MIDLIFE MAYHEM is available on all podcast platforms - click this link and choose yours CLICK HERE Today we’re diving into a topic that hardly anyone talks about — and when they do, they often get it wrong: testosterone for women. Most people think testosterone is a ‘male hormone,’ but the truth is, women absolutely need it too — for your brain, your bones, your energy, your mood, even your body composition. We’re going to break down why testosterone is critical at every age, how to know if you’re low, the different ways you can take it, why some doctors avoid prescribing it, what happens if you take too much, how it affects everything from your bones to your brain — and I’ll also touch on some fascinating new research that’s flipping the old myths upside down." If you have any body composition concerns, the place to start with me is the 21 Day Signature Weight Loss Program, which is offered once a year and is starting very soon May 11 - 31 What often happens in my coaching is People just do the 5 Day Peak Week Shred - great results but don't know how to continuePeople jump into Muscle Month - but don't fully understand fat loss People only do Mastering Midlife - a big program and a lot to take in if they haven't done the foundational Signature Program I strongly encourage you to click this link to at least see what we are going to cover in the Signature Program www.21daysignature.com OK - back to testosterone! Segment 1: Testosterone Through the Ages "Let’s start with how testosterone changes across a woman’s life. In your late teens and early 20s, your testosterone is at its peak — somewhere around 30 to 50 ng/dL. And honestly, you probably never thought about it because estrogen and progesterone were also sky-high, giving you energy, confidence, muscle tone, and drive. But here’s the kicker: testosterone starts to decline in your late 20s to early 30s, silently. By the time you hit your 40s, you could be down to half of what you had in your 20s. And after menopause? Many women’s testosterone drops so low it’s barely measurable. Why does that matter? Because when estrogen and progesterone also fall, testosterone has to do extra work. It becomes one of the last hormones keeping you sharp, resilient, and metabolically active. So yes — you may actually need more testosterone in your 50s than you did in your 20s — not less." Segment 2: Symptoms of Low Testosterone "Wondering if your testosterone might be low? Here are the big symptoms I look for in clients: Unexplained fatigue — even if you’re sleeping. Loss of muscle tone or difficulty building muscle. Brain fog, forgetfulness, or that 'what did I come in here for?' moment. Low libido, painful sex, or emotional detachment. Increased belly fat, even with no big diet changes. Mood swings, irritability, or loss of drive and motivation. And the sneaky thing is — these symptoms often get brushed off as ‘just aging’ or ‘just perimenopause.’ But low testosterone might be the missing link." Segment 2.5: Total vs. Free Testosterone + Lab Ranges "Let’s talk labs — because the numbers matter. When you get bloodwork done, you’ll usually see two testosterone values: ✅ Total Testosterone ✅ Free Testosterone Total testosterone measures all the testosterone in your blood — including what's bound to proteins like SHBG. Most of it is inactive. Free testosterone is the small percentage that’s actually usable by your body — the active form. Most women feel best when: Total testosterone is between 50 and 100 ng/dL Free testosterone is between 2 to 5 pg/mL Now here’s the problem: Many women get told they're ‘normal’ at 10 or 12 ng/dL total, but they feel awful — zero energy, low sex drive, brain fog. And their doctors say, “You’re fine.” Wrong. That might be technically normal — but it’s not optimal. You need to look at both total AND free levels, plus SHBG, which can trap your testosterone and make it unusable. In short: Total T shows what’s in the tank. Free T shows what your engine actually gets to use." Segment 3: How Women Take Testosterone (Cream, Injection, Pellet) "There are three main delivery options for women: 1. Creams or Gels Compounded for women, applied to thin skin like inner arms or thighs. Absorbed through the skin, bypasses the liver. Easy to adjust dose — very smooth and consistent. This is my top choice for most women. 2. Injections Tiny doses, like 2 to 5 mg once or twice a week. Absorbed quickly. May cause a “peak and trough” feeling — high energy then a crash if the dose isn’t balanced. Some women love it, others feel a bit up and down. 3. Pellets Implanted under the skin every 3–6 months. Sounds convenient… but if the dose is too high, you’re stuck with it. Can cause acne, mood changes, and unwanted hair if overdone. Best for women who have already dialed in their ideal dose with cream or injections. Also — ...
