How to Get TRT: A Man’s Guide to Testosterone Replacement Therapy

So, you want to know how to get TRT? Maybe you’re tired all the time, not feeling like yourself, or your workouts aren’t what they used to be. Or perhaps you’re already familiar with testosterone replacement therapy and convinced it could make a difference. But navigating the world of hormones and finding the right doctor might seem daunting. Believe me, I’ve been there. It took a lot of trial and error before I found a program that really worked for me. I wish I’d had someone to walk me through it back then.

This post will cover everything you need to know about how to get TRT, from understanding the symptoms of low testosterone to finding the right treatment plan and navigating potential roadblocks along the way.

Table of Contents:

Understanding Testosterone: The Basics

You’ll often hear testosterone referred to as the “male hormone,” which, according to Harvard Health Publishing, is actually what propels those typical male changes during puberty like a deeper voice, facial and body hair, and all that. It’s also responsible for sperm production. But here’s the thing – testosterone isn’t just about those obvious physical traits. It plays a critical role in overall health and well-being, including building muscle mass, maintaining bone density, regulating mood, and keeping energy levels up.

What Happens When Testosterone Levels Decline

You know life expectancy has been steadily climbing over the years? Back in 1900, men were only expected to live till about 46. Can you believe it? But, by 2014, men were living to 76 (Source: CDC).  Living longer is obviously amazing, but our bodies weren’t really designed for the long haul.

As we get older, our bodies naturally produce less testosterone. It’s a gradual decline that typically starts in our 30s. Sometimes, that decline is more dramatic and caused by other underlying health conditions. That’s where the problems start. I remember feeling completely wiped out all the time and putting it down to stress and a busy lifestyle. Looking back, I can see now that declining testosterone was catching up to me.

Recognizing The Signs: Do You Have Low Testosterone?

It can be hard to separate the natural effects of aging from low testosterone (sometimes called hypogonadism), and you don’t want to jump the gun with self-diagnosis. Symptoms can mimic other conditions like thyroid issues or even vitamin deficiencies. But it’s always best to listen to your body and seek professional medical advice if something feels off. I wish I’d addressed this much sooner, honestly.

Here’s what to look out for:

* Reduced sex drive (low libido) – If you’re experiencing a dwindling interest in sex or having trouble with spontaneous erections, it could be a sign of a hormonal imbalance.

* Erectile Dysfunction – You might find it difficult to get or maintain an erection, making sexual activity challenging. This was one of the first things I noticed, and honestly, it was pretty concerning.

* Changes in Mood and Energy – Feeling tired or fatigued for no apparent reason, having low energy levels, struggling with motivation or focus, experiencing depression-like symptoms, or struggling with increased irritability or anxiety could all be related to testosterone.

* Physical Changes: These can include a reduction in muscle mass, increased body fat (especially around your midsection), loss of body hair, decreased bone density (which makes you more prone to fractures), or even the development of breast tissue (called gynecomastia).

How to Get TRT: Taking the Right Steps

Convinced this is you? Now comes the big question – how to get TRT. I won’t sugarcoat it, it wasn’t easy to find a testosterone doctor I really connected with and who listened to my concerns. I felt like some docs just brushed me off or dismissed my concerns about low energy as “just part of getting older.” That’s why it’s important to be your own advocate and find a doctor specializing in men’s health or hormone therapy. They can give you personalized advice and walk you through the process.

Getting Your Testosterone Levels Tested: A Step-By-Step Guide

It might sound intimidating, but it’s really a straightforward process once you know what to expect.

1. Consult Your Doctor or Men’s Health Specialist: The first step is always scheduling an appointment with your primary care physician or, even better, going directly to a men’s health specialist or endocrinologist with expertise in testosterone. These specialists specialize in hormonal issues and are better equipped to diagnose and manage testosterone deficiency. Be prepared to discuss your symptoms and medical history openly.

2. Blood Tests:   Don’t stress – getting your blood drawn isn’t fun, but it’s over pretty quickly, and those results are key. A simple blood test can reveal a lot. The test will check your total testosterone levels and likely other markers like free testosterone, which gives a clearer picture of your active testosterone levels.

3. Understanding Your Testosterone Level: This can be a bit tricky to decode on your own, but don’t worry, your doctor will break it down for you. Testosterone levels fluctuate throughout the day (they’re typically highest in the morning) and decline naturally with age.

4. Discuss Treatment Options (if necessary):   The normal total testosterone range for adult males typically falls between 300-1,000 nanograms per deciliter (ng/dL),  but your doctor will consider your individual situation – age, symptoms, overall health, and those all-important blood test results to figure out the right treatment plan for you.

Don’t be afraid to ask questions and voice any concerns during this discussion. Your health is a partnership between you and your medical professional.

Exploring Testosterone Replacement Therapy Options

Getting a diagnosis of low testosterone isn’t the end; it’s more like a fresh start. Depending on your situation and personal preference, there are several different approaches to TRT, each with pros and cons:

Testosterone Replacement Therapy Options

Method Description Pros Cons
Injections Administered directly into the muscle (usually buttocks, thigh, or upper arm) either at home or a clinic. Affordable; long-lasting effects Requires needles; fluctuating hormone levels; can be painful; need for refrigeration of testosterone; risks associated with injecting
Topical Gels or Creams Applied daily to the skin (usually on the shoulders, upper arms, or abdomen). Convenient application; Consistent hormone levels; No needles required Potential for skin irritation or transfer to others.
Transdermal Patches Applied like a sticker to the scrotum or other areas of the body; release testosterone gradually. Consistent hormone levels; less frequent application. Potential for skin irritation; less discreet than other options.
Implants or Pellets Small pellets inserted under the skin (typically in the buttock or hip) that slowly release testosterone over several months. Long-lasting effects (up to 6 months); no need for frequent administration Requires a minor surgical procedure for both insertion and removal; hormone levels cannot be easily adjusted.
Buccal Patches Applied twice daily to the gums; delivers testosterone through the lining of your mouth. Steady hormone levels; Convenient for some Potential for gum irritation; can be inconvenient to apply.
Nasal Gel Pumped into the nostrils, usually two or three times per day. Fast-acting testosterone delivery; Alternative to injections for those who dislike needles Can cause nasal irritation or runny nose; requires multiple daily doses.

Which approach is right for you will depend on your doctor’s recommendation, your comfort level, lifestyle, and cost. TRT isn’t one-size-fits-all; finding the perfect match might require some experimentation.

Lifestyle Changes That Support Testosterone Levels

Boosting testosterone isn’t solely about medication. Making a few tweaks to your lifestyle can have a HUGE impact. Trust me, these made all the difference in my journey.

Focus on These Game-Changers

  • Dial in Your Diet: Load up on whole, unprocessed foods, plenty of lean protein, healthy fats (think avocados, nuts, and olive oil), fruits, and vegetables. Limit processed foods, sugary drinks, and unhealthy fats. I swapped those takeout dinners for home-cooked meals packed with good stuff, and my energy levels skyrocketed.
  • Prioritize Sleep: Quality sleep is crucial for hormone regulation. Aim for 7-9 hours of quality sleep each night. Getting into a consistent sleep schedule made such a difference in my mood and energy levels – plus, you’ll look and feel younger.
  • Get Moving: Regular exercise (strength training, in particular) has been shown to increase testosterone. High-Intensity Interval Training (HIIT) is another great way to challenge your body and boost your T. Just avoid overtraining – give your body time to rest and recover. Don’t get me wrong – you don’t have to become a gym rat overnight. I started small – a brisk walk each day or some bodyweight exercises at home. Consistency is key, my friend.
  • Manage Your Weight: Excess weight, particularly around your belly, is linked to lower testosterone levels. That doesn’t mean you need to have washboard abs, just find a healthy weight for your body type.
  • Find Ways To Relax: Yep, you read that right – stress management matters BIG time. Chronically high stress messes with your hormones. Explore meditation, yoga, deep breathing exercises, spending time in nature, listening to music, or whatever chills you out.

FAQs about how to get TRT

How do you get prescribed TRT?

To get prescribed for TRT, you must consult with a healthcare professional. I went to a men’s health clinic specializing in testosterone replacement. During the consultation, they will evaluate your medical history and likely conduct blood tests to determine if you meet the medical criteria for a TRT prescription.

What T levels qualify for TRT?

There is no magical number. It varies. It’s more about the individual. A doctor considers many factors when diagnosing low T and recommending TRT.

How much does TRT cost?

Costs for TRT can vary greatly depending on where you live, the type of therapy you choose (injections, gels, pellets), your insurance coverage, and other factors. It’s always a smart move to discuss these aspects upfront during your consultation so there are no surprises along the way.

Is TRT illegal?

No way. Getting TRT from a licensed medical professional who follows the proper guidelines is perfectly legal. The key here is to work with legitimate sources and qualified healthcare practitioners who prioritize your health and safety.


Let’s get real – the journey to understanding and addressing low testosterone might feel like a wild ride at first. I wish I’d learned how to get TRT sooner rather than putting up with those nagging symptoms. Getting informed and advocating for your own well-being can make all the difference. Listen to your body, seek out a doctor specializing in men’s health, explore all your options for how to get TRT, and never underestimate the power of those everyday healthy habits.

If you’re looking to get testosterone replacement therapy and live in or near San Diego, reach out to us today to get started feeling better. You can get a free testosterone level test from Total T Clinic and meet with the best staff in the best testosterone clinic in San Diego!