10 Changes to Expect on Testosterone and TRT at 6 months
Summary
TLDRThis video discusses the top ten changes men can expect between 12 weeks to six months on testosterone replacement therapy (TRT). It covers improvements in sex drive, mood, energy, and muscle mass, as well as potential side effects like acne, body hair growth, and changes in testicle size. The script also addresses the importance of diet, exercise, and addressing underlying health issues like sleep apnea and lipid levels for optimal TRT outcomes.
Takeaways
- 🚩 The first noticeable change in TRT is often an increase in sex drive, typically around the 12-week mark.
- 🌡️ Some men might experience a surge in mood and energy early in TRT, but for many, significant changes occur around the six-month point.
- 🩺 By 12 weeks into TRT, patients usually have their first blood test to check hormone levels and make adjustments to their treatment.
- 🔄 It's important not to expect linear, consistent progress in sex drive or other areas; there will be fluctuations.
- 💪 Around the six-month mark on TRT, many men notice improvements in muscle mass and strength.
- 🏋️♂️ Gains in muscle mass can be influenced by diet, exercise, sleep, and overall health, not just hormone levels.
- ⚡️ Energy levels can vary greatly; some men feel an early boost, while others may take longer to see improvements.
- 🌀 Anxiety and stress can affect how men respond to TRT, including their sex drive and energy levels.
- 🌙 Improvements in sleep are common with TRT, but what constitutes 'good sleep' can be subjective and may change.
- 🧠 Mood often improves on TRT, with many men experiencing less depression, anxiety, and brain fog.
- 🥩 Testicles may shrink or atrophy on TRT, but this varies and can be managed with medical supervision.
Q & A
What are the top changes to expect in the first six months of TRT?
-The top changes to expect in the first six months of TRT include improvements in sex drive, mood, energy, and muscle mass and strength. There may also be changes in testicle size, skin condition, body hair, and lipid levels. Additionally, some men might experience better sleep quality and improved bone density.
How soon can one expect to see changes in sex drive on TRT?
-Some men may start noticing changes in sex drive as early as six weeks into TRT, but for many, significant changes begin to occur around the 12-week mark. However, it's not a linear process and can vary greatly from person to person.
What role do blood tests play in the first six months of TRT?
-Blood tests are crucial around the 12-week mark on TRT to check blood markers and assess how a patient is responding to the treatment. Doctors use these results to adjust the treatment plan accordingly.
Can TRT improve erectile function?
-Yes, TRT can improve erectile function in many men. It's common to see improvements around the six-month mark, although the timeline can vary based on individual health factors and the duration of testosterone deficiency.
What is the relationship between TRT and muscle mass?
-Testosterone plays a significant role in muscle mass and strength. Generally, men can expect to see an increase in muscle mass on TRT, especially if they are also engaging in regular exercise and have a proper diet.
How might TRT affect a man's energy levels?
-TRT can lead to increased energy levels for many men. However, it's important to note that energy levels can be influenced by various factors such as diet, sleep, and overall health, so improvements may not be uniform across all individuals.
What should one know about testicular atrophy on TRT?
-Testicular atrophy, or shrinkage, can occur in some men on TRT, particularly if not using human chorionic gonadotropin (HCG). However, the extent of atrophy can vary, and for some men, it may not be a significant concern.
How common is acne during TRT and how can it be managed?
-Acne can be a side effect of TRT due to increased sebum production. It's more common in those who are prone to acne. Management strategies include proper skin hygiene, using specific soaps, and in some cases, topical or oral medications.
Can TRT lead to hair loss and what can be done about it?
-TRT can contribute to hair loss in men who are genetically predisposed to it. Options to manage hair loss include topical treatments like minoxidil or prostaglandin analogues, but it's important to balance these with the benefits of TRT for libido and erectile function.
What changes in blood lipids can be expected with TRT?
-TRT can lead to improvements in blood lipid profiles, including potentially lowering LDL cholesterol and triglyceride levels, and sometimes increasing HDL cholesterol. However, these changes can be influenced by lifestyle factors such as diet and exercise.
How does TRT affect sleep quality and what is sleep apnea's connection to TRT?
-TRT can improve sleep quality for many men by reducing insomnia and night sweats. However, it can also unmask sleep apnea in some individuals, potentially worsening sleep quality. If sleep apnea is suspected, medical evaluation and adjustment of any current therapy may be necessary.
Outlines
🔬 Changes in Sex Drive from 12 Weeks to 6 Months on TRT
The paragraph discusses the anticipation of changes in sex drive between 12 weeks to six months into Testosterone Replacement Therapy (TRT). It highlights that while some people might experience a surge in sex drive early on, the majority begin to notice changes around the six-week mark. By 12 weeks, patients typically have their first blood test to check hormone levels and adjust treatment accordingly. The speaker shares anecdotal evidence that from 12 weeks onwards, improvements in sex drive become more consistent, although not necessarily linear. The importance of not expecting a perfect, daily improvement and the multifactorial nature of sex drive are emphasized, including the impact of anxiety and stress on sexual function.
💪 Impact on Erections and Potential for Rehabilitation
This section delves into the effects of TRT on erectile function, noting that it can be highly variable based on an individual's starting point and underlying health conditions. The discussion covers the potential for erectile function to improve after six months of treatment, especially for those with erectile dysfunction due to low testosterone. The role of PDE5 inhibitors, like Viagra or Cialis, in conjunction with TRT for rehabilitation purposes is mentioned, along with the importance of not viewing these aids as a lifelong crutch but as a tool for recovery. The paragraph also touches on the psychological aspects affecting erectile function and the distinction between nocturnal, spontaneous, and on-demand erections.
💪 Gains in Muscle Mass and Strength
The focus of this paragraph is on the anticipated increase in muscle mass and strength during TRT. It underscores that these gains are dose-dependent and can be more noticeable around the six-month mark. The narrative distinguishes between those who are familiar with resistance training and those who are new to it, suggesting that the latter group might be more surprised by their progress. However, it also cautions against the misconception that TRT alone can lead to significant muscle gains without proper diet and exercise. The paragraph concludes by stressing the importance of maintaining muscle mass for overall health as one ages.
⚡️ Energy Levels and Lifestyle Factors
This section addresses the variability in energy levels among men on TRT. While some may experience increased energy early on, others might not due to long-term hormonal deficiencies or other health issues such as low cortisol or thyroid problems. The paragraph stresses the importance of a balanced diet, regular exercise, and adequate rest for optimal energy levels. It also shares a personal account of overexertion and inadequate nutrition leading to a dip in energy levels, highlighting the need for a balanced approach to lifestyle changes while on TRT.
🌡️ Mood Changes and the Influence of Testosterone
The discussion here centers on the potential for improved mood on TRT, particularly after six months. Testosterone's impact on dopamine levels, which are associated with pleasure and mood elevation, is mentioned. The paragraph acknowledges the existence of anxiety and mood swings during the initial stages of TRT but suggests that these should stabilize over time. It also touches on the role of external factors, such as diet and exercise, in contributing to overall mood and the importance of managing expectations to avoid unnecessary anxiety about treatment outcomes.
🍇 Testicular Atrophy and Its Management
This section discusses the possibility of testicular atrophy, or shrinking, during TRT. It explains that while some men may experience this, the use of human chorionic gonadotropin (HCG) can mitigate the risk. The paragraph shares personal experiences with testicular changes on and off HCG, highlighting that atrophy was not as severe as feared. It also humorously notes the potential aesthetic benefit of smaller testicles making the penis appear larger. The narrative concludes by emphasizing the importance of working with a doctor if testicular size is a concern.
🧏♂️ Skin Changes and Acne During TRT
The focus of this paragraph is on the changes in skin condition that can occur with TRT, such as increased oil production leading to acne. It provides advice on managing acne during TRT, including dermatological treatments and maintaining good hygiene. Personal experiences with acne flare-ups are shared, and the paragraph suggests that while acne can be a concern, it is manageable and does not affect everyone on TRT equally.
🦲 Hair Changes: Loss and Growth
This section addresses the impact of TRT on hair, including potential hair loss and increased body and facial hair growth due to rising androgen levels. It acknowledges the genetic predisposition to hair loss and suggests that TRT might accelerate hair loss in those already genetically inclined. The paragraph also mentions the use of minoxidil as a potential treatment for hair loss and the personal acceptance of hair loss as a trade-off for other benefits of TRT.
🩸 Lipid Profile Changes and Cardiovascular Health
The discussion here is about the effects of TRT on blood lipid levels. While TRT can help balance lipids, leading to potential improvements in cholesterol and triglyceride levels, it also cautions that poor lifestyle choices can negate these benefits. The paragraph emphasizes the importance of a healthy diet and exercise in conjunction with TRT for optimal cardiovascular health. It also mentions the potential for improved glycemic control and blood pressure as additional cardiovascular benefits of TRT.
💤 Sleep Improvements and Sleep Apnea
This section discusses the relationship between TRT and sleep quality. It notes that while TRT can improve sleep, especially in those with poor sleep due to low testosterone, it can also unmask sleep apnea in some individuals. The paragraph explains that TRT might lead to an increase in red blood cells as a response to low oxygen levels during sleep apnea episodes. It concludes by suggesting that if sleep issues persist or new symptoms arise, individuals should consult their doctor, as it might indicate the need for adjustments to their TRT or other treatments.
📈 Monitoring Progress and Anticipating Future Changes
The final paragraph summarizes the previous discussions and hints at future content that will cover changes beyond the six-month mark of TRT. It encourages viewers to like, subscribe, and comment for more information and acknowledges that the journey on TRT is an ongoing process with many factors to consider.
Mindmap
Keywords
💡TRT
💡Sex Drive
💡Erections
💡Anxiety
💡Muscle Mass
💡Energy Levels
💡Mood
💡Testicular Atrophy
💡Sebum
💡Lipid Panel
💡Bone Density
💡Sleep Apnea
Highlights
Discussion of changes in sex drive from 12 weeks to six months on TRT.
Explanation of why some people might experience a surge in sex drive early in therapy.
Importance of blood tests at the 12-week mark to adjust treatment direction.
General increase in sex drive for many people by 12 weeks on TRT.
Acknowledgment that sex drive changes are not linear and can vary day by day.
The role of anxiety and stress in potentially affecting sex drive during TRT.
Discussion on changes in erections and the potential for them to improve around six months on TRT.
The variability in erectile function recovery based on individual health history.
Mention of using low dose cialis alongside TRT to help with rehabilitation of erectile function.
Differentiation between nocturnal, spontaneous, and on-demand erections.
The psychological aspect of erectile dysfunction and its treatment.
Expectations for muscle mass and strength changes on TRT.
The impact of diet and exercise on muscle mass gains while on TRT.
Potential for increased body weight due to muscle mass increase, not fat.
Discussion on energy levels and how they can be affected by various factors on TRT.
Importance of proper rest, diet, and not overdoing it at the gym while on TRT.
Mood improvements and how they relate to dopamine levels on TRT.
The possibility of testicular atrophy and its management with HCG.
Changes in skin and potential for acne while on TRT.
The impact of TRT on body hair and potential increase in facial hair.
Discussion on hair loss and its relation to TRT.
Changes in lipid panels and potential improvements in bloodwork while on TRT.
Improvement in bone density due to TRT and its role in maintaining bone health.
Changes in sleep patterns and potential unmasking of sleep apnea on TRT.
Transcripts
today we're going to talk about the top
ten changes to expect in 12 weeks to six
months on trt to keep watching
[Music]
in previous videos we've discussed what
to expect on trt at two weeks and what
to expect in six weeks
so today from 12 weeks to six months
we're going to go through these ten
things that you can expect change wise
so first one sex drive yeah that's kind
of the common one most people hope to
improve in the first six months if not
sooner so six weeks we discussed how
some people may start noticing some
changes in sex drive it doesn't happen
for everybody there are some people that
very quickly at the start of therapy
they can have a surge in things like
mood and energy and sex drive but for
the majority of people about six week
point things are beginning to change a
little bit so when you get to 12 weeks
you know you would have had your blood
test already the doctor would have
checked your your your blood markers
seeing how you're feeling and made some
changes to sort of steer you in the
right direction or all you know or
giving you advice to stay on track where
you are with the aim of heading in the
right in the right direction so by 12
weeks you know it's been a bit of time
since that point this I'd say the sex
drive is where this this begins to
change in some way for a lot of people
so not everybody and that's something
you know there's still outliers with
this general sort of consensus of things
but the feedback that I get is that sex
drive starting from this point onwards
is when more consistently it begins to
happen not necessarily like a switch
that turns on that is you know I'll have
you know out of a month maybe instead of
a day where I have a better sex drive
it's now 5 10 15 and it's improving
people's thing they have more sexual
thoughts that obidos starts to go up I
mean is that what you sort of experience
well I don't think it's always a linear
in planet I think there can be times
when you know even after 25 years on
tier 2 yeah there are days that your sex
life isn't always getting better and
better every day
you might have a day that it's not good
and there's so many factors it affects
sex drive and it's not just for monel
yeah in general things that we've seen
that you could expect from trt would be
a Generalissimo generalized way to say
sex drive improvement but you can't
expect every day and keep a scorecard in
a few you didn't fall into that very
highly strong sexual day then then
somehow the treatment failed yeah so you
may be one of those guys where your sex
drive isn't changing massively at this
point you may be one of those guys so
it's not if you're not in that group
something's wrong you know that you're
working with the doctor and steering you
you know in the right direction you may
have really great levels it may just be
that you need to be on therapy you know
longer to have that effect you say that
yeah I think so
so you you when you started knew about
this point you in noticing some changes
sex five wise yeah at six months oh I
noticed before six months that the sex
drive was improving so I was perhaps an
outlier where you know things seem to be
working in the right direction nearly
the beginning hmm yeah see for me I mean
you know my talks about things being
multifactorial with with sex drive I
mean I think the initial this happens
for for call of guys the initial part of
starting therapy if you've been feeling
pretty anxious or stressed about the
whole situation
you know running out sort of finding out
your potential this is why you've got
symptoms I've been starting therapy you
can still feel anxious you know so lots
of guys an anxiety can be triggered by
you know just I suppose your normal
thought process is why am i starting
this is everything right I don't want
this take to work I've heard and this is
this I think is real big cause of
anxiety is like forum spaces and things
that I mentioned that before but if you
if you're if you're constantly reading
about people that are having problems or
are having great changes then you start
questioning where they should be
happening for yourself so I think that
happened for me realize you know twelve
twelve weeks onwards there are people
you know saying things are going really
well for them and like why is that not
happening for me and I think just the
stress of of thinking that it wasn't
happening that can affect sex drive you
know you're not focus you know you're
not mindful of what's going on around
you you're in sort of you know thinking
what might be happening or should be
happening so that's definitely something
you know to be aware of the review and
it's not abnormal to not yeah it's a
feel anxious you know the start of
therapy so here's a new venture as it
were new treatment you know the of a
hormone therapy that is is lifelong
right absolutely yeah so I think the
second item to consider of the top ten
things that may be you may want to
expect on trt at six months would be
changes in your actions so it many times
and what we've heard in patients is the
directions may be the the last thing to
come online but I think it's so variable
based on where you started from when you
start a treatment so if you had other
sclerosis cardiovascular issues
epithelium problems you've gone a long
time with erectile dysfunction which may
also go hand-in-hand with having a long
time with low testosterone there may be
damage that takes longer to heal and
repair then if you know you you didn't
have those issues for as long so in some
people it may had a dip in the
testosterone levels a short term
erectile dysfunction and that gets
corrected and sorted yes quite quickly
within the TRT treatment about six
months you should start seeing erections
starting to come back yeah yeah like you
say it's very uh something I think about
is I'm everyone's variable like you said
but if you've had let's just say for ten
years you've not had sufficient levels
of your hormones that means that you've
not had regular erections right so let's
just say in your prime of a feeling
feeling great you had worn a day you
know and then you've gone from that to
to every six months and then over the
years that frequency of blood in and out
the penis you know and that the
functionality of the organ is now
changed because you've not had that
function happening if you then start TRT
and okay maybe the hormones you know
improve how you feel obviously they can
improve blood flow and you know you know
the hormones have that effect and
they're the cascade is is is needed to
get that going
it doesn't necessarily mean that
suddenly everything is going to start
working again
you know and that's where things are low
dose cialis you know some guys have you
know use low dose cialis tadalafil you
know pde5 inhibitor alongside yeah their
trt and that could actually have seen
that that's helped to restore function
and get things back faster and some guys
have been not needed to be on it after
that you know once things get going I
mean loss keep going it for sort of
their own confidence I mean other people
could help rehabilitate the the weaker
erections in the past or if you're
frustrated because your morning
erections aren't coming on as as quickly
or strongly having some basil dilation
occurring because of increase nitric
oxide from the pde5 inhibitors the
viagra cialis two dollar filled Sedona
Phil these can help with rehabilitation
and we've you know we've some studies
out there that talk about men who have
had nerve crush after prostate surgery
and as a result part of the
rehabilitation treatment is some is pde5
inhibitors so for these men some people
have this thought that if I'm on this
erectile aid I'm always going to need it
or I guess I have II D which can be
quite embarrassing
yo or you need to have the tablet to
function right and if they feel like all
I won't take that because then I'm it's
a crutch and I'm responsible on it but
the rehab part but the rehab part is
important I mean I used to know an
opthamologist of all people and she
would say that it should be put viagra
should be put in the water supply so you
know because it has such an impact and
an improvement on health or maybe it was
just er yeah make enough viagra was
happy but weirdly like guys with
autoimmune conditions that Raynaud's and
things like that I know you know few
people have said that actually women and
men with also means you can use that to
actually help blood flow and a few you
know cardiologists say is one of the few
drugs that systemically increases nitric
oxide and it can have its benefits you
know in the in the blood vessels
absolutely I mean the the recovery thing
I mean that that made sense to me I mean
I when I used to work in the NHS
I asked an old patient of mine he's in
his 90s and I was like what's like the
bet you give me any advice you know that
just
being a person in a different generation
he was it you like look at this he's
like if you don't use it you lose it
fair enough but now you see it that when
guys have not used it for a while you
know you can lose the effectiveness but
it can be restored through those things
right and also I think it's important to
distinguish between more interactions
nocturnal erections
spontaneous erections and erections on
demand when you need them and they think
that kind of all falls into one of the
things that that can improve you know
morning erections are sometimes
envisioned that you know you know you
going to the toilet in the morning and
you've got to fight to keep your boner
down so or you can hang a towel from it
and it won't go down
at that particular point until I mean
myself and Irene when he's got like the
yeah well may happen but many cases
never happens me it may just happen
nocturnally or may happen in the early
hours of the morning and you're still
unconscious to recognize it or you might
kind of have it incorporation into a
dream and so all these are still
positive effects of you getting the
blood flow to your penis and the
erections and I think that could all be
classified as a morning erection yeah
would you agree yeah so I think as a
doctor that said actually morning
erections are just sort of left over
nighttime erections nocturnal erections
actually right so if you don't wake up
with one it doesn't mean that there's
something all four that's not you know
there's not work any base it exactly so
it's not time to panic
yeah then those are the erections that
kind of the on demand as you need them
erections and and that could be
complicated from you know psychosomatic
issues every you have gone through the
past of having the low testosterone it
not working for you when you need it and
you know you mentally you think in the
game you're not sure and your anxiety
gets the best of you then you know even
with a viagra cialis to develop a blood
Vitra any of those it still may not be
enough because your your anxiousness is
going to cause vasoconstriction which
would be the opposite of the
vasodilation that you need well you know
if you've had episodes of edy in the
past so you know talking about this
timelines of things this doesn't matter
you know from in therapy at any point if
you've had the trauma of not having got
an erection before in a situation where
there's associated shame and criticism
and things around it
you know there's always that the risk
that because you've had that traumatic
situation that obviously you're going to
have that negative reaction when
approaching is absolutely self pressure
that happens and I know lots of guys
that actually it can be the you know by
themselves they can get an erection
they're getting nighttime erections
you know semies during the day things
like that but then because of the old
traumatic situations of having you know
it not worked with someone in the past
the pressure then builds up so they're
like I've got IDI issues and the
testosterone may not be working therapy
may not be working HRT may not be
working but actually there can be
definitely a psychological aspect and
that's where guys have seen sexual
therapists you know it's absolutely
something that they can work through so
I call it just work with that as well so
that's just another another part that
consider isn't it of course we could
also not fancy a partner yeah yeah it
kind of becomes a similar becomes
routine but yeah there's lots of factors
but I think you talk about it more when
we get we took run other videos but the
normal expectations here are generally
you should start noticing something but
don't get you know bothered of you if
you don't if you're not if you not
noticing those things right in the same
multifactorial it says so much so yeah
so the next site and that you should be
able to expect as far as a change around
the six month period his muscle muscle
mass and strength and and lots of this
is dose dependent of course based on
certain studies that I think was the
same Bastion had had studied men over 20
weeks who were given various levels of
testosterone and found there was an
increase in muscle mass and strength
especially in the lower leg strength in
particular but in general we kind of all
expected we think of testosterone
what are the biggest targets for the
androgen receptor is its muscle mass
okay so in general we know that muscle
mass
can increase on on trt yeah say yeah I'd
say this is where people start to notice
that difference again and it
particularly though ya know people the
things people either go yep I've trained
before I know what I'm doing I'm eating
right or those sorts of things I've got
a good sleep hygiene and they're like
yeah and now I'm noticing results that
are used to noticed before I had all
these issues so there's that but there's
also guys that maybe it's been so long
or it's unfamiliar to them and they're
and actually lots of guys go I'm not
happy I've put on weight so they're on
the scales and they're like yeah I'm
putting on loads of way and I don't know
what's wrong you know it's a load but a
good a substantial amount way and it you
know it can be that actually because
we've had guys do it where they have
done you know that the scans where it
separates the the fat and the muscle and
the bone and this was things and it's
actually that they put on muscle mass
they don't look massively leaner they
not lost body fat but actually just
starting getting off the small
testosterone just started to put on
muscle mass and some guys you know they
can pon make fat 5 kg in the sort of by
the first 12 we're quite shocking for
sayin yeah because they weren't
expecting that they didn't want to give
that big in particular but that's I
think in the culture of gym goers and
etc it makes people think oh is this
just for muscle mass and strength but
this is very important for your
generalized health as you age to have
the appropriate amount of muscle mass
otherwise you go in the opposite
direction and going to more the wasting
type of disease so having a proper
amount of muscle mass I shouldn't really
talk about you in the ex-officio you
know I think it's one of those things
where I mean there's lots of teenagers
as well right there have great great
testosterone levels there lots of you
know say teenagers there's lots of guys
with great testosterone it was that
aren't doing the right thing so there's
very much you know if you're still not
if you're still eating you know crap and
and not exercising correctly sensibly
you're not sleeping you're boozing a lot
you know those sorts of things
all those are the factors like with any
other normal person with a normal
working hormone system their organ
effect those sorts of things just
because you Adam trt it's not suddenly
gonna magically override all the normal
things that you need to put on muscle
mass no
a calorie deficit and you're just
literally not eating yeah and then you
can't expect to put a lotta muscle mass
but this assumes that all things being
equal to what you're doing before mm-hmm
with a normal kind of diet that you know
you could expect to see some increase in
muscle mass as a function of
testosterone yeah so yeah that's a good
point
so the next thing is energy levels okay
so energy levels I would say again it
would keep saying the same things but
the point has to be driven home that it
is a real mixed bag with this right you
you know you can have start to see
improvements in energy levels like we
said in the other videos earlier on you
know some guys are something about why
I'm I'm up early I feel like I can do
things I can do do more with with with
you know less sleep but then you know
you've still got guys that maybe they've
been affected for so long from lack of
hormones and lack of recovery and that
their body is just not conditioned right
it's not suddenly going to spring
everything back to life no and they can
also have low cortisol issues so if it
tend to be more tired in the morning
after starting TRT you know then that
could actually drive it down even lower
or they have thyroid issues yeah and can
affect energy levels we talked about TLT
right but actually it's HRT need to make
sure the effects and the other things
are happening you may have thyroid
issues because you've had other hormone
issues so on this particular video we're
talking about just trt but all the other
hormones and have to be considered and
considered absolutely so I think another
really really important PI's because I
saw I did this was the I was got excited
you know a lot of game tests or string
back and my body really issue without
without it for a few years but then got
the testosterone so I was like yep
so got a bit more energy I'm gonna train
like an absolute beast so I was sort of
trying to say that for me five days a
week but yeah I did that an adenine
cardio and I was like but I lift heavy
as well you're just really weak me know
and the say yes a baby what I did was I
was also like I'm carrying a bit fat so
I'm not gonna eat much you know so I was
like you said on a massive calorie
deficit so actually by the time I got to
like 16 weeks I was nakid and I was
really concerned like you know what's
going on here my Energy's gone and I've
you know been doing everything right but
I just not been eating enough I'd
started really at it early because I got
excited
so I actually took a dip between sort of
12 and 6 months wide to be you know it
was actually you actually that said like
you know sort I'm because no question
what I've been doing do everything you
can't expect you're gonna be Superman
after you're doing just toaster on
treatment and then do all these things
your body's still going to be knackered
and so you have to have the proper
recovery the proper rest and diet and
don't overdo it at the gym yeah you know
that we may also need a thank you and
say so yes I think that's important be
aware of those are the things that can
cause you know tiredness and lack of
energy levels you know across the board
you know not enough food not enough rest
all those sorts of things though the
fifth item on the list for what to
expect at six months would be a change
in mood I mean a lot of of men come
looking at trt as an option because
they're either been depressed suffer
from anxiety they've got brain fog and
the generalized mood isn't always where
was when they were younger or at an
earlier state so on TRT at 6 months
we've seen and I can see myself a
noticeable improvement in mood overall
you know feel a bit more uplifted we
know that testosterone can affect the
dopamine levels and the dopamine is the
pleasure hormone and you feel a bit
better with dopamine and so that's one
positive change yeah yeah that's a lot
of guys say so there's lots of guys that
if they are comfortable with the therapy
so I talked about me feeling anxious and
there's there's definitely a whole group
of people so you feel anxious on CRT
initially you're not alone you know your
mood can be lower because all of those
other factors you know the classic
questioning of
you know my hormones all over the place
should I be on there should I be on that
should I be on daily injections should I
be on weekly you know should I be on hgg
all those sorts of things can create
anxiety and actually lower your mood
rise be view it if you're in a in a
place where maybe you're not analyzing
things a lot this is where things start
to change I'd say the most fear of the
mead that's what I've witnessed very
nice yeah I was fortunate but they just
invented the internet when I was still
in great mood because you know there was
a few muscle forums you know you get
some information but I do even it did
not exist like it does today so
essentially I start the testosterone
treatment I just cracked on with it I
didn't know the difference things seem
to be getting better I had more
resilience so everything was as I
thought should be so I I didn't have
anything to compare it with as people do
today and they could yeah so maybe
that's a difference because we talked in
the other video about how quickly you
felt different I mean before I'd even
started I had a view of what may or may
not happen good and bad because of forms
I was like I may feel like I've got
these bad symptoms because my levels may
be too high maybe too low I might get
this that and the other
I'm a feel good I'm eating and why is it
not feeling good so I arrive like a bit
of a wreck ready to go you probably just
cut into me I didn't have all that
no I didn't and that's on both times
because remember my story is you know
the first time I started treatment it
was the back-to-back injections and then
I was just pretty much left stranded by
the doctor who didn't it's okay that's
enough that's all you get your body
should have just ballooned back into
this new level that I got used to so III
had to go through your whole period of
being even lower than when I started
even more depressed and things just
didn't work for good six to eight months
before I was retreated and restarted on
the testosterone treatment with patches
for a while which then improved the mood
and then restarted again on another
treatment with topical scrotal
testosterone cream tested cream so I had
all these different restarts on my on my
trt and every time for me it was you
know without testosterone I felt rubbish
and with testosterone it was just a
continuous improvement you know there
were times that like you know we can go
into another video but you know 12 15
years down the road if something wasn't
right but we now know that there are
other hormone factors at play there like
like thyroid that needed to be adjusted
but overall straight up trt did make a
massive difference in my life and
hopefully makes a difference in other
people's lives as well okay so number
six on the list of things to expect
between 12 weeks and six months is your
testicles may shrink or atrophy is the
medical term yeah right so some men and
obviously there there's a difference
between people anyway and what this
happens to when it happens rather and if
you're on HCG obviously your risk but
from the start your risk of testicular
atrophy is probably lower yeah but some
men if they're over stimulated under
stimulated they don't always meet the
expectation I think there's an
expectation out there that you'll do HCG
or even H and G for that matter it's
going to just balloon up the size of
their testes and they're going to have
these massive egg size testes you've got
those don't you absolutely not never did
but but that's always a case and I've
been prescribed for fertility h energy
and HCG and i'd noticed that especially
after years of not being on any HCG at
all or a laser off SH organelle to open
that felt a bit heavier but to the
actual size and shape changed massively
and I think it was negligible that but
but what I did notice is a fullness a
heaviness if you know to the scrotum and
and in general you could say the testes
and when I got a blood test I found that
in a blood test when I got a fertility
test that that's my testes were were
producing around 156 million sperm of
which 72 percent were motile so they're
moving in the right direction that's on
your LinkedIn account
Instagram yeah so I mean I've been I've
been on HCG and off of HCG and I did did
gay atrophy off HCG
but it wasn't as terrifying was
uncomfortable that I thought it would be
before I started I thought you know they
would do him disappear inside me and and
it was gonna be horrendously pain yeah I
did it wasn't I got I've got some
tightening of the scrotum things shrunk
a little bit made the penis look bigger
which is what lots of guys say is a
women particularly for me was incredible
so so so there's that too as well and
then going on HCG again it didn't get
didn't a huge you know and my sperm tank
is fine now being on HCG but testicles
aren't like super huge or anything like
that you know but bigger than where they
were before yeah and that's the thing
you may have an image in your mind for
me it's been so long ago it's hard to
remember if they were much much bigger
in the past I was coming it's it's
personal whether your testicles are
gonna shrink and then how much there are
lots of guys that are on just
testosterone alone and that they don't
notice a massive amount of atrophy
sometimes it can happen it can plateau a
little bit but obviously if you work
with the doctor if you're concerned
about that you know there's HCG that can
be used to help with you know testicular
size and not just fertility just for
aesthetic reasons so so that's basically
something that you can I get kind of
expected yeah right so do I go for this
one yep well actually you should talk
about this one this is what happens to
your skin on trt on testosterone
treatment and well for me I I did what
can happen what can happen yeah so
doesn't always happen some people have
no problems at all I think there's a
generalized increase in oil the oil in
the skin or sebum and some people are
more prone to acne with this increase or
on the skin some people have dry skin it
could be a godsend other people it could
be a nightmare because the the amount of
acne really increases I think Sam you
can talk about that more yes has always
been a back knee prone and when I
started CRT had some flare-ups and it
did get worse at one point you know
there's some great stuff on the lifting
dermatologist channel Steven Davis
bites some acne acne things on trt so
you can always look at those videos or
put yeah putting the link up here
something in the bottom but yeah that
that's that's good information lots of
the top cause there's like you know
differ in and retin-a I think is good
and there's obviously like the oral type
medications of it antibiotics if I know
they're sort of going a little bit of
favor with some of the doctors but
there's also accutane and things around
you know we could do a whole video on
that but that happened to me and that I
got a bit more acne on my back in
particular but I did find that when I
started like I probably should have
started I do tell a lot of guys there's
something's of how he's like a
preventative acne protocol so some good
stuff and Excel mail actually about what
guys do and that's the forum Nelson
virgil's forum and there I just find a
good thread a few good threads on there
initially and you it's just making sure
like most guys can't scrub the middle of
their back I definitely can't like you
so I that just getting to that middle
part like you know I'm Santa chair now
that's way there's a bit of sweat just
making sure that during a shower you
give that a bit of a scrub you know we
could do a whole video on on sort of
maybe acne pros schools but there's good
some good soaps like South reso solvers
soap you can use you know that there's
some good sort of combinations of things
but sharing twice a day as it prevents
your mat measure you know washing bed
sheets every week you know that that
sort of thing can be quite helpful by
only prone guys if they're worried about
it but it can happen it doesn't happen
to everyone to be fair I've not heard of
a lot of guys that have acne that's
unmanageable NCERT it's usually just
during the changes spots and the
shoulders someone that had a few on the
back yeah but you know with the skin you
can also get an increase in body hair as
well I've known people of friends that
my new salted TRT that had you know
quite smooth on the chest and they would
grow some more chest hair out of nowhere
so well it's from the antigens obviously
but this is something to look out for I
know when I started I didn't have very
much facial hair and obvious I got
facial hair now so you know I think you
can't thicken that facial hair on some
people if you're prone
having more of a beard so you know yes
androgens testosterone has an impact on
on your skin it can thicken skin as well
I believe I mean I might face has been
pretty like smashed up from from rugby
repetitively over the years I did have
really thin patches of skin and deathly
notices knife thicker you know it's
almost like it's healed healed better
than I know that right there is some
some evidence either showing that it can
thicken the skin and improve skin
increase a little bit so speaking of
they can Ignacio thicken that's for
another video
yeah nothing in my case so so obviously
you may lose it so number talk about
hair I forgot about this but yeah it's
just become part of me now you know I
had her when I was younger in my
twenties and over time I was probably
prone to losing it anyway and you know
by my early to mid 30s oh I started
shaving it so I'm a right slap head now
but I'm you know I'm I own the look and
yeah you know it I had to make I to look
back and say right it's better to have a
healthy libido
you know this amount of a muscle master
to go into Aging and the hair you know
it didn't bother me yeah and you saved
money on haircuts yeah and shampoo yeah
yeah so you can I mean that hair loss is
one of those things where you know the
advice from the doctor is that you you
can get some some hair loss right but
it's basically if you genetically are
predisposed to it you know you mean you
you see lots of guys even abuse hormones
and you know anabolic steroids and
things of that that are very strong and
a very harsh on your hair and they don't
lose their hair maybe you get some that
do and I think the general consensus is
that if you're going to lose your hair
you're gonna lose your head right you
definitely gonna lose yeah but if you go
from a low level of hormones to an
optimal a higher level of hormones it's
gonna you gonna lose it faster right
then you were you you would have reached
the state that you would have reached
had you always had those optimal levels
of hormones so if you were always meant
to have a high level hormones through
your twenties you may have lost your
hair in you you know mid to late 20s if
you're meant to lose it in your 50s
because you like had a little drip field
of testosterone but because it's not
brought up to a normal healthy level you
may you may lose it a little bit earlier
but in general there's a whole lot you
can do there are some topical
formulations of course are the the
approved licensed formulations like
finasteride but that would go counter to
many people having improvements of the
libido and erectile quality and that can
have lasting impact as far as people
having finasteride syndrome yeah I mean
none of the doctors use oral finasteride
it does not usually recommended if
people are already having issues with
their testosterone treatments so some
people may as an option how topical
finasteride yeah or topical finesse why
with the Tanner Proust or by Matt
applause which are prostaglandin
analogues you say minoxidil and regain
uh minoxidil
yeah I'll say over-the-counter as well
as you can use that and guys had some
good good good results with that as well
as they're a bit prone to it so but yeah
I mean that's the sort of some kind of
doing of techniques or options to maybe
how to hold on for if you have a little
bit longer so what's next on all this
time so number eight on the list is
lipid changes so on bloodwork changes in
your lipid panel so these are you can
normally be in the right direction there
are many other factors obviously if you
are they say if you're a high saturated
fat diet you may then increase your LDL
but in general testosterone treatment
replacement treatment can bring your
lapid lipids into into a better balance
layer if you will do you tend to see any
a decrease in overall cholesterol okay
but then sometimes you can also see a
decrease in HDL the so-called good
cholesterol and there's also been cases
or reductions in triglycerides and we've
seen patients who claim within the first
six weeks or six months even a reduction
in triglyceride levels normally at six
months we would see it because that's
when the six-month blood test occurs and
it's a nice drop from baseline it's like
I said if you're still doing the wrong
things you know in terms of drinking
eating poorly and and to be fair like
you know at this point it could be
pretty hard like you're not feeling
better and people haven't managed to
change their their diet I think is
really important if you haven't managed
to like get your life on track in terms
of right diet and exercise and things of
that it's not this lots of you should be
ashamed of right you've been coming from
like a lower level to to feeling better
again you just gotta like give yourself
time there's there's plenty of time the
rest of life to try and work on it so if
you are someone that has immuno got
improvement in lipids or or blood
profile or even body composition or
things like that or or energy even and
it's because maybe having created some
of those factors yeah I think it's
important to know that you know that you
may not happen you know you should
really be ashamed of it yet you can work
on those things right yeah and also a
side note to lipids you can also talk
about both glycemic control and I start
blood pressure they're known to decrease
when on trt no obviously there's other
factors but in general some of the
studies and some of the things patients
that have come through diastolic
pressure can be lowered as well as
improvement of glycemic control if your
blood sugar was you know usually above
the normal threshold those patients have
tended to see the greatest improvement
in blood sugar levels on trt okay so
number nine number nine is improvement
in bone density but that would go
without saying that testosterone is the
precursor hormone for two metabolites
Eastern oil and dihydrotestosterone
Eastwood I'll be sex hormone that is
known to increase bone density it also
closes the bone plates when when you're
growing into adolescence but yet Easter
doll as an adult can maintain increased
bone density so that's why yeah we guys
that come through and they're like well
I want no Eastridge in please and lots
of testosterone is you know it's not
know how it works no there's plenty of
topics a discussion of the benefits of
Eastridge in so you need that for
bone density I mean bone density you
know even without hormones you know the
evidence is there if you do
bearing exercises you know compound
movements you know there's studies in
elderly people doing that that it can
increase bone density and is very much
dependent on activity you know but if
you're doing those right things you know
those things right rather and you do
have optimize hormones that is going to
be improved if you've got a good amount
of estrogen
so getting multifactorial you know
there's many many factors for the
increase of your bone density and I seen
guys have done scans that have come
through before before and after and and
definitely seen an improvement in in
bone density you know something to
consider there are some people before
they get on TRT they actually have low
Eastern oil which would make sense
because substrate that testosterone is
also low
so if they've gotta know if you have a
low amount of testosterone you probably
have a low amount of Easter tile before
you start which is why there are so many
benefits to the on testosterone
treatment because you can bring your
Easter doll up into and into normal
balance mm-hmm I mean I think young
people if they have a lot of they have a
lot of fractures you know over the
course time hormones they obviously is
one of the factors that they look into
because it is needed to maintain bone
density okay so so finally we've got
number gem so sleep is a really
important one lots of guys before
therapy are affected with Paulie I
remember this
yeah my lovers went low a few times it
just seat was awful in some cases I felt
like I had a little bit less sleep I
couldn't actually get proper good rest
on steep so sometimes I would just wake
up really early and I knew that's when I
was really know something just wasn't
right or I'd have the night sweats
during the sleep before TRT yeah well
yeah when levels got really low a few
times yeah in between so yeah when I was
on treatment I came off and then you
could read it becomes a very noticeable
sleepers not right yeah but auntie
auntie actually can't get better yeah I
mean obviously again sleep has lots of
factors right you've got a good sleep
hygiene and and not being on your phone
and things about all the things we
always we get to told about it but the
if people have poor sleep before
actually
it could be anxiety it could be things
like that and if your anxiety levels
begin to improve at this point on CRT
you might notice an improvement but
there are also guys that their
perception of what good sleep is is is
maybe difference there like I should be
absolutely nailing you know 10 hours
every night I'll be super recovered and
that's what I'm expecting from CRT and
actually it can be that people start to
sleep a bit less they've got some guys
say they wake up at like 5:00 in the
morning you know in the uses of dragging
themselves out there they feel rested
they've slept less but the vehicle in
matter of time they've slept a lot what
I'm not sleeping
I've got insomnia you know so that so
there's that as well and so it can vary
but we're talking about the 12 to
six-month mark and that leads us into
with sleep you may also have sleep apnea
and to say that you may have had an
apnea already but wasn't that noticeable
in some cases it may become unmasked
yeah so just to simplify it just because
so I know some guys don't know sleep
apnea is when you have an apneic episode
in your sleep either you stop breathing
or is classified if you've got
turbulence through snoring where
basically the resistance in your upper
airway causes you to have low oxygen
levels in your sleep right so you keep
waiting and keep waking up and lots of
guys don't notice it but ERT is
associated with sort of unmasking as
mild sleep apnea people obviously may
have suffered through it for years it's
just about bearable got it already
testosterone you know if your habit will
bring it to light yes and so the benefit
is well maybe you can get treated sooner
now because you're now a more obvious
case to you to the NHS for those who are
treating sleep apnea and if you are a
sleep apnea patient that is being
treated and then you start CRT because
of they think because of how you sleep
maybe deeper sleep but particularly
because if you if you have larger neck
muscles and you've got more tissue
because the testosterone is affecting it
you my need adjustments of your current
therapy I mean I've got a deep apnea and
some people say the only tooth
keeping me alive or the CPAP machine and
the testosterone no it's yeah
but yes is this a good point of that if
that's lying you to breathe properly and
sleep and get restful sleep
you know you might need to adjust it of
your current therapy I currently on
therapy and you may um ask something
like that you know if it's mild so to
eat and particularly this point if
people are starting noticing that
they're a bit more tired it's absolutely
something to you know speak to the
doctor about as well as on the blood
test of six months it will pick up if
your hematocrit and hemoglobin and red
blood cells are abnormal if they're
normally high it may be due to a sleep
apnea and after that's happening that
hasn't been corrected or treated yet so
and that's because testosterone you know
through EPO doesn't if you are if you
are going through low oxygen episodes or
hypoxic episodes you will make we should
make more red blood cells to carry more
oxygen in the blood so obviously the
body just doing what it needs to do and
reacting as if you do starts to get a
little you know low action your sleep
you can get higher hematocrit and
hemoglobin so that's why that's
obviously monitored on therapy - yeah
right this was an exhaustive this but we
thought the medications will give you
some of the big topics that you could
expect at six months on TR - what you
expect six months on trt we will do
another video we're always gonna do
another video we keep doing video so
we'll do a we'll do a year we'll do six
months to a year and then we'll do
another one yeah do that I think it'll
be longer - coming up next time
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