Published on:
Updated on:

We very often here "I have been feeling like shit for 6 months for 2 years, I have symptoms of low T" for all patients seeking if TRT is right for them. It sounds like you're doing it right, and based... See Full Answer
The most common reason for this in men tends to be a need for a simple dose adjustment. There's a general 8 week uptake period where injected levels increase week over week & then natural production ... See Full Answer
A lot of guys in your situation feel stuck — the labs say you're "normal," but you don't feel like yourself. That "low-normal" range can be misleading because what’s technically normal doesn’t always ... 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.
You've been dialed in for months. Same dose, same injection schedule, same routine. Then November rolls around and suddenly everything feels... off. Your energy's dragging, your gym performance is down, and you're wondering if your prescription needs adjusting or if your body is developing some kind of resistance.
Here's the thing: your TRT protocol probably isn't the problem. Winter is.
Let's start with the obvious one that everyone overlooks. You're getting maybe 30% of the sunlight exposure you were getting in July, and your body is feeling it in ways that go way beyond your vitamin D levels.
Sunlight directly influences your body's hormone production and utilization. When UV-B rays hit your skin, they trigger a cascade of processes that affect everything from your circadian rhythm to your testosterone receptors. Less sunlight means your body's entire hormonal ecosystem shifts, even if your exogenous testosterone dose stays exactly the same.
Think about it this way: you're putting the same amount of gas in the tank, but the engine is running in different conditions. Your cells' ability to actually use testosterone is partially regulated by factors that fluctuate seasonally. This is why some guys report needing slightly different doses or injection frequencies in winter versus summer, even though "on paper" nothing should change.
And yes, vitamin D matters here too. Your vitamin D levels can drop by 30-50% between summer and winter, and vitamin D is directly involved in testosterone production and receptor sensitivity. But it's not just about popping a supplement. The mechanism of synthesizing vitamin D from sunlight involves your skin, your liver, your kidneys, and creates metabolites that don't happen the same way when you're just taking D3 capsules.
You're still hitting the gym five days a week. Same split, same exercises. So why does everything feel harder?
Because your total activity outside the gym crashed. In summer, you were walking more, moving more throughout the day, staying active on weekends. Your body was in a higher baseline state of metabolic activity. Now you're going from your heated car to your heated office to your heated house, minimizing time outside, and your total daily energy expenditure has dropped significantly.
This affects your TRT in two ways. First, your insulin sensitivity changes. Less movement means less glucose utilization, which affects how efficiently your cells can use hormones. Second, your recovery patterns shift. Your body allocates resources differently when you're less active overall, even if your structured training stays consistent.
Plus, let's be honest, most guys start training a little differently in winter without consciously realizing it. You're bulking, or you're doing more indoor cardio instead of outdoor conditioning, or you've backed off the intensity just slightly because it's dark at 5 PM and you're not feeling as fired up. These small shifts compound.
Your body works harder to maintain core temperature in winter. This isn't some trivial background process. Thermogenesis requires resources, affects circulation, and influences how efficiently your body transports and utilizes hormones.
Cold exposure causes vasoconstriction. Your blood vessels tighten up to preserve core heat. This affects nutrient and hormone delivery to muscle tissue. It's subtle, but over weeks and months, it adds up to noticeable differences in how you feel and perform.
Some guys actually hack this by incorporating deliberate cold exposure through cold showers or ice baths. The hormetic stress can be beneficial. But chronic, low-level cold stress from just being cold more often? That's a different animal. It's a steady drain on your system that wasn't there in summer.
Nobody wants to admit this, but most guys eat differently in winter. You're not grilling chicken and eating fresh salads as often. You're doing more comfort foods, more starches, more warm, dense meals. Your fruit intake probably dropped. Your vegetable variety definitely decreased.
This isn't just about calories or macros. The micronutrient profile of your diet changes seasonally. You're getting less of the fresh, nutrient-dense foods that support optimal hormone utilization. You might be getting the same amount of protein, but the overall quality and diversity of your nutrition has shifted.
And here's something most guys don't consider: your gut microbiome changes seasonally based on your diet. Your gut bacteria influence hormone metabolism and inflammation levels. When your food shifts, your microbiome shifts, and that affects how your body processes everything, including exogenous testosterone.
Your body wants to sleep more in winter. This is normal mammalian biology. But modern life doesn't really allow for that, so you end up fighting your natural circadian rhythm more in winter than summer.
You're waking up in the dark. You're coming home in the dark. Your brain's melatonin production is off-schedule. Your cortisol rhythm gets wonky. Even if you're sleeping the same number of hours, the quality and hormonal impact of that sleep changes when your light exposure is all artificial.
This directly impacts how your body utilizes testosterone. Cortisol and testosterone have an inverse relationship. When your stress hormone patterns are disrupted by seasonal light changes, it affects your androgenic signaling even if your blood levels look perfect on paper.
So what do you do about all this? You can't move to California for the winter (though if you can, maybe consider it).
First, get serious about vitamin D supplementation. Not the 1000 IU token dose. Most guys on TRT do better with 4000-5000 IU daily in winter, sometimes more depending on baseline levels. Get tested and dose accordingly.
Second, get outside in natural light as much as possible, especially in the morning. Even cloudy winter light is more beneficial than indoor lighting. A 15-minute walk in the morning does more for your circadian rhythm than you'd think.
Third, track your total activity, not just your gym time. If your daily steps dropped from 10,000 to 6,000, that matters. Find ways to keep moving throughout the day, even indoors.
Fourth, pay attention to your diet quality. Make an effort to keep your vegetable intake high and varied. Add in quality fish oil. Maybe throw in some extra magnesium and zinc. Your micronutrient needs are higher when your body is dealing with seasonal stress.
Finally, consider whether a small protocol adjustment makes sense. Some guys do better with slightly more frequent injections in winter to maintain more stable levels. Others find that adding or adjusting their AI (if they use one) helps because their aromatization patterns change with activity and temperature shifts. Work with your provider to find what keeps you optimized year-round.
The point isn't that you need to overhaul everything. The point is recognizing that seasonal variation is normal and expected. Your TRT isn't broken. Your body is just responding to environmental changes that affect every mammal on the planet. Once you understand what's happening, you can make small adjustments that keep you feeling dialed in regardless of what month it is.
At AlphaMD, we see this pattern every year. Guys feel great spring through fall, then winter hits and the questions start rolling in. It's not your protocol failing. It's not your body suddenly becoming resistant. It's just biology doing what biology does when the seasons change. The guys who stay optimized year-round are the ones who anticipate these shifts and make small, strategic adjustments rather than assuming something is fundamentally wrong.
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.
We very often here "I have been feeling like shit for 6 months for 2 years, I have symptoms of low T" for all patients seeking if TRT is right for them. It sounds like you're doing it right, and based... See Full Answer
The most common reason for this in men tends to be a need for a simple dose adjustment. There's a general 8 week uptake period where injected levels increase week over week & then natural production ... See Full Answer
A lot of guys in your situation feel stuck — the labs say you're "normal," but you don't feel like yourself. That "low-normal" range can be misleading because what’s technically normal doesn’t always ... See Full Answer
Enter your email address now to receive $30 off your first month’s cost, other discounts, and additional information about TRT.
This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.