Does TRT Make
You Gain Weight?

Does TRT Make You Gain Weight?

Get answers to questions like “what are the benefits of TRT?” and “does TRT make you gain weight?” here.

Table of Contents

Introduction to TRT and Its Benefits

Testosterone replacement therapy (TRT) offers multiple benefits for many people. But, does TRT make you gain weight?

It’s important to know all the possible consequences of TRT before starting. Read on to learn more about what TRT is, how it can help with hypogonadism symptoms, and if it contributes to weight gain in some patients.
Does TRT make you gain weight?

How Does Hypogonadism Occur?

Before delving into the potential drawbacks of TRT and if it makes people gain weight, it’s important to understand how it can help men with hypogonadism. Hypogonadism is when the body doesn’t create the amount of testosterone needed. 

This can occur due to:1
  • Trauma
  • Autoimmune disorders
  • Genetic disorders
  • Infection
  • Iron excess
  • Liver or kidney disease
  • Radiation or chemotherapy
  • Surgery

Benefits of TRT for Men

TRT provides exogenous testosterone to supplement the body’s inadequate production. This helps address any hormonal imbalance and its associated symptoms. Here’s how TRT helps men with hypogonadism:

Restoring Testosterone Levels

TRT helps raise testosterone levels in men with hypogonadism, bringing them within the normal range. This helps counteract the effects of low testosterone on the body and its various functions.

Improving Sexual Function

Hypogonadism can lead to:
  • Reduced libido
  • Erectile dysfunction
  • Other sexual problems
TRT can improve these symptoms for many men.

Enhancing Mood and Well-Being

Low testosterone levels can affect mood, leading to:

  • Irritability
  • Depression
  • Decreased sense of well-being
TRT can improve mood and promote a more positive outlook on life.

Improving Bone Density

Testosterone is crucial for maintaining bone health. TRT can help improve bone density, reducing the risk of osteoporosis and fractures.

Boosting Energy and Reducing Fatigue

Men with hypogonadism may experience fatigue and low energy levels. TRT can lead to increased energy and reduced fatigue. This allows men to feel more active and engaged in daily activities.

Supporting Cardiovascular Health

TRT may have positive effects on cardiovascular health, including improved lipid profiles and reduced risk factors for heart disease.

Enhancing Cognitive Function

TRT may also have positive effects on cognitive function, including improved memory, concentration, and cognitive performance.

TRT Administration

TRT is often administered through various forms, including:
The choice of administration method depends on individual preferences and the advice of a healthcare professional.

Importance of Regular Monitoring

Regular monitoring of hormone levels and general health is crucial to ensure the safe and effective use of TRT. TRT is often considered safe when prescribed and managed appropriately by qualified healthcare providers.

Does TRT Make You Gain Weight?

Despite all the positive benefits that TRT provides, does TRT make you gain weight as well? This can be an important factor for some people to keep in mind, especially if they already struggle with obesity and its symptoms.

But, TRT itself is not likely to cause significant weight gain in men with hypogonadism who get appropriate and monitored treatment. In fact, TRT can have several effects on body composition that may contribute to weight management and healthier body composition.2

Muscle Mass Increase

Testosterone is an anabolic hormone, and TRT can lead to an increase in muscle mass and strength. Since muscle is more metabolically active than fat, having more muscle can boost your metabolism. This can potentially aid in weight management.

Reduction in Body Fat

TRT has been associated with a reduction in body fat, particularly in the abdominal region. Lowering excess abdominal fat can have health benefits and may contribute to a healthier weight.

Improved Energy and Physical Activity

Men with hypogonadism may experience fatigue and reduced energy levels. TRT can lead to increased:
  • Energy
  • Motivation
  • Stamina
This may promote higher levels of physical activity, helping to manage weight.

Enhanced Metabolism

Testosterone can influence metabolism and energy expenditure. TRT may help optimize metabolic function, potentially supporting weight management efforts.
But, it’s essential to recognize that individual responses to TRT can vary. Some men may experience fluctuations in weight during TRT due to factors like changes in fluid retention, muscle gain, or other individual variations.3

Weight Management

Weight management involves a combination of factors, including:
  • Diet
  • Exercise
  • Lifestyle
  • Hormonal balance
If you are concerned about weight gain or other effects while on TRT, it’s important to discuss your specific situation with your healthcare provider. They can help monitor your progress.

Does TRT Make You Gain Weight: Factors Affecting Weight Gain

Weight changes in people undergoing TRT can be influenced by various factors, including:
  • Age
  • Lifestyle
  • Diet
  • Exercise habits
Here’s a closer look at how these factors may contribute to weight changes while using TRT:4


As men age, their metabolism may naturally slow down, leading to a gradual decrease in muscle mass and an increase in body fat.

TRT can help improve muscle mass and strength, potentially offsetting age-related changes in body composition.

Hormonal Balance

TRT aims to restore testosterone levels to within the normal range, which can impact the body’s hormonal balance.
Testosterone plays a role in regulating metabolism and fat distribution, so changes in hormone levels may influence weight changes.

Lifestyle Habits

Lifestyle choices, such as dietary habits and physical activity, play a significant role in weight management.
TRT may increase energy levels and motivation, potentially leading to improved exercise habits and better adherence to a healthy diet.

Dietary Changes

TRT may affect appetite and food preferences, which could influence a person’s dietary choices. Some people may experience increased hunger or changes in cravings, affecting their calorie intake.

Exercise Habits

TRT can enhance muscle recovery and reduce fatigue, which may positively impact exercise performance and motivation. Increased physical activity can contribute to weight loss or weight maintenance.

Body Composition

TRT can lead to an increase in muscle mass and a decrease in body fat. As muscle is denser than fat, people may notice changes in body composition even if their weight remains relatively stable.

Metabolic Rate

Testosterone can influence metabolic rate, affecting the number of calories burned at rest. TRT may lead to improved metabolic function, potentially influencing weight changes.

Individual Variations

Each person’s response to TRT is unique. Some people may experience weight changes while others may not, depending on their specific physiology and how they adapt to the treatment.
While TRT can have various effects on body composition and metabolism, weight changes should not be the sole focus of treatment. Instead, the primary goal is to optimize health and well-being while managing any symptoms associated with low testosterone levels.
Lifestyle factors, such as maintaining a balanced diet and engaging in regular physical activity, remain essential components of a healthy lifestyle, whether or not an individual is undergoing TRT.

Does TRT Make You Gain Weight: Recommendations to Help Mitigate Potential Weight Gain

While TRT is not likely to cause undue weight gain, it can still occur for some people. It’s important to monitor this as you continue to take the treatment. 

But, to minimize the risk of excessive weight gain during TRT, here are some guidelines and recommendations:

Healthy Diet

Maintain a balanced and nutritious diet that includes a variety of:
  • Whole foods
  • Lean proteins
  • Fruits
  • Vegetables
  • Whole grains
Avoid excessive consumption of sugary or processed foods. You can also work with a dietician to help prioritize portion control.

Regular Exercise

Engage in regular physical activity that includes a combination of cardiovascular exercises and strength training. Exercise can help:
  • Maintain muscle mass
  • Support metabolism
  • Promote overall well-being

Stay Active

Avoid a sedentary lifestyle and find ways to stay active throughout the day. You can do this by taking short walks, using the stairs, or participating in recreational activities.

Mindful Eating

Pay attention to hunger cues and practice mindful eating. Eat slowly, savor the taste of food, and stop when you feel comfortably full.


Stay hydrated by drinking plenty of water throughout the day. Sometimes, thirst can be mistaken for hunger.

Limit Alcohol and Caffeine

Moderate alcohol consumption and reduce intake of sugary or high-calorie beverages. Limit caffeine intake, as excessive caffeine can affect sleep and appetite.

Monitor Weight and Progress

Keep track of your weight and body measurements regularly. Discuss any significant changes with your healthcare provider.

Sleep Quality

Prioritize sufficient and quality sleep, as inadequate sleep can impact hunger hormones and energy levels.

Stress Management

Practice stress-reduction techniques such as meditation, yoga, or deep breathing exercises. Stress can influence eating habits and weight management.

Collaborate With Your Doctor

Communicate openly with your healthcare provider about any concerns regarding weight management. They can offer personalized guidance and address any specific issues related to TRT.
Our doctors at Immortal Male can help you address any questions or concerns you may have either before or during your TRT treatment. We are here to help make you confident in every aspect of treatment.

Does TRT Make You Gain Weight: Potential Long-Term Complications

Weight gain during TRT can also have various potential long-term implications. This can happen more often when the treatment is accompanied by other factors that contribute to metabolic changes and cardiovascular health.
Here are some of the possible health risks associated with weight gain during TRT:5

Cardiovascular Health

Excessive weight gain, especially in the form of abdominal fat, can increase the risk of cardiovascular diseases. This can include diseases like:
  • Hypertension
  • Atherosclerosis
  • Heart disease
Weight gain can also impact cholesterol levels, leading to unfavorable lipid profiles. This can also be very dangerous for your heart, especially over long periods of time.

Metabolic Syndrome

Weight gain, particularly when accompanied by insulin resistance, high blood pressure, and dyslipidemia, may contribute to metabolic syndrome. Metabolic syndrome is a cluster of risk factors that increase the likelihood of developing heart disease and stroke.

Type 2 Diabetes

Weight gain and insulin resistance may lead to the development of type 2 diabetes. This is a condition in which the body’s ability to regulate blood sugar levels is impaired.
Type 2 diabetes may develop for many adults later on in life, meaning it’s important to keep track of these symptoms.

Sleep Apnea

Excessive weight gain can increase the risk of sleep apnea as well. This is a sleep disorder characterized by interrupted breathing during sleep, which can have negative effects on overall health.

Joint Problems

Carrying excess weight can put additional strain on joints. This increases the risk of joint pain, arthritis, and reduced mobility.
Over time, some of these issues can become so severe that the problem may need surgery to help correct it.

Mood and Mental Health

Significant weight gain during TRT may impact a person’s body image, self-esteem, and mental well-being. This may potentially contribute to depression or anxiety.
TRT can also impact mental health symptoms on its own. If you start to experience mental health symptoms from both weight gain and TRT, reach out to your doctor as soon as possible for support.
It’s essential to remember that not everyone undergoing TRT may experience some sort of weight gain. Not all men undergoing TRT will be at risk for the health conditions mentioned above. Regular health check-ups and blood tests can help identify and address any potential health risks early on.
Does TRT make you gain weight?

How Can Immortal Male Help?

Are you wondering, “Does TRT make you gain weight?” Do you have any other questions about starting TRT? Immortal Male can help you answer any question you may have about the treatment process.

We are here to ensure that you feel happy, confident, and bold after starting treatment.

What Do We Offer?

Our concierge-level testosterone treatment provides many benefits to individuals. It is easy to get set up as well.
We also provide multiple other services, such as:
  • Lab testing kit processing and analysis
  • Unlimited as-needed provider visits
  • TRT medication with discreet shipping and delivery

Get in Touch With Our Team Today

If you are looking to get started with TRT, reach out to our team today. It’s only $199 a month to start receiving all the benefits that TRT and Immortal Male have to offer.

Contact us today with any questions to start feeling like your best self again.

Journal of Clinical Endocrinology and Metabolism

Stephanie T. Page, John K. Amory, F. DuBois Bowman, Bradley D. Anawalt, Alvin M. Matsumoto, William J. Bremner, J. Lisa Tenover, Exogenous Testosterone (T) Alone or with Finasteride Increases Physical Performance, Grip Strength, and Lean Body Mass in Older Men with Low Serum T, The Journal of Clinical Endocrinology & Metabolism, Volume 90, Issue 3, 1 March 2005, Pages 1502–1510,