In this video, I talk about why someone might choose to stop TRT after being on it for several years, things like cost, side effects, feeling dependent on it, wanting to restart natural testosterone production, or dealing with health concerns. I also cover what can happen when you decide to come off TRT after long-term use.

In my case, I was off TRT for about six months due to my open-heart surgery. My experience was likely very different from most people’s, since at first I was literally fighting for my life and then going through a major recovery, which definitely compounded the effects of not taking testosterone. That said, I have a lot to share from months three to six, when my recovery had progressed and I was back to weight training again.

What Happens Immediately After You Stop (first few weeks):

• Sharp drop in testosterone.
• Low T symptoms: mood, libido, energy.
• Possible “crash.”

Mid-term Changes (1-3 months):

• Muscle / strength decline.
• Body fat gain.
• Sexual function changes.
• Starting of natural HPT axis recovery (if possible).

Long-Term Effects (6 months to a Year):

• Possibility of full recovery vs partial vs none.
• Bone density, cardiovascular markers.
• Fertility: when/if sperm count returns.
• Permanent changes (if any).

What Determines How Well You Recover:

• Age, duration, dosage.
• Health and lifestyle.
• Underlying causes.

How to Stop TRT If You Decide To:

• Tapering protocols.
• Using supporting medications (hCG, clomiphene).
• Lifestyle: strength training, diet, sleep, stress.
• Frequent testing. 

Final Thoughts:

Coming off TRT after several years isn’t a simple decision, and it affects everyone differently. Some men may recover their natural testosterone production fairly well, while others might struggle with low-T symptoms returning or even find that their levels never fully rebound. Factors like your original baseline Testosterone ,age, overall health, and how long you’ve been on therapy all play a major role.

In my own case, being forced off TRT during recovery from open-heart surgery made the process much more challenging. The combination of healing, inactivity, and hormonal changes hit hard at first—but as I regained strength and got back to training, I started to feel more balanced and better able to manage things naturally but in the end went back on TRT as my natural levels never came back up and would have eventually even negatively affected my heart.

If you’re thinking about stopping TRT, make sure you do it under medical supervision and have a plan in place for both physical and mental recovery. A healthy lifestyle, consistent exercise, good nutrition, quality sleep, and stress management, can all make a huge difference in how your body adapts.

Ultimately, the key is to make informed choices, listen to your body, and work closely with your doctor to find what’s best for you.

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