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When To Start Testosterone Therapy?

when to start testosterone therapy

The Truth About Optimal Ages for TRT

Determining When You’re Ready For Testosterone Therapy

Figuring out when the right time is to start testosterone therapy can be tricky business. There are a dozen different signs your levels may be declining and a handful of factors that determine if TRT is really right for you. 

But the good news is, by following a few easy guidelines,  you’ll know when it’s time to book that appointment.    

The most important thing is to make sure you actually have low T levels requiring treatment

Low energy and appetite alone usually ain’t enough – you’ll need blood tests to confirm your numbers. Aim for two tests showing your total testosterone is under 300 ng/dL, the marker doctors use to diagnose so-called “testosterone deficiency syndrome”.   

Along with that key number, symptoms like lower libido, weaker erections, depressed mood, reduced muscle mass and foggy thinking can be signs your hormones are out of whack. 

But with aging, many of these issues may not be directly linked to your testosterone level. So doctors also look for changes from your baseline health and function to rule out other causes.  

Once low T is confirmed, further testing is needed before starting treatment. A complete blood count evaluates several aspects of your health, including red and white blood cells. A PSA test screens for prostate cancer, which TRT could potentially fuel. And a physical exam identifies any other health issues that may impact therapy.

If all systems are go, endocrinologists recommend immediately evaluating how you respond to testosterone treatment every 3 to 6 months. That means routine check-ups to detect side effects, monitor hormone levels and adjust your dosage as needed to hit the sweet spot for benefits.

In short, when it comes to testosterone therapy, there are no hard and fast rules about the “right” age. But if you suspect issues related to your man juice, getting tested is the first step towards regaining your vigor and vitality.

The Range of Ages TRT May Be Right For You

Although TRT is usually considered for guys in their 50s and up, increasingly more younger men are turning to hormone therapy earlier in life. The reasons are twofold.    

First, testosterone production naturally slows around 1% per year after age 30. So while your levels may still be “normal” in your 30s and 40s, you could already be experiencing bothersome low T symptoms like reduced libido, depression and lessened muscle growth.     

The second factor is everyone’s body clock runs a little differently. Some guys hit andropause – the male version of menopause – sooner than others. So if you’ve got multiple low T signs developing in your 20s or even earlier, talking to an endocrinologist may be a good idea.      

The bottom line: age ain’t nothing but a number when it comes to testosterone therapy. If you’re feeling the effects of declining man juice, declining mojo and need a pick-me-up, you may be a candidate for TRT – regardless of what the calendar says. 

Of course, lifestyle tweaks and dietary changes aimed at boosting your levels naturally should always come first.       

Once you’re on TRT at any age, consistent monitoring and adjustments become crucial to optimizing treatment over time. Aging doesn’t stop just because your testosterone levels have been stabilized! Your doctor will need to fine tune your dose as your body and hormones continue to change.   

So whether you’re pushing 30, 40 or beyond, if you suspect something’s off with your testosterone levels, check in with your doc. The journey to regaining your vim and vigor very likely begins right there in the exam room. Don’t hesitate to ask questions and find out if hormone therapy makes sense for you and your unique situation.

Qualifying For Testosterone Therapy: What You Need To Know

For men with legit low testosterone levels and clinical symptoms,TRT can make a world of difference. But qualifying for treatment isn’t quite as simple as waking up one day feeling groggy and grumpy. 

Here are the key criteria doctors look for:  

The Gold Standard: Definitive test results revealing total testosterone below 300 ng/dL with related physical symptoms. Your prolactin and thyroid hormone levels should also appear normal to rule out other issues.    

Replication: Confirmatory testing showing a second abnormally low  measurement on a separate occasion. This ensures your decreased levels aren’t a temporary fluke.      

Prostate Checkup: A digital rectal exam and PSA blood test to rule out pre-existing, undiagnosed prostate cancer that TRT could exacerbate.        

Complete Blood Workup: A full check of your red blood cells, white blood cells and platelets via blood tests. Doctors want to make sure TRT won’t cause hematocrit issues or other health problems.         

Physical Symptoms: Signs like reduced libido and sexual function, decreased energy, weight gain, mood changes, difficulty concentrating and reduced muscle mass help doctors determine low T is adversely impacting your quality of life.

So to boil it down,  qualifying comes down to two things: definitive diagnostic testing confirming low testosterone as the culprit behind your symptoms, and follow-up screening evaluations ensuring you’re a good fit for hormone treatment from a medical standpoint.  

Consider These Lifestyle Factors Before Starting TRT

Before committing to lifelong testosterone replacement therapy, there are a few lifestyle factors worth considering that could help boost your levels naturally. While TRT is often necessary for treating severe hypogonadism, making some adjustments on your own may optimize results once you do start treatment:      

Weight loss: Excess body fat converts testosterone to estrogen, lowering levels. Even a 10% reduction in weight through diet and exercise can significantly increase your T.      

Strengthen training: Weight-bearing and resistance exercises, especially those targeting the core and lower body, have been shown to raise testosterone the most. So keep lifting weights even after starting TRT!

Healthy diet: Focus on getting adequate lean protein and healthy fats while limiting sugar and simple carbs. Nutrient-dense whole foods support hormone production and your overall fitness goals.      

Stress relief: Chronic psychological stress inhibits your body’s ability to produce testosterone. Meditation, yoga, deep breathing and relaxation techniques may counteract some of stress’s negative effects.   

Proper sleep: Getting 7-8 hours of quality, uninterrupted rest per night can positively impact hormone levels by synchronizing your circadian rhythm. Avoid blue light before bed.   

Talk to your doc: Discuss testing, monitoring and dosing with your physician so any lifestyle changes you implement can safely complement your medication regimen. Testosterone therapy is not one-size-fits-all!       

While TRT provides an essential boost of testosterone, there are behavioral tweaks well within your control that could help optimize your treatment outcomes and side effect profile. 

But always proceed with caution and under the guidance of medical experts who can advise the safest, most effective approach tailored specifically to you.

Monitoring Your T Levels: Why It Matters

Once you start testosterone replacement therapy, consistent monitoring and follow-up become essential components of success. Here are a few reasons why:

Adjusting your dose: As your body adjusts to TRT, you may need dosage increases to hit your target testosterone range. Regular blood tests allow your doctor to fine tune your treatment plan. 

Catching complications early: Monitoring tests can detect potential issues like high hematocrit levels or changes in your prostate-specific antigen (PSA) numbers before they become serious problems.

Changing administration: If side effects arise or you don’t achieve optimal results with injections, patches or gels, trying a different delivery method may be recommended based on follow-up appointments.

Tracking symptom relief: Rechecking your hormone levels and physical exam parameters allows doctors to verify TRT is effectively reducing or eliminating symptoms that prompted treatment in the first place.  

Monitoring your overall health: Periodic checkups ensure no other conditions have developed that could interact with or be impacted by testosterone therapy, from thyroid issues to cardiovascular disease risks.

In short, without consistent screening and testing before, during and after starting TRT, you’ll have no way to determine:   

  • If your treatment plan needs adjustments
  • How – and if – your symptoms are improving
  • Whether potential warning signs are emerging

So finding a doctor who prioritizes close, long-term monitoring of your hormone levels, symptom relief and general wellbeing is mission critical for a happy and healthy experience on testosterone replacement therapy.  

Remember: Your dosage is not set in stone forever once you get prescribed.  Your body, hormone levels and symptoms will likely continue to fluctuate as you age. 

With careful tracking and tweaks along the way, you give yourself the best shot at maximizing benefits while minimizing risks long-term.

FAQS About When to Start Testosterone Therapy

Q: Will TRT increase my sex drive?

A: Yes, higher testosterone levels often result in an enhanced libido and improved sexual function for many men. 

Testosterone is literally a sex hormone, so replacing  deficient amounts can help “reignite the flame” by optimizing androgen receptor sensitivity in erogenous tissues.    

Q: What are the main benefits of testosterone therapy?    

A: The key benefits include regained sex drive, more energy, increased muscle and strength, improved bone density, enhanced mood and sense of wellbeing, and sharper cognitive function.

It can also help alleviate symptoms of metabolic syndrome by improving cholesterol panel numbers.   

Q: Can low T cause sexual dysfunction?       

A: Yes, low testosterone is a well-established cause of decreased libido and erectile difficulties in men. Reduced androgen signaling to penile tissues decreases blood flow needed for rigidity, while suboptimal hormone levels impact brain circuits controlling sex drive and arousal.    

Q: What are the potential risks of testosterone therapy?      

A: Side effects may include sleep apnea, acne, prostate issues, fluid retention, coronary artery disease and blood cell abnormalities. However, risks are generally minimal as long as doses are optimized and patients undergo regular monitoring by their prescribing physicians.   

Q: How long do testosterone trials last?     

A: Most testosterone therapies use “test dose” trials lasting 12-16 weeks to determine efficacy and side effect profiles at specific dosages. Once an ideal dose is established, treatment will typically continue for as long as medically necessary to manage symptoms of age-related low testosterone.

Regain Your Edge and Vitality Through Customized Care

Are you ready to reclaim your masculine mojo? 

Think testosterone therapy could be the missing piece to regaining your energy, vitality and confidence?  

Physicians Rejuvenation Centers is here to  help you determine if TRT is right for you – safely and effectively.      

Our experienced doctors specialize in optimizing hormone levels for men through customized treatment plans incorporating the latest medications, monitoring technologies and lifestyle guidance.      

Get back in the game of life on your terms. Schedule your comprehensive low T evaluation today and take the first step toward feeling like your old self again.     

Call Physicians Rejuvenation Centers at 561-783-5153 or click here to book an appointment with one of our experts.