The symptoms
- More specific
The symptoms most specific to low testosterone are sexual: low libido, fewer morning erections, and erectile difficulty. Physical signs include loss of muscle and strength, more body fat, reduced body hair, and (in severe, sustained deficiency) small testes, breast tenderness, or hot flushes.
- Less specific
The vaguer symptoms — fatigue, low mood, irritability, poor concentration, 'brain fog' — overlap enormously with sleep debt, stress, depression, thyroid problems and simply being unfit. They are real but non-specific, which is exactly why a symptom checklist alone can't diagnose low T, and why chasing 'low-T symptoms' with a supplement usually treats the wrong thing.