Great idea for a thread. Currently, I would rate my TRT experience as a 2.
My levels were "low normal" starting out (mid 300s TT). Age 40. The issues I wanted to address with TRT, such as sexual function, muscle mass, general level of motivation, mood have mostly remained unchanged. I would argue that sexual function has been worse overall on TRT so far, However, I would argue that penile health is better - nocturnal erections, etc. Muscle mass very little change, same as motivation/mood. I definitely felt like a million bucks during the honeymoon period of TRT. Now, I often feel like feeling "good" is actually more of a function of not feeling off. When I feel "good" overall, if I'm being honest with myself it's almost like I feel the same as I did pre-TRT, which begs the question...why bother?
Right now it's "not bad" but is it worth the time and money, sticking myself with needles all the time and having to think about traveling with them, watching E2 and HCT, frequent blood tests, and most importantly, the long-term risks/unknowns?
Another gripe about TRT is that nobody knows what the hell is going on. Even the top docs in the field are frequently unable to get guys dialed in. I started with an endo, who was basically like "100mg 1x per week and that's either going to work or it won't and that's all there is to it". So of course I moved on, to a naturopath who insisted on compounded cream as the topical provides a "healthier and more natural cycle". However, he also didn't know why I would even want to test E2 and thought it was possible to "supplement T". Interestingly, I felt best on that protocol so far but that could have also been related to the stage I was in on my TRT journey. So I moved on again, this time to one of the top docs and pay out of pocket now, and at this point I'm feeling like either it's taking too long to get dialed in and I'm not there yet, or TRT simply isn't working/worth it for me.
I've been on for 8 months now and think about quitting all the time. But I'm trying to be patient and see it through to make sure that I've tried various options, methods, injection schedules to really get the most benefit from it before quitting since I've already come this far.
Oddly enough, I think one of the things I'd miss about TRT is reading up on this forum all the time and being my own personal science experiment. It's fascinating.
A half-baked theory that I have is that there are two kinds of people who seem to thrive on TRT. One would be men of any age who for some medical reason, were truly hypogonadal and had levels in say the 200s and under before starting. These guys often had extreme symptoms pre-TRT - struggle to get out of bed, no energy to do anything physical at all, severe brain fog. TRT is a game changer for them.
The other group that does well on TRT seems to be older men who likely had normal to high normal levels in their youth, but are now simply on TRT due to age-related decline. Take for example Mountain Man above, whose levels at 62 were similar to mine when I was 38.
I'd like to see a lot more examples of "low normal" guys who went on TRT to improve/optimize and succeeded in doing so long-term.