What to Expect Before and After Testosterone Replacement Therapy
Testosterone Replacement Therapy (TRT) provided by Dr. Manish Sahni, MD, is tailored to your needs. Treatment begins with a thorough evaluation, including blood tests to assess hormone levels. TRT is designed to help improve energy, muscle strength, and overall well-being. For more information contact us or book an appointment online. We have convenient locations in Sun City, AZ, Phoenix, AZ, Prescott, AZ, and Buckeye, AZ.


Table of Contents:
What physical and mental changes can I expect before and after starting TRT?
What lifestyle factors can impact the effectiveness of TRT before and after treatment?
What are the differences in mood, libido, and cognitive function before and after TRT?
How does body composition, including fat loss and muscle gain, differ before and after TRT?
Before starting testosterone replacement therapy (TRT), we conduct thorough assessments to understand your specific condition and needs. Our team will work closely with you to identify the symptoms you’re experiencing, such as decreased libido, erectile dysfunction, or mental health challenges like depression and difficulties with concentration.
Once you begin TRT under our care, you may notice significant improvements in both physical and mental health. Our patients often report increased energy levels, improved muscle mass, and a reduction in body fat, particularly in the abdominal area. Enhanced bone density is another benefit, contributing to a lower risk of fractures. Additionally, many patients experience improvements in sexual health, including heightened libido and better erectile function.
At Centra Internal Medicine, Dr Manish Sahni, MD, prioritizes your safety and well-being. Regular monitoring is essential to ensure that TRT is effective and to address any potential side effects. Our healthcare professionals are dedicated to managing your therapy responsibly, keeping an eye on possible issues like acne, sleep apnea, or cardiovascular risks. We are here to support you every step of the way, ensuring that your treatment aligns with your health goals and improves your quality of life.
Pre-TRT Considerations:
Nutrition: Before initiating TRT, it’s essential to focus on a well-balanced diet rich in zinc, vitamin D, and healthy fats, which are crucial for natural testosterone production. Our healthcare team can provide dietary guidance tailored to your needs, helping you make informed choices that promote hormonal balance.
Weight Management: Addressing obesity, especially excess abdominal fat, is important as it is linked to lower testosterone levels. Centra Internal Medicine offers resources for weight management, including personalized diet plans and exercise recommendations to support your health goals.
Exercise: Regular physical activity, particularly strength training and high-intensity interval training can naturally elevate testosterone levels. Our practice can help design an exercise program that aligns with your health status and fitness level.
Post-TRT Lifestyle:
After commencing TRT, maintaining these healthy habits is crucial to maximizing its benefits:
Continued Healthy Eating and Exercise: A nutritious diet and regular physical activity can help manage potential TRT side effects like weight gain, while also supporting cardiovascular health and boosting energy levels.
Avoiding Harmful Substances: It’s important to monitor alcohol consumption and avoid smoking, as both can adversely affect hormone levels. We provide resources and support for lifestyle modifications that enhance TRT effectiveness.
Regular Monitoring: Routine follow-ups with Centra Internal Medicine are essential to track your progress, monitor testosterone levels, and adjust treatment plans as necessary. Open communication with our healthcare providers ensures that any concerns are promptly addressed, optimizing your therapy outcomes.
Mood Enhancement: Patients with low testosterone often face mood disturbances, such as increased feelings of depression, irritability, or anxiety. At Centra Internal Medicine, we understand that testosterone plays a crucial role in emotional regulation. Through TRT, we aim to stabilize mood swings and enhance emotional well-being. Our compassionate team is committed to helping patients regain motivation and reduce fatigue, which can significantly improve their mental health and interpersonal relationships.
Revitalizing Libido: Low testosterone can lead to a reduced sex drive, impacting intimate relationships and overall life satisfaction. Our experienced practitioners are dedicated to restoring sexual health and enhancing intimate experiences through TRT. By optimizing testosterone levels, we help our patients experience a resurgence in sexual desire and performance, fostering stronger emotional connections with their partners.
Cognitive Function Improvement: Cognitive difficulties, such as brain fog, memory lapses, and concentration issues, can be distressing for those with low testosterone. We prioritize cognitive health as part of our TRT approach. Many of our patients report clearer thinking, improved memory, and better concentration after starting therapy. By enhancing cognitive function, we aim to boost productivity and confidence, both personally and professionally.
We emphasize individualized treatment plans and regular monitoring to ensure optimal TRT outcomes. Our team of healthcare professionals is dedicated to providing comprehensive care and addressing each patient’s unique needs and concerns.
Patients presenting with low testosterone often face challenges such as increased body fat, especially visceral fat, alongside reduced muscle mass. These changes are related to testosterone’s critical role in metabolism regulation, fat distribution, and muscle protein synthesis. Low testosterone can lead to a slower metabolism and altered insulin sensitivity, contributing to weight gain and difficulties in losing fat.
When TRT is initiated under the careful guidance of our experienced healthcare professionals, patients frequently observe positive changes in body composition. TRT enhances muscle protein synthesis, which is vital for muscle growth and repair, leading to increased muscle mass and improved strength. Additionally, the therapy promotes the development of lean muscle by optimizing nitrogen retention and amino acid utilization, resulting in better muscle definition.
We believe in a personalized approach to TRT, acknowledging that individual results may vary based on lifestyle factors such as diet and exercise, as well as adherence to therapy. Our dedicated team ensures that each patient receives tailored monitoring and support to maximize the benefits of TRT while ensuring safety and efficacy.
If you are considering TRT or have concerns about low testosterone levels, we invite you to schedule a consultation with our specialist Dr Manish, MD, at Centra Internal Medicine. Together, we can develop a treatment plan that aligns with your health goals and enhances your quality of life. For more information, please contact us or schedule an appointment online. We have convenient locations in Sun City AZ, Phoenix AZ, Prescott AZ, Buckeye AZ. We serve patients from Sun City AZ, Phoenix AZ, Prescott AZ, Buckeye AZ, Westpark AZ, Liberty AZ, Peoria AZ, Glendale AZ, Diamond Valley AZ, Iron Spring AZ, Bumstead AZ, EI Mirage AZ, and surrounding areas.

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