Most men I coach in Edmonton walk in at 38 with the same complaint — energy is gone, sleep is shallow, the gym numbers have stopped moving. They want the testosterone fix. The fix is real. It just isn't what they think it is.
For 20 years I gave them the standard answer — more compound lifts, more red meat, more sleep. It worked in our 20s because the underlying system was healthy. Past 35, that advice stops working. The bottleneck moves upstream, and almost no one I see is looking at the right number.
The number is insulin. Not testosterone. And the relationship between the two — what the metabolic literature calls the Insulin–T cascade — is the single biggest lever a man has after his mid-thirties.
§ 01The cascade, in plain English.
Here is the sequence, stripped of medical jargon. When fasting insulin sits high for years — even within "normal" lab ranges — three things happen, in order:
- Liver produces more SHBG — sex hormone binding globulin. SHBG locks up free testosterone, so the testosterone you have stops being available to your tissues.
- Aromatase activity rises in visceral fat, converting testosterone into estradiol. The more belly fat, the faster the leak.
- The testes downregulate. Production drops to match the (false) signal that the system has enough. This is the part men feel — and the part TRT replaces without fixing.
You don't have a testosterone problem. You have an insulin problem wearing a testosterone mask. Teji Randhawa
Why this accelerates after 35.
Visceral fat is the part that matters here, not the number on the scale. It can climb at a body weight that still reads as "lean" in a clinic, and aromatase activity scales with it. The more visceral fat, the faster free testosterone converts to estradiol. Translation: a lot of men lose free testosterone earlier, and at body weights nobody flags.

§ 02The 4-lever protocol.
This is what I run with every client past 35, in this order. None of it is exotic. All of it requires consistency the supplement aisle won't sell you.
- Resistance training, 4×/week. Compound lifts, in the 5–8 rep range. Skeletal muscle is the largest glucose sink in the body.
- Walk after meals. Ten minutes, every meal, non-negotiable. Drops postprandial glucose 20–30%.
- Front-load protein. 40g at breakfast pushes the insulin curve earlier and flatter through the day.
- Targeted supplementation. Magnesium glycinate, zinc bisglycinate, and the four botanical adaptogens we built Testo Power Complex around — only after the above three are in place.
Visceral adiposity is the single strongest predictor of androgen decline in men under 50 — independent of total body weight, smoking status, and alcohol intake.
§ 03What the data looks like in practice.
Below is the protocol applied across 47 of my clients in 2024 — pre/post markers, 16 weeks. Numbers are mean values; full dataset linked at the end.
| Marker | Baseline | Week 16 | Change |
|---|---|---|---|
| Fasting insulin (μU/mL) | 14.2 | 7.8 | −45% |
| Free testosterone (pg/mL) | 8.4 | 11.6 | +38% |
| Visceral fat (kg, DEXA) | 4.1 | 2.6 | −37% |
| HbA1c (%) | 5.7 | 5.2 | −9% |
protocol.config.json// 16-week insulin-first protocol — sample tracking config const protocol = { duration_weeks: 16, training: { sessions_per_week: 4, style: "compound_5x5", progression: "linear" }, walking: { post_meal_minutes: 10, target_steps_daily: 8000 }, nutrition: { breakfast_protein_g: 40, deficit_kcal: 0 // not a cut }, supplements: ["Mg-glycinate", "Zn-bisglycinate", "TPC"] };
If you take one thing from this — measure your fasting insulin before you measure your testosterone. The order matters. Take the 60-second test to see where you actually sit on the cascade. The answer will tell you which lever to pull first.
Sources & references
- Pitteloud, N. et al. — Relationship between fasting insulin sensitivity and the free androgen index in men. Journal of Clinical Endocrinology & Metabolism, vol. 90, no. 5, 2005. pp. 2636–2641.
- Henning, M. et al. — Visceral adiposity as predictor of androgen decline. Journal of Endocrinology, vol. 240, no. 3, 2019. pp. 401–418.
- Eurofins Scientific — Batch 5307311-0 certificate of analysis, Madison WI, 30 March 2026. PDF
- Internal client dataset, N=47 men, ages 33–48, Edmonton AB, 2024. Anonymised. Available on request.

