Richard Huntsman
Richard Huntsman

@DrRichHuntsman

19 Tweets 6 reads Jan 12, 2023
Testosterone levels have been declining for decades.
Low testosterone puts men at higher risk of
Diabetes
Obesity
Cancer
Heart disease
Many are turning to testosterone replacement therapy.
If you're thinking about doing TRT, read this first:
What is testosterone replacement therapy (TRT)?
TRT is a hormone replacement therapy designed to bring T levels back to a normal range. It can be administered via patches, gels, nasally, pills, or injections.
A healthcare provider will evaluate your testosterone levels to determine if TRT is an appropriate treatment. TRT is not an overnight treatment. For many it takes months before they will notice an improvement.
What are the benefits of TRT?
Men can benefit from TRT in many ways. It can help restore hormonal balance giving a general improvement in health. It can also reverse many of the symptoms of low T leading to better energy, increase muscle mass, weight loss, etc.
What are the risks of TRT?
The side effects can depend on what form you are taking. While the risk is usually low, just like any medication there can be side effects. These are possible side effects:
- Increased acne
- TRT can speed up male pattern baldness
- Possible increased risk of heart problems
- Possible link to prostate cancer growth
- Decreased natural production
It should be noted that the evidence of the link between TRT and heart disease/prostate can is mixed.
What TRT is not
TRT is not a replacement for healthy lifestyle and diet changes. Many of the factors associated with low T can be controlled. Diet and lifestyle factors should be the first line of treatment.
Even if taking TRT you should still be working on cleaning up the diet and increasing your physical activity.
How do I know if I have low testosterone?
There are many symptoms of low T in men. The list includes:
Decrease libido
Erectile dysfunction
Low energy
Low muscle mass
Increased body fat
Depression
Sleep disorders
If you are experiencing any, or all, of these symptoms and show low testosterone on a blood test TRT may be a viable option. Know that just because you show low T on a blood test does not mean that you need to jump right to TRT. You must be experiencing symptoms as well.
Is TRT my only option?
Definitely not. Many men can turn things around without TRT. In my early 20’s my T levels were around 250 ng/dl. I now have levels close to 600 and they have not dropped in years. The most effective things you can do are:
- Cut out sugar
- Cut out grains (mainly due to the T harming chemicals used on them)
- Lift weights 3-4x per week
- Increase protein intake to 100+g per day
For many, making these changes can get T to a normal level.
Is TRT right for me?
This is something to discuss with your doctor but here are my thoughts. If you are under 40 and showing signs of low T start with natural approaches. Clean up the diet, start lifting weights, and get your sleep dialed in. For many this is enough.
Also know that if you are wanting to have kids you will likely need to take HCG along with the TRT.
For men over 40 I still recommend starting with a natural approach, but sometimes the symptoms are so debilitating that moving directly to TRT can be life changing.
If you are 50+ and having a lot of symptoms then I think TRT is generally the right call. Again, this is something to discuss with a doctor who specializes in TRT and make sure you are making overall lifestyle changes as well.
Remember that TRT ,once started, usually can not be stopped. It is a lifelong therapy. You need to consider as well, generally around $100-300 per month. Many insurances do not cover TRT.
If you enjoyed this please:
1. Follow me @drrichhuntsman
2. Like and RT the first tweet of the thread so that others will benefit
I'm pretty confident I can help any man recover from low T.
My program optimizes your hormones, including testosterone, which helps you:
- lose weight
- increase energy
- gain more muscle
If you want my 1-on-1 help, DM me "test" and let's talk

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