You wake up feeling drained, even after a full night’s rest. Workouts that once felt invigorating now leave you exhausted. Your motivation, focus, and even libido seem to be fading. These are all common signs of low NAD+ or testosterone: two critical components that fuel your energy, strength, and vitality. Over time, natural declines in these levels can leave you feeling less like yourself, both physically and mentally.
At Genesis Lifestyle Medicine, we understand that male wellness depends on more than just one factor: it’s a balance between hormones, cellular energy, and overall health. That’s why our expert providers help men restore vitality from the inside out through personalized approaches that address these underlying causes. Here’s how NAD+ and testosterone work together to help you regain your energy, strength, and confidence.
Understanding NAD+ and testosterone
NAD+
NAD+ (nicotinamide adenine dinucleotide) is a naturally occurring molecule found in every cell of your body. It helps produce energy at the cellular level and supports mitochondrial function, the process by which nutrients are converted into usable energy. Beyond powering your body, NAD+ activates enzymes called sirtuins, which help repair DNA and regulate metabolism.

As you age, your NAD+ levels naturally decline. This can lead to fatigue, slower recovery, weight gain, and even reduced hormone function. In men, studies suggest that low NAD+ levels may contribute to reduced testosterone production by affecting the health of Leydig cells, the cells responsible for making testosterone. Supporting your NAD+ levels can therefore help boost energy, improve focus, and maintain overall vitality.
Testosterone
Testosterone is the cornerstone of male health. It supports muscle mass, bone strength, energy levels, libido, and even mood regulation. While levels peak during early adulthood, they tend to decline gradually over time, often leading to symptoms like fatigue, decreased motivation, and diminished sexual performance.
Low testosterone (sometimes referred to as “Low T”) can also impact metabolism, cognitive function, and overall well-being. Beyond its direct effects, testosterone interacts closely with other biological systems, including those dependent on NAD+. Research shows that optimal NAD+ levels enhance the body’s ability to produce and regulate testosterone naturally, making these two key factors deeply interconnected in maintaining your vitality and performance.
How NAD+ and testosterone support men’s health
They enhance cellular energy and performance
Both NAD+ and testosterone play crucial roles in the production of energy. NAD+ fuels the mitochondria, the “powerhouses” of your cells, allowing your body to produce energy efficiently. Testosterone complements this process by promoting muscle growth, improving endurance, and maintaining metabolic health.
When NAD+ levels drop, your cells can’t produce energy as effectively, leading to fatigue and slower recovery. Similarly, low testosterone can make it difficult to maintain muscle tone and stamina. Together, healthy NAD+ and testosterone levels help you feel more energized, build lean muscle, and perform better in your daily life and workouts.
They work together to boost metabolism and burn fat
A balanced metabolism is key to maintaining a healthy weight and preventing age-related fat accumulation. NAD+ supports metabolic function by improving how your body converts food into energy, while testosterone promotes lean muscle mass, which in turn burns more calories at rest.

When both are in balance, your body becomes more efficient at managing fat storage and energy use. Men with adequate NAD+ and testosterone often notice improved body composition, increased strength, and a more defined physique, all of which contribute to long-term metabolic health and confidence.
They help regulate mood, focus, and motivation
Declines in NAD+ and testosterone don’t just affect your body: they also impact your mind. NAD+ helps maintain healthy brain function by supporting the production of neurotransmitters and protecting neurons from oxidative stress. Testosterone influences mood and motivation, helping you stay focused, confident, and mentally sharp.
Low levels of either can lead to irritability, difficulty concentrating, or a lack of drive. When restored, the combination of NAD+ and testosterone can enhance cognitive function, boost motivation, and support emotional balance, helping you feel more like yourself again.
They support sexual health and libido
Testosterone is directly tied to sexual health, influencing libido, performance, and reproductive function. NAD+ supports this process by improving cellular energy and supporting sirtuin activity in Leydig cells, which are responsible for testosterone production.
As NAD+ levels increase, Leydig cells function more efficiently, leading to better hormone balance and improved sexual vitality. Men who maintain optimal NAD+ and testosterone levels often report enhanced stamina, improved mood, and renewed confidence in their intimate relationships.
They promote healthy aging and longevity
NAD+ is well known for its anti-aging properties. It supports DNA repair, reduces cellular stress, and maintains optimal mitochondrial function, all of which help slow down age-related decline. Testosterone plays a crucial role in preserving muscle mass, bone density, and metabolic stability.

Together, they form a powerful duo for longevity. Maintaining healthy NAD+ and testosterone levels helps you not only look younger but also feel younger: stronger, more energetic, and more resilient against the effects of aging.
Reclaim your vitality with Genesis Lifestyle Medicine
If you’ve noticed changes in your energy, strength, or motivation, your body may be signaling an imbalance in NAD+ or testosterone. At Genesis Lifestyle Medicine, our medical experts specialize in helping men restore balance through tailored wellness strategies that address the root cause of fatigue, hormonal decline, and performance issues.
We believe in healing from the inside out: helping your body function at its best so you can look and feel your best. Whether through NAD+ patches, injections, or nasal sprays, combined with personalized hormone therapy when appropriate, we’ll create a plan that helps you restore your vitality and confidence. Rediscover your energy, focus, and strength with Genesis Lifestyle Medicine: schedule your consultation today.


