
It's hard to imagine your brain ever failing you when you're young. You can recall the names of childhood friends instantly, never forget your wedding anniversary, and feel sharp tacks all day long.
But as you age, your brain does, too.
One of the first signs that your cognitive function is changing is brain fog. You know, those feelings of confusion, forgetfulness, and fuzzy thinking that can be overwhelming or exhausting.
For men, brain fog can be caused by a variety of different health conditions, such as testosterone changes, stress, and other underlying conditions.
Luckily, there are some easy ways to help lift your brain fog... and some you can even start today!
Key Takeaways
-
Testosterone loss is a major contributor to brain fog in men, affecting cognitive function, memory, and mental clarity.
-
Chronic inflammation and certain health conditions, including autoimmune disorders and diabetes, can disrupt brain function and lead to persistent brain fog.
-
Lifestyle factors such as poor sleep, stress, and an imbalanced diet can worsen brain fog, but making targeted changes can help restore sharp thinking.
What is Brain Fog?

Brain fog is a type of cognitive impairment. The symptoms of brain fog include confusion, forgetfulness, poor concentration, and mental fatigue. It feels like a cloud or "fog" in your mind, making it challenging to think, focus, or recall information. While not a medical condition itself, brain fog is often a symptom of underlying medical issues or deficiencies in nutrition and lifestyle.
Brain Fog in Men: The Surprising Causes No One Talks About
Folks typically notice brain fog during middle age or later in life. Both men and women can experience brain fog due to aging, sleep disorders, chronic fatigue syndrome, inflammation, or even side effects from cancer treatment or other medications.
But for men, there is one thing that needs more attention than the mainstream gives it -- testosterone loss.
Testosterone and Brain Fog: The Missing Link You Need to Know
Hormonal changes are a part of life for older adults. For men, testosterone loss can kick off a cascade of health conditions including muscle loss, poor sleep, bone loss, and depression.
Testosterone levels naturally decline in middle age. After 45, men are considered to be at high risk for testosterone deficiency. Research shows that waning testosterone levels can impact the central nervous system and also cause cognitive dysfunction and brain fog. 1
This hormone is vital for brain health because it helps improve blood flow -- bringing oxygen-carrying red blood cells -- to the brain and activate specific neuron receptors, increasing cognitive function and improving mental clarity. 2
Women experience a similar relationship with hormonal imbalances and brain fog, especially with estrogen. 3
Inflammatory Conditions Linked to Brain Fog
Certain inflammatory conditions can cause brain fog. These include:
Autoimmune disorders
Chronic fatigue syndrome
Chemo brain
Diabetes
Depression
Diabetes
Arthritis
Allergies
Heart disease
Long covid
Psoriasis
And systemic lupus erythematosus.
Your body's inflammatory response to these diseases can cause damage to healthy cells by releasing cytokines that can cross the blood-brain barrier, impacting the way you process information, decreasing focus, and causing memory problems and mental fog.
In the case of long COVID, women are more likely than men to experience brain fog after having the virus. 4
Lifestyle factors can also cause you to develop brain fog.
Lifestyle Influences and Gender Differences

Just like any other condition, your lifestyle can be an underlying cause of your brain fog.
Sleep disorders, stress, and poor diet can also increase inflammation and impact the health of your nerve cells, leading to trouble concentrating, forgetting things, and impacting your daily activities.
Men can be more prone to certain lifestyle factors -- such as stress and sleep disorders -- than women.
Additionally, research shows that there are some cognitive differences between men and women. Men are generally better at spatial processing and motor speed tasks than women. 5
Diagnosing Brain Fog in Men
Cognitive Symptoms
Brain fog symptoms can impact brain functions and lead to several symptoms, according to the Mayo Clinic. They include:
-
Memory Problems: Difficulty concentrating, remembering names, dates, or recent events. You might forget where you placed items or lose your train of thought mid-sentence.
-
Poor Concentration: Struggling to focus on tasks, conversations, or reading. It can feel like your mind is "scattered" or wandering.
-
Mental Fatigue: A feeling of extreme tiredness or sluggishness that makes it hard to process information or think clearly.
-
Confusion: Experiencing mental disorientation, difficulty making decisions, or feeling overwhelmed by simple tasks.
-
Slow Reaction Time: Taking longer to respond in conversations, solve problems, or complete routine activities.
-
Lack of Mental Clarity: Feeling like your thoughts are "hazy" or "cloudy," making it hard to articulate ideas or organize thoughts.
-
Difficulty Multitasking: Struggling to handle multiple tasks at once or shifting focus between activities effectively.
-
Low Motivation or Mood Swings: Feeling unmotivated, irritable, or emotionally "flat" due to the mental exhaustion brain fog brings.
Do You Suffer From Brain Fog?
If the above list sounds all too familiar to you, it's time to talk to your healthcare provider about brain fog.
There are many ways to assess cognitive impairment and other conditions that affect cognitive function. These include:
Cognitive evaluation
Testosterone level testing
Brain scans
Neurological testing
And sleep studies.
Work with your doctor to figure out the best way to uncover the root cause of your brain fog.
Effective Solutions for Brain Fog in Men
Hormone Therapy
Testosterone replacement therapy (TRT) has done wonders for men when it comes to energy levels, mobility and sexual function.
Men experiencing clinically low testosterone can see remarkable improvements across multiple aspects of their health. TRT typically delivers increased energy and stamina to combat fatigue, enhanced libido and sexual performance, improved muscle mass coupled with reduced body fat, sharper mental clarity to eliminate brain fog, better overall mood and psychological well-being, and stronger bones. These benefits typically begin appearing within weeks of starting treatment and continue developing over several months.
Good candidates for TRT have clinically confirmed low testosterone levels through blood testing, persistent symptoms affecting quality of life, and have typically tried natural interventions without success. Before starting therapy, your doctor will evaluate your medical history, particularly screening for conditions like heart disease, prostate cancer, or severe sleep apnea that may increase risks. For those not ready for medical intervention, natural approaches like strength training, nutrition optimization, vitamin D supplementation, stress management, and certain herbal supplements can support hormone production.
Diet and Nutrition

Diet and nutrition can play a key role in your risk of developing brain fog and may be an underlying cause of the disorder.
A 2021 review of 16 randomized control trials with 6276 participants found that having a vitamin B-12 deficiency can increase the risk of cognitive impairment and brain fog. 6 Eating more eggs, nuts, and dairy can help improve B-12 levels.
Celiac disease, an illness caused by the immune system reacting to gluten, can cause brain fog. You can help reverse these symptoms by eliminating gluten from your diet.
Other food allergies, including peanuts, dairy, and artificial sweeteners, can also increase brain fog. Again, cutting these foods out can help improve your symptoms. 7
Additionally, adding more omega-3 fatty acids to a balanced diet can help improve inflammation, lowering your risk of brain fog and other symptoms.
Omega-3 fats have been shown to boost memory and shield the mind from brain fog. Good sources of omega-3s include seafood, nuts, and seeds.
Diet and nutrition can also play an important role in increasing your testosterone levels.
Optimize your nutrition by incorporating testosterone-supporting foods into your daily diet. Prioritize zinc-rich options like oysters and pumpkin seeds, healthy fats from avocados and olive oil, quality protein from eggs and lean meats, and cruciferous vegetables that help balance estrogen. Supplement with vitamin D through sun exposure or fatty fish, and ensure adequate magnesium intake from dark leafy greens and nuts—all essential nutrients for hormone production.
Lifestyle Changes for Low Testosterone-Related Brain Fog

As testosterone levels naturally decline with age, making strategic lifestyle changes can help maintain or even boost your hormone levels naturally. By focusing on a few key areas, you can optimize your body's ability to produce and maintain healthy testosterone levels and help promote mental clarity.
Add Resistance Training
Research shows that incorporating resistance training and high-intensity interval workouts into your exercise routine can provide maximum testosterone benefits. Heavy compound movements like squats, deadlifts, and bench presses have been proven to significantly boost testosterone levels naturally.
Improve Sleep
Try to get 7 to 9 hours of quality sleep each night, as testosterone production peaks during deep sleep. It's important to maintain a consistent sleep schedule and create an optimal sleep environment by reducing blue light exposure and keeping your bedroom cool and dark.
Reduce Stress
Manage your stress levels effectively to prevent cortisol (the stress hormone) from suppressing testosterone production. Regular meditation, deep breathing exercises, and engaging in enjoyable hobbies can all help reduce chronic stress.
Take The Right Supplements
Consider supplementing with evidence-backed herbs like ashwagandha, which reduces stress while boosting testosterone, fenugreek for improved free testosterone levels, and vitamin D to help you balance your overall hormone levels.
You can also consider taking certain focus-boosting supplements -- like resveratrol and bacopa monnieri -- which can help reduce inflammation and improve overall brain function.
Complement these approaches by limiting alcohol consumption, reducing exposure to hormone-disrupting chemicals, incorporating intermittent fasting, and staying sexually active—all of which contribute to optimal testosterone levels and overall vitality.
Summary
Brain fog in men is a common yet overlooked issue that can stem from various causes, including hormonal changes (especially testosterone loss), chronic inflammation, poor diet, stress, and sleep disorders. Symptoms include forgetfulness, confusion, mental fatigue, and difficulty concentrating. Research highlights the critical role of testosterone in maintaining cognitive function, while inflammatory conditions and lifestyle factors can further impair mental clarity. Fortunately, brain fog can often be reversed with targeted lifestyle changes, nutritional support, and medical interventions. By understanding its root causes, men can take proactive steps to enhance brain function and overall well-being.
Frequently Asked Questions
What causes brain fog in males?
Testosterone changes, stress, sleep issues, certain lifestyle and nutritional factors, and inflammatory conditions are all contributing factors to brain fog in men.
What are the symptoms of brain fog?
Memory loss, foggy thinking, struggling to find the right words, slow reaction times, confusion, and irritability are some of the symptoms of brain fog.
What vitamin deficiency causes brain fog?
Research shows that vitamin B-12 deficiency is linked to cognitive issues.
Is brain fog a symptom of low testosterone?
It can be. Check with your doctor to test your testosterone levels.
Can diet help improve brain fog?
Yes! Nutrient-rich foods, including omega-3s, vitamin B-12, and anti-inflammatory foods, can support brain health and improve mental clarity.
-
Resnick SM, Matsumoto AM, Stephens-Shields AJ, Ellenberg SS, Gill TM, Shumaker SA, Pleasants DD, Barrett-Connor E, Bhasin S, Cauley JA, Cella D, Crandall JP, Cunningham GR, Ensrud KE, Farrar JT, Lewis CE, Molitch ME, Pahor M, Swerdloff RS, Cifelli D, Anton S, Basaria S, Diem SJ, Wang C, Hou X, Snyder PJ. Testosterone Treatment and Cognitive Function in Older Men With Low Testosterone and Age-Associated Memory Impairment. JAMA. 2017 Feb 21;317(7):717-727. doi: 10.1001/jama.2016.21044. PMID: 28241356; PMCID: PMC5433758.
-
Jung HJ, Shin HS. Effect of Testosterone Replacement Therapy on Cognitive Performance and Depression in Men with Testosterone Deficiency Syndrome. World J Mens Health. 2016 Dec;34(3):194-199. doi: 10.5534/wjmh.2016.34.3.194. Epub 2017 Jan 23. PMID: 28053949; PMCID: PMC5209560.
-
https://avalere.com/insights/addressing-sex-and-gender-disparities-in-cognitive-health
-
Sex-related patient-reported brain fog symptoms in non-hospitalised COVID-19 patientsŻaneta Chatys-Bogacka, Iwona Mazurkiewicz, Joanna Słowik, Klaudia Nowak, Wojciech Sydor, Barbara Wizner, Agnieszka Słowik, Marcin Wnuk, Leszek Drabik. DOI: 10.5603/PJNNS.a2023.0010 Pubmed: 36799525 Neurol Neurochir Pol 2023;57(1):111-120.
-
Gur RC, Gur RE. Complementarity of sex differences in brain and behavior: From laterality to multimodal neuroimaging. J Neurosci Res. 2017 Jan 2;95(1-2):189-199. doi: 10.1002/jnr.23830. PMID: 27870413; PMCID: PMC5129843.
-
Markun S, Gravestock I, Jäger L, Rosemann T, Pichierri G, Burgstaller JM. Effects of Vitamin B12 Supplementation on Cognitive Function, Depressive Symptoms, and Fatigue: A Systematic Review, Meta-Analysis, and Meta-Regression. Nutrients. 2021 Mar 12;13(3):923.
-
Zhou L, Chen L, Li X, Li T, Dong Z, Wang YT. Food allergy induces alteration in brain inflammatory status and cognitive impairments. Behav Brain Res. 2019 May 17;364:374-382.