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question from a user

I had low test levels around 280 and have been on 160mg trt for the last year which puts my levels around 800-900. Beside the expected acne i knew I would get, I am also having a lot of pain in my elbows. It feels like golfer/tennis elbow. What normally causes this issue and what can be done to mitigate it?

AlphaMD's Answer

Testosterone has been proven to increase tendon strength and repair, though at a rate much slower than gains muscular strength and size. This means that muscle strength on TRT will increase much faster than tendon strength. For this reason, men on TRT will train in the gym and lift heavier weight and more often. However, eventually that muscle strength will exceed that of the tendon, putting them at risk of tendon inflammation.

To combat this, men on TRT should incorporate more heavy-slow resistance training (HRST) which increases tendon strength more than other forms of lifting.

Additional pharmacologic options would be to add nandrolone to your TRT, which is known to improve tendon strength through increased collagen deposition.

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