No. TRT itself does not directly cause hair loss. The confusion stems from the fact that testosterone can convert into dihydrotestosterone (DHT), a hormone associated with male pattern baldness, but only in individuals genetically predisposed to androgenic alopecia.

No, a myth disproven by modern research. The "saturation model" shows that once testosterone levels reach a normal threshold, adding more doesn’t stimulate prostate growth. Studies confirm no increased cancer risk from TRT, and men with low testosterone may even have more aggressive cancers. With regular monitoring, TRT is a safe and beneficial treatment when used responsibly.

Yes. TRT can cause testicular shrinkage because it reduces the body's own production of testosterone. When you receive testosterone from an external source, your brain signals the testes to stop producing it naturally. As a result, the testes become less active and may shrink in size due to decreased stimulation and sperm production. This is a predictable and reversible side effect, often minimized or prevented with medications like hCG (human chorionic gonadotropin), which help maintain natural testicular function during treatment.

Injecting testosterone twice weekly is superior to once-weekly dosing because it maintains more stable hormone levels, reducing the peaks and crashes that can cause mood swings, fatigue, or irritability. This steadier approach improves symptom control, minimizes side effects such as acne or water retention, resulting in better overall well-being.

No. Injections are virtually painless when using a small 27-gauge, 1/2-inch needle, thanks to both the finer needle size and the specific carrier oil used in our formulation. The small needle causes minimal tissue trauma and discomfort, while the thin, high-quality carrier oil enables smooth and effective delivery through such a narrow gauge. This combination provides the same therapeutic benefits as traditional methods with significantly improved comfort, making self-injection easier, gentler, and more sustainable long-term.

Creams and injections are both effective methods for hormone replacement, each with unique advantages. Creams offer a non-invasive, easy-to-apply option with the flexibility to adjust dosing daily, making them appealing for those who prefer to avoid needles. Injections, on the other hand, provide consistent hormone levels with less frequent administration, typically twice a week, resulting in stable symptom relief and fewer daily responsibilities. The choice between the two often comes down to personal preference, lifestyle, and how an individual responds to each delivery method.

No, it doesn’t have to be a lifelong commitment. When treatment is discontinued, the body can resume its own testosterone production, especially if therapy is tapered correctly, allowing the testes to begin producing testosterone again. While some may prefer long-term treatment for sustained benefits, others successfully recover their natural function and cycle off with a full recovery.

Yes, it can temporarily reduce fertility in men because external testosterone signals the body to stop producing its own, including the hormones (LH and FSH) needed for sperm production. This suppression can lead to lower sperm counts or even complete absence of sperm (azoospermia). However, this effect is typically reversible. With proper medical guidance, fertility can often be preserved or restored using medications like hCG alongside or after TRT, which help stimulate the testes to maintain or resume sperm production.