn more about P2P in this video…