Pillow Talks

E245: What It’s Really Like to Start TRT: Xander’s Testosterone Journey


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Testosterone is one of those topics that feels loaded.


It’s tangled up in masculinity, aging, sex drive, energy, mood… and a whole lot of misinformation. Because of that, many men quietly wonder if something is off — but feel embarrassed, unsure, or afraid to even ask the question.


So today, we’re having a very real conversation.


In this episode, Xander is sharing his personal testosterone journey — what made him start asking questions, the concerns he had before doing anything, what the actual process looked like, and how it’s impacted everything from his energy and mood to sex and our relationship.


💛 In this episode, you’ll hear:

  • The early symptoms that made Xander realize something wasn’t right.

  • Why sobriety played a surprising role in recognizing his baseline energy.

  • What functional medicine actually is (and how it differs from traditional care).

  • Why many men never get tested for testosterone through primary care.

  • The problem with “normal” testosterone ranges in the U.S.

  • What lifestyle changes he tried first — and why they weren’t enough.

  • The different treatment options (creams, Clomid, injections) and how each felt.

  • What it’s really like to inject testosterone.

  • How his testosterone levels changed over time.

  • What it actually costs — and whether insurance covers it.

  • Honest answers to the most common fears and side effects.

    We get into the stuff men are usually too embarrassed to ask out loud.


    This isn’t medical advice. It is one person’s honest experience navigating low testosterone, functional medicine, and treatment options — the good, the uncomfortable, and the unexpected.


    🔗 Links & Resources

    Your relationship called. It wants a little more… fun.

    The Spark is our monthly cheat code for connection + intimacy. Connection questions, date nights, and a new position to try — delivered fresh every month for just $9!

    👉🏻 Get your Spark back here: http://vmtherapy.com/spark



    Stay connected

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