In September of 2022, I made a medical decision that has greatly benefited my life.

For more than five years, I’ve read countless books and articles on all things testosterone.

After that research, I knew that one day, likely in my 40s, I would choose to start Testosterone Replacement Therapy to optimize my health and maintain a higher quality of life.

Those plans were accelerated after the birth of my son when I found myself at the bottom of a deep postpartum depression.

Writing this article accomplishes two things:

Firstly, as a health/fitness coach, it felt right to disclose this.

There are too many people out there on social media and the Internet who do not disclose that they are on TRT or other performance-enhancing drugs, and the results they propose you can get naturally are not really possible.

My intention was to write about this in early 2023. But I was knee deep in growing my business and going through personal things that caused me to push it back a few months.

Secondly, I want this article to function as a resource for others about TRT.

My goal is to discuss what TRT is, what it is not, and use it as a space to encourage men (and women as well) to take their hormonal health more seriously.

What is Testosterone

First, let’s discuss what testosterone is.

Testosterone is a hormone. Think of hormones like messengers in your body that run around telling organs or other tissues to do something.

Testosterone is most well-known for its role in the development and maintenance of male characteristics and reproductive tissues.

There are other androgen hormones, but testosterone is the primary hormone that begins the development of male reproductive organs (like the testes) and secondary sexual characteristics (such as facial hair, deepening of the voice, and increased muscle mass).

But testosterone isn’t just a “male” hormone.

It plays important roles in both men and women for various aspects of health.

While men produce the majority of their testosterone in their testicles, women produce smaller amounts in their ovaries and adrenal glands.

Over a person’s lifespan, testosterone levels fluctuate — higher levels are usually seen during puberty and young adulthood and gradual decline with age.

And this was true for me. But more on that later.

For now, let’s discuss a little about what TRT is and what it is not.

What is Testosterone Replacement Therapy (TRT)

Testosterone Replacement Therapy, or TRT, is a medical treatment where a patient takes exogenous (externally introduced) testosterone when their natural production is inadequate.

TRT is typically used for males, but it can also be used in some cases for females with certain medical conditions, or it’s used for those who are transitioning genders.

The primary goal of TRT is to raise testosterone levels to an optimal range, addressing the symptoms and health issues associated with low testosterone, also known as hypogonadism.

What the eff does optimal mean?:

Optimal for me doesn’t mean optimal for you. Optimal is different for every man.

In fact, testosterone is measured via blood work and the “normal” ranges anywhere from 250-900.

That’s like saying you can drive on the interstate anywhere from 25-90 miles an hour.

Optimal for you could be 65 mph.

For someone else, 65 mph could feel like trying to play ‘Mario Kart’ with a banana peel as their vehicle — everyone else is zooming by in their high-speed shells, and you’re just spinning your wheels!

So when you get your blood work done if your numbers are normal but you feel like dog shit or have symptoms of low-T, I highly suggest finding a specialist vs your general practitioner.

Your general practitioner may tell you that you’re normal and that you don’t need to worry about your T-levels.

And that could be the wrong diagnosis for you.

Finding your optimal levels, however, will take time. But being in the “normal” range doesn’t mean you’re in your normal range.

Does Taking TRT Mean I’m on Steroids?

Think of testosterone and steroids like this:

Basketball and baseball are both sports played with balls. But they are not the same sport. The rules are different, and how you play those games are different.

Testosterone is a “specific” steroid.

Okay, so what does that mean?

Testosterone is a natural steroid hormone produced in the human body.

Steroids are a broad class of compounds; they’re a diverse class of organic compounds that share a specific molecular structure.

And they have various functions in the body.

There are many other types of steroids with different functions in your body, like:

Glucocorticoids: Steroids like cortisol, which help regulate metabolism and the immune response.

Mineralocorticoids: Steroids like aldosterone, which play a role in maintaining electrolyte balance.

Cholesterol: A steroid that’s crucial for cell structure. And, is a precursor for the synthesis of other steroids, including sex hormones like testosterone.

So yes, testosterone is a steroid, but it’s not “steroids.”

When you hear about someone using “steroids,” what your mind conjures up is anabolic steroids.

Anabolic steroids are synthetic substances derived from testosterone and designed to mimic certain effects of testosterone.

People use anabolic steroids illicitly to enhance athletic performance and muscle growth.

Their use is most well-known in the bodybuilding world or, ya know, that one era of baseball.

So to clear the record: testosterone is a specific kind of natural steroid with essential functions for the human body.

All that other stuff mimics or directly enhances certain aspects of what testosterone can do.

And is not necessary for most people (unless you have a medical condition in which your doctor is prescribing them, and even then the doses are 10-100x less than what bodybuilders have been known to use).

Signs You May Suffer from Low Testosterone

testosterone

testosterone

What Symptoms Did I Have?

Of the dozen or so symptoms listed above, I had fewer than five.

My sex drive has always been high. I could have sex every day. And my drive remained elevated even after our son was born.

So no issues there.

Losing fat wasn’t a focus of mine after our son was born. Neither was building muscle.

My goal for the first year was to maintain and learn this whole “father” thing.

I wasn’t developing man boobs, didn’t have decreased bone mass, or even hot flashes.

Erectile dysfunction wasn’t a problem either.

What sucked donkey dick was my fatigue.

My mood was shite.

And I had the attention span of a gnat.

Those three things are probably common amongst all new fathers.

So I could absolutely attribute much of this to having a newborn and sleeping worse than a German soldier in a WW1 foxhole.

But somewhere around the third or fourth month of my son’s life, I started having suicidal thoughts.

Around 20% of men develop postpartum depression — this number is likely higher as men are less likely to admit their mental health struggles.

My postpartum depression hit me like the punch Thanos threw at Captain America.

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And, good night Cap.

When I heard those thoughts I knew something was off. And that was the catalyst for getting updated blood work done.

Fact: A man’s testosterone does dip after the birth of a child.

And even though I knew this scientific fact, that didn’t make me feel any better.

If this was the case, and my T levels had dropped significantly, I wanted to at least get confirmation about that and discuss options.

A History of My Blood

You must first know this about blood work: you don’t need to ask your doctor or have insurance to get blood work ordered.

I didn’t have health insurance from May 2015-July 2019.

So to get my blood work done, all I had to do was order from Discountedlabs.com, print off the form, then go to a LabCorp facility and get my blood drawn.

My results would show up via email in about a week.

2018 was the first year I began to take my blood work seriously.

I ordered my labs from Discountedlabs.com so that I could begin to keep a log of my blood work each year in my 30s.

My 2018 blood work

In 2018, my total T was 590 and my free T was 16.7.

Free Testosterone & Total Testosterone: What They Mean

Free testosterone and total testosterone are two different measurements used to assess the levels of testosterone in the body.

But they represent slightly different aspects of testosterone physiology.

Total Testosterone: Total testosterone refers to the overall amount of testosterone present in the bloodstream.

This measurement includes both the testosterone that is bound to proteins (such as sex hormone-binding globulin or SHBG) and the testosterone that is unbound, or “free.”

Total testosterone levels can vary throughout the day and can be influenced by various factors such as age, sex, health status, and medications.

Free Testosterone: Free testosterone is the fraction of testosterone that is not bound to proteins like SHBG.

It is the active form of testosterone that is readily available to exert its effects on the body’s tissues and cells.

Free testosterone is generally considered to be a more accurate indicator of the bioactive testosterone that is actually available for physiological functions.

In clinical practice, both total testosterone and free testosterone levels are measured to get a comprehensive understanding of a person’s testosterone status:

Total testosterone is commonly measured through a blood test and can provide a general overview of testosterone production.

It’s used as a starting point to identify potential issues with testosterone levels.

Free testosterone is also measured through a blood test, but it’s considered more informative for diagnosing conditions related to low testosterone (hypogonadism) or other hormonal imbalances.

This is because it reflects the amount of testosterone that is actually available to interact with target tissues and exert its effects.

Ideally you should have your blood work done at minimum once a year.

And it was my intention in 2018 to do that.

But we moved to NY state in 2019 for my wife’s job, and in that year, NY and NJ both passed laws restricting an adult’s ability to order their own blood work.

Thanks, NY and NJ.

That meant Discounted Labs could not service my new address.

I continued to look for a way around this once we moved, but found nothing. I also dragged my feet on finding a primary care physician in the area that I liked, so I fell behind on getting blood work done in 2019.

However, after Lockdown and all the excitement of Covid, I found a service in NY state where I could get my blood work done.

Needless to say, I had a three year gap between labs which isn’t ideal.

So 5 months before our son was born, in March of 2021, I had a dozen or more vials of my blood sent off for processing.

I expected my numbers to be around the same as they were in 2018.

But my numbers were drastically different.

Total testosterone had dropped to 385 and free T had dropped by 50% to 8.7.

2021 blood work

A drop like that for some might come with feelings of low-T.

I, however, felt no symptoms of low-T in 2021.

Purple Box of Context:

For context sake, I was in the middle of a bulk, eating well over 500g of carbs four days a week, and had been training hard for 6 months.

My T clocking in that low was a sign I was probably overtraining and needed to pull back a bit, which my coach had me do.

Still, seeing these numbers shocked me.

So I reached out to my friend Bryan Krahn, a man whom I trust when it comes to not only all things old school bodybuilding or fitness, but when it comes to understanding things like blood work.

Bryan said that it’s possible that 35 was just the age where I’d see things get cut in half. That it happens to every guy…

…at some point.

He encouraged me to pull back from training as hard and as often for a few months.

Then said to get blood work done again in 6 months and see where things fell in the Fall.

My son was born five months later and, well, that changed everything.

Where Things Fell in the Fall

Before my son, I felt great. And even if I had reached the point where my T was genetically going to drop, I didn’t feel its effects.

As I said above, it was the intrusion of suicidal thoughts three or four months after my son’s birth that became the catalyst for getting my next panel of blood work done.

I heard about Marek Health from my friend John Romaniello.

So I dove into their content online. And after reading about them for a week or so, I decided to get my next batch of blood work through them.

At my consultation with Marek, I opted for their Complete Panel Package.

This blood work not only looked at the basic metabolic markers like insulin, LDL/HDL, testosterone and more, but it also looked at liver function, kidney function, inflammatory markers, and more in-depth lipid markers like Apoa1/ApoB.

Choosing the complete package gave me the most data possible.

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All the blood

Why does that matter?

Having more data is never a bad idea.

The more data I had on what was going on within my body, the better the doctor could look after my health, and, the more I would know about what I needed to take better control of moving forward.

This is something I highly encourage everyone to do.

Get the most data you can at first. It makes taking complete care of your health easier in the long run.

Marek’s Complete Package provided deeper insights that I’m glad I now know about.

Most specifically, my Apolipoprotein B was high (only by a few points, but still something I’m glad I learned).

Apolipoprotein B is a much better indicator of future cardiac events rather than HDL/LDL alone.

That didn’t necessarily mean I was destined for a cardiac event, as poor sleep can affect ApoB levels.

But it did remind me to take my heart health much more seriously.

(My grandfather died when his heart valve burst and filled his lungs with blood; this was either something he was born with or something that happened due to a virus he had when he was a child in the 1950s. So I’ve always tried to keep an eye on my heart health.)

Back to the T

So what about my testosterone levels?

Well, it came as no surprise to me that my numbers from March of 2021 and December 2021 were nearly identical. 

The only difference was that now I felt the effects of lowered testosterone.

My doctor at Marek and I discussed my symptoms on our first call in February of 2022.

And my expectation was that he would immediately prescribe TRT. That’s what I was there “for,” right?

But that’s not what happened.

And that’s one thing I really respected about how Marek handled my blood work.

The first plan of action was not to say “let’s get on TRT!” 

Nope, our first focus, as I think it should be for nearly everyone, was to try and elevate them naturally with lifestyle changes and supplementation.

Marek’s biggest lifestyle change they pushed, as I recommend with all of my clients, was to focus on getting more sleep.

However, with a newborn, that wasn’t a possibility.

So here’s what we tried to focus on instead:

  • Attempt to get whatever sleep you can get with a newborn
  • Getting sunlight first thing in the AM, and, getting at least an hour of it every day with a walk outside
  • Meditation (minimum of 5-10 minutes a day)
  • Limiting blue light before bed (as a gamer, I failed at this)
  • Zone 2 Cardio 150 minutes per week for heart health (I only managed 60-90 minutes due to my schedule and life but something is better than nothing).

Supplement wise here’s what we started with:

The goal was to do this for three to four months and then recheck my levels.

My next blood work was supposed to happen in June of 2022, but we got caught up in the process of buying a house and moving that summer, so that next round got pushed off until August.

When I did get my second round of blood work done with Marek in August of 2022, a few things had improved:

  • My AlipoB was down
  • Fasting glucose was down
  • Cholesterol was down
  • My Testosterone levels had dropped again

After consulting with my doctor at Marek, I decided it was time to pull the trigger.

My wife and I aren’t having any more kids, I’m not getting any younger, and since I didn’t want to wait months for improvement with any other lifestyle changes, now was the time to start TRT.

So in mid-September of 2022, I took my first dose of testosterone.

What the First Few Months Felt Like & How it Improved my Life

It took roughly three weeks for me to feel any noticeable changes in my life.

What did I notice first?

It felt like my penis had been thrown in a Delorean and transported back to high school. 

Like bro, you remember those awkward days where you just thought about sex or something sexy or just brushed your crotch against the underside of your desk while getting up to go to your next class and it was like a fucking rocket took off?

 And then you had to walk out of the classroom with your backpack covering your crotch, digging into your book bag like you were looking for something you desperately needed while trying to breathe your boner away. 

You remember those days? 

Well, my friend, that was the first thing I noticed. And it was awesome!

Second, I noticed an improvement in my energy levels.

Our kid wasn’t sleeping “through” the night yet. But he started to sleep better, if only by an hour or two.

After starting TRT, I noticed that even with 6 hours or less of sleep, I had more energy during the day.

The third thing I noticed took about 6 weeks to click. 

In the first year of my son’s life, my strength tanked.

With less sleep than I was used to, and stress levels through the roof, I noticed that I felt weaker than Superman wearing kryptonite boxers.  

About 6 weeks after starting TRT, my strength skyrocketed. Even with the fewer hours of sleep at night, I added 15-20 pounds on most lifts in 1-2 weeks. 

I do regret not having taken photos or measurements before I started TRT and having data to show now. It didn’t even cross my mind.

What I can say is that I’m bigger. Not a ton. But my shirts feel tighter and my triceps and delts feel fuller than ever before.

So what about my mental health? That is the main reason I started TRT.

Did TRT make that better?

Yes and no. And I will explain more about that in a moment.

Because one of the biggest myths around TRT that some people think is that it’s a cure all for their ailments.

Things That TRT is Not

Here’s the most important thing anyone should know about Testosterone Replacement Therapy (TRT): it is not a panacea. 

Yes: your life and health will improve, and TRT will be a primary reason for that improvement.

But if you’re treating your body (and health) like shit before TRT, you can’t keep treating your body like shit while on TRT. 

“Well golly gee willikers I guess since Testosterone burns fat and builds muscle I can eat whatever I want! I don’t need to exercise as much! I can sleep less! I’ll be a Super Soldier!”

testosterone replacement therapy

Wrong. All of that is wrong.

In fact, all the things you’re told to do for a healthy diet:

  • eat more veggies and fruit,
  • limit alcohol,
  • sleep 8-9 hours a night,
  • manage stress,
  • eat fewer processed foods,
  • lift weights,
  • do cardio,
  • go to therapy

All of that becomes even more important on TRT.

Improved mental health was the primary reason I started TRT. Did TRT magically make my mental health better? 

It improved it, yes. 

But guess what? I still have to go to therapy. I still have to do the deep inner work. 

TRT doesn’t make my demons go away. It makes things better. A lot better.

But so too does going to therapy.

And yes, it can repair low libido, but if you’ve been miserable with your partner and you don’t communicate worth a damn with them anyways, you’re not gonna have your marriage (or sex life) turn around because of TRT.

Sure, you’ll feel more energy.

But just because you feel better sleeping less than 6 hours on TRT than you did not on TRT, does not mean you should keep sleeping less than 6 hours.

If you treat TRT like a bandaid that’s all it will ever be. 

So if you want it to really optimize your health, you need to optimize your lifestyle.

TRT is not a cure all.

Yes, my mood is much more elevated. My energy is higher. I feel juice flowing through me that I haven’t felt since I was a teenager.

But I still have to go to therapy, I still aim for 8-9 hours of sleep a night, I eat even better than I did pre-TRT.

TRT makes my life better, but I still have to do all the basic things to truly optimize it all.

A Few More Things that TRT is NOT

TRT is not a “Fountain of Youth”: While you may feel more energetic than some of your friends or even younger in some ways, TRT doesn’t stop the aging process. You’re still getting older, bro.

TRT is not a quick-fix solution: It takes time for the body to adjust to the therapy and for individuals to experience the full effects. Patience and consistent monitoring are important.

TRT is not a One-Size-Fits-All: The appropriate form and dosage of TRT can vary depending on the individual’s medical history, age, overall health, and specific symptoms.

TRT is not a Decision to Take Lightly: Deciding to undergo TRT is not a decision that should be taken lightly. It involves careful consideration of potential risks, benefits, and long-term implications. It’s important to have open communication with a healthcare professional before starting TRT.

Remember that testosterone replacement therapy is a medical intervention that should be approached with care, under the guidance of qualified healthcare professionals, and tailored to an individual’s specific medical needs and circumstances.

Here are a few more things that I’ve noticed over the last year:

  • Recovery is the best it’s ever been. Since my son’s birth, I haven’t trained nearly as hard as I once did. It took the kid 18 months to sleep through the night. So I opted to keep things on the lower level of volume and limit it to 3-4 exercises 2-3x a week., But even though my workouts haven’t been as intense, TRT has left me feeling like I could train the same muscles again the next day.

  • Man, I totally failed at documenting this one here. All I have is this photo here taken before I started TRT. And then this one a year or so after. I should have taken measurements and photos. But even without those, I feel more muscular. My shoulders specifically.

  • I have more confidence in areas I never thought it’d show up. This one is hard to describe. But I feel it. I can’t quantify it exactly. But areas where I once felt more reserved, I feel much more like a go-getter towards now.

  • Low dose Cialis is fantastic for pumps in the gym. My forearms have never looked more vascular. And I fucking love it. My tumescence might be slightly better due to the Cialis, but if it is, it’s not that noticeable to me.

  • I take more supplements. Okay, so this isn’t necessary on TRT. But I’m willing to bet that many men on TRT also end up taking a few more supplements every day. I added berberine for glucose control, TUDCA for liver health, and bumped my fish oil up 250mg. That’s on top of taking creatine, Tadalifil, zinc, a greens powder, magnesium, and Vitamin D+K. I will likely add another few at a later point. But for now these are working for me.

What You Should Know about TRT

First, you’re going to read dozens of things talking about how there are dangers to going on TRT.

You may even ask your primary care doctor about it and they will tell you steroids are dangerous.

Most of the time your doctor or keyboard warriors online aren’t fully educated on what TRT is.

Some jacked moron will die from using enough anabolic steroids to kill a moose, and when they die those things get blamed.

Well yea, duh, you were using those things like an idiot. I too could use a vacuum cleaner like a moron and get myself killed.

TRT when done under direct physician supervision is safe and effective treatment for men (or women) with low testosterone.

Second, if this is a route you wish to consider, I encourage you to educate yourself on all things Testosterone. Read books, listen to podcasts, talk to people who are on it.

At the end of the day your health is your health. You, and only you, are responsible for it.

It’s in your best interest to understand anything, benefits and risks, of any treatment you choose to be a part of.

So here are my favorite resources on all things Testosterone:

So if you and your doctor decide to start TRT, how do you take it?

How TRT is Administered

TRT can be administered through various methods, including:

Injections: Testosterone can be injected into the muscle (intramuscular injections) at regular intervals, usually every 1 to 2 weeks or a few times during the week depending on dosage and doctors’ instructions. 

Transdermal: This includes patches, gels, or creams applied to the skin, providing a steady release of testosterone.

Implants: Small pellets containing testosterone are implanted under the skin, releasing the hormone gradually.

Oral: While less common, oral forms of testosterone exist, but they are not widely used due to potential liver-related side effects.

Please note: TRT should be prescribed and monitored by a qualified healthcare professional, as there are risks and potential side effects associated with this therapy. Proper diagnosis, evaluation of potential benefits and risks, and ongoing monitoring of hormone levels and overall health are essential to ensure the safety and effectiveness of testosterone replacement therapy. TRT is not suitable for everyone and should be tailored to individual needs and circumstances.

Note on administration of TRT: the most effective and efficient way to take TRT is injections. This is how I take TRT.

TRT

You can do pellets, but it’s annoying to have to go to a clinic every 6 weeks to have them implanted.

And creams and patches are not absorbed as well through the skin, and in some cases, have caused children who found them or came in contact with them to start showing early signs of puberty.

Personally, I say go the route of needles unless you’re terrified of needles, and then I’d still say go with needles but maybe have someone else (a doctor or your partner/spouse) do it.

Your body absorbs more of the testosterone when injected and it’s easier to keep away from prying eyes or hands of little ones like creams and less annoying about going to see a doctor to get pellets inserted.

Final Thoughts & Things to Consider

Now that you’ve read all these wonderful words on testosterone, I want to end this with some final thoughts on my first year of TRT.

And then I’ll list some things you should consider if this is a route you want to take. 

My hope is that by reading these you’ll have a better understanding of what you should or should not do, if, you decide that TRT is an option you want to consider.

Every man should get his blood work done 2x a year after his 30th birthday.

Not because you desire to get on TRT.

But because it allows you to see how your health shifts as you enter your middle age era and/or fatherhood.

And when I say blood work I don’t mean the “basic” work your doctor asks for. Oftentimes that only gives you a surface level look.

You want as much data as possible. Go get everything you can looked at.

Establish as much data as you can with your first blood work so that if there are issues you need to keep an eye on, you can order those specific tests on their own every time you do get the more basic work done.

With Marek, that’s what I did. I got the most thorough blood work possible so that I had as much data as possible moving forward.

Sleep, or lack thereof, can drastically destroy your health.

Any parent of a newborn knows how hard those first few (for us 18) months can be. And as a health and fitness coach, I often sound like a broken record with clients when I encourage them to get more sleep.

I was ruthless about my sleep for years.

That all changed with my son.

And the bloodwork I got after he was born showed me that I was pre-diabetic, had high Alipo-B (this is a better indicator of future cardiac events than HDL/LDL ratio), and my cholesterol was higher than it had ever been. Most of this was due to lack of sleep.

Getting on TRT doesn’t mean you can eat like a preteen: you still need to eat your veggies. 

In fact, your diet becomes even more crucial or what you’re taking is a waste of money.

Jabbing T into your body while you refuse to eat a better diet is like the guy you went to high school who put a loud muffler on his shitty 1989 Honda Civic.   

TRT has helped with an improvement in my mental health. But it is not a panacea.

I still have to do therapy. The two are not exclusive. When done together it can improve all aspects of your life. 

You get used to stabbing yourself with a needle after a few weeks. 

A Few Things to Consider When it Comes to Starting TRT:

Side effects? Nearly every medication on the market has some form of side effects. Even the beneficial ones. A few you will find with TRT range from: acne/oily skin; decreased sperm counts; testicular shrinkage; increased water weight or retention.

How can you mitigate any side effects? This is something you’d want to discuss with your doctor, but there are ways to mitigate some of these side effects.

You will need to have blood work done every 3-6 months, depending on what your doctor suggests. This is an added cost to TRT treatment. If you have an FSA or HRA, you can often use those to pay for said cost. Still, out of pocket, it should be less than $400 if you order from Marek or even Discountedlabs.com

TRT can affect fertility. We’re a one-and-done family. Once you start TRT your body begins to make fewer and fewer sperm, sometimes shutting it down completely, getting your partner pregnant is much harder. And since I had a vasectomy 6 weeks after Revan was born, losing sperm production wasn’t an issue anyways.

However, if you do decide in conjunction with your doctor that you want to start TRT but may also still have plans for children, you will need to consider also taking HCG to keep your sperm production going.

Is TRT something every man should consider at some point? If you wish to live a higher quality of life as you age, yes. But it is not something to take lightly or to use as a bandaid. Your overall health needs to be (and/or become) a priority. 

Is now the right time for you? I think this is ultimately the hardest question for any man to answer. Even as I write this there is a part of me that asks, “Couldn’t all of this have felt better once Revan slept through the night?” And sure, I know part of the low-T I felt was likely due to lack of sleep. It was the cause of elevated glucose and AlipoB and maybe even cholesterol.

Sleep is so vital to our health. Waiting another 6-8 months for my kid to finally sleep through the night is something I could have done.

What I don’t know is how well I would have felt once he was sleeping through the night. And, TRT is something I knew I would do someday in the future. My choice to start felt right to me. And I stand by that choice.

What does it all cost? TRT is one of the cheapest things you can choose as a medical intervention. Out of pocket, a 3-month supply costs me $160 plus $15 for shipping. The blood work runs me about $360. I got a prescription for Tadalifil from my PCP (through Marek it’s way more expensive) and I use Mark Cuban’s discount drug pharmacy and that runs me $5 for a 90 day supply.

Needles run me about $18 for a 6 month supply. Antiseptic wipes run me $6 for 100 wipes. All in all, I spend $720 a year on blood work, $740 a year for TRT, and about $50 for the rest.

All in all, I spend less than $2,000 a year, or $167 a month for TRT (this does not include supplements). At the end of the day, TRT is affordable. And if you have an HSA or FSA, the cost is likely covered by those accounts (Marek does not take insurance, but you can pay for their services with those accounts as I do). 

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