AndroGel Variable Absorption: Diet Protocols That Help Stabilize Testosterone Levels

At a glance

  • High-fat, low-fiber vs low-fat, high-fiber diet / total testosterone 13% higher (41.0% vs 18.8% of energy from fat) in 43 men; significant only for SHBG-bound testosterone [1]
  • Low-fat, high-fiber diet / circulating androgens fell about 12% over 8 weeks in 39 men, testosterone clearance unchanged [2]
  • Low-fat diets overall / meta-analysis of 6 trials, 206 men: total and free testosterone fell [3]
  • Zinc restriction / testosterone 39.9 to 10.6 nmol/L after 20 weeks in four young men [4]
  • Vitamin D / 31 men on 3,332 IU daily: 10.7 to 13.4 nmol/L; 23 men on placebo: no change [5]
  • Soy / no significant change in total testosterone, SHBG or free testosterone [6]
  • Acute alcohol / testosterone fell as blood alcohol rose in 16 men, peak about 109 mg/100 mL [7]
  • 1% gel study / doses adjusted after 90 days when measured testosterone was outside the normal adult male range [8]

What the diet studies measure

The diet studies below tracked blood testosterone in men eating different diets. None of those men was applying a testosterone gel, so the numbers describe diet effects on measured testosterone, not on how much testosterone crosses the skin from a gel.

In a study of a 1% testosterone gel, doses were adjusted after 90 days when pre-application serum testosterone was outside the normal adult male range; the study did not test diet as a way to adjust absorption [8].

Fat, fiber and testosterone

In a crossover feeding study, 43 healthy men ate a diet with 41.0% of energy from fat (and less fiber) for 10 weeks and one with 18.8% from fat (and more fiber) for 10 weeks. Total testosterone was 13% higher and SHBG-bound testosterone 15% higher on the high-fat, low-fiber diet; the difference was statistically significant only for the SHBG-bound fraction (P=0.04) [1].

Going the other way, 39 men aged 50 to 60 switched from their usual diet to an isocaloric low-fat, high-fiber diet for eight weeks. Mean serum testosterone fell, and the authors summarized a 12% lowering of circulating androgen levels with no change in testosterone clearance [2]. A meta-analysis of six intervention studies with 206 participants found that low-fat diets lowered total testosterone (standardized mean difference -0.38, 95% CI -0.75 to -0.01) and free testosterone [3].

Zinc, vitamin D, soy and alcohol

Twenty weeks of dietary zinc restriction in four healthy young men was associated with a fall in serum testosterone from 39.9 to 10.6 nmol/L [4]. In the same report, nine older men with marginal zinc deficiency who took oral zinc gluconate for three to six months saw testosterone rise from 8.3 to 16.0 nmol/L [4].

Among 54 overweight men in a weight reduction program who completed a year-long randomized trial, 31 took 3,332 IU of vitamin D daily. Their average total testosterone rose from 10.7 to 13.4 nmol/L, while the 23 men on placebo had no significant change [5].

A meta-analysis of soy protein and isoflavone studies found no significant effect on total testosterone, SHBG, free testosterone or free androgen index in men [6].

In 16 men given alcohol acutely, plasma testosterone fell as blood alcohol rose and stayed depressed at a peak blood alcohol of about 109 mg/100 mL [7].

Frequently asked questions

Does anything I eat or drink change how much testosterone I absorb from AndroGel?
No study identified tested this. The diet studies tracked blood testosterone in men who were not using a gel, so they do not show an effect on AndroGel absorption [1][2].
Does dietary fat change testosterone levels?
In 43 men, total testosterone was 13% higher on a 41.0%-fat, low-fiber diet than on an 18.8%-fat, high-fiber diet, though the significant difference was in the SHBG-bound fraction [1]. A low-fat, high-fiber diet lowered circulating androgens about 12% in 39 men [2].
Do zinc or vitamin D supplements raise testosterone?
Zinc restriction dropped testosterone from 39.9 to 10.6 nmol/L in four young men, and zinc supplementation raised it in nine older men with marginal zinc deficiency [4]. In a year-long trial in overweight men, 31 men taking 3,332 IU of vitamin D daily rose from 10.7 to 13.4 nmol/L, while 23 men on placebo did not [5].
Does soy or alcohol affect testosterone?
Soy protein and isoflavones did not significantly change total testosterone, SHBG or free testosterone in a meta-analysis [6]. Acute alcohol lowered plasma testosterone in 16 men as blood alcohol rose [7].

References

  1. Dorgan JF, Judd JT, Longcope C, Brown C, Schatzkin A, Clevidence BA, et al. Effects of dietary fat and fiber on plasma and urine androgens and estrogens in men: a controlled feeding study. Am J Clin Nutr. 1996;64(6):850-5. Effects of dietary fat and fiber on plasma and urine androgens and estrogens in men: a controlled feeding study
  2. Wang C, Catlin DH, Starcevic B, Heber D, Ambler C, Berman N, et al. Low-fat high-fiber diet decreased serum and urine androgens in men. J Clin Endocrinol Metab. 2005;90(6):3550-9. Low-fat high-fiber diet decreased serum and urine androgens in men
  3. Whittaker J, Wu K. Low-fat diets and testosterone in men: Systematic review and meta-analysis of intervention studies. J Steroid Biochem Mol Biol. 2021;210:105878. Low-fat diets and testosterone in men: Systematic review and meta-analysis of intervention studies
  4. Prasad AS, Mantzoros CS, Beck FW, Hess JW, Brewer GJ. Zinc status and serum testosterone levels of healthy adults. Nutrition. 1996;12(5):344-8. Zinc status and serum testosterone levels of healthy adults
  5. Pilz S, Frisch S, Koertke H, Kuhn J, Dreier J, Obermayer-Pietsch B, et al. Effect of vitamin D supplementation on testosterone levels in men. Horm Metab Res. 2011;43(3):223-5. Effect of vitamin D supplementation on testosterone levels in men
  6. Hamilton-Reeves JM, Vazquez G, Duval SJ, Phipps WR, Kurzer MS, Messina MJ. Clinical studies show no effects of soy protein or isoflavones on reproductive hormones in men: results of a meta-analysis. Fertil Steril. 2010;94(3):997-1007. Clinical studies show no effects of soy protein or isoflavones on reproductive hormones in men: results of a meta-analysis
  7. Mendelson JH, Mello NK, Ellingboe J. Effects of acute alcohol intake on pituitary-gonadal hormones in normal human males. J Pharmacol Exp Ther. 1977;202(3):676-82. Effects of acute alcohol intake on pituitary-gonadal hormones in normal human males
  8. Swerdloff RS, Wang C, Cunningham G, Dobs A, Iranmanesh A, Matsumoto AM, et al. Long-term pharmacokinetics of transdermal testosterone gel in hypogonadal men. J Clin Endocrinol Metab. 2000;85(12):4500-10. Long-term pharmacokinetics of transdermal testosterone gel in hypogonadal men
Evidence overview for AndroGel Variable Absorption: Diet Protocols That Help Stabilize Testosterone Levels