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No, TRT Won’t Help Your Incredible Hulk Costume

hulkDoes the thought of undergoing Testosterone Replacement Therapy (TRT) make you think of a certain not-so-jolly green giant? You won’t be turning into Bruce Banner’s alter ego after receiving these injections, so hold off on making plans to show off your new muscles while smashing everything in sight. TRT can do many wonderful things for you, but it’s not going to help you “bulk up” instantly, or quite possibly, ever (depending on your activities). On the plus side, TRT side effects in men don’t include having your skin turn a lovely shade of gamma-induced green either, so there’s that to be thankful for.

TRT helps improve your energy levels and endurance. It also gives your sex drive a boost and helps you get rid of fat mass. It does increase your muscle mass, but not to Hulk-size proportions. You’ll still need to hit the gym for bulking up or toning. As for your brain, TRT helps you focus better, quite the opposite of the big green guy. Furthermore, it also improves your mood, so you’ll actually be less Hulk-like in terms of anger and irritability.

So, what’s the catch? There are certain TRT side effects in men that you should be aware of. You won’t have to worry about your clothes getting torn up (although the Hulk’s seemingly indestructible pants could be an asset to your wardrobe), but you might experience a couple of mildly unpleasant things, that when monitored can easily be addressed before true problems arise.

Remember those awkward adolescent days when you had to deal with acne? Well, you might get to relive them for a bit. TRT can cause your skin to turn oily, and you might be more prone to acne breakouts. Wash your face regularly with mild soap, and keep your hands far, far away from it, and you should be good to go. There are plenty of acne and oily skin products on drugstore shelves, but if you need something more effective, this can be managed medically as well.

You won’t be turning into a giant with TRT injections, but you might retain some extra water. Mild fluid retention is one of the other TRT side effects in men, which means you can expect to walk around feeling like you’ve just polished off a couple helpings of Thanksgiving dinner plus dessert for a bit. This is typically short-term and can be treated as necessary.

TRT can also affect your prostate tissue size and urinary habits. A small number of men might also notice that their urinary stream is a bit weaker than normal, or other signs of obstructions to urine flow. If you have a personal or family history of prostate issues, this could be cause for concern. Overall, most men with lower urinary tract symptoms have improvements in these areas when on TRT.

Some people who undergo TRT experience a change in body proportions, but not in an Incredible Hulk manner. The changes aren’t as epic, but they are a bit more interesting. If estrogen level fluctuations go unnoticed or untreated, you might end up with breasts that are slightly larger than usual. Also, TRT may decrease in the size of your testicles. Finally, you might also have a lower sperm count, which is fine if you’re done with having the pitter-patter of little feet around your house.

If you have sleep apnea, where you stop breathing every so often while you sleep, TRT can make the disorder a little worse. Your doctor can tell you how to adjust to this and recommend the best treatment method.

Keep in mind that these TRT side effects in men aren’t a guarantee, and that they can be managed very effectively by a responsible provider. They only affect some patients and they’re usually mild and temporary effects. For most men with Low T, the benefits of undergoing TRT far outweigh the potential inconveniences. Just remember not to cancel that gym membership — Hulking out isn’t part of the deal.




(Augie) Juan Augustine Galindo Jr. MPAS, PA-C

(Augie) Juan Augustine Galindo Jr. MPAS, PA-C started his career in healthcare as a fireman/paramedic in West Texas where he served on the Midland Fire Department from 1998-2004.   He became interested in testosterone treatment after seeing how hormone replacement doctors helped those suffering from low testosterone.   After graduating from the Texas Tech Health Sciences Center Physician Assistant Program, he moved to DFW where he currently lives with his wife and three children.

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