Expectations for TRT After 10 Weeks

Jul 24, 2024

Expectations for Testosterone Replacement Therapy (TRT) After 10 Weeks

Introduction

  • TRT can be life-changing but raises many questions about expected outcomes.
  • Discussion led by Dr. George Toliatos, an expert in TRT.

Initial Expectations (Week 1-4)

  • First Month (1-4 weeks):
    • Patients typically see improvements in:
      • Self-esteem
      • Cognitive function
      • Sex drive
    • These changes often occur quickly as testosterone levels begin to normalize.

Body Composition Changes

  • Improvements in body composition typically start after the first month:
    • Increased muscle mass
    • Decreased adipose tissue and visceral fat
    • Enhanced fitness level with resistance training and proper diet.

Further Expectations (Weeks 4-10)

  • Weeks 4-10:
    • Continued improvements in body composition and overall wellness.
    • Stamina and endurance may increase, with fatigue decreasing:
      • Hematocrit and hemoglobin levels will be monitored and may improve.

Libido and Sexual Function

  • Libido Recovery:
    • Expectations vary, with some men experiencing quicker improvements in libido and erections;
      • Others may take longer.
  • Factors affecting libido:
    • Blood flow issues: Need for PDE5 inhibitors (e.g., Cialis, Viagra) if blood flow is insufficient.
    • Cerebral factors: Stress, anxiety, and mental state also play significant roles.

Misconceptions About Testosterone

  • TRT is not a miracle cure;
    • Moderation in dosage is essential.
    • More testosterone does not guarantee better libido.
    • Some hypogonadal patients may still experience low libido despite treatment.

Other Physical Changes

  • Possible symptoms before starting TRT:
    • Night sweats or hot flashes
    • Difficulty in maintaining sleep.
  • Low testosterone often correlates with higher levels of cortisol, leading to increased anxiety and irritability.

Blood Test Monitoring

  • Blood tests are crucial to assess progress;
    • Typically conducted between 6 weeks and 3 months into therapy.
  • Regular evaluations will help adjust treatment if necessary.

Conclusion

  • General Takeaway:
    • TRT is about gradual improvement; maintaining realistic expectations is crucial.
    • Lifestyle factors (diet, fitness) greatly influence outcomes.
  • Invitation for viewers to share their experiences or questions about TRT in comments.

Clinic Information

  • Host is Mike, founder of Balance My Hormones in the UK, providing hormone optimization and support services.
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