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I’m tired and don’t care about sex. What’s wrong?

I’m tired and don’t care about sex. What’s wrong?

Wayne says he’s not motivated at work, has zero interest in sex, and can’t build muscle
even when he works out. He’s frustrated that his I potbelly won’t away, but otherwise he
says he leads a healthy lifestyle. He wants to know what’s wrong with him and what he
can do to kick-start his life.

Harry’s advice:

First of all, Wayne, with vague symptoms such as these we have to look at your whole life, not just your body. We can’t get into it all here, but your lack of energy or interest in sex could be related to all sorts of things—relationships, stress at work, depression—it’s all connected. But, in terms of your body, I see a couple of potential problems. First is your gut. Belly fat acts like a sponge for testosterone. So your testosterone level may be low. You should definitely get that checked out. Low T could be part of your problem.

And your gut might not be the only problem here. There are a lot of reasons your
testosterone may be low. Testosterone is made in the testicles. Some people have testicles that don’t reach their scrotum. This is called an undescended testicle and can absolutely cause low testosterone. You might also have a varicocele, or enlargement of the veins in the scrotum. This can also lower testosterone. But by far the most common cause of low testosterone is excess weight.

I recommend seeing your doctor, who may suggest taking a regimen of testosterone
replacement therapy, just to get the hormone going again. You may find that the
increased energy will help you exercise and lose that excess weight. If you do that, you should be able to get off the testosterone—which may be important because you’re a young guy. One thing many people don’t know is that taking testosterone can reduce or eliminate your fertility. So if you ever want to have kids, you’re gonna have to leave the testosterone behind and boost your T naturally by eating right, getting enough sleep, and exercising regularly.

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