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TRT and Sleep Quality: Why Testosterone Optimization May Be the Key to Better Rest

How Low Testosterone Disrupts Your Sleep Architecture (And What the Research Says About Hormone Replacement for Deep, Restorative Sleep)

Two years ago, I met a hedge fund manager who'd spent nearly $50,000 trying to fix his sleep. Custom mattresses, sleep coaches, meditation retreats, prescription sleep aids — nothing worked. He'd wake up at 3:00 AM with his mind racing, then drag himself through 12-hour workdays on four hours of broken sleep.

His breakthrough came from an unexpected source: his testosterone levels. At 45, his total testosterone had dropped to 280 ng/dL — well below the optimal range. Six months after starting TRT, he was sleeping 7-8 hours nightly and waking up refreshed for the first time in years.

His story isn't unique.

While everyone's chasing the latest sleep hack, many high performers are missing a fundamental piece: the hormonal foundation that makes quality sleep possible.

Here's what the research reveals about testosterone's critical role in sleep architecture — and why TRT might be the sleep solution you haven't considered.

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