This week I discussed a Feb 2023 study comparing a normal diet vs. a low carb diet on total serum testosterone and improving erectile function in hypogonadal men with metabolic syndrome.  

Testosterone deficiency, also called hypogonadism, is a prevalent condition, affecting around 5 million American men. Eighteen men were evaluated over 3 months. Mean age was 59.8 and 57 years in the control and low-carbohydrate groups, respectively. The participants all had metabolic syndrome and subnormal testosterone levels.

The control group was instructed to continue eating normally but received guidance about healthy eating patterns. The low-carbohydrate group was instructed by a nutritionist, to reduce carbohydrate intake and increase protein and fat intake. Their diet could not contain more than 25–30% carbohydrates per day, aiming for 20–30 g carbohydrates per day. The two diets have the same amount of calories.

The results:  

The study demonstrated that a low-carbohydrate diet could reduce weight, systolic blood pressure and abdominal circumference. Furthermore, a period of three months on this diet also raised serum levels of total and calculated free testosterone which could improve erectile function. However, larger studies should be done to demonstrate the potential effect of a low-carbohydrate diet on serum testosterone level and erectile function in hypogonadal men with metabolic syndrome.

Source:

https://bmcendocrdisord.biomedcentral.com/articles/10.1186/s12902-023-01278-6

Table of Results:

https://bmcendocrdisord.biomedcentral.com/articles/10.1186/s12902-023-01278-6/tables/4

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