What did @fmtikkytokky actually say?
To be straight with you: this video is not a medical explainer. It is a comedy list. @fmtikkytokky reels off five supposed "signs your testosterone may be low" that include texting without autocaps, calling yourself "white boy," supporting Tottenham Hotspur, having a specific type of girlfriend fantasy, and keeping a soul patch. None of these are clinical criteria for hypogonadism. The creator frames the whole thing as a joke, and the hashtags confirm it: #joke is right there in the caption. So the first thing to say is that judging this video against endocrinology guidelines is a bit like fact-checking a stand-up routine. That said, 72,000 views means some people are going to take pieces of this seriously, and the framing around testosterone and masculinity touches real clinical territory worth addressing.
Does the science back this up?
No. Not a single item on this list has any relationship to serum testosterone levels, and that is not a close call. Clinically, low testosterone, defined as hypogonadism, is diagnosed via morning total testosterone below approximately 300 ng/dL on two separate measurements, combined with specific symptoms. Those symptoms, per the American Urological Association and the Endocrine Society guidelines, include reduced libido, erectile dysfunction, fatigue, depressed mood, loss of muscle mass, and decreased bone density. Texting habits, football club allegiances, and facial hair grooming styles are not on any diagnostic checklist.
- Bhasin et al. (2010, Journal of Clinical Endocrinology and Metabolism) established the current clinical definition of male hypogonadism and its symptomatic criteria.
- Mulhall et al. (2018, Journal of Urology) updated AUA guidelines confirming that diagnosis requires biochemical confirmation, not behavioral observation.
The video does not cite any of this. It does not pretend to. Still worth naming it plainly.
What did they get wrong (or right)?
They got everything "wrong" medically, and absolutely nothing wrong comedically, because they were not making medical claims. Where it gets interesting is the cultural angle. The video is poking at a specific type of performative masculinity anxiety, the guy who over-signals softness or non-threatening energy and frames it through the testosterone lens. That framing actually mirrors something real in online health spaces: testosterone has been co-opted by wellness influencers and certain political subcultures as a proxy for masculinity, aggression, and dominance. That co-optation is worth pushing back on.
Actual low testosterone does not make you a Spurs fan. But the discourse around TRT and "optimizing" testosterone often conflates hormonal health with personality traits or social behaviors, and that conflation causes real harm. Men delay legitimate clinical care because they think low T is a character flaw. Others pursue unnecessary TRT because they want to feel more "alpha." @fmtikkytokky is satirizing the discourse, not the medicine, and on that point, fair enough.
What should you actually know?
If you are genuinely concerned about low testosterone, here is what the evidence actually supports. Symptoms that warrant a conversation with a clinician include persistent fatigue that is not explained by sleep or lifestyle, reduced interest in sex, difficulty maintaining erections, loss of strength despite training, and mood changes including depression or irritability. These are not personality quirks. They are physiological signals.
Diagnosis requires blood work, specifically morning total testosterone, and often free testosterone, LH, and FSH to understand whether the issue is primary or secondary hypogonadism. A single low reading is not enough. Bhasin et al. (2010) are clear that two measurements on separate days are needed before treatment is considered.
- Lifestyle factors including obesity, chronic stress, poor sleep, and alcohol use genuinely suppress testosterone. Mulligan et al. (2006, International Journal of Clinical Practice) found hypogonadism prevalence was significantly higher in men with obesity and diabetes.
- TRT is a regulated medical treatment with real risks including erythrocytosis, reduced sperm production, and cardiovascular considerations. It is not a wellness supplement.
Soul patches have no known effect on endocrine function.