Day-One Handout

TRT — Day One

Your first injection week. Setup, technique, what is normal, and the short list of things to call us about.

Impact Health | Patient Guide
Performance medicine built for results
Starting Testosterone Therapy (TRT)
What to expect, how to take it, and when to contact us.
Quick start
  • Stay on the prescribed schedule—no self-adjusting doses.
  • Rotate injection sites; if gel, let it dry fully and cover clothing.
  • Hydrate and keep protein-forward meals to support lean mass.
Why TRT

Restores physiologic testosterone to improve energy, libido, focus, mood, and lean mass. We titrate to symptom relief and safe labs.

How to take TRT

Injections

  • Use provided dose and needle; subQ or IM per prescription.
  • Rotate sites (abdomen, thigh, glute) to reduce irritation.
  • Inject slowly; apply light pressure after—avoid rubbing.
  • Store vials at room temp; keep clean, dry supplies.

Gels/Patches (if prescribed)

  • Apply to clean, dry skin; allow to dry completely.
  • Wash hands after; cover area with clothing to prevent transfer.
  • Avoid swimming/bathing for the first 2–6 hours (per product).

What to expect by week

Weeks 0–4 Energy and drive may start to lift; mild acne or fluid retention can appear. Mood can feel steadier.
Weeks 4–12 Libido and erectile quality often improve; strength/endurance gains; sleep may improve with steady routines.
12+ weeks Body composition changes (more lean mass, less fat) continue; dose is fine-tuned to symptoms and labs.
Monitoring & follow-ups
  • Labs: total/free testosterone timing per route; CBC/hematocrit, lipids, LFTs; PSA per age/risk; BP/weight.
  • Visits: typically 6–8 weeks after start or dose change, then every 3–6 months.
  • Tell us about any new meds, sleep apnea, or heart symptoms.
Common, usually mild
  • Acne/oily skin, mild fluid retention, transient mood swings.
  • Higher hematocrit, mild BP rise, breast tenderness.
  • Injection site soreness (if injections).

Call us immediately

  • Chest pain, shortness of breath, calf swelling/pain, vision changes.
  • Severe headaches or blood pressure spikes.
  • Marked mood changes, anger, or depression.
  • Any injection-site redness, heat, or drainage.

Phone (662) 404-7177  |  impacthealthclinics.com  |  info@impacthealthclinics.com

Make it work harder for you
  • Sleep 7–9 hours; manage stress/caffeine late in day.
  • Protein-forward meals; hydrate 80–120 oz/day unless restricted.
  • Resistance training 3–4x/week; daily walking for recovery.
  • Limit alcohol and nicotine; prioritize morning light exposure.

FAQs

  • Missed dose? Take it when remembered if close to schedule; otherwise skip and resume regular day. Do not double dose.
  • Travel? Pack supplies in carry-on; keep vials at room temp; protect gels from heat; bring sharps container or travel bin.
  • Can I donate blood? Ask us first; elevated hematocrit may require therapeutic phlebotomy.

This guide is educational and not a substitute for medical advice. Follow your clinician’s instructions.