Muscle Gain January 16, 2026

Building a Stronger You: How Testosterone Therapy Can Transform Your Body Composition

By Dr. Raphael Olaiya, GP and TRT Doctor (GMC No. 7492303)

Are you working hard in the gym and sticking to a healthy diet, but still not seeing the muscle gain and fat loss you expect? You’re not alone. For many men in the UK, the missing piece of the puzzle isn’t a lack of effort, but a hormonal imbalance that’s quietly sabotaging their progress. That hormone is testosterone.

Testosterone is the primary male sex hormone, but its role extends far beyond the bedroom. It is a critical regulator of muscle mass, fat distribution, bone density, and energy levels. As men age, testosterone levels naturally decline by about 1% per year [1]. While this is a normal part of ageing, for a significant number of men, this decline is more pronounced, leading to a condition known as Testosterone Deficiency (TD).

In the UK, it is estimated that 8-12% of men aged 40-69 have testosterone deficiency, with some studies suggesting the figure could be as high as 30% for all British men [2] [3]. A staggering 20% of men over 50 are affected, yet a mere 1% receive a proper diagnosis [4]. Many men attribute their symptoms to simply ‘getting older’, unaware that a treatable medical condition is the root cause.

The Unseen Barrier to Your Fitness Goals

Low testosterone presents a significant barrier to achieving a lean, muscular physique. It is scientifically linked to increased body fat, reduced muscle mass and strength, and a host of other symptoms that can impact your quality of life, including:

  • Low Libido and Erectile Dysfunction: Over a quarter of men with TD symptoms report reduced erectile function and low libido [2].
  • Fatigue and Low Energy: A persistent feeling of tiredness and lack of motivation that isn’t solved by a good night’s sleep.
  • Mood Swings and Irritability: Difficulty concentrating, low mood, and increased irritability are common complaints.

Furthermore, low testosterone is an independent risk factor for developing metabolic syndrome and type 2 diabetes, conditions characterised by increased body fat, insulin resistance, and high cholesterol [5].

The Solution: Evidence-Based Testosterone Replacement Therapy (TRT)

If you’re experiencing these symptoms, the first step is to get your testosterone levels checked. It’s a simple, straightforward process that can provide the answers you’ve been looking for.

For men diagnosed with Testosterone Deficiency, Testosterone Replacement Therapy (TRT) is a safe and highly effective treatment that can restore your hormone levels to a healthy, optimal range. The benefits of TRT are well-documented in extensive clinical research:

  • Increased Muscle Mass and Strength: TRT has been shown to significantly improve muscle mass and strength in men with low testosterone [6].
  • Reduced Body Fat: TRT helps to reduce fat mass, particularly abdominal fat, leading to a leaner body composition [6].
  • Improved Sexual Function: Testosterone therapy is proven to enhance libido, erectile function, and overall sexual activity [7].
  • Enhanced Mood and Energy: Patients on TRT often report significant improvements in their energy levels, mood, and overall sense of well-being [6].
  • Stronger Bones: TRT increases bone mineral density, reducing the risk of fractures in later life [8] [9].

Concerns about the cardiovascular risks of TRT have been addressed by major clinical trials. The 2023 TRAVERSE trial, the largest randomised controlled trial of its kind, found that TRT was noninferior to placebo for major adverse cardiovascular events, even in men with pre-existing heart conditions [10].

Take the First Step Towards a New You

Don’t let low testosterone hold you back from achieving your health and fitness goals. Understanding your hormonal health is the first, most crucial step towards building the body you want and reclaiming your vitality.

Ready to take control of your health? Find out your testosterone levels with our simple and discreet at-home blood test kit. Order yours today and start your journey to a new you.

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About the Author

Dr. Raphael Olaiya is a UK-based General Practitioner and a specialist in Testosterone Replacement Therapy. With years of experience helping men optimise their health, Dr. Olaiya is dedicated to providing safe, effective, and evidence-based care. (GMC No. 7492303)

References

[1] Why Are Men’s Testosterone Levels Decreasing? – Medichecks

[2] Awareness and prevalence of the symptoms of testosterone deficiency: a cross-sectional survey of community-dwelling men in the UK – BMJ Open 2025

[3] Over a million British men suffer from low testosterone – Telegraph 2025

[4] Low Testosterone in Men Over 70: Complete UK Guide – Goldman Laboratories

[5] Testosterone and the metabolic syndrome – PMC 2010

[6] The benefits and risks of testosterone replacement therapy: a review – PMC 2009

[7] Testosterone replacement in aging men: an evidence-based review – Journal of Clinical Investigation 2021

[8] Long-Term Effect of Testosterone Therapy on Bone Mineral Density – JCEM 1997

[9] Testosterone Treatment and Fractures in Men with Hypogonadism – NEJM 2024

[10] Cardiovascular Safety of Testosterone-Replacement Therapy – NEJM 2023

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