Before & After: A TRT Transformation You Can See in the Bloodwork
People are asking...
Do you think patients can return back to their pre TRT levels in the case they have to come off due to unforeseen side effects or complications?...
Yes. We have seen this numerous times. Many of our patients come to us after having being off TRT for awhile for one reason or another. When we compare labs, their testosterone levels are back to thei... See Full Answer
did bloods 4 weeks into treatment of 50mg Test E x2 week+ 500iu x3 week SHBG 14/nmol FSH <0.3 iu/l LH < 0.3 iu/l Oestradiol 168 pmol/l Test 41 Nmol/l...
Your lab results look good considering your dose. However, considering the half-life, you usually are better off waiting 7-8 weeks after starting to get labs. At 4 weeks your levels haven’t stabilized... See Full Answer
Take someone like me, for example...I am using my PCP for TRT. He is clueless. He wrote 200mg once every two weeks. He would only test for total t pr...
This ends up happening to a lot of men who transition to TRT specialists. I don't know about all clinics, but for us we take on patients who are already on TRT. Typically we look at a previous Testost... See Full Answer
Have a question? Ask us.
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There are before-and-after photos… and then there are before-and-after labs.
Many men come to AlphaMD with the same story:
“I don’t feel like myself anymore—but my doctor says my labs are normal.”
Meet Mark—a representative patient profile modeled after real results we’ve seen at AlphaMD. His 12-week journey shows what happens when medically-guided testosterone therapy is paired with smart, sustainable lifestyle changes.
This transformation didn’t just show up in the mirror—it showed up in his labs.
Week 0: The Slump
Mark is 42, married, working full-time, and raising two kids. He used to be active and sharp, but lately:
- He woke up tired despite sleeping 8 hours
- Lost all motivation to exercise
- Libido was almost nonexistent
- Gained stubborn belly fat
- Felt foggy and short-tempered more days than not
Composite Baseline Labs:
MarkerValueTotal Testosterone315 ng/dLFree Testosterone6.3 pg/mLEstradiol19 pg/mLHematocrit42.2%
While technically “normal,” these levels are far from optimal for physical, mental, or sexual health.
The TRT Plan
After a full evaluation, Mark began a clinically sound, well-structured TRT protocol—modeled after the plans we prescribe to real AlphaMD patients every day.
His Starting Stack:
- Testosterone Cypionate – 100mg twice weekly (subQ)
- HCG – 500 IU twice weekly (to preserve fertility and natural function)
- Anastrozole – 0.125mg twice weekly (only as needed based on lab monitoring)
- Vitamin D3 – 5000 IU/day
- Creatine Monohydrate – 5g/day
- Omega-3 Fish Oil – 2g/day
- Zinc + Magnesium – nightly
Lifestyle Focus:
- Strength training 3x/week
- Cardio 2x/week
- High-protein, whole food-based nutrition
- Eliminated alcohol and late-night eating
- Improved sleep hygiene and consistency
Week 4: The Lights Come Back On
Within a month, Mark began noticing meaningful shifts—both in how he felt and how he performed:
- Energy and focus returned in the morning
- More stable mood throughout the day
- Libido returned
- Workouts felt productive again
- Less reactive at home, more present at work
Labs at Week 4 (Modeled on Typical Results):
MarkerValueTotal Testosterone782 ng/dLFree Testosterone22.9 pg/mLEstradiol28 pg/mLHematocrit45.0%
Well within the optimal range—and more importantly, he felt it.
Week 8: Visible Progress
Mark’s physical and mental transformation became more noticeable by the week:
- Lost 7 pounds of fat
- Gained 3 pounds of lean muscle
- Strength and endurance improving
- Waist down 2 inches
- Clearer skin, better posture, increased confidence
Week 12: Full Reset
By week 12, Mark felt like himself again—maybe even better.
Results (Based on Composite Patient Outcomes):
- Fat loss: 11 pounds
- Muscle gain: 5 pounds
- Waist: 3 inches smaller
- Libido: fully restored
- Energy: sustained throughout the day
- Mood: confident, calm, and focused
- Improved sleep and recovery
Final Labs:
MarkerBeforeAfterTotal Testosterone315875Free Testosterone6.326.9Estradiol1930Hematocrit42.247.0
The Takeaway
Mark’s story is representative—but far from rare. This kind of result is achievable when TRT is properly prescribed, carefully monitored, and combined with supportive lifestyle habits.
It’s not just about increasing testosterone. It’s about rebuilding a man’s ability to show up—with clarity, strength, and drive.
Want to know what your numbers say about your health and performance?
Book a physician-guided consultation with AlphaMD and get real answers, expert insights, and a clear path forward. Book your consultation today.
Have a question? Ask us.
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
People are asking...
Do you think patients can return back to their pre TRT levels in the case they have to come off due to unforeseen side effects or complications?...
Yes. We have seen this numerous times. Many of our patients come to us after having being off TRT for awhile for one reason or another. When we compare labs, their testosterone levels are back to thei... See Full Answer
did bloods 4 weeks into treatment of 50mg Test E x2 week+ 500iu x3 week SHBG 14/nmol FSH <0.3 iu/l LH < 0.3 iu/l Oestradiol 168 pmol/l Test 41 Nmol/l...
Your lab results look good considering your dose. However, considering the half-life, you usually are better off waiting 7-8 weeks after starting to get labs. At 4 weeks your levels haven’t stabilized... See Full Answer
Take someone like me, for example...I am using my PCP for TRT. He is clueless. He wrote 200mg once every two weeks. He would only test for total t pr...
This ends up happening to a lot of men who transition to TRT specialists. I don't know about all clinics, but for us we take on patients who are already on TRT. Typically we look at a previous Testost... See Full Answer
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