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Testosterone Replacement Therapy TRT: What to Know

Testosterone Replacement Therapy TRT: What to Know

When you first start TRT, your doctor will give you an initial dosage based on your specific needs. This starting dose is typically lower than what you might need in the long run. Doctors usually begin with a conservative amount because they want to monitor how your body reacts before increasing the dosage.

People can expect to have these blood tests at the start of the treatment, then three to six months later. Doctors will then repeat these tests annually if the results prove to be stable. Although TRT offers benefits to people with low testosterone levels, it can cause many short-term side effects. However, doctors do not usually recommend TRT as the first course of action for low testosterone levels, even for males who show such symptoms.

Testosterone pellets are small plastic pellets that doctors implant under the skin. The pellets dissolve slowly and can deliver TRT for 3–6 months. The dosage varies between individuals and a person should discuss this with their doctor prior to the first implantation. Topical gel dosage is usually between 40–100 mg per day but this will vary between products.

It can cause benefits and side effects and may not be safe for people who have a high risk of certain health conditions. If your TRT dosage is too high, you may experience side effects such as acne, mood swings, irritability, or increased red blood cell count. Long-term monitoring of your TRT dosage is essential for staying healthy. Without proper monitoring, you could end up with too much or too little testosterone, which can lead to side effects and other health problems. By keeping track of your testosterone levels, symptoms, and other health markers, your doctor can help ensure that your TRT is both effective and safe over the years.

If you experience side effects while on TRT, it’s important to contact your healthcare provider before stopping the therapy or changing your dose on your own. Some side effects can be managed with simple adjustments, but others may require a more careful approach. Managing these side effects often involves adjusting the dosage under the guidance of a healthcare provider. In this section, we will explore common side effects of TRT, how they relate to dosage, and ways to minimize or avoid them through proper dosage adjustments. Other markers your doctor may monitor include your cholesterol levels and liver function. TRT can sometimes increase bad cholesterol (LDL) and lower good cholesterol (HDL), which might raise your risk for heart disease. Regular liver function tests help ensure that your liver is processing the estrogen testosterone and melatonin correctly and isn’t being overworked.

The only way to know whether you truly have low T is by seeing a healthcare provider for a testosterone level test. This is a simple blood test, and most providers require it before prescribing TRT. Hypogonadism hampers the ability to produce normal amounts of testosterone due to a problem with the testicles or with the pituitary gland that controls the testicles. Testosterone replacement therapy, in the form of injections, pellets, patches or gels, can improve the signs and symptoms of low testosterone in these men.

These gels are applied directly to the skin, usually on the shoulders, upper arms, or abdomen. Your skin absorbs the testosterone, which then enters your bloodstream. If any of these side effects occur, your doctor might decide to lower your dosage to prevent more serious health problems from happening. I really think the testosterone helped me carry the load of being a provider much better. But now my business is growing, and I feel like I’m dealing with natural anxiety from that. I went on a low-dose anti-anxiety medication a few months ago.

While TRT effectively treats hypogonadism, its benefits for otherwise healthy men are less clear. Nevertheless, many men report feeling more youthful and vigorous on testosterone therapy. This guide will cover TRT’s benefits, expected timeline for results, physical and mental health effects, potential risks, and who may be an ideal candidate.

The drop is very gradual (about 1% per year) but increases as you get older. By age 70, the average man’s testosterone is 30% below its peak, but it’s usually still within the normal range. That’s why many men in their 70s and beyond can father children. A person may also note other benefits, such as an increase in bone density and lean body mass, an improvement in well-being, and a boost to energy and libido. It may take from 4 weeks to several months to see positive changes. TRT aims to restore a person’s testosterone levels to normal. The individual can expect improvements in their blood testosterone levels within a week, however, symptoms may take longer to improve.

Some men may require higher doses to achieve the desired effects, while others may need smaller amounts. Additionally, the method of administering testosterone—whether through injections, gels, patches, or implants—can influence the dosage. Understanding why the dosage matters can help you see the importance of this aspect of TRT.