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Sleep apnea is a sleep disorder characterized by repeated interruptions in breathing during sleep. It is caused by airway obstruction (obstructive sleep apnea) or improper brain signals to breathing muscles (central sleep apnea). The Testosterone Total Male test is the most important test for assessing hormonal factors that can worsen sleep apnea severity.
Sleep apnea is caused by either physical blockage of the airway during sleep (obstructive sleep apnea) or by the brain failing to send proper signals to breathing muscles (central sleep apnea). Obstructive sleep apnea occurs when throat muscles relax excessively, causing the airway to narrow or close during breathing. Risk factors include excess weight, thick neck circumference, narrowed airway, chronic nasal congestion, smoking, and family history.
The Testosterone Total Male test is the most important blood test for sleep apnea because elevated testosterone levels can significantly worsen breathing interruptions and sleep quality in men. While sleep apnea itself is diagnosed through sleep studies like polysomnography, measuring testosterone helps identify hormonal factors that contribute to symptom severity. This test is particularly valuable for men with sleep apnea who also experience symptoms like fatigue, mood changes, or reduced libido, as addressing testosterone imbalances can improve overall treatment outcomes.
You should get tested if you experience loud snoring, gasping or choking during sleep, excessive daytime sleepiness, morning headaches, or difficulty concentrating. Get tested immediately if your partner notices you stop breathing during sleep or if daytime fatigue interferes with work or driving safety. Men with sleep apnea symptoms should also consider testosterone testing, especially if they have additional symptoms like decreased energy, mood changes, or reduced muscle mass.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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