There is no shortage of factors to consider.
Two factors that don't get a lot of air-time are Testosterone/Estrogen ratios and the effect of non-alpha maleness.
Many biological chemistry issues are related to ratios rather than absolute levels. It might be ok to have a high "bad cholesterol" level if you have a very high "good cholesterol" level.
Some foods are high in chemicals that mimic estrogen. Soybeans are the prime example. It may be that it is the ratio of Testosterone to Estrogen that is important. The appellation "soy-boy" may have something to it.
The second consideration is that studies of wolf-packs show that the alpha-male has significantly higher testosterone than lower-status, male wolves. It is reasonable to suppose that a society that lionizes "ball-busters" should not be surprised if many of its males exhibit symptoms consistent with low Testosterone.
The plasticity of social animals continues to amaze. Verbally kicking a man in the gonads has the same effect as physically damaging them.
Ball-busters hate those of us who do not submit to their dominance games. A man is best judged by looking at the quality of those who count him as their enemy.