If you’ve had your testosterone checked and were told “everything looks normal,” yet you still feel exhausted, unmotivated, foggy, or disconnected from your libido — you’re not alone. As physicians, we see this scenario constantly. And the reason is simple: “Normal” testosterone does not always mean healthy — or optimal — for you. Let’s break down why this happens and what’s often missed in standard evaluations.

Testosterone therapy isn’t one-size-fits-all. Many men want the benefits of higher testosterone—more energy, better libido, increased strength, improved body composition—but aren’t sure whether to start Testosterone Replacement Therapy (TRT) or try Enclomiphene, a non-steroid alternative that stimulates the body's own production.

What counts as a “normal” testosterone level varies more than most men realize. Some men feel terrible at a “normal” level of 400 ng/dL. Others feel great at 650. So is there an ideal target?

Erectile dysfunction (ED) is one of the most common issues men face — but also one of the least openly discussed. While many men assume it’s purely a mechanical or psychological problem, the truth is often far more complex.

Starting testosterone replacement therapy (TRT) is a major step toward restoring energy, focus, and overall well-being — but many men aren’t sure what to expect once treatment begins.

Should I try to boost it naturally, or go straight to testosterone replacement therapy (TRT)?