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The disease process that lead to the low-T was never addressed, and sometimes people are dealing with idiopathic diseases of unknown origin and going on TRT attempts to circumvent the disease process, sometimes it works, sometimes it doesn't.

I didn't start reaping the full benefits of TRT until I change my diet and got myself into the gym. Only then did my type 2 diabetes start reversing, which is what caused my low-T in the first place.

TRT wasn't enough on its own to right the ship.

There's a lot of people out there would rather take a pill to fix their problems rather than make lifestyle changes. These people are bound to run into problems on TRT.