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Figure 1 The biological effects of testosterone are mediated both by direct binding and activation of the androgen receptor, as well as indirectly through its metabolic conversion to biologically active derivatives, including 5-dihydrotestosterone (DHT) via 5-reductase and oestradiol via aromatization, which subsequently act through androgen and oestrogen receptors (ER/ER), respectively

This triggers the activation of AMP-activated protein kinase (AMPK), a key energy sensor that phosphorylates and stimulates the TSC complex, leading to the inhibition of RHEB and subsequent mTORC1 suppression (Fig