Nelson Vergel
Founder, ExcelMale.com
Over the past five years, the FDA has undertaken a sweeping reassessment of testosterone replacement therapy (TRT) — from formulation approvals that expanded delivery options, to a landmark class-wide labeling overhaul driven by the TRAVERSE trial, to the most significant potential indication expansion in TRT history. The trajectory is clear: the agency has moved from a posture of cardiovascular caution toward evidence-based recalibration, while opening a pathway to treat men with idiopathic hypogonadism for the first time.