Low Testosterone: To T or Not to T

Dear Mr. Dad: My 13-year old son doesn’t seem to be maturing as quickly as his peers. His voice has barely changed, he’s not sprouting much facial or body hair, and he’s below average in height. He’s also overweight and seems tired a lot of the time. Lately he’s become obsessed with the idea that his problem is Low-T. He’s been bringing me magazine ads, pointing to TV commercials and Internet ads, and is trying to convince me that he needs testosterone supplements. Could he be right? I though low testosterone was only something that affects older men.

A: The answer to your question is Yes and No. Yes, he could indeed have low testosterone (frequently–and annoyingly–referred to as Low-T). But No (no, no, no) he should absolutely not start taking supplements or doing anything to “treat” the problem until he’s been properly diagnosed by a professional. And by professional, I mean a trained healthcare provider who will run blood tests (the only accurate way to measure testosterone levels) and who is committed to identifying the underlying issues and how to overcome them, rather than to selling you a bunch of pills. Stay far, far away from anyone (including advice columnists) who claims to be able to diagnose and treat low testosterone or other medical conditions without actually seeing the patient.
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