Online influencers are fueling concerns about low testosterone levels among healthy young men, with many promoting hormone tests and treatments as essential for achieving traditional notions of masculinity. A recent study published in the journal Social Science and Medicine has found that social media platforms such as TikTok and Instagram are being used to aggressively target this demographic.
Researchers analysed high-impact posts on these platforms and discovered that influencers were framing normal variations in energy, mood, libido, or ageing as signs of pathology, leading young men to perceive themselves as inherently deficient. This, in turn, fuels lucrative markets for pharmaceuticals, supplements, and medical devices, often with limited clinical benefits.
The study's lead author notes that this phenomenon contributes to the medicalisation of masculinity, reinforcing a narrow idealised model while marginalising non-traditional or diverse expressions of gender. Testosterone naturally declines with age, but lower levels can also be linked to factors such as type 2 diabetes, obesity, and certain medications.
The posts often targeted younger, fit men and contained messaging aligned with the "manosphere" β online communities that circulate ideas about male superiority. In this narrative, so-called "alpha men" are promoted as dominant, sexually successful, and physically powerful, with testosterone positioned as the key to achieving this status.
Experts warn that routine screening for low testosterone in asymptomatic men is not supported by guidelines, and testing should only be done when symptoms such as delayed puberty or reduced libido are present. The study found that 72% of social media posts had financial interests, such as selling testosterone tests or supplements, or were sponsored by industry.
Critics argue that online influencers with no health qualifications can make unsubstantiated claims about testosterone levels and sell products without consequences. A single test can only provide a snapshot of testosterone concentration at a given time and does not diagnose medical conditions.
The study's findings highlight the need for caution when promoting hormone tests and treatments, particularly among healthy young men. Experts urge people to seek advice from appropriately trained medical professionals rather than relying on social media influencers or online marketing campaigns.
Researchers analysed high-impact posts on these platforms and discovered that influencers were framing normal variations in energy, mood, libido, or ageing as signs of pathology, leading young men to perceive themselves as inherently deficient. This, in turn, fuels lucrative markets for pharmaceuticals, supplements, and medical devices, often with limited clinical benefits.
The study's lead author notes that this phenomenon contributes to the medicalisation of masculinity, reinforcing a narrow idealised model while marginalising non-traditional or diverse expressions of gender. Testosterone naturally declines with age, but lower levels can also be linked to factors such as type 2 diabetes, obesity, and certain medications.
The posts often targeted younger, fit men and contained messaging aligned with the "manosphere" β online communities that circulate ideas about male superiority. In this narrative, so-called "alpha men" are promoted as dominant, sexually successful, and physically powerful, with testosterone positioned as the key to achieving this status.
Experts warn that routine screening for low testosterone in asymptomatic men is not supported by guidelines, and testing should only be done when symptoms such as delayed puberty or reduced libido are present. The study found that 72% of social media posts had financial interests, such as selling testosterone tests or supplements, or were sponsored by industry.
Critics argue that online influencers with no health qualifications can make unsubstantiated claims about testosterone levels and sell products without consequences. A single test can only provide a snapshot of testosterone concentration at a given time and does not diagnose medical conditions.
The study's findings highlight the need for caution when promoting hormone tests and treatments, particularly among healthy young men. Experts urge people to seek advice from appropriately trained medical professionals rather than relying on social media influencers or online marketing campaigns.