Another study in 60 people found that those who took 240 mg of ashwagandha extract per day for 60 days had significant reductions in anxiety compared with those who received a placebo treatment. Testosterone injections increase your testosterone levels. The researchers only included men in the study, because they didn’t expect weight loss drugs to raise testosterone levels in women. Testosterone levels that are truly low are most concerning because low testosterone can lower bone density (which increases the risk of fracture), reduce muscle mass, lower hemoglobin (red blood cells) levels and decrease libido, experts say. "It would be better to treat obesity or diabetes and naturally increase testosterone than to prescribe testosterone — which has known risks," said Spratt, who was not part of the study. The findings don’t prove the increase in testosterone levels was caused by the drugs semaglutide or tirzepatide. Roughly half of the men had low to low-normal testosterone at the start of the study and most reached normal levels after treatment. You want smooth blood flow, so an increase in red blood cells could easily cause stagnation. Too much testosterone can also cause hypertension, or high blood pressure (8). Elevated levels can also strain the heart cause other muscles and ligaments damage. "Your body will start converting excess testosterone into estrogen to help compensate," says McDevitt. On the other hand, free testosterone is floating around your body, ready to be recruited by your cells. Your body then metabolizes your total testosterone into other substances to keep you functioning optimally. As its name suggests, total testosterone is the total amount of testosterone in your bloodstream. Evidence supports fenugreek’s role in blood sugar control and the treatment of type 2 diabetes. In addition to these, having too-high testosterone levels put you at risk for health conditions including cancer, cardiac complications, and irritability (9). Low levels of testosterone are linked to an increase in the storage of visceral fat, which is also a huge risk factor for type 2 diabetes. This in turn enhances insulin resistance, followed by an increase in blood sugar. In men, testosterone levels need to be adequate enough to maintain healthy fat distribution in the body. Ashwagandha is an ancient medicinal herb with various possible health benefits. You can take ashwagandha in many ways, in either a single dose or multiple doses per day. Always speak with a doctor to ensure ashwagandha or other supplements are safe for you to use. Ashwagandha is likely safe for most people when used for up to 3 months, although its long-term effects are unknown. The results were more pronounced in people with insomnia and in those who took more than 600 mg daily for 8 weeks or longer. By dissecting the hypothalamic-pituitary-gonadal axis, we demonstrated that the cause of low testosterone was a decrease in testicular responsiveness to luteinizing hormone (LH). If the patient has not recently conducted a blood test, they may either request one from their GP or book a private test through TRT Australia’s network of doctors. With TRT Australia, prospective patients are required to have blood test results from within the past four months to determine their eligibility. Individuals experiencing unexplained fatigue, muscle loss, and abrupt mood changes are encouraged to book a phone consultation with the clinic. Ashwagandha is likely safe for most people in the short term.