When properly monitored, TRT is safe for most men with low testosterone. The 2024 TRAVERSE trial (published in NEJM) followed 5,000+ men for 3+ years and found no increased risk of heart attack or stroke with TRT. We monitor your hematocrit, lipids, and PSA regularly to catch any concerns early. Proper dosing and oversight are key—which is why we don't recommend online "T mills."
Most patients notice improved energy and mood within 3-6 weeks. Libido improvements typically follow by weeks 6-12. Body composition changes (increased muscle, reduced fat) take longer—usually 3-6 months with consistent exercise. We set realistic expectations because hormone optimization is a marathon, not a sprint.
For most men with true low testosterone, long-term therapy provides the best results. Stopping TRT means returning to your pre-treatment hormone levels and symptoms. Some younger men may explore alternatives like Clomid to stimulate natural production. We discuss all options and help you make an informed decision based on your age, goals, and fertility considerations.
TRT can suppress sperm production, which is important if you're planning to have children. For men concerned about fertility, we can add HCG to your protocol to maintain testicular function, or explore alternatives like Clomid. If fertility is a priority, let us know upfront—we'll design a protocol that balances hormone optimization with reproductive health.
