TRT questions
5 Common TRT Questions Answered

Guys have 101 questions about TRT before they start.

However, there is usually a core of basic questions that are asked over and over.

In this article we answer 5 of your most common questions about testosterone replacement therapy.

  1. Do you need HCG with TRT?When you take exogenous testosterone, your body detects this and stops producing its own testosterone.The production of testosterone is key to sperm production. Therefore, if you want to father children and remain fertile on TRT, you must take HCG.HCG or Human Chorionic Gonadotropin is a hormone that mimics the behaviour of luteinising hormone in the body. This sends a signal to the testes to produce testosterone, stimulating sperm production.

    A typical dose of HCG alongside testosterone to maintain fertility would be 1000-1500 iu’s weekly.


  2. Do you cycle testosterone?The whole concept of ‘cycling’ comes from bodybuilding where individuals typically take supraphysiologic doses of testosterone and other anabolics.Doing this for prolonged periods can be extremely detrimental to health. That’s why bodybuilders tend to cycle these drugs.However, when you come off testosterone, it might take your body weeks to recover and start it’s own natural production of testosterone.

    This is not a nice place to be. This is both dangerous and stupid.

    TRT is administered with therapeutic doses of testosterone, e.g. 200-250mg weekly. This is beneficial to health and avoids the negative side effects at higher doses.

    If you cycle TRT, this means you lose the benefits of it each time you come off it. Therefore, it makes ZERO sense.

  3. Do you need to take an AI?The use of an AI (aromatase inhibitor) has become a hot topic in recent times.An AI works by blocking the action of the aromatase enzyme, which is responsible for the conversion of testosterone into estrogen.Increased levels of testosterone through TRT will normally raise estrogen levels. And this is not necessarily a bad thing.

    However, too much estrogen can have unwanted side effects such as gynaecomastia, water retention, and nipple swelling.

    Some doctors say you need an AI to effectively mitigate negative estrogenic side effects. Some say AIs are the devil incarnate and are detrimental to your health.

    Ultimately, if the patient has a clinical need, and aromatase inhibitors are used in a sensible way, they are quite safe.

  4. Is testosterone really safe?Most of the hyperbole around testosterone comes from flawed studies and hearsay.The evidence is mounting in favour of testosterone. Studies have been done on large sample populations to show testosterone is safe and beneficial.There are millions of men all around the world who are testament to the efficacy of testosterone therapy.

    What’s more, testosterone is a hormone that is readily accepted by the body.

    We NEED it to live for heaven’s sake! This is not like some strange drug. Think about that for a moment.

    Do your own research and make your own conclusions. Don’t listen to the media hype.

  5. Can you trial TRT?When you are diagnosed with low testosterone, the idea is for you to trial it for several months to see if it relieves your symptoms.If you don’t see success with treatment, then you are under no obligation to continue.However, there are usually a couple of scenarios where this happens:

    Either the individual was not patient enough – because sometimes it can take several months to balance your hormones. Or the individual was given an ineffective treatment protocol by a doctor.

    Testosterone is rarely if EVER the real issue when treatment doesn’t work.