Written by Kyle Hunt | BEXSci.
Fact checked by Andrew Lenau, ISSA CPT & Sports Nutritionist
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In the bodybuilding arena, where size and aesthetics collide, a force stands above all others – testosterone. Bodybuilders are no stranger to testosterone use as it has been around for decades.
In this article, we dive headfirst into the dynamic world of Testosterone Replacement Therapy (TRT) and the role it plays in bodybuilding and muscle growth.
We're about to examine what TRT is, its role in building muscle, benefits, side effects, and more, so that you can determine whether testosterone therapy may be a good option for you.
Table of Contents:
- What TRT is and how it's used in bodybuilding
- TRT vs steroid use for bodybuilding
- Does TRT help build muscle?
- How bodybuilders get TRT
- Best online clinics to get TRT
- TRT benefits & side effects
- Correct TRT dosage for bodybuilding
- Who should and shouldn't get testosterone replacement therapy
- FAQs
What Is TRT?
TRT, which stands for Testosterone Replacement Therapy, is a medical treatment used to help people with low testosterone levels. Sometimes also called androgen replacement therapy, it is typically administered to men over 50, but younger men benefit from it under some circumstances too.
Testosterone is an important hormone that plays a role in sexual development, energy levels, and muscle strength. When someone has low testosterone levels, they often experience symptoms like a decreased sex drive, fatigue, and losing muscle mass.
TRT involves administering extra testosterone through injections, patches, gels, or pellets. This helps bring their testosterone levels back to a healthier range and can improve symptoms and offer a range of benefits.
It's important to note that TRT should be done under the supervision of a healthcare professional. They will monitor hormone levels and adjust the dosage as needed. While TRT can benefit some people, it's not for everyone, and there can be potential side effects.
Talking with a healthcare provider specializing in hormone therapy is essential to determine if TRT is the right choice for you. Luckily, there are several trustworthy online TRT clinics that can help you out.
The new, smarter way to solve Low T. With Fountain’s online doctor’s visits, treatment is a breeze. Start your personalized evaluation and see if TRT injections or topical cream are right for you.
How is TRT Used In Bodybuilding?
This is a subjective subject. Testosterone and bodybuilding go together like peas and carrots. But, how most bodybuilders use testosterone is drastically different than standard TRT protocols.
Testosterone replacement therapy brings low testosterone levels back up to standard. This hormone restoration can help you build muscle but not to the degree needed to compete as an IFBB pro bodybuilder.
Since there is no drug testing in IFBB pro bodybuilding, the top competitors are known for their liberal use of anabolic steroids. They push the body to build muscle beyond what would be possible with normal testosterone levels. This results in cartoonish physiques.
On the other hand, natural bodybuilding is an entirely different story. Natural bodybuilding is a sport with drug testing protocols. It gives people a chance to compete in bodybuilding without taking steroids. Some natural bodybuilding organizations make an exception for TRT, but not all.
As a natural bodybuilder, pushing the body lean enough to compete wrecks testosterone levels1. By show day, testosterone levels will likely be well below average. Taking TRT to keep testosterone in a normal range would be an advantage.
TRT vs Steroid Use For Bodybuilding
TRT and steroid use both involve synthetic testosterone. However, they have distinct purposes and contexts.
As mentioned, Testosterone Replacement Therapy is a medically supervised treatment of exogenous testosterone prescribed to individuals with low testosterone levels. The aim is to bring test levels back to normal, promoting overall health and well-being. With TRT, healthcare professionals carefully administer testosterone doses tailored to each individual's needs.
On the other hand, anabolic steroid use in bodybuilding refers to the non-medical application of anabolic-androgenic steroids (AAS) by athletes and bodybuilders to enhance muscle growth and performance. This practice typically occurs without medical supervision and often involves super-physiological doses beyond what the body could produce naturally.
In addition to taking higher dosages, bodybuilders also take a more comprehensive range of anabolics. Some are potent steroids with limited or no medical purposes and carry significant side effects, including things such as testicular atrophy, prostate cancer, and negative reproductive effects. One such drug is trenbolone.
Additionally, bodybuilders often follow "cycles" of steroid use, taking substances for a designated period and then discontinuing usage to allow the body to recover. It's sometimes called blasting and cruising. TRT involves more consistent dosages over a long period.
When it comes to the health risks and side effects, TRT, when appropriately managed, carries minimal risks. Regular monitoring and adjustments in treatment can help mitigate potential side effects such as acne or changes in cholesterol levels. However, steroid use poses a greater risk. It's crucial to note that misuse and abuse of steroids can have severe consequences for health.
Plus, TRT is prescribed, so it is pharmaceutical-grade. Bodybuilders have to rely on underground dealers, so you never know the quality of what you get.
Regarding legality, TRT falls within legal and regulated frameworks when prescribed by healthcare professionals. On the other hand, non-medical steroid use, including testosterone administration for bodybuilding purposes, is illegal in many countries without a valid prescription.
You can learn more about this topic in our article: Is Testosterone A Steroid? Key Differences Explained.
How Do Bodybuilders Get TRT?
Bodybuilders get TRT just like the rest of us. The first step is learning more about testosterone therapy clinics in your area online or getting a referral from your physician.
Depending on where you live, there may be few quality options. The good news is many online options can help you virtually, like these 8 Best Online TRT Clinics. I find that opting for an online clinic makes the entire process much more streamlined, as you can cut out the trips to the doctor's office.
Schedule a consultation once you choose the clinic you want to work with. During the consultation, a physician specializing in hormone optimization will ask about your medical history, perform a physical, and set up a blood test.
After the blood work, the doctor will determine if TRT is appropriate. Once it's deemed TRT is the right option, you will work together to create a customized protocol to meet your needs. Don't worry. It doesn't stop there. Once you start TRT, the clinic will monitor your progress and adjust your dosages to ensure optimal results.
Fountain TRT is one of our top recommendations for an online TRT clinic. If you decide to work with them, they'll start with a free personalized TRT evaluation, which includes a testosterone test and then a 1-on-1 video call with a Fountain provider to go over the results.
The goal is to make the process as hassle-less as possible, while ensuring you get a testosterone therapy regimen catered to your unique needs.
Does TRT Help Build Muscle?
Yes, TRT can contribute to muscle building and improved muscle strength in individuals with low testosterone levels. Testosterone is a crucial hormone involved in muscle development and maintenance.
When testosterone levels are low, it can negatively impact muscle growth and strength. TRT aims to increase testosterone levels, which can help enhance muscle protein synthesis, leading to increased muscle mass and improved muscle strength. It can also aid in recovery from exercise and reduce muscle fatigue.
A 2018 systematic review shows TRT increases fat-free mass and strength in middle-aged and older men2.
However, it's important to note that TRT alone is not a magic muscle-building solution. You'll also want to combine TRT with strategies for how to boost testosterone naturally. It should be combined with a consistent strength training program and a proper diet to optimize results. TRT is a supplement to support the body's natural processes related to muscle growth.
Check out our guide on How To Increase Testosterone for more T-boosting tips.
What Are The Best TRT Clinics For Muscle Growth?
With so many options for TRT clinics, it can be tough to know where to begin. Here are three options for you to start with.
1) Fountain TRT
You can't go wrong with Fountain TRT, as it is widely considered one of the best online TRT clinics you can go with. Their process is hands-on and convenient. Plus, they offer a wide range of options for a great value.
When you work with Fountain TRT you'll gain access to the best doctors and top-notch customer service, receive a personalized evaluation, convenient at-home labs (in many major cities), and a testosterone therapy plan designed to meet your unique needs, for as little as $40 per week.
The new, smarter way to solve Low T. With Fountain’s online doctor’s visits, treatment is a breeze. Start your personalized evaluation and see if TRT injections or topical cream are right for you.
2) Marek Health
If you regularly consume fitness information, chances are you have encountered Marek Health. They market toward fitness enthusiasts because their target market is people looking to optimize performance.
Although they are a little pricy, you get what you pay for. Marek Health has an excellent reputation, plenty of testimonials, and their process is highly hands-on
3) Hone Health
Similarly to Marek, Hone Health was created to help people optimize their lifestyle and performance. One of the best aspects of Hone is the low barrier to entry. You can start for as little as $45 with their at-home testing kit. From there, you can see where your testosterone levels are and begin the optimization process.
Another cool feature is the community portal. With this, you can connect with others just like you!
Best TRT Benefits
Testosterone Replacement Therapy (TRT) offers a range of potential benefits for individuals grappling with low testosterone levels. Let's explore some of the upsides of TRT:
- Increased Energy and Enhanced Mood: When testosterone levels are low, it can zap your energy and put a damper on your mood. TRT comes to the rescue, potentially boosting your energy levels, alleviating fatigue, and helping you reclaim a more positive mindset.
- Revitalized Sexual Function: Testosterone is the hormone that fuels your libido and sexual prowess. TRT can reignite the fire, potentially enhancing your sex drive, improving erectile function, and breathing new life into your intimate experiences.
- Increased Muscle Mass and Strength: Testosterone is the ultimate ally in building and maintaining muscle. TRT may boost your gains, stimulating muscle protein synthesis and setting the stage for increased muscle mass, strength, and performance.
- Strengthened Bone Density: Besides muscle, testosterone plays a pivotal role in maintaining strong and healthy bones. By leveraging TRT, you can help safeguard against osteoporosis and fracture risks by preserving or boosting bone mineral density.
- Cognitive Enhancements: While the research is still unfolding, some studies suggest that TRT could positively affect cognitive function3. This could translate into memory improvements, enhanced attention span, and sharper verbal fluency, all of which contribute to a more clear and focused mind.
Interested in learning more about the potential of TRT? Check out our article, TRT Before And After: What To Expect & Real-Life Results, documenting men's experiences with testosterone replacement therapy.
Side Effects of TRT
While Testosterone Replacement Therapy (TRT) can provide various benefits, it is essential to be aware of potential side effects that may arise. Here are some of the commonly reported side effects associated with TRT:
- Acne: Increased testosterone levels can stimulate oil production in the skin, potentially leading to acne breakouts.
- Fluid Retention: Some individuals may experience mild fluid retention, resulting in bloating or swelling, particularly in the ankles or feet.
- Increased Red Blood Cell Count: Testosterone can stimulate the production of red blood cells, leading to an increased risk of a condition called polycythemia. This condition can cause an increase in blood viscosity, potentially raising the risk of blood clots or cardiovascular problems.
- Testicular Shrinkage: TRT can lead to testicular shrinkage due to the suppression of natural testosterone production. This shrinkage is generally reversible once TRT is discontinued.
- Hormonal Imbalance: TRT can disrupt the body's natural hormone balance, possibly leading to changes in estrogen or luteinizing hormone levels. A sudden rise in estrogen can potentially cause gynecomastia (breast tissue enlargement) in some individuals.
How To Get The Correct TRT Dosage For Bodybuilding
Getting the correct TRT dosage comes down to consistent blood work, which is why working with a TRT clinic is valuable. The clinic can adjust your dosages or even try a different treatment option based on your blood tests.
Of course, monitoring improvements in symptoms such as libido, erectile dysfunction, fatigue, and mood can also help optimize dosage. Increased testosterone levels can lead to improvements in these symptoms. If you notice changes, it indicates that your total testosterone levels are rising.
Finally, if you notice changes such as increased muscle mass, strength, and decreased body fat can also be a sign that your testosterone levels are rising.
On the other hand, if you are experiencing side effects, that can also indicate your dosage is incorrect.
The new, smarter way to solve Low T. With Fountain’s online doctor’s visits, treatment is a breeze. Start your personalized evaluation and see if TRT injections or topical cream are right for you.
Who Should and Shouldn't Take TRT
If you're trying to determine if TRT is a good option for you, you'll benefit from reading our article that compares TRT to testosterone boosters.
It's important to keep in mind that TRT has many benefits, but certain people will and will not benefit from it. Here's more information on who should and shouldn't take it.
Who should take TRT?
There are a few select groups who will benefit from TRT. If you fall into one of these categories, you will likely find that not only will TRT help you feel better overall, but it will also support your bodybuilding and muscle growth goals.
- Individuals diagnosed with hypogonadism: TRT is primarily prescribed for individuals with clinically diagnosed low testosterone levels, known as hypogonadism. This diagnosis is typically confirmed through blood tests that measure testosterone levels. If you have hypogonadism, TRT can help restore your testosterone levels to a normal range.
- People with symptoms of low testosterone: If you are experiencing symptoms associated with low testosterone, such as reduced libido, chronic fatigue, muscle loss, or mood disturbances, that have a noticeable impact on your quality of life, TRT may be a suitable option.
- Individuals with testosterone deficiency due to medical treatments: Certain medical treatments, such as chemotherapy or radiation therapy for cancer, can lead to a decline in testosterone production. Suppose you have undergone these treatments and are experiencing low testosterone levels. In that case, TRT may help restore your hormone balance.
- People Who Have Abused Steroids: One of the side effects of abusing steroids for years is it can shut down natural testosterone production. At this point, TRT might be the only way to have normal hormone levels.
Who Shouldn't Take TRT?
Below are two groups that shouldn't take TRT. If you have any questions about whether you would benefit from it, speak to your doctor or consult with an online TRT clinic.
- Individuals with normal or high testosterone levels: TRT is unnecessary for individuals with normal testosterone levels. If your testosterone is within the normal range based on medical evaluation, TRT is unlikely to provide any additional benefits and may lead to potential risks.
- Individuals with severe heart, kidney, or liver problems: TRT can affect the cardiovascular system, kidneys, and liver. If you have severe heart disease, kidney dysfunction, or liver problems, TRT may not be suitable, as it can exacerbate these conditions. Discussing your medical history and any existing health conditions with a healthcare professional is crucial.
FAQs
Here are some of the most common questions about testosterone replacement therapy related to bodybuilding.
How much muscle can you gain on TRT?
The muscle gains on TRT can vary depending on individual response, workout split, and nutrition. Still, it can generally support muscle growth and improved strength.
How fast does TRT work for muscle growth?
The timeframe for noticeable muscle growth on TRT can vary, but individuals may start experiencing muscle mass and strength improvements within a few weeks to a few months.
How long is a TRT cycle?
TRT is typically a long-term treatment, and the duration of a TRT cycle can extend indefinitely, often requiring ongoing treatment to maintain optimal testosterone levels.
What's the best TRT cycle for bodybuilding?
The best TRT cycle for bodybuilding is highly individualized and should be determined by a healthcare professional. The dosage and duration of the cycle will depend on specific goals, medical history, and monitoring of testosterone levels.
Is TRT the same as taking steroids?
TRT involves the administration of testosterone, which is a form of steroid hormone. However, TRT is used to restore testosterone levels within a normal range and is distinct from high dosages of anabolic steroids for performance enhancement. A TRT dose of testosterone is typically much lower than someone taking steroids for performance.
How much does TRT cost?
The cost of TRT can vary based on location, prescribed treatment method (injections, patches, gels, etc.), and insurance coverage. It's recommended to consult with a healthcare provider or specialist to get an accurate estimate of the cost specific to your situation.
TRT For Bodybuilding: Is It For You?
To wrap things up, Testosterone Replacement Therapy has emerged as a powerful tool in bodybuilding and hormone optimization. By restoring testosterone levels to their optimal range, TRT offers the potential for enhanced muscle growth, improved energy levels, increased libido, and overall well-being.
However, it's crucial to approach TRT under the guidance of a qualified healthcare professional specializing in hormone therapy. Regular monitoring, dosage adjustments, and open communication are essential to achieving the best results while minimizing potential risks.
With the right approach and proper medical supervision, TRT can be a transformative path toward unlocking your true potential, revitalizing your physique, and reclaiming the vitality you deserve.
For more information on how to start your own TRT journey or to begin the assessment process, check out FountainTRT.
References:
- Rossow LM, Fukuda DH, Fahs CA, Loenneke JP, Stout JR. Natural bodybuilding competition preparation and recovery: a 12-month case study. Int J Sports Physiol Perform. 2013 Sep;8(5):582-92. doi: 10.1123/ijspp.8.5.582. Epub 2013 Feb 14. PMID: 23412685.
- Skinner JW, Otzel DM, Bowser A, Nargi D, Agarwal S, Peterson MD, Zou B, Borst SE, Yarrow JF. Muscular responses to testosterone replacement vary by administration route: a systematic review and meta-analysis. J Cachexia Sarcopenia Muscle. 2018 Jun;9(3):465-481. doi: 10.1002/jcsm.12291. Epub 2018 Mar 15. PMID: 29542875; PMCID: PMC5989848.
- Jung HJ, Shin HS. Effect of Testosterone Replacement Therapy on Cognitive Performance and Depression in Men with Testosterone Deficiency Syndrome. World J Mens Health. 2016 Dec;34(3):194-199. doi: 10.5534/wjmh.2016.34.3.194. Epub 2017 Jan 23. PMID: 28053949; PMCID: PMC5209560.
Kyle Hunt
Author