Testosterone Therapy: What Actually Works, What Doesn't, and Why It Matters

Testosterone levels decline earlier and faster than most men realize, yet treatment decisions are often driven by insurance thresholds, not patient outcomes. In this episode of Hard Facts, we break down the real-world realities of testosterone replacement therapy. We cover topical vs injectable options, compounded vs commercial products, cost and compliance considerations, aromatization risks, fertility implications, and why symptom relief matters more than a single lab number. Practical, clinical, and unapologetically honest.