Patients of testosterone replacement therapy are all too aware of the debilitating effects of low testosterone. And many men have suffered from the symptoms of low T for a long time. So after starting treatment they are often eager to know the answer to one question:
How long does it take to see the effects of TRT?
Some of the positive effects of TRT include; improved libido, mood, cognition and increased strength.
But to answer the question – it depends. And there are a number of reasons for this.
In this article we’ll talk about what determines how long it takes you see the effects of TRT. In addition, we’ll look at what some of the studies have to say on the timeline to see results.
Two Things You Need to Know
At its most basic level, how long it takes to see the effects of TRT is determined by the type and dose of medication you take.
So for example, someone who takes 100mg a week of intramuscular testosterone might see some of the benefits of testosterone therapy more slowly than someone who takes 200mg a week.
However, that’s not to say more is better in the case of testosterone. Because just as important to the medication you take is your own biological makeup. We are all biochemically unique, and this will also determine how long it takes to see the effects of TRT.
For example, John may feel some of the positive effects of testosterone, including sex drive and improved mood after a few weeks. Whereas Jim may follow the same treatment protocol, but it takes him several months to see results.
Sexual Desire and Erections
One of the most glaring symptoms of low testosterone for a man is the absence of libido, as well as poor erection quality.
And understandably, this is one of the things men look forward to the most with testosterone replacement therapy. The good news is, libido and sexual function are some of the quickest things to improve.
One meta-analysis looked at studies on testosterone replacement therapy spanning a 35 year period. They concluded that libido, sexual satisfaction, improved erections and increased erection frequency can occur after three weeks to 30 days.
Another interesting point to note is that endothelial function (blood flow), or lack thereof can be a major cause of erectile dysfunction. And poor blood flow can be the result of inflammation.
Testosterone administration can improve inflammatory markers, include C-reactive protein (CRP) within three weeks. And it can promote the production of Nitric Oxide (necessary for blood flow to the penis) within four weeks.
Lipids and Insulin Sensitivity
Testosterone is known to have a positive effect on insulin sensitivity in the body.
Essentially, the more insulin sensitive you are, the better your health will be. This means your body is sensitive to the effects of carbohydrates and has to produce less insulin to process them.
However, low insulin sensitivity or insulin resistance means the body has to produce more insulin to metabolise glucose (i.e. carboyhydrates). This can lead to health problems such as high blood pressure and type II diabetes.
Improvements in insulin sensitivity levels can be observed within a week of undergoing testosterone replacement therapy. Decreases in triglycerides can be noted after 4 weeks and 3 months, extending all the way up to 12 months. Researchers have also noted that total cholesterol levels decrease from between 4 weeks to 3 months.
Lean Body Mass
Testosterone is anabolic in nature, meaning it builds tissue. Therefore, if you create the right environment by eating a good diet and exercise regularly, you will be able to lean muscle.
Numerous studies attest to the ability of testosterone to build muscle and increase strength and athletic performance.
One study administered 200 mg of testosterone enanthate every 2 weeks over 36 months to men with low testosterone. They observed that significant increases tend to occur within the first 12 months. This is why your first year on TRT is one of the most important in order to build muscle mass.
In my experience of being on TRT for over 2 years, as long as you train right, you will start to notice muscle gains after 3 months. And this might last all the way up to 12 months.
But as always, this will depend on your individual circumstances.
We haven’t even scratched the surface of the positive effects of TRT in this article.
Although after reading this you should have a feel for how long it takes to see many of the benefits such as improved sex drive and increased insulin sensitivity.
However, you should remember one thing in particular. Studies and empirical observation give us a good idea of how testosterone will work for you. But there are no hard and fast rules.
Your response to testosterone will ALWAYS be individual. So be patient don’t get worked up if things don’t materialise straight away for you.
If you feel like you would like to investigate testosterone replacement therapy, get in touch with us today!