Understanding these effects and how to manage them is important for anyone considering or currently using TRT. A combination of strength training exercises, such as squats, deadlifts, bench presses, and rows, can target major muscle groups and maximize growth. Resistance training, in particular, is highly effective because it directly challenges your muscles, forcing them to adapt and grow. Testosterone plays a vital role in building and maintaining muscle.
If initial testosterone results are high or low, a health professional will usually recommend a repeat test in the following weeks. A healthcare professional should discuss your testosterone test results with you. Some tests are relatively simple, measuring only your total testosterone level. A healthcare professional will take a blood sample from a vein in your arm using a small needle.
When testosterone levels drop, it can lead to a range of health problems, including fatigue, loss of muscle mass, weight gain, and reduced quality of life. TRT influences body weight and composition by restoring testosterone levels, which can improve muscle mass, reduce fat storage, and increase energy levels. For people with low testosterone levels, muscle mass tends to decrease, and body fat may increase.
This is not actual fat gain, but it can make you feel heavier and less lean. Testosterone can increase water retention in the body, leading to a slight swelling or puffiness, especially in the face, hands, and feet. One of the most common reasons people notice weight gain during TRT is fluid retention. Below, we break down the key reasons why fat gain may happen while undergoing TRT and provide strategies to help minimize this issue. Understanding the reasons behind this fat gain is essential to managing it effectively.

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