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Can you stop testosterone cold turkey?

You should never abruptly stop your TRT on your own. When you have been on TRT for a while, your body stops producing its own supply of testosterone. If you simply stop your TRT cold turkey, the shock of the sudden deprivation of testosterone will likely cause your energy levels and libido to drop.

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Why You Might Change Your Mind About TRT

Testosterone replacement therapy has a number of side effects that may dissuade you from wanting to continue with the course of treatment. Understanding these side effects can help you weigh whether TRT is right for you. There are also a host of other reasons you may want to end a TRT treatment plan, including the cost of the medicine, concerns about fertility, or whether you’re feeling better and are ready to talk to your doctor about lowering or ceasing the dose.

Skin Issues

Men on TRT can see an increase in oily skin and acne as a result of the treatment. While annoying and perhaps embarrassing, much of this issue can be remedied with over-the-counter products.

Weight Gain

Testosterone can cause higher fluid retention, meaning you may feel and appear bloated, and your weight may increase when you start TRT. This side effect is typically short lasting and usually isn’t severe.

Prostate Complications

The prostate is a muscular gland that surrounds your urethra. Testosterone affects your prostate in several ways. For starters, stimulation of the prostate tissue can cause an increase in the amount of urination and unusual patterns in your urination flow. A reduced flow is often reported, but neither of these issues are painful nor should they affect your daily life. Some physicians have concerns that TRT can encourage prostate cancer cells to grow, but the evidence here is mixed. If you’re at risk for prostate cancer, or if you’ve had prostate cancer priorly, talk with your medical provider about these concerns to see what he or she recommends.

Fertility Considerations

While TRT does help boost your libido and some erectile dysfunction issues, it does also lower your sperm count significantly (2). Men who are interested in family planning should talk through the fertility considerations with their clinician before starting TRT. He or she may be able to prescribe other medications that can decrease the symptoms of low T without impacting fertility.

TRT Costs

The cost of TRT can vary based on factors including your geographical location, your insurance provider, the type of medication you’re using, the dosage, and the frequency of those doses. TRT can range from as low as $20 to as high as $1,000 per month. If your TRT expenses end up on the higher end of that spectrum, that can be a sizable reason to reconsider whether to continue.

You Feel Better

Once you’re underway on TRT and starting to feel the positive benefits of the treatment, you may feel like the testosterone has done its job and you’re ready to stop and simply enjoy your newfound happiness. Unfortunately, to keep feeling the positive effects of your TRT, you’ll need to continue the treatment. When you stop TRT, you’ll revert back to how you felt before you started treatment.

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