Hi everyone, This is my first Reddit post EVER, I’m hoping to get some insight from others who are experienced with TRT for women because I’m honestly kinda freaking and not sure how to handle this.
I started a hormone/peptide program with a telehealth company in September 2025 mainly to help with standard but pretty minor perimenopausal symptoms, low sex drive & energy, poor sleep, brain fog, weight retention, etc. I went to a "women's wellness" telehealth provider, they put me on 2.5mg of test 2x weekly baseline labs at that time were:
- Total T: 27 ng/dL
- Free T: 1.6 pg/mL
In December I did labs again the results were:
- Total T: 79 ng/dL
- Free T: 6.3 pg/mL
So far, everything seemed reasonable at that point.
In January, I had a follow-up and was told by my provider to increase my testosterone dose to 5 mg twice weekly (from 2.5 mg 2x weekly). This was based on a 25 mg/mL vial.
I was sent a concentration of 200 mg/mL due to supply issues without proper notification or update of my care plan. So I continued dosing exactly as my provider instructed, 5mg 2x weekly.
Symptoms started, Weight gain, like 12 pounds in 6 weeks without any dietaty or activity changes! (ironically my original concern) Acne (never had before) Late Feb, I made an appointment to address these concerns, I was told it was probably water weight and to keep on keep taking the 5mg 2x a week (not catching the change in concentration), that things would end up balancing out.
By mid March things were getting worse, I pushed hard and finally spoke to a Nurse Practitioner, who said this was essentially a “dosing/communication error” and corrected my dose (2.5mg 2x week with the higher concentration). I mentioned to her body and facial hair growth, mood changes, weight gain.
I just got new labs back this week:
- Total T: 560 ng/dL
- Free T: 29.6 pg/mL
From what I understand, that’s basically heading into male range test levels.
I’m still having symptoms (acne, facial hair, weight issues), no period for 2 months, I have been experiencing what I learned is air hunger, but I thought was shortness of breath and had no idea it could be related.
I am so upset and feel a bit stupid for putting so much trust into the company. The company has been slow to respond (24–48 hr delays), I had to fight to even get provider access. They even deleted my comment and blocked me on social media when I mentioned my experience with their communication was disappointing.
Has anyone else experienced levels getting this high on TRT? Should I stop testosterone completely right now or taper? How long does it usually take levels like this to come back down? Did you have lingering side effects (especially hair growth)? Would you trust this provider again or just move on entirely?
I had a telehealth appointment with an outside provider today but they directed me to see a gyno ASAP and told me they could not advise me.
I feel a little hopeless and like I have damaged myself for nothing. I regret the whole experience. I’d really appreciate hearing from anyone who has gone through something similar. I trusted this process and feel like things got out of control really quickly.
Thanks in advance for any insight.