Testosterone 101

Everything you need to know about testosterone, backed by the latest research. We turn complex topics like diagnosis, dosing, delivery methods, and lab results into simple, practical insights. Understand TRT benefits and risks, maintain estradiol balance, and spot drug interactions - all grounded in evidence, not hype.

Understanding testosterone replacement therapy side effects and management

Understanding testosterone replacement therapy side effects and management

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Aug 23, 2025 · 15 min read

In men with confirmed hypogonadism, testosterone replacement therapy can relieve symptoms but can also cause predictable side effects because added testosterone feeds back on the hypothalamic-pituitary-testicular axis and changes downstream markers like blood counts. Many guidelines use total testosterone below about 300 ng/dL on two separate morning tests, interpreted with symptoms and the lab’s reference ...

Unexpected effects of testosterone therapy you should know

Unexpected effects of testosterone therapy you should know

Dr. Susan Carter, MD avatar
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Aug 23, 2025 · 16 min read

Testosterone therapy can cause “unexpected” side effects beyond libido and muscle gains, including bone marrow driven rises in hemoglobin/hematocrit that can reach erythrocytosis when hematocrit exceeds ~54%, along with water retention, acne, mood changes, and reduced fertility. Here’s what to monitor, why these effects happen, and how to manage them safely with your clinician. “Testosterone ...

Choosing the best testosterone replacement therapy clinic for you

Choosing the best testosterone replacement therapy clinic for you

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Aug 08, 2025 · 15 min read

The best TRT clinic is one that confirms true hypogonadism with both symptoms and repeat labs (often a consistently low morning total testosterone, commonly around 300 ng/dL depending on the lab and assay, and/or low free testosterone on an appropriate test) and then matches the dose, delivery method, and monitoring plan to your health risks. ...

Testosterone replacement therapy risks: The ones men miss until a lab test catches them

Testosterone replacement therapy risks: The ones men miss until a lab test catches them

Dr. Susan Carter, MD avatar
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Aug 07, 2025 · 15 min read

Testosterone replacement therapy risks are manageable for many men with confirmed hypogonadism, but they are not trivial and they require structured monitoring. The most common problems build slowly, so the men who do best are the ones who treat TRT like a medical program, not a quick upgrade. “Testosterone therapy can be life changing for ...

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