Confidence tier Supported

Evidence is consistent, with known limits.

+5.52points on the erectile function index, pooled across five trials and 1,412 menMOSTLYSupported

Does TRT Work? Clearly For Sex Drive. Barely For Energy.

Cartoon transdermal gel tube crimped at the base, beside the figure plus 5.52

Two big trials and a meta-analysis agree that testosterone therapy lifts sex drive in men with confirmed low testosterone; its effects on energy and mood are small. The largest trial found no rise in heart attacks or strokes, but more heart-rhythm problems, lung clots and kidney injury, and the largest trial to count fractures found 43% more of them.

277men with a normal total but a low free testosterone, who reported more sexual and physical symptoms on averageMOSTLYSupported

Free vs Total Testosterone: A Normal Number Can Hide a Low One

Thirty testosterone molecules, twenty-nine clamped by carrier protein and one free, beside the figure 277

Of 3,334 men, 277 had a normal total testosterone but a low free one, and more sexual and physical symptoms on average; 96 had the reverse and mostly did not. A smaller study disagrees. Plus the three ways a lab gets a free number, and the one the guideline says not to use.

18%higher colorectal cancer risk per 50 g of processed meat a dayMOSTLYSupported

Is Red Meat Bad For You? Processed Meat Is The Real Answer

Two cartoon rashers of bacon, beside the figure 18 percent

Processed meat goes with an 18% higher colorectal cancer risk per 1.8 oz (50 g) a day. Two 2019 reviews measured a smaller cut, three servings a week, and found about 1 fewer case per 1,000 people over a lifetime. Both are true. Here is why, what IARC's Group 1 actually means, and why steak is a weaker case.

0.81risk of death at the highest intake, versus noneMOSTLYSupported

Is Olive Oil Good For You? Yes — But Not Compared To The Oils You’ve Been Told To Fear

A cartoon olive sprig with leaves and three olives, beside the figure 0.81

The famous PREDIMED trial was retracted from the New England Journal of Medicine and republished — and the nuts arm did just as well as the olive oil arm. Across 92,000 Americans over 28 years, swapping butter or margarine for olive oil went with lower death rates. Against other vegetable oils combined, no significant difference at all.

0laxative effect from 40 g of maltitolMOSTLYSupported

Are Sugar Alcohols Bad For You? The Real Problem Is Digestive

Four cartoon chocolate bars, the last one snapped short, beside the figure zero

Same trial, same 59 people, same 40-gram dose: lactitol caused severe symptoms across the board and maltitol caused no laxative effect at all. Both are labelled sugar alcohols. Europe's regulator set a limit on erythritol for diarrhoea — not clots — and refused to drop the warning label. And the erythritol and xylitol heart scares came from one dataset.

441calories a day, eaten without noticing, by 19 adults — 16 of them womenMOSTLYSupported

Does Protein Keep You Full? Yes — But a Potato Beat Everything

Cartoon boiled potato with steam rising, beside the figure 441

Nineteen people ate 441 calories a day less without being told to, purely from moving protein from 15% to 30% of their meals — with the appetite hormones pushing the other way. But when 38 foods were ranked head to head, the most filling was a boiled potato, and water content predicted fullness better than protein did.