Testosterone Replacement Therapy Dosage

TRT
May 22, 2023
Fact-checked by Dr. Avidon Appel
testosterone replacement therapy philadelphia PA

Testosterone is the essential male hormone that influences many biological processes. Every man has a baseline hormone level determined by their genetics, age, and overall health. Testosterone affects everything from body mass to mood and mental sharpness. Low hormone levels, whether a byproduct of the aging process or an underlying condition, cause physical and psychological changes.

Correcting altered levels with testosterone replacement therapy (TRT) can reverse many symptoms of hormone loss. TRT is a well-researched medical intervention that is safe and effective when carried out under the guidance of a qualified doctor.

Growing awareness of TRT has led to greater interest in the treatment, along with some misconceptions. This article discusses forms of TRT, proper dosing, and possible side effects. Learning about TRT will help prepare you for consultation with a doctor to decide if the treatment is a good option for you.

What is Testosterone Replacement Therapy?

TRT is a doctor-prescribed intervention that introduces external testosterone into the bloodstream of a man with hypogonadism or low testosterone. Before providing TRT, doctors assess hormone levels using blood tests and conduct a standard medical examination. They ask about your symptoms, including changes to your body, mood, and sexual function.

The signs of hormone loss can develop gradually. As a result, the changes can be subtle when considered day-to-day but stark when viewed over a longer timeline. A holistic view of how you feel mentally, physically, and emotionally is essential for accurately diagnosing hormone loss and planning the optimal treatment.

If levels are low and symptoms affect your life, the doctor will order a form of TRT. You can receive testosterone injections, topical gels, skin patches, or pellet implants. Each form of TRT offers different longevity of effects and application methods.

How Much Testosterone Should You Take?

The correct dose of testosterone varies from man to man due to individual biochemistry and health. Doctors typically prescribe a form of TRT, monitor your symptom improvement and side effects, and adjust the dose accordingly. Doses can range from 4 mg to 750 mg, depending on the form of TRT prescribed.

The primary determinant is the extent of testosterone loss. Generally, 300 ng/dl of testosterone is considered low. However, you can have a higher or lower level and present with symptoms indicating that testosterone loss affects you. This variance from man to man makes consulting a doctor essential.

The form of TRT also influences the dosing. Injections, which doctors usually administer weekly or biweekly, are given in higher doses, while daily applications, like gels and patches, contain lower testosterone doses.

The nature of your symptoms also influences dosing. Mild signs of low testosterone, like fatigue and loss of vitality, may require lower doses. Absent sex drive or significant loss of muscle mass may require higher doses.

Doctors usually start with low doses to allow your body to adjust to the treatment. They then monitor you and modify the plan to find the level that maximizes the positive effects of TRT.

How Often Should You Take Testosterone?

You should take the dose prescribed by your doctor at the frequency they recommend. TRT is a medical treatment whose effectiveness and safety have been rigorously studied. Complying with the frequency specific to your form of TRT is essential for stabilizing and maintaining testosterone levels. Consistent levels will maximize the benefits of TRT while minimizing the side effects.

If you receive injections, attending every scheduled appointment is critical. The dose wears off in the time between injections. Patches and gels should be applied daily at the recommended time. Proper application and covering of the area ensure the entire dose enters the bloodstream.

Implants will last for three to six months. Consistently following up with your doctor and monitoring yourself is vital to ensure timely implant replacement once it is depleted.

Risks and Side Effects of Taking Too Much Testosterone

Excessive testosterone can cause multiple adverse effects. These reactions are more likely to occur if you use testosterone obtained online or through a gym or non-medical clinic.

Too much testosterone could cause infertility and shrink the testicles because their size is directly related to sperm production. The resulting infertility may or may not be reversible. In addition, too much testosterone can cause breast tissue development because the body procedures estradiol in response to rising testosterone levels.

High testosterone can exacerbate sleep apnea and make the skin oily, leading to acne breakouts. Excessive testosterone can also cause aggression and irritability. Studies are ongoing, but high testosterone may contribute to heart disease and worsen kidney or liver problems. The medical consensus is still emerging on these issues.

When ordered and supervised by a physician, TRT is safe and effective. Doctors accurately assess your levels with blood tests, evaluate the extent and nature of your symptoms, and help establish realistic expectations for treatment. It's best to treat claims by online retailers or non-medical personnel about TRT skeptically because these individuals lack the training and expertise to understand hormone loss and the use of TRT.

Conclusion

In conclusion, be sure to consult a medical professional such as those at Iron Mountain before experimenting with TRT. This will enable you to optimize your treatment and avoid experiencing any adverse side effects. TRT is a highly effective, relatively low-risk treatment, but only if used under the supervision of a doctor.


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About Author

Dr. Avidon Appel is the founder of Iron Mountain Men’s Health. He is an Internal Medicine Specialist based in Willow Grove, PA who specializes in men’s sexual health and hormone optimization and has over 19 years of experience in the medical field. He is a graduate of Philadelphia College of Osteopathic Medicine, as well as Saint Joseph’s University.

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