Bryan Betty: Testosterone and the risks of non-medical use

What is testosterone?   A hormone ‘anabolic steroid’ produced by the testes and ovaries   It’s important for energy, libido, muscle mass, and bone health   It’s becoming more common – being marketed on social media as “anti-ageing” or performance-enhancing     When is testosterone use appropriate?   It’s intended for replacement therapy, not body enhancement   Clinically confirmed low testosterone in males, gender-affirming therapy, low libido around female menopause   Consistent symptoms (fatigue, low libido, reduced muscle mass) and repeated low blood levels   It should be prescribed and monitored by a doctor    Where does misuse occur?   Anti-ageing and wellness   Promoted for tiredness, weight gain, low energy   It’s often labelled “Low T” or “male menopause”   Normal ageing is medicalised – most men don’t meet treatment criteria   Bodybuilding and athletic performance   Used at high doses to increase muscle and strength   Often involves “stacking” multiple anabolic steroids   Banned by organisations such as the World Anti-Doping Agency   Supplements and online products   Marketed as “testosterone boosters” or “Super T”   Often unregulated, lack evidence, and may contain harmful substances     What are the risks of misuse?   Excessive dosing can heighten the risk of heart disease and strokes (via thickened blood), and cause breast enlargement and hair loss in men   In women, it can result in a deepened voice and excess hair growth (which may be irreversible)   Mood changes, including anxiety   It can mask underlying conditions such as depression or thyroid disease     Key points   Testosterone has a clear medical role. Its benefits are often overstated, while misuse carries significant risk.     LISTEN ABOVE See omnystudio.com/listener for privacy information.