Phil Goodman
Well-Known Member
We’ve all heard about declines in testosterone levels among men over the past few decades… with around 1% drop per year being often quoted(and supported by at least some studies). So I wondered what that would look like if you extrapolate it back to the 50’s. Studies below which show the drop over the past few decades, then my interaction with Claude with regard to what we may be able to tell with regard to what that means for trying to determine what it would look like 75 years ago. Obviously the studies are more validated by science, but I do think the thought experiment with Claude is directionally accurate, even if we can never know for sure how today’s society compares to the past with regard to hormones.
pubmed.ncbi.nlm.nih.gov
pmc.ncbi.nlm.nih.gov
Prompt:
Now extrapolate out what the levels would’ve been in 1950 based on those trends. Next, determine what that means for trt goals. For example if we want to keep men in the top 25% of the range for maximum benefits, what would that range have looked like in 1950?
PART 1: What Were Testosterone Levels in 1950, and What Does That Mean for TRT?
This is an extrapolation beyond the available data, so treat these numbers as directional estimates rather than hard facts — but the math is illuminating.
Establishing the Trend
The best documented data points for population-level testosterone decline come from a landmark Boston-area study:
• 1987–89: 501 ng/dL (median)
• 1995–97: 435 ng/dL
• 2002–04: 391 ng/dL
That’s a drop of roughly 110 ng/dL over 15 years, or about 7.3 ng/dL per year — approximately 1.2–1.5% annually. Crucially, this decline was shown to be age-independent, meaning it’s a generational shift, not just men getting older.
Extrapolating Back to 1950
From 1987 back to 1950 = 37 years.
At ~7.3 ng/dL/year:
501 + (37 × 7.3) ≈ ~770 ng/dL
At 1.2%/year compounding:
501 × (1.012)^37 ≈ ~780 ng/dL
Both methods converge around 750–800 ng/dL as the estimated median testosterone for a man in 1950.
Reconstructing the 1950 Distribution
Using modern reference data, the current male testosterone distribution looks roughly like this:
• 25th percentile: ~350 ng/dL
• 50th percentile (median): ~450 ng/dL
• 75th percentile: ~625 ng/dL
• 90th percentile: ~800 ng/dL
The distribution has shifted downward by approximately 300–330 ng/dL from 1950 to today. Applying that shift back:
• 25th percentile — Modern: ~350 | Est. 1950: ~680
• 50th percentile — Modern: ~450 | Est. 1950: ~775
• 75th percentile — Modern: ~625 | Est. 1950: ~950
• 90th percentile — Modern: ~800 | Est. 1950: ~1,130
What This Means for TRT
This is where it gets striking. The top 25% threshold in 1950 was roughly 950 ng/dL — a number that today sits near the top 5–10% of the modern population, and at or above the upper limit of most lab “normal” ranges (typically capped at 900–1,000 ng/dL).
If the goal of TRT is to restore men to what was historically a normal, healthy hormonal environment — rather than just avoiding being “low” by today’s degraded standards — then targeting 900–1,000+ ng/dL has a legitimate historical basis.
The uncomfortable takeaway: most TRT protocols targeting the “mid-normal modern range” of 500–600 ng/dL are likely restoring men to roughly the bottom half of what a healthy 1950s male population looked like. We’ve been calibrating “optimal” against a broken baseline.
A population-level decline in serum testosterone levels in American men - PubMed
These results indicate that recent years have seen a substantial, and as yet unrecognized, age-independent population-level decrease in T in American men, potentially attributable to birth cohort differences or to health or environmental effects not captured in observed data.
Secular trends in testosterone- findings from a large state-mandate care provider - PMC
Several studies from the US and Europe have shown a population-level decline in serum testosterone in men from 1970’s to early 2000’s. However, to the best of our knowledge, no study examining population-level decline in testosterone has been ...
Prompt:
Now extrapolate out what the levels would’ve been in 1950 based on those trends. Next, determine what that means for trt goals. For example if we want to keep men in the top 25% of the range for maximum benefits, what would that range have looked like in 1950?
PART 1: What Were Testosterone Levels in 1950, and What Does That Mean for TRT?
This is an extrapolation beyond the available data, so treat these numbers as directional estimates rather than hard facts — but the math is illuminating.
Establishing the Trend
The best documented data points for population-level testosterone decline come from a landmark Boston-area study:
• 1987–89: 501 ng/dL (median)
• 1995–97: 435 ng/dL
• 2002–04: 391 ng/dL
That’s a drop of roughly 110 ng/dL over 15 years, or about 7.3 ng/dL per year — approximately 1.2–1.5% annually. Crucially, this decline was shown to be age-independent, meaning it’s a generational shift, not just men getting older.
Extrapolating Back to 1950
From 1987 back to 1950 = 37 years.
At ~7.3 ng/dL/year:
501 + (37 × 7.3) ≈ ~770 ng/dL
At 1.2%/year compounding:
501 × (1.012)^37 ≈ ~780 ng/dL
Both methods converge around 750–800 ng/dL as the estimated median testosterone for a man in 1950.
Reconstructing the 1950 Distribution
Using modern reference data, the current male testosterone distribution looks roughly like this:
• 25th percentile: ~350 ng/dL
• 50th percentile (median): ~450 ng/dL
• 75th percentile: ~625 ng/dL
• 90th percentile: ~800 ng/dL
The distribution has shifted downward by approximately 300–330 ng/dL from 1950 to today. Applying that shift back:
• 25th percentile — Modern: ~350 | Est. 1950: ~680
• 50th percentile — Modern: ~450 | Est. 1950: ~775
• 75th percentile — Modern: ~625 | Est. 1950: ~950
• 90th percentile — Modern: ~800 | Est. 1950: ~1,130
What This Means for TRT
This is where it gets striking. The top 25% threshold in 1950 was roughly 950 ng/dL — a number that today sits near the top 5–10% of the modern population, and at or above the upper limit of most lab “normal” ranges (typically capped at 900–1,000 ng/dL).
If the goal of TRT is to restore men to what was historically a normal, healthy hormonal environment — rather than just avoiding being “low” by today’s degraded standards — then targeting 900–1,000+ ng/dL has a legitimate historical basis.
The uncomfortable takeaway: most TRT protocols targeting the “mid-normal modern range” of 500–600 ng/dL are likely restoring men to roughly the bottom half of what a healthy 1950s male population looked like. We’ve been calibrating “optimal” against a broken baseline.