The Truth About Testosterone and the Heart
For years, myths about testosterone and heart health have made many men hesitant to seek treatment.
But the science is finally clear – responsible testosterone therapy does not increase heart risk.
According to The Lancet Healthy Longevity (2022) and Goodale et al., Methodist DeBakey Cardiovascular Journal (2017), testosterone replacement therapy (TRT) is not only safe for the heart, it can actually improve metabolic health, stamina, and quality of life.
What the Research Shows
In the largest and most comprehensive studies to date:
- No increase in heart attacks, strokes, or cardiovascular deaths was found between men on TRT and those on placebo.
- TRT helped lower cholesterol and triglycerides, improving overall lipid balance.
- Men on TRT saw better exercise capacity, oxygen use, and insulin sensitivity — markers of a healthier metabolism and heart.
- Treated men even showed lower all-cause mortality compared to untreated men.
“There is no credible evidence that testosterone therapy increases cardiovascular risk — and substantial evidence that it does not. In fact, data suggest testosterone therapy may offer cardiovascular benefits.”
— Goodale et al., 2017
Why Testosterone Matters for Men’s Health
Testosterone is much more than a sex hormone — it’s a biological signal for vitality.
It supports:
- Muscle strength and bone density
- Energy, focus, and mental clarity
- Libido and sexual performance
- Mood stability and motivation
- Heart and red blood cell function
As men age, testosterone naturally declines — often leading to fatigue, weight gain, mood changes, reduced stamina, and loss of confidence.
At Levitas Hormones for Life, we call this hormonal drift — and it’s completely reversible under expert care.
Our Evidence-Based Approach
Levitas brings together over a decade of doctor-led experience in hormone restoration.
Every man’s physiology is unique, which is why our approach is grounded in science, precision, and personalisation.
Step 1: Assessment
- Comprehensive blood testing for testosterone, estradiol (E2), DHEA, SHBG, thyroid, and metabolic markers
- Cardiovascular screening and lifestyle evaluation
Step 2: Treatment
- Bioidentical testosterone therapy via transdermal, sublingual, or depot formulations
- Physiologic dosing — restoring balance, not boosting beyond nature
- Nutritional and lifestyle support (zinc, magnesium, omega-3s, exercise, sleep optimisation)
Step 3: Monitoring
- Regular follow-ups every 3–6 months
- Tracking of hormone levels, blood counts, and cardiovascular markers
- Adjustments led by a UK-registered Levitas physician
Whether you visit one of our London or Surrey clinics, or use our UK-wide online TRT service, your treatment is always doctor-led, safe, and medically supervised.
Low Testosterone: The Real Risk Factor
Many people assume testosterone is dangerous for the heart – in fact, it’s the absence of testosterone that increases cardiovascular risk.
Low testosterone is linked to:
- Higher rates of heart disease and metabolic syndrome
- Greater mortality and fatigue
- Reduced muscle-to-fat ratio
- Insulin resistance and higher blood sugar levels
TRT helps restore normal physiology – improving metabolism, blood flow, and cellular energy.
Erectile Dysfunction and Hormone Health
While testosterone plays an important role in libido, most erectile dysfunction (ED) has cardiovascular roots.
At Levitas, we assess:
- Hormones
- Blood flow
- Cardiometabolic status
When testosterone deficiency is part of the problem, TRT can enhance erectile function by improving vascular performance and nitric-oxide signalling – the same mechanism that protects your heart.
Safety and Monitoring: Our Gold Standard
TRT at Levitas is **doctor-prescribed and continuously monitored.