Fast Facts on Testosterone Replacement Therapy (TRT) in Albuquerque

Well Life ABQ
July 2, 2021

ALBUQUERQUE, N.M — Low on T Levels? TRT or Testosterone Replacement Therapy can help you regain your energy and aid your overall health and wellness.

Testosterone levels decrease with aging and medical conditions. Testosterone Replacement Therapy (TRT) increases testosterone levels and helps men and women cope with the effects of hypogonadism. Hypogonadism is a testosterone deficiency that affects about 4.5 million American men and women.

TRT, called androgen replacement therapy:

  • Increases bone density
  • Builds muscle mass and strength
  • Improves mood and mental process
  • Enhances sexual function
  • Promotes weight loss

Here are some fast facts about the most frequently asked questions about this type of hormone therapy:

1. Is Testosterone Replacement Therapy (TRT) effective and safe?

You may be hesitant to undergo TRT. The most important question that pops in your head is, “Is it effective and safe?” 

There have been studies throughout the years with promising findings. A latest 2020 study reviewed PubMed journals of randomized controlled trials. It included observational studies that showed the effects of TRT. Based on the study, TRT is safe. It can improve sexual function among men with hypogonadism.

2. Can TRT make you feel invigorated?

Low levels of testosterone can mean problems in the bedroom. Men with low levels of testosterone often complain of low libido and erectile dysfunction. 

Studies suggest TRT helped with mild erectile dysfunction. TRT also improved libido among men with low testosterone.

3. Can TRT cause cardiovascular problems?

Testosterone may cause your blood pressure to rise and it may increase your risk of stroke or heart attack. But TRT may also have potential benefits to heart health. 

A key point in a study shows TRT reduced mortality of men with low testosterone. It’s in contrast to men who didn’t undergo TRT. Moreover, TRT improved blood flow to the heart muscles in men with coronary artery disease. At the same time, TRT boosted exercise capacity in men with congestive heart failure. 

It’s best to consult a medical professional before undergoing TRT to evaluate your personal risks and benefits.

4. Can Testosterone Replacement Therapy (TRT) cause cancer?

There is no clear proof that TRT causes cancer. Regular health screenings are always recommended.

5. Can TRT cause polycythemia and blood clots?

As a side effect, TRT can potentially increase your red blood cell count. It can lead to polycythemia, a blood condition of too many red blood cells, which increases risk of blood clots. Notably persons that live at high altitudes, like Albuquerque and surrounding areas also experience polycythemia. Sleep apnea also causes polycythemia.

Does testosterone replacement therapy increase risks of blood clots also? A 2021 review of 13 available studies that included over 4000 men, found testosterone therapy was NOT associated with venous thromboembolism compared to placebo. A 2016 study review of the Veteran's Administration Database that reviewed the records of over 71,000 men also found no statistically significant difference between those on TRT and those who did not receive TRT.

6. Can Testosterone Replacement Therapy (TRT) cause weight gain?

Experts have contradicting findings when it comes to TRT and cholesterol. It’s a gray area. Some studies suggest TRT decreases both high-density lipoprotein or “good” cholesterol. At the same time, it reduces low-density lipoprotein or “bad” cholesterol.

However, a study reveals TRT lowered cholesterol levels and increased lean muscle mass. Another research shows TRT improved glucose serum levels and insulin resistance in men with diabetes. 

Men with low testosterone are prone to obesity and vice versa. Long-term TRT may be helpful in the weight loss of obese men with low testosterone levels. But there is no proof TRT can shed pounds from healthy men with typical testosterone levels. Generally, TRT improves your quality of life.

7. Can TRT cause insomnia?

People with hypogonadism may experience abnormal circadian rhythm. It’s responsible for sleep pattern problems which are also associated with obesity. 

Studies conducted over the years have conflicting results. Some studies claim TRT improved sleep among hypogonadal men who had trouble with rest. Other studies, though, say otherwise.

8. Can TRT cause anger?

TRT is a form of anabolic steroids. Many people believe steroids cause anger. Thus, the term “roid rage” came into being. This may be the case with extreme levels associated with body building and sports. But is there an increase in aggression in testosterone replacement therapy aimed at optimization and not performance or strength?

A 2004 study of young men measured aggression after a single injection of testosterone replacement. The injection increased testosterone levels to high normal levels and slightly above the normal limit. The study found no increase in aggressive tendencies.

Receiving TRT may do the opposite. Experts say men with low testosterone are prone to mood disorders. A study reveals men with low testosterone levels who underwent TRT became less anxious and depressed. TRT stabilizes the mood instead of increasing anger or aggression.

9. Is TRT legal? 

The answer is yes and no

Yes, it is legal under the supervision of a medical professional. TRT helps increase testosterone levels, especially among men with hypogonadism.

No. It is illegal when used at a dangerously high dosage. Some athletes use it to build their muscles and improve their sports performance. 

TRT is a permanent life-long intervention. You can complement it with proper nutrition and lifestyle changes.

10. How do you know if Testosterone Replacement Therapy (TRT) is for you?

Hypogonadism occurs when gonads or sex glands don’t produce enough sex hormones. As you age, your body produces less testosterone. It starts when you’re about 30 years old.

You may experience some of the symptoms of low testosterone:

  • Low sex drive
  • Sleep problems
  • Unusual weight gain
  • Unexpected muscle loss
  • Erectile dysfunction

You have to undergo a testosterone level test to know if you have low testosterone. It’s a blood test. It shows if your level is within normal limits for your age.

Once diagnosed with low testosterone, you have the option to choose the method of administration. It includes topical creams or gels, transdermal patches, oral medications, or intramuscular injections.

Sidebar: Can women undergo TRT?

YES! Testosterone plays a vital role in women’s health too! Like men, testosterone declines in women starting well before menopause. 

Like men, women are candidates for TRT if their levels are low and they are symptomatic. Testosterone is an off-label compounded drug for women. Some medical professionals prescribe TRT for women to enhance their sexual function.  

One of the few studies aimed to determine the safety of testosterone therapy in women. The women suffered from hypoactive sexual desire disorder or HSDD. It’s the most common form of sexual disorder in women included in the Diagnostic and Statistical Manual of Mental Disorders. 

The study supports earlier claims that short-term testosterone therapy is safe for postmenopausal women with HSDD. This study shows TRT benefits women as well as men. Risk factors and side effects are somewhat similar.

In 2019, an international panel of medical professionals endorsed the Global Consensus Position Statement on the Use of Testosterone Therapy for Women. The consensus serves as a guide to clinicians prescribing TRT for women. 

To take or not to take the plunge?

Even the most carefully formulated medicines come with risks. People with low testosterone definitely benefit from TRT. It improves the body, mind, and sexual functions of men and women with low testosterone levels. It contributes to the general well-being and overall quality of life.

It is important to weigh these benefits with the risks. It is important you find a clinic that evaluates your hormone levels AND your personal risk factors.

Ready to take the next step? Schedule a free consult, to get started.

We offer hormone replacement therapy including TRT as a stand-alone service and with a primary care membership package. With the primary care membership you receive, comprehensive primary care, 24/7 virtual urgent care and HRT - TRT discounts for pellets. Topical and vaginal hormone replacement evaluations are included in your membership.

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