Fatty liver and Trt

Orthonurse · Jul 24, 2025

I was diagnosed with Fatty Liver back in 2017, however my testosterone was dropping alongside of it ! I spoke to my pcp about the issues I was seeing and having and asked if I could be placed on TRT.
His short but quick answer was absolutely not!

He gave me multiple reasons with many other people saying that if I took trt it would worsen my liver bc of fatty liver and I needed to be in a better health with no so much weight . So I didn’t do it . I was only 26 then and my trt was at 180 .

Tell me guys what you know about this . Is it safe for me to do TRT bc I’m struggling majorly with low T

mooseman109 · Jul 24, 2025

Orthonurse said:
I was diagnosed with Fatty Liver back in 2017, however my testosterone was dropping alongside of it ! I spoke to my pcp about the issues I was seeing and having and asked if I could be placed on TRT.
His short but quick answer was absolutely not!

He gave me multiple reasons with many other people saying that if I took trt it would worsen my liver bc of fatty liver and I needed to be in a better health with no so much weight . So I didn’t do it . I was only 26 then and my trt was at 180 .

Tell me guys what you know about this . Is it safe for me to do TRT bc I’m struggling majorly with low T

I also deal with fatty liver. I have been on TRT for 10 plus years amd those liver numbers have not increased. Actually they have decreased if I pay attention to diet and exercise .

Orthonurse · Jul 24, 2025

mooseman109 said:
I also deal with fatty liver. I have been on TRT for 10 plus years amd those liver numbers have not increased. Actually they have decreased if I pay attention to diet and exercise .

That’s good to know man!

Guided_by_Voices · Jul 24, 2025

Step one for organ fat is to eliminate the cause. Have you eliminated all added sugars (especially High Fructose Corn Syrup and sugary drinks) and seed oils especially corn and soybean oil? What does your diet and activity look like.?

madman · Jul 24, 2025

Orthonurse said:
I was diagnosed with Fatty Liver back in 2017, however my testosterone was dropping alongside of it ! I spoke to my pcp about the issues I was seeing and having and asked if I could be placed on TRT.
His short but quick answer was absolutely not!

He gave me multiple reasons with many other people saying that if I took trt it would worsen my liver bc of fatty liver and I needed to be in a better health with no so much weight . So I didn’t do it . I was only 26 then and my trt was at 180 .

Tell me guys what you know about this . Is it safe for me to do TRT bc I’m struggling majorly with low T

You need to seek out a urologist or andrologist who specializes in testosterone therapy.

Diet/exercise is key and will have a big impact on improving NAFLD but treating your low testosterone will be a key driver here!

Going to be an uphill battle if you are struggling with low-T.

Fatty liver index (FLI)

*FLI decreased from 89.9±11.0 to 57.0±13.0 in the T-group and increased from 84.3±13.4 to 94.2±5.2 in CTRL (p<0.0001 for both).

Thread 'LONG-TERM TESTOSTERONE TREATMENT IMPROVES LIVER FUNCTION PARAMETERS IN MEN WITH FUNCTIONAL HYPOGONADISM'

Apr 29, 2022

LONG-TERM TESTOSTERONE TREATMENT IMPROVES LIVER FUNCTION PARAMETERS IN MEN WITH FUNCTIONAL HYPOGONADISM: REAL-WORLD DATA FROM A REGISTRY (2022)
Ahmad Haider, Karim Haider, Farid Saad, Gheorghe Doros, Abdulmaged Traish, Private Urology Practice, Bremerhaven, Germany Consultant, Bayer AG, Berlin, Germany Research Department, Guld Medical University, Ajman, UAE Department of Epidemiology and Statistics, Boston University School of Public Health, Boston, MA, USA Department of Biochemistry and Department of Urology, Boston University School of Medicine, Boston, MA, USA...