What do you see as the alternative? All long-term therapies carry rewards and consequences. I have primary adrenal insufficiency and require hydrocortisone on a daily basis. In both of those cases ongoing monitoring is required, and periodic adjustments are certainly not surprising.
I have dealt with issues from the cortisone since I was in my early 30s and am 60 years old now. But without the cortisone I'd be dead. Would I be dead if I had to abandon TRT? Unlikely, but I was living a pale imitation of life before I started therapy and dialed it in. The likely reward, as I tell people, is well worth whatever minimal risk may be present.
