Everything Your Doctor May Not Mention Before You Start TRT

Testosterone Replacement Therapy (TRT) is increasingly being adopted by men who experience low testosterone levels. However, before jumping into this treatment, there are important factors you should consider. While your doctor will give you a rundown of what to expect, there might be some vital points that are glossed over. Below, we explore these points in detail.

Clomiphene vs HCG: The Fertility Debate

Current Protocol for Fertility Preservation

If fertility is a concern for you, your doctor may recommend either Clomiphene or HCG (Human Chorionic Gonadotropin). Clomiphene is generally used to stimulate the body’s own production of testosterone without affecting sperm production. HCG mimics the action of luteinizing hormone, thereby stimulating testosterone production and potentially increasing sperm count.

For Those Who Don’t Want Kids

If you are older or have no interest in having children, your doctor might lean more towards a straightforward TRT approach, which often includes Testosterone Cypionate or Testosterone Enanthate injections. These options usually do not preserve fertility but are effective for increasing testosterone levels.

Elevated Hematocrit: What It Means For Your Cardio Health

TRT can increase the proportion of red blood cells in your bloodstream, making your blood more viscous. This elevated hematocrit level can have implications for cardiovascular health. Some doctors might suggest discontinuing TRT, donating blood, or may opt to monitor the situation without immediate intervention.

TRT and Natural Testosterone Production

Starting TRT can shut down your body’s natural testosterone production. It’s essential to weigh the long-term implications before you decide to begin therapy.

Does TRT Help with Weight Loss?

While TRT isn’t a magic bullet for weight loss, it can elevate your body’s functioning, including metabolism. This means you may find it easier to shed those extra pounds when on TRT.

IM vs Sub-Q Injections: A Matter of Preference

Intramuscular (IM) and Subcutaneous (Sub-Q) injections both have their pros and cons. Your choice of needle gauge and your personal comfort with self-injection might influence this decision.

Gels and Creams: Which is Superior?

Both testosterone gels and creams are viable options for TRT but come with their own sets of advantages and disadvantages. Gels often dry quickly, while creams may offer a slower release of testosterone.

Injecting Every Two Weeks: Yay or Nay?

Many doctors recommend bi-weekly injections, but this could result in a hormonal roller coaster. Discuss the frequency of injections with your healthcare provider for a tailored treatment plan.

Potential Impact on Sleep Apnea

Be cautious if you already have sleep apnea, as TRT could exacerbate this condition.

Boosting Libido

One of the most celebrated benefits of TRT is the improvement in sexual desire and performance.

Monitoring Your Labs Without a Doctor’s Visit

Thanks to telemedicine and online labs like DiscountedLabs.com, you can monitor essential metrics without a doctor’s appointment.

Common Misconceptions: Prostate Cancer and Heart Attacks

Contrary to some beliefs, TRT has not been conclusively proven to cause prostate cancer or heart attacks.

Online Resources for Further Reading

Websites like Excelmale.com, testosteronepodcast.com, and various Reddit and Facebook groups can offer more community-driven advice and perspectives.

Doctor’s Oversight: The Importance of Complete Testing

Your doctor should not just be checking your total testosterone levels. A comprehensive panel is crucial for effective treatment.

Why Some Men Don’t Benefit From TRT

Certain medications could interfere with the effectiveness of TRT. Discuss your complete medical history with your doctor for a personalized treatment plan.

Common Mistakes to Avoid

The biggest mistake is often poor monitoring. Make sure you have regular check-ups and blood tests to fine-tune your TRT regimen.

Most Important Labs to Monitor

After starting TRT, crucial labs to keep an eye on include testosterone levels, hematocrit, liver function tests, and lipid profile.

Knowing these often-overlooked aspects can equip you with the right questions to ask your healthcare provider and ensure a smoother TRT experience.

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Podcast- Nelson Vergel: Things Your Doctor Did Not Tell You