“…To the Editor We read with interest the study by Kim et al on the association between testosterone deficiency (TD) and nocturia, leveraging insights from the National Health and Nutrition Examination Survey data set. 1 This study meticulously outlines how TD correlates significantly with nocturia, especially among older men and those with comorbid cardiovascular diseases (CVD), dyslipidemia, and hypertension. While Kim et al primarily consider TD as a contributing factor to nocturia and nocturnal polyuria, our perspective inversely suggests that nocturia, through disrupting sleep, may precipitate TD.…”