Fourth, fellow users are seen as less critical than women, with User 6 noting that there is a ‘huge difference between rating on toilet gaze and PSL autists’. Aligned with the previous point, ratings are tied to improving hegemonic and sexual appeal, as specific practices or interventions (detailed below) can ‘objectively’ raise someone's score. Third, the ratings provide users with a seemingly ‘objective’ measure of attractiveness. As we will demonstrate, this gaze has consequences for health, as men and boys are insulted, encouraged to self‐harm or told to pursue substantive medical interventions. Men who are labelled as ‘normies’ or ‘mid‐tier normies’ receive scores of approximately 5/10; however, being ‘average’ is not an accomplishment in this community, as average‐looking men are seen as unlikely to have a heterosexual relationship or succeed in life. The hegemonic masculine gaze is also used to rank order and quantify attractiveness. In every thread we analysed, users were insulted, unfavourably compared to other men, and/or encouraged to harm themselves by at least one other user. Published in Andrology highlighted that men with testosterone deficiency were more likely to experience persistent low mood, anxiety, and a lack of motivation. Another area where testosterone shows up is in emotion regulation and how the brain responds to stress and recovers from negative experiences. However, this hormone plays a far more subtle role in the way men think, feel, and connect with others. It could also investigate whether similar effects occur with other hormones or in response to different kinds of feedback, such as praise from peers or criticism from authority figures. While the social feedback was designed to mimic real-world interactions, participants knew they were in a study and may have reacted differently than they would in daily life. Instead, testosterone influenced the importance participants assigned to the feedback and their expectations when forming self-esteem judgments. Interestingly, while testosterone increased sensitivity to both approval and disapproval, it did not affect the basic learning rate—that is, how quickly people adjusted their beliefs based on prediction errors. Self-esteem can be severely affected by some of the symptoms of low testosterone levels, such as low libido, depression, weight gain, and insomnia. Low testosterone’s impact on mental health can vary based on the individual. Therefore, when your testosterone levels drop, it could significantly affect your mental well-being. Evidence proposes that testosterone can shield the impact of stress on mental health and increase emotional stability and resilience. Instead, men must thread the needle of looksmaxxing, using medicine to enhance their masculinity, but receiving too much intervention—or having the appearance of having had too many interventions—is not masculine. Here, in contrast to Watson (2000), the users are not just seeking to ‘be in shape’ or have an ‘everyday body’, but to have an exceptional body that makes them desirable and places them above other men. Although some users situate their appearance altering practices as means to simply look or feel better, they more typically position them as a means to appeal to women or to ‘ascend’ (i.e., have a romantic/sexual relationship). We further suggest that men supply ratings to participate in hegemonic masculinity. Third, despite being advertised as a self‐improvement practice, we show how looksmaxxing demoralises and harms the health of men and boys. We did not observe any cases of impersonation, but users did openly post pictures of other men to both praise and mock them. Likewise, users might be pretending to be someone else or posting pictures of other men. However, users might fabricate or exaggerate their comments, as with other online analyses. First, we assume that users' comments are authentic and reflect their experiences. In this paper, we focus on how our findings are relevant to theories of masculinity and health (e.g., Connell 1995; Courtenay 2000a, 2000b). The most well-known androgen is testosterone. Hyperandrogenism happens when you have an excess amount of androgens in your body. Cleveland Clinic is a non-profit academic medical center. Here, we further suggest that lookism and its potential effects on men's health and gendered performances require additional analyses. These drugs improve blood flow to the penis, making it more responsive to sexual activity. Stress releases a hormone called cortisol. A healthcare provider can also recommend medication or lifestyle therapies to help you cut back on your consumption. Drinking excess amounts of alcohol can lead to low sex drive and impaired sexual performance. It also seriously affects your cardiovascular function, making it hard for blood to get to the penis during sexual activity. Low testosterone is usually diagnosed with a blood test. These foods often lack important nutrients and can increase blood sugar and cholesterol levels. Indeed, we suggest that looksmaxxing is an exemplar of how hegemonic masculinity can harm the men who endorse it, as the practice has clear consequences for the health of men and boys (e.g., suicidal ideation). Such praise also buttresses our medicalisation arguments above, as both users tie their sexual successes to major physical interventions. Taken together, the community advocates a ‘goldilocks’ approach to intervention, wherein men need to looksmax to participate in hegemonic masculinity, but too much looksmaxxing is perceived as effeminate and violating hegemonic ideals. Here, interventions intersect with the hegemonic masculine gaze as only bodies that meet specific masculine criteria can use medicalisation to participate in hegemonic masculinity. The specific power relations, in this case, are bound to lookism and hegemonic masculinity (Connell 1995) as men are pursuing bodies that they tie to the social benefits received by both physically attractive and dominant men. Second, we describe how users medicalise masculinity by connecting interventions to perceived masculine deficits. First, we detail the hegemonic masculine gaze of looksmaxxing as users analyse and critique each other's bodies as masculine projects.