As we get into our forties and fifties, it can be harder to maintain the same body we had in our twenties. A lot of this is due to lifestyle commitments; we tend to have less free time to ourselves, exercise less, eat less well, have broken sleep with children and jobs, and generally less “me time”. But this should not be confused with a loss of testosterone. TD results in men losing muscle mass, increasing their body fat and various other adverse metabolic changes. These changes are often quite subtle at the start, but men often complain that their efforts at the gym become less rewarding, everything becomes a little harder, and keeping or making gains becomes an up-hill struggle. Diet also becomes much more influential and sadly the number of “cheat days or meals” afforded become less and less. Overall, TD results in more effort for less reward.