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Libido issues can unfortunately be difficult to pin down sometimes because there are many factors, both intrinsic and extrinsic, that affect it. It seems like your testosterone and estradiol are ide... See Full Answer
This is a common enough concern, and the most honest answer to your question is...it depends.So, first: low T is the most common reversible medical cause for low libido. However, that does not mean ... See Full Answer
Libido is one of the harder aspects of TRT & we're lucky that often times low Testosterone is the cause of it (and the associated other hormones) so that raising it naturally improves the issue. Howev... See Full Answer
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.
Testosterone is often called the “alpha hormone” for a reason—it plays a big role in drive, mood, and motivation. But when TRT kicks in and guys start feeling energized, confident, and mentally sharp again… a question comes up:
Is it just dopamine talking?
Let’s break it down:
TRT can increase dopamine sensitivity, especially in men who were previously low T. That means your brain responds more strongly to things that make you feel good—like hitting the gym, solving problems, or just showing up with confidence.
But here’s the truth:
TRT doesn’t hijack your reward system. It restores it.
Low T can flatten dopamine activity, leaving you unmotivated and emotionally numb. TRT doesn’t flood your brain with feel-good chemicals—it resets your natural balance. You feel better because your hormones are finally working with your brain, not against it.
Is there a risk of psychological dependency?
Only if you confuse normal function with superhuman expectation. TRT is about restoring what was lost, not chasing a high.
So no, you’re not “addicted” to feeling good—
You’re just feeling normal again. Maybe for the first time in a long time.
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.
Libido issues can unfortunately be difficult to pin down sometimes because there are many factors, both intrinsic and extrinsic, that affect it. It seems like your testosterone and estradiol are ide... See Full Answer
This is a common enough concern, and the most honest answer to your question is...it depends.So, first: low T is the most common reversible medical cause for low libido. However, that does not mean ... See Full Answer
Libido is one of the harder aspects of TRT & we're lucky that often times low Testosterone is the cause of it (and the associated other hormones) so that raising it naturally improves the issue. Howev... See Full Answer
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