Appearance
Myths & Misconceptions
Common myths about TRT - and the reality.
"TRT Causes Prostate Cancer"
Reality: Modern research doesn't support this. The "saturation model" shows prostate tissue has limited androgen receptors - once saturated at fairly low testosterone levels, more testosterone doesn't cause more stimulation. TRT at normal levels is not a significant prostate cancer risk factor.
"Higher Testosterone is Always Better"
Reality: There's an optimal range. Chasing maximum levels leads to higher hematocrit, more estradiol conversion, and more interventions needed. If you feel great at 650 ng/dL, you don't need to push for 950.
"TRT = Steroids = Bad"
Reality: TRT restores normal levels (500-900 ng/dL). Steroid abuse uses 2,000-5,000+ ng/dL. They're fundamentally different - like wearing glasses vs. using binoculars.
"TRT Fixes Everything"
Reality: TRT helps symptoms caused by low testosterone. It won't fix a bad relationship, clinical depression, or poor lifestyle choices. It removes a hormonal handicap - it doesn't do the work for you.
"You Can Boost T Naturally to TRT Levels"
Reality: If your testosterone is low due to lifestyle (obesity, poor sleep), changes can help. If it's low due to testicular or pituitary problems, no amount of supplements will fix it.
"TRT Causes Roid Rage"
Reality: At TRT doses, most men report improved mood, not aggression. "Roid rage" is associated with supraphysiological doses, not replacement therapy.
"Only Old Men Need TRT"
Reality: Hypogonadism can occur at any age. Young men need thorough investigation first, but can legitimately need TRT.
"TRT Makes You Infertile Forever"
Reality: TRT suppresses fertility, but it's often recoverable. HCG helps preserve it. See Chapter 11.
"You Must Take an AI With TRT"
Reality: Most men don't need aromatase inhibitors on properly managed TRT. See Chapter 12.
"TRT is Just for Sex Drive"
Reality: Testosterone affects muscles, bones, cardiovascular system, cognition, metabolism, mood - not just libido.
"You'll Feel Amazing Immediately"
Reality: Full effects take 3-6 months. The first weeks can be rocky as your body adjusts.
Next up: Practical Checklists - Quick reference guides for before, during, and after starting TRT.