Content team (medically approved by Dr Fotinos) May 15, 2020 7:37:02 AM 12 min read

Testosterone Replacement Therapy, How Long Will it Take to Work?

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When you are approved for Male Excel testosterone replacement therapy (TRT) there will be a range of symptoms you will be keen to see the back of. Low sex drive, lack of energy, depression, and that beer belly! When you start taking testosterone you will be expecting instant results, but it is important to be clear that the benefits can take time to appear and even more important to understand that everybody reacts in a different way.

How Long Does It Take for Testosterone Replacement  Therapy to Work?

Studies have shown that the onset of benefits from testosterone replacement therapy varies from person to person and it is important to realize that everybody is different. Some people will see increased libido first whilst others may notice improved memory. There is no timeline that fits everybody but this is our guide as what to expect.

Mental Wellbeing

Testosterone has a very complex relationship with multiple neural networks, including those regulating mood. Most people report a general feeling of wellbeing and improved overall quality of life within 3-6 weeks. If you suffer from depression this should also start to lift during this time, remember though it may take longer or happen sooner, we are all different.  If you are concerned that you are not experiencing an improvement be patient and feel free to contact us to discuss your treatment.

Will Testosterone Improve My Sexlife?

Testosterone is a powerful hormone that powers a man’s sex drive. Those with normal to high testosterone levels will basically be more sexually hungry than those with low-T. Most men will experience a boost in sexual desire within a few weeks of starting TRT. It is also important to remember that self-image, what you eat, and how you generally feel will have a drastic effect on libido as well. Testosterone also plays an important role in sperm production, those with lower T levels generally produce fewer, lower-quality sperm.

There is no firm evidence that testosterone replacement therapy will improve your erections, however, one of the most common causes of erectile dysfunction (E.D) in hypogonadism (Low-T). TRT treats many of the underlying causes of E.D such as depression, low self-esteem, and poor body image so most men see improvements in sexual desire and function.  However, many men do report harder more satisfying erections later on during therapy.

Will Testosterone Improve My Body?

Studies show that overweight men are far more likely to suffer from hypogonadism or have a testosterone deficiency. Interestingly with weight loss, this can be reversed and T levels may return to normal. No one is really sure how or why this happens but studies do point to certain factors. 

Belly fat is full of the enzyme aromatase, this enzyme converts testosterone into estrogen, the female sex hormone. Overweight men often have higher levels of estrogen and may develop gynecomastia (man boobs) and it can cause sore nipples, water retention, as well as a reduced sex drive. Higher aromatase levels also reduce the production of gonadotropin-releasing hormone (GnRH) this too has a testosterone reducing effect. All very complex, but in simple terms belly fat reduces testosterone production.

After a few months taking TRT, you should start to see an increase in lean body mass, you should also notice a decrease in excess fat. Testosterone replacement therapy actively speeds up your metabolism helping you burn fat more effectively. If you regularly go to the gym you will attain greater results and probably find you feel stronger and notice an improvement in muscle tone.

Will Testosterone replacement therapy Make My Bones Stronger?

When a man gets older it is common for bone density to decrease in line with the fall in testosterone production.  Weak bones (osteoporosis) is a condition characterized by brittle bones and an increased risk of fracture. According to the National Osteoporosis Foundation, up to one in four men over the age of 50 will break a bone due to osteoporosis. Approximately two million American men already have osteoporosis and about 12 million more are at risk.

It is proven that TRT can help improve bone density and lessen the risks of developing osteoporosis. It is also important to get plenty of exercise and to eat healthily as well as stopping smoking and reducing alcohol intake. Vitamin D and calcium supplements will also help to reduce the risks.

Can Testosterone Help My Diabetes?

One major benefit of testosterone replacement therapy is how it can drastically improve life for pre-diabetics and those who suffer from diabetes.  Often after only a couple of days, insulin sensitivity can improve. It is important to note that full control over blood sugar levels can take months if not years. It is also vital to continue your diabetes medication and regularly consult your doctor to keep levels in check and make sure your medication is the correct dose.

One particular German study over a 10-year period looked at 311 men with Low-T and type two diabetes. Half were given TRT and the other half used as a control group. The group was tested regularly to check blood sugar levels and their weight was taken for reference. By the end of the study fasting blood sugar levels had fallen dramatically in the TRT group and had risen the control group.

61 patients in the TRT group who took insulin saw their dose reduced from on average 34 units a day to 19.9. Whereas the control group who took no testosterone saw an increase from 30.7 to 42.2 units daily. There was also significant weight loss in the TRT group with an average weight loss of 22.7kg compared to no change in the control group.

What If You Don’t See Any Results?

All men are different and there is no proven timeline as to when you should start seeing and feeling the results of TRT. You will need to be patient and stick to the treatment plan, testosterone therapy takes time to work. If your levels are particularly low your body will take more time to adjust and reach optimum T levels. It is also common for the positive effects to drop off after a few weeks as your body adjusts to increased testosterone. Don’t worry things will pick up again and you should feel better very soon.

If after a couple of months, you don’t see or feel any results you should check back with the Male Excel doctors. They can arrange another blood spot test to check your T levels and possibly adjust your dosage to make sure you are getting the full benefits from the treatment.

Our team of experts at Male Excel can offer you the best possible advice and treatment, helping you become the best version of yourself. We offer injectable bio-identical Testosterone Cypionate with subcutaneous needles which can easily be self-administered. For those who don’t want to use needles, we also offer Lipoderm Testosterone cream which is just as effective and pain-free.

Testosterone replacement therapy has helped countless men regain their manhood and excel in body and mind. With patience and the right medication, you too can gain back control and rediscover your zest for life.