TRT & Fertility: What Our Patients Experience

If you’re thinking about starting testosterone replacement therapy (TRT) but also want to have kids, you’ve probably heard mixed messages about how it affects fertility. Some say TRT makes you sterile, while others claim it has no impact at all. So, what’s the truth about TRT and fertility?

The truth lies somewhere in between. At Victory Men’s Health, we’ve helped countless men navigate TRT with fertility in mind. Some men naturally maintain their sperm production throughout treatment, while others need a little extra support. 

If you’re on testosterone therapy, there are effective ways to preserve and even restore fertility—you just need the right medical providers by your side. On an episode of the Women Want Strong Men podcast, we sat down with HRT expert Dr. Jordan Grant for a discussion on the intricacies of hormone optimization, including maintaining fertility on TRT. 

Listen to the full episode below. Then, keep reading to learn how to protect your fertility on testosterone therapy and what our patients have experienced.

Can You Have Kids on TRT?

Many people assume that TRT automatically causes infertility, but that’s not entirely true. Testosterone therapy can significantly lower sperm production, but it doesn’t mean every man on TRT becomes sterile—and it also doesn’t mean you should use testosterone as birth control.

Some men’s sperm count drops to zero, while others still produce enough to get their partner pregnant. We’ve seen men successfully conceive while on TRT, but it varies from person to person. If you’re actively trying to conceive, it’s usually best to wait until after your partner is pregnant to start your TRT journey.

If you’re planning for kids but want to start testosterone now, there are steps you can take to reduce the impact on your fertility. With the right approach, it’s possible to balance both goals.

How to Maintain Fertility on TRT

It’s normal to worry about losing fertility on TRT, but the right treatment plan can make a big difference. If fatherhood is in your future, here’s what you should consider before and during testosterone therapy: 

1. Get a Baseline Sperm Analysis

2. Think About Freezing Sperm

3. Use HCG Therapy

4. Consider FSH 

Get a Baseline Sperm Analysis

Before starting TRT, it’s crucial to test your sperm count and quality. We’ve seen men assume their fertility is fine, only to find out later that they had issues before even starting testosterone. Getting a sperm analysis up front gives you a clear starting point and helps guide your decisions down the road.

Think About Freezing Sperm

Fertility can sometimes be restored after stopping TRT or adjusting medications, but there are no guarantees—especially if you’re younger and don’t plan to have children for several years. 

The longer you’re on testosterone therapy, the greater the potential risk that your body won’t return to normal sperm production. Freezing sperm before starting TRT gives you a reliable backup plan for the future.

Use HCG Therapy

One of the best ways to maintain fertility on TRT is by using HCG (human chorionic gonadotropin). HCG mimics luteinizing hormone (LH), which tells the testes to keep producing testosterone and sperm.

A typical starting dose for men looking to maintain fertility is 250 IU of HCG, three times per week, although some men require higher doses. If you’re actively trying to conceive, a sperm analysis after two to three months will help determine if the dose is right for you. 

Many of our patients have successfully conceived within months of adding HCG, even at relatively low doses.

Consider FSH

For men whose sperm count drops to zero during testosterone therapy, and HCG alone isn’t effective, follicle-stimulating hormone (FSH) can be a powerful tool. FSH plays a key role in sperm production, and adding it to your treatment plan can help you restore fertility without stopping TRT.

TRT & Fertility | How to Maintain Fertility on TRT

How Long Does It Take to Restore Fertility After TRT?

We get this question all the time, and the answer depends on multiple factors—including age, baseline sperm levels, and whether fertility-supporting medications are used. If a man stops TRT completely without adding any fertility medications, sperm count recovery can take anywhere from three months to two years. 

If you add HCG during your TRT journey, a sperm analysis at two to three months can determine if the dosage needs adjusting. Some men recover their sperm count faster by taking Clomid after stopping TRT, but this can bring unpleasant side effects due to how it affects estrogen receptors.

TRT & Fertility: What Our Patients Experience

Every man’s fertility journey is unique, and we’ve worked with many who have conceived without stopping testosterone therapy. Here are some real-world insights from our patients’ experiences: 

  • Many men on TRT have successfully conceived, but it is unusual without HCG. While some maintain sperm production naturally, most men who conceive on TRT are using fertility-supporting medications.
  • Men who stop TRT to conceive often restart it after pregnancy is confirmed. Many of our patients do well with conceiving but report feeling noticeably worse without TRT. Once pregnancy is far enough along, they often return to therapy for the benefits.
  • Not all infertility is caused by TRT. Even men who have never been on testosterone may struggle with fertility. Age, overall health, and your partner’s fertility all play a role in conception.
  • HCG therapy works well for most men and can often restore fertility within months. Some men need only a small dose, while others require a higher amount to get optimal results. A sperm analysis helps guide adjustments.

Common Mistakes We See Men Make

These are some of the most common mistakes we see men make while trying to preserve fertility on TRT:

  • Not getting a baseline sperm analysis before starting TRT.
  • Assuming fertility will return automatically without testing.
  • Failing to discuss TRT and fertility concerns with their partner.
  • Ignoring nutrient needs—just like women take prenatal vitamins, men should take fertility-supporting supplements, like our Strong Swimmers vitamin pack.

Optimize Your Testosterone Without Sacrificing Fertility

Testosterone replacement therapy can be life-changing, but if you want kids, it’s important to have a plan. Can TRT lower sperm production? Yes, but that doesn’t mean fertility is off the table! With the right approach, you can conceive while optimizing your testosterone levels. 

If you’re thinking about TRT but worried about fertility, we’ve got your back. At Victory Men’s Health, we specialize in helping men optimize their hormones without sacrificing their long-term goals. Contact us today to book a consultation, and let’s build a plan that works for you.

Your initial visit is $99, which includes a confidential consultation with one of our medical providers, comprehensive lab work, PSA testing, testosterone assessment, body composition analysis, and a customized treatment plan. We accept HSA (Health Savings Account), FSA (Flexible Spending Account), and Care Credit cards!

TRT Dosing: How Much Testosterone Is Too Much?

If you’re on testosterone replacement therapy (TRT) or thinking about starting, it’s not unusual to wonder how much testosterone is too much. The internet is full of conflicting advice on TRT dosing, and some men assume higher doses mean better results—but that’s not how it works.

At Victory Men’s Health, we take a personalized, science-backed approach to hormone optimization. Our goal with testosterone therapy isn’t to simply raise your levels; it’s to find the right dose for your body so you can feel, perform, and live at your best. 

On an episode of the Women Want Strong Men podcast, our men’s health experts answered many of the most common questions about testosterone therapy. From the proper dosage to how testosterone affects fertility and potential side effects, we covered it all. Have a listen, then head to the next section to dive into all things TRT dosing.

What is the Optimal TRT Dose?

TRT is designed to restore your testosterone levels to an optimal range, not push them into extreme territory. The “right” dose can vary from person to person based on your lab results, symptoms, metabolism, and response to treatment.

Most men start with 150 mg per week of testosterone cypionate or enanthate, split into two or more injections each week. The typical dosing range is 100-250 mg per week, but the goal is to tailor the dose based on how you feel and respond.

Factors that influence your TRT dosing include: 

  • Baseline testosterone levels before starting treatment
  • Individual response to therapy
  • Injection frequency and absorption rate
  • Overall health, weight, and metabolism

Some men do well on lower doses, while others may need adjustments over time. The key is working with a knowledgeable provider who can fine-tune your treatment for the best results.

Signs You’re Taking Too Much Testosterone

More testosterone doesn’t always mean better results—especially when it’s more than your body can handle. Every man has a different threshold for how much testosterone he can tolerate, and side effects often show up when you’re taking more than your body needs. While reference ranges provide a general guide, they don’t tell the whole story. 

Factors like age, lifestyle, and even decreased sensitivity at the hormone receptor site can all affect how much testosterone you actually need to feel your best. What works for your buddy might be too much for you—especially if you’re overweight, diabetic, don’t exercise, smoke, or drink regularly. Here are the common signs that you might be taking too much testosterone:

  • Irritability from hormonal imbalances
  • Severe acne or excessively oily skin
  • Fluid retention
  • Increased blood preassure

However, keep in mind that these symptoms don’t always mean your testosterone dose is too high. In some cases, improper injection frequency or fluctuations in hormone levels can be the root cause. Depending on the root cause of your symptoms, the solution may not be lowering the dose but rather adjusting the dosing strategy to maintain stable hormone levels.

Which Form of TRT is Best: Injections, Cream, or Pellets?

TRT is not a one-size-fits-all treatment. Different delivery methods impact absorption, dosing frequency, and overall effectiveness. The right option depends on your personal preference, lifestyle, and how your body responds. 

At Victory Men’s Health, we start with a consultation visit and a full wellness panel with bloodwork. From there, we’ll review your test results and provide an in-depth assessment of your needs and options. We offer testosterone treatments in three forms: 

1. TRT Injections

2. Transdermal Cream

3. Testosterone Pellets

TRT Injections

  • The most common form of TRT
  • Typically injected 1-3 times per week (intramuscular) or 3-7 times per week (subcutaneous) 
  • Higher peak levels and fluctuations if injected less frequently
  • Can be intramuscular (IM) or subcutaneous (SubQ)
  • Requires self-injection or clinic visits
  • Best for men who want a consistent, reliable option and don’t mind injections

Transdermal Cream

  • Applied daily or twice daily to the scrotum which has thin, vascular skin and optimizes absorption
  • Avoids large fluctuations seen with injections
  • No needles required
  • May not absorb well in some men, although this is rare
  • Must avoid accidental transference to others
  • Best for men who prefer a needle-free, daily routine and want more stable hormone levels

Testosterone Pellets

  • Implanted under the skin in the buttock area by a provider every 4-6 months
  • Offers long-term convenience
  • Difficult to adjust dosing once inserted
  • Requires a quick in-office procedure, then follow-up labs after 4 weeks
  • Best for men who want low-maintenance TRT and are comfortable with an in-office procedure

Each method has its pros and cons. The right choice depends on your lifestyle, tolerance for needles, and how well your body absorbs testosterone. Our health providers can help determine which option is best suited for your needs.

How to Dose TRT for the Best Results

TRT Dosing | How Much is Too Much

Achieving the best results with TRT is about finding the right balance, not pushing your testosterone levels to the extreme. Proper dosing strategies help maximize benefits while avoiding unnecessary side effects. Here are some general guidelines to keep in mind: 

  • Splitting injections into multiple smaller doses per week helps to maintain stable levels and minimize side effects.
  • Start with a conservative dose and adjust based on lab work and symptoms under the guidance of a provider. Underdosing or infrequent dosing can drop your levels lower than baseline at times, so it’s important not to undershoot.
  • Consider alternative delivery methods such as transdermal testosterone (cream) or pellets, depending on your needs and preferences.
  • Work with an experienced provider who understands hormone optimization for men rather than using a cookie-cutter approach to TRT.

What Happens if You Take Too Much Testosterone?

Some men assume that higher doses of testosterone will accelerate muscle growth, increase energy, or enhance performance. The truth? Too much testosterone can create problems—not solutions. Our personalized approach and progress monitoring ensure that doesn’t happen.

Taking more testosterone than your body can tolerate—especially without medical supervision—can increase the risk of side effects. 

While there’s no universally established “too high” level, chronically overdosing can lead to hormonal imbalances that cause issues like sexual dysfunction, anxiety, mood swings, and sleep disturbances. These problems are more common in men who self-medicate or combine testosterone with other compounds without proper oversight.

The goal of TRT is optimization, not excess. Taking more testosterone than you need can create complications that require additional interventions to correct, which is why working with a provider specialized in men’s health and hormone optimization is essential. 

Find Your Optimal TRT Dose with Victory Men’s Health

When used correctly, TRT is a powerful tool that can change your life. Success comes from consistent dosing, proper monitoring, and working with an experienced provider who understands the ins and outs of hormone optimization for men. 

If you’re not sure whether your current dose is right for you, our comprehensive lab testing services can help you figure it out. When you work with our team, we’ll fine-tune your treatment plan to your unique needs and monitor your progress throughout your TRT journey.

Ready to find your optimal TRT dosing strategy? Book a consultation today to start the process of getting back to your healthiest, strongest self.

Testosterone FDA Update: The Truth About TRT & Heart Health

For years, men considering testosterone replacement therapy (TRT) have been bombarded with heart health concerns. Could TRT increase cardiovascular risk? Will it raise the chances of a stroke? These fears have kept many from pursuing treatment that could significantly improve their quality of life. But now, we finally have the testosterone FDA update we’ve been waiting for.

Prompted by an FDA mandate, the TRAVERSE study confirms what we’ve known for years: testosterone therapy does not increase cardiovascular risk.

The U.S. Food and Drug Administration (FDA) recently announced a major update to testosterone product labeling, based on clinical trials that examined its cardiovascular effects. The results showed no increased risk of adverse cardiovascular events in men using TRT for hypogonadism (aka low testosterone caused by a medical condition). 

This is exciting news, both for men’s health and for our team at Victory Men’s Health, where we’ve always believed in providing safe, life-changing treatments for men. Now, we’re breaking down what this FDA update means for you, how TRT really affects heart health, and what to know before starting your hormone optimization journey. 

Testosterone FDA Update on Cardiovascular Risk

If you’ve ever looked into testosterone therapy only to be met with warnings that it could increase your risk of heart attacks or strokes, you’re not alone. Old, outdated studies led to cautionary labeling on TRT products. As a result, many were made to believe that boosting their testosterone levels could come at the cost of their cardiovascular health.

Now, the latest research has debunked the concern about TRT and heart health.

A large clinical trial studied the effects of TRT in middle-aged and older men with hypogonadism. All participants had preexisting cardiovascular disease or were at high risk—and the study found no increased risk of heart disease, strokes, or other major cardiovascular events. In response to these findings, the FDA has updated labeling on testosterone products to reflect the lack of increased cardiovascular risk.

The TRAVERSE study was funded by testosterone product manufacturers in response to a 2015 FDA mandate requiring further research on TRT and cardiovascular outcomes. The study was independently overseen by the Cleveland Clinic Coordinating Center for Clinical Research.

Key Takeaways from the FDA’s Testosterone Update:

  1. No increased cardiovascular risk. The study found no evidence that TRT raises the likelihood of heart attacks, strokes, or other heart-related issues.
  2. Updated labeling reflects the latest science. The FDA is removing the outdated warning that TRT could increase cardiovascular risk.
  3. New warning on blood pressure. Some testosterone products will now include a new warning about potential increases in blood pressure, based on separate postmarket studies.
Testosterone FDA Findings | Victory Men's Health

This is a major win for men’s health and a big step toward clearing up misconceptions about TRT. Men can feel more confident in seeking treatment, knowing that TRT, when used appropriately and under medical supervision, is both safe and effective.

Is Testosterone Therapy Safe for All Men?

If you’ve been hesitant about TRT because of heart health concerns, this new research should provide some much-needed reassurance. While the TRAVERSE trial is now the largest study confirming TRT’s cardiovascular safety, it builds on years of prior research supporting the same conclusion. 

That said, not all doctors stay current with the latest findings—so if your PCP or cardiologist still expresses outdated concerns, sharing this new information with them may be helpful. As always, testosterone therapy should be used under proper medical supervision and tailored to your individual needs.

So, Who is TRT For?

The FDA-approved use of testosterone therapy is for men who have clinically diagnosed hypogonadism, meaning they have a medical condition that causes low testosterone levels. It is not FDA-approved simply for age-related testosterone decline.

At Victory Men’s Health, we take a personalized, evidence-based approach to TRT. That means:

  • Comprehensive testing to determine if you have low testosterone, and its root cause.
  • Customized treatment plans to fit your unique health needs.
  • Ongoing monitoring to ensure your therapy is safe and effective.

TRT and Blood Pressure: What You Should Know

While this new testosterone FDA update confirms that TRT does not increase cardiovascular risk, it now requires some formulations to include a warning about potential blood pressure increases. Here’s what you need to know about TRT and blood pressure. 

How Does TRT Affect Blood Pressure?

Some forms of testosterone, particularly oral testosterone, may lead to slight increases in blood pressure. This is based on separate post-market studies that examined blood pressure effects in certain groups of men on TRT. Injections, creams, and patches may have different effects. 

Some studies suggest that these delivery methods have minimal impact on blood pressure, but individual responses can vary. It’s also worth noting that testosterone plays a role in blood vessel function. It can increase red blood cell production, which may contribute to higher blood pressure in some individuals.

Should Men With High Blood Pressure Avoid TRT?

Not necessarily—the key is proper monitoring. If you have high blood pressure or are at risk, our team will monitor it closely and adjust your TRT plan if needed. This is why working with a trusted provider is so important. Your health should never be a guessing game.

Ways to Optimize Heart Health on TRT

Testosterone therapy can be a life-changing treatment, but it’s most effective when combined with a heart-healthy lifestyle. We encourage every man on TRT to take a proactive approach to their overall well-being. Here are some ways to support your heart health while on TRT:

  • Focus on a nutrient-dense diet. Eat plenty of lean proteins, healthy fats, and fiber-rich foods to support hormone balance and cardiovascular health.
  • Exercise regularly. Strength training helps improve metabolic health and improve your response to testosterone therapy. Cardiovascular workouts keep your heart strong and help you maintain a healthy weight, which will prevent side effects and optimize the benefits of TRT.
  • Monitor your blood pressure. Regular check-ups ensure that your TRT plan is working for you, not against you.
  • Practice stress management. Chronic stress leads to increased cortisol levels, which can negatively impact testosterone and heart health.
  • Consider supplements that support cardiovascular health. Omega-3 fatty acids, CoQ10, and magnesium can be beneficial for both heart and hormone health.
Testosterone FDA Update | Ways to Support Heart Health

By following these strategies, you can maximize the benefits of TRT while protecting your long-term health.

TRT Benefits Our Patients See

Testosterone therapy isn’t just about increasing numbers on a lab test—it is about helping men feel like themselves again. We’ve seen firsthand how TRT can transform the lives of our patients, and we’re committed to helping every man achieve optimal health. Everyone’s different, which is why we customize each treatment plan to ensure the best possible results.

Many of our patients report the following TRT benefits: 

  • Increased energy and stamina
  • Improved mental clarity and focus
  • Stronger muscle mass and better recovery
  • A boost in libido and sexual performance
  • Better mood and confidence
  • Improved overall well-being

How to Get Started on Testosterone Therapy

If you’re tired of feeling sluggish, unmotivated, and not like yourself, it may be time to consider TRT. Getting started is simple, and we’ll guide you through every step. Here’s a closer look at what the process entails:

  1. Schedule a consultation. Meet with our expert team to discuss your symptoms, concerns, and goals.
  2. Complete medical history and blood work. You’ll fill out a medical history questionnaire, and we’ll evaluate your testosterone levels and other key health markers in a comprehensive blood panel.
  3. Receive a personalized treatment plan. If TRT is right for you, we customize a plan based on your unique needs.
  4. Begin therapy with ongoing monitoring. We track your progress, adjust dosages as needed, and ensure safety throughout your testosterone journey.
  5. Experience the benefits of balanced testosterone. Over time, you may notice real improvements in your energy, strength, libido, and overall well-being.

Start Your TRT Journey With Confidence

Thanks to the latest testosterone FDA update, it’s clear that TRT does not increase heart risk when used for medically diagnosed low testosterone. This science-backed win reinforces our belief that, when done right, testosterone therapy isn’t just safe—it’s life-changing.

If you’ve been holding back because of outdated concerns, now is the time to move forward with confidence. Whether you’re battling fatigue, struggling with low libido, or just not feeling like yourself anymore, TRT could be the answer you’ve been looking for.


Ready to take control of your hormone health? Book a consultation today, and let’s get you back to feeling like the man you’re meant to be.

Need-To-Know Supplements for Men on Hormone Therapy

If you’re on testosterone replacement therapy (TRT) or thinking about starting, it’s normal to wonder how you can optimize your experience for the best chances of success. Many of our TRT patients ask about the need-to-know supplements for men on hormone therapy. Today, we’re sharing those answers with you. 

Maybe you want more energy, better muscle gains, or a stronger libido. Testosterone therapy isn’t a magic switch that fixes everything overnight. Your body still needs the right nutrients to function at its best and support the changes TRT brings. That’s where supplements come in. 

Whether it’s improving muscle recovery or keeping your hormones balanced, the right supplements can make all the difference. But not all supplements are created equal. If you want to achieve real results instead of wasting money, it’s important to consult with a healthcare provider who specializes in hormone therapy. 

In the meantime, let’s break down the must-have supplements for men on TRT and how they can help you feel better and perform at your peak.

Supplements for Men on Hormone Therapy | Victory Men's Health | Man holding up testosterone injection and smiling

Do Men on TRT Need Supplements?

Starting TRT does not induce a need for other supplements. However, some men require additional supplementation to achieve the goals they started testosterone for. When you start TRT, your body undergoes changes. Testosterone influences muscle mass, fat distribution, metabolism, and even mental clarity. 

While TRT helps restore hormonal balance, your body still needs key nutrients to support these changes. Comprehensive lab testing often reveals that men are suboptimal in nutrients and other hormones, whether due to age, lifestyle, or underlying deficiencies. Addressing these gaps can optimize your TRT results and improve your energy levels, recovery, and well-being.

Sometimes that means adding supplements, but other times it means adjusting your diet. For example, increasing protein intake, eating more nutrient-dense foods, or getting enough healthy fats can make a big difference. At Victory Men’s Health, we look at your lab work, symptoms, and goals to recommend the right combination of supplementation and hormone therapy.

What Are the Best Supplements for Men on Hormone Therapy?

When starting TRT, it’s important to support your body with the right nutrients to maximize the benefits. Testosterone therapy isn’t a magic fix. You need to put in the work with your diet, exercise, and sleep—and possibly add some supplements for your specific goals.

The right supplements can help improve recovery, support hormonal balance, and maintain heart health. Below are the top supplements for men on hormone therapy to consider: 

  1. Creatine
  2. Magnesium Glycinate
  3. Vitamin D3
  4. Omega-3s
  5. Multivitamin

Creatine

If you’re serious about maximizing the muscle-building benefits of TRT, creatine is a great choice to have in your supplement stack. It’s one of the most researched and effective supplements for improving strength, endurance, and muscle mass. 

Since TRT already helps with muscle growth, creatine takes it a step further by providing the extra energy your muscles need to perform at their best. It can also aid in recovery, meaning less soreness and better workouts. The best form to take is creatine monohydrate, and we recommend consulting with your provider to determine the right dose for your needs. 

Magnesium Glycinate

Magnesium plays a crucial role in hundreds of bodily functions, from muscle relaxation to hormone regulation. Men on TRT often overlook magnesium, but it’s essential for preventing muscle cramps, improving sleep, and even helping your body use testosterone more efficiently. 

Magnesium glycinate is the best form since it’s easily absorbed and gentle on the stomach. If you’re feeling restless at night, struggling with muscle tightness, or just want to enhance your recovery, adding this to your routine can make a noticeable difference.

Vitamin D3

You might be getting testosterone through TRT, but if you’re low in vitamin D3, you’re still not operating at full capacity. Vitamin D3 is critical for maintaining strong bones, a healthy immune system, and a balanced mood—but it’s also directly linked to testosterone levels. 

Many men are deficient in vitamin D3, especially those who don’t get much sun exposure. A daily supplement can help ensure you’re optimizing your testosterone therapy, and pairing it with vitamin K2 can improve absorption and bone health benefits. Our Vitality Pack includes both of these vitamins, along with magnesium, B12, and a multivitamin for a well-rounded regimen. 

Omega-3s

Inflammation can sabotage your progress on TRT, making it harder to build muscle and maintain overall health, but omega-3s can help. These essential fatty acids help reduce inflammation, support heart health, and improve brain function. 

Omega-3s can help with recovery and muscle soreness, which can be especially helpful for men intensifying their workout routines or starting strength training regimens. Fish oil and krill oil are both good sources, but krill oil has added antioxidants for better absorption. 

Multivitamin

Even if you’re following a healthy diet plan, gaps in nutrition can hold back your progress. A high-quality multivitamin like the one we offer fills in those gaps and ensures you’re getting the vitamins and minerals needed for hormone balance, immune function, and energy levels. 

Look for a multivitamin formulated specifically for men, with key nutrients like zinc, selenium, and B vitamins, which all play a role in testosterone metabolism and overall vitality.

Should You Take Hormone Supplements on TRT?

Testosterone is just one piece of the hormone puzzle. As men age, other hormones naturally decline, which can impact energy levels, mood, and overall well-being. While not everyone on TRT will need additional hormone supplements, some men may benefit from supporting their body’s hormonal balance with specific supplements they’re deficient in. 

Here are the key hormone supplements for men on hormone therapy to consider taking:

  1. DHEA
  2. Pregnenolone
  3. Melatonin

DHEA

DHEA is a precursor hormone that helps produce testosterone and other vital hormones. We often recommend it for older men on TRT with lower levels of DHEA due to aging. Supplementing with DHEA can help support energy, libido, and overall hormone balance. 

However, younger men on TRT may not need it, so it’s important to have your levels checked by a healthcare provider before adding this to your regimen.

Pregnenolone

Known as the “mother of all hormones,” pregnenolone is a key building block for many other hormones in the body, including testosterone and DHEA. It also plays a role in cognitive function, mood stability, and stress management. 

Since hormonal balance is crucial while on TRT, pregnenolone supplementation can be beneficial, but only if your levels are low. Too much can throw your other hormones off balance, so regular monitoring is key.

Melatonin

Quality sleep is essential for proper recovery, and melatonin can be a powerful tool in improving your sleep quality. Beyond just helping you fall asleep faster, melatonin also supports immune function, reduces oxidative stress, and may even help regulate your testosterone levels. 

The key with melatonin is proper dosing—too much can make you groggy, while too little may not be effective. Start by consulting with your doctor to determine the best starting dose for your needs. You can always adjust as needed down the road, under their professional guidance.

What to Know Before Taking Supplements for Men on Hormone Therapy

The key to long-term success with TRT is supporting your body in the right way. This means proper supplementation, reducing inflammation, and staying consistent. We see some men make the mistake of adjusting their own doses or adding supplements without guidance. 

It’s tempting to chase the initial high of TRT’s “honeymoon phase,” but real results come from sustainable, long-term improvements. Working with a knowledgeable provider ensures that you’re taking pharmaceutical-grade supplements at the right doses for your specific needs.

The best results come from trusting your provider and following a personalized plan—not from assuming that more testosterone or higher doses of supplements will lead to better outcomes. While some hormones and supplements may be available over the counter, we don’t recommend taking standard OTC doses without provider guidance. 

To maximize the benefits of TRT and hormone optimization, make sure to:

  • Follow expert recommendations tailored to your needs
  • Get regular lab work to track progress and adjust as needed
  • Commit to a high-quality treatment plan under professional supervision

We covered this in-depth on The Women Want Strong Men podcast with Dave Lee, a renowned TRT health coach. Check out the episode below to learn more about hormone optimization. 

Optimize Your TRT Journey with Victory Men’s Health

The right supplements can help you maximize the benefits of TRT, but knowing what to take and at what dose matters. That’s why working with a trusted provider who can determine your needs and monitor your progress is essential.
Our team can help you create a personalized supplement and TRT plan tailored to your unique health needs and goals.

Ready to take your health to the next level? Contact us today to schedule a consultation and start seeing the results you’ve been dreaming of.

Does TRT Build Muscle?

If you’re a man looking to optimize your health and performance, you may be considering testosterone replacement therapy (TRT) as a possible solution. With its growing popularity among men seeking to boost their physical fitness, there’s one question many of our patients ask: does TRT build muscle? 

The short answer? Yes—but it’s not magic. Today, our men’s health experts are revealing everything you need to know about how TRT impacts muscle growth. We’ll also cover what you should know before starting, and how to maximize its benefits for a stronger, healthier body.

Check out the video below to learn the answers to other common questions about testosterone therapy. Then, keep reading to discover the connection between TRT and muscle growth.

How Does Testosterone Impact Muscle Growth?

Testosterone is a key player in muscle development. It promotes protein synthesis, the process by which your body repairs and builds muscle tissue after exercise. Higher testosterone levels also support increased energy, stamina, and faster workout recovery, making it easier to push harder in the gym and see results.

Research shows that men with low testosterone who undergo TRT experience significant increases in lean muscle mass and reductions in body fat. Testosterone’s ability to activate satellite cells (which help repair and grow muscle fibers) makes it essential for maintaining muscle strength and size, especially as you age.

Does TRT Build Muscle?

Yes, but with a caveat: TRT alone won’t turn you into a bodybuilder. 

While it provides the hormonal foundation needed for muscle growth, exercise—particularly strength training—is non-negotiable. Lifting weights challenges your muscles, creating the microtears that testosterone helps repair and rebuild, leading to stronger, larger muscles.

Lifestyle factors also play a huge role. A balanced diet, adequate sleep, and stress management are critical for maximizing the benefits of TRT. If your daily habits don’t support muscle growth, testosterone therapy won’t deliver its full potential.

What To Know Before Starting TRT

Before beginning treatment, it’s important to understand that it’s not a one-size-fits-all solution. Here’s what to keep in mind before starting TRT: 

  • Proper Diagnosis is KeyLow testosterone should be confirmed through comprehensive blood tests, which we can do in one of our clinics. Symptoms like fatigue, reduced libido, or difficulty building muscle may signal low T levels. However, testing is essential to ensure TRT is the right path forward for you.
  • Avoid Misconceptions – TRT isn’t just for bodybuilders or older men. It’s a medically supervised therapy designed to restore optimal testosterone levels for overall health.
  • Medical Supervision Matters – Working with experienced professionals, like our team at Victory Men’s Health, ensures your TRT plan is tailored to your needs and monitored for safety and effectiveness.

How Quickly Can You See Results With TRT?

When starting TRT, remember that you won’t immediately experience life-altering changes—it takes some time. While individual results vary, here’s a general timeline:

  • Within a few days: Improved insulin sensitivity.
  • Weeks 3 to 4: Enhanced sex drive, mood improvements, better quality of life, improved lipid profile, sleep quality, and sexual performance.
  • Months 3 to 4: Better glycemic control, increased exercise capacity, and noticeable changes in body composition.
  • Within 6 months: Increased bone density, stress resilience, and lowered anxiety.
  • Within 12 months: Peak effects on red blood cell formation, stabilized muscle strengthening, improved mood, and overall health.

Remember: Factors like your age, baseline testosterone levels, workout routine, and nutrition play a role in how quickly you see results. Check out our blog post on how long it takes TRT to work to learn more about the timeline you can expect. 

What Are The Side Effects Of Testosterone Therapy?

When administered under professional supervision, TRT is generally safe but may still involve potential side effects, such as:

  • Fluid retention
  • Infertility
  • Decreased testicle size
  • Acne or oily skin
  • Increased red blood cell count
  • Mild nipple tenderness 

It’s important to keep in mind that these side effects are rare when TRT is prescribed and monitored by a licensed healthcare provider. Regular blood work and consultations with your provider will ensure your therapy remains safe and effective.

How Do You Maximize Muscle Growth On TRT?

TRT creates the hormonal conditions for muscle growth, but your actions play a big role in the results you’ll see. Here are some tips to get the most out of TRT:

  • Follow a Protein-Rich Diet – Protein is the building block of muscle. Aim for lean sources like chicken, fish, eggs, lean ground beef, sirloin steak, Greek yogurt, whey protein powder, and plant-based options to support muscle growth.
  • Commit to Strength-Focused Workouts – Compound movements like squats, deadlifts, and bench presses target multiple muscle groups and stimulate growth.
  • Monitor Your Progress – Track your workouts, body composition, and how you feel. Working with a personal trainer and regular check-ins with your healthcare provider can help keep you on the right path.
  • Prioritize SleepQuality sleep is critical for muscle recovery and testosterone production. Create a solid sleep hygiene routine and aim for 7 to 9 hours per night.
  • Manage Stress – Chronic stress can increase cortisol, which counteracts testosterone’s benefits. Incorporate stress-relief techniques like meditation or yoga, along with stretching to prevent injuries, into your routine.

Can I Build Muscle Without Testosterone?

Absolutely. Men with healthy testosterone levels can build muscle through traditional methods like strength training and proper nutrition. Here are some effective strategies to try if you want to build muscle without testosterone: 

  • Progressive overload, aka gradually increasing the weight you lift over time.
  • Consuming enough calories and protein to fuel muscle growth.
  • Allowing sufficient recovery between workouts.

If you’re struggling to see results despite following these strategies, low testosterone could be a factor worth investigating with a healthcare provider. 

Will You Lose Muscle If You Stop TRT?

One concern many men have is whether they’ll lose muscle if they stop TRT. The answer depends on your circumstances. If your testosterone levels were naturally low before starting TRT, discontinuing therapy could lead to reduced muscle mass over time.

However, maintaining a strength-training routine and a high-protein diet can support muscle health while on TRT. It’s important to note that TRT should never be started solely for building muscle, but rather as a replacement for testosterone that the body no longer produces. 

Restoring this balance improves overall health, but these benefits can be lost if you discontinue TRT. Always discuss your concerns and goals with your provider before beginning treatment.

Achieve Your Fitness Goals With Victory Men’s Health

Testosterone replacement therapy is a powerful tool for improving muscle mass and overall health—when combined with the right lifestyle habits. While TRT can’t replace hard work in the gym, it creates the ideal conditions for muscle growth, especially for men with low testosterone.


Ready to take the next step? Victory Men’s Health specializes in personalized treatment plans to help you reach your fitness and wellness goals. Contact us today to schedule a consultation and discover how TRT can transform your life.