Cohort Studymoderate evidence
Low testosterone is a phenotype of visceral adiposity.
Journal of the Endocrine Society·August 1, 2026·PMID 42482952
Why it mattersVisceral adiposity, rather than overall obesity, appears to be the key adiposity-related driver of low testosterone. This reframes testosterone deficiency as a phenotype of visceral fat biology, suggesting that waist circumference or BMI alone may miss men with metabolically unhealthy fat distribution who are at risk for hypogonadism.
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