Your Testosterone may improve with weight loss & your Estrogen certainly will with loss of fat. However Testosterone baseline production over *ever* goes down with time/age. It is likely that even if obesity was a contributing factor to low Testosterone, you will still be low after dropping the weight or run into the same issue as aging occurs.

A better way to think of this would be: Yes, you can get on TRT to help you lose weight. Yes, you can drop that weight & come off of TRT if you don't want to be on it long term & can recover to previous or better Testosterone levels than before TRT. You will need to be strict with diet & workout or you will put that weight back on, as your Testosterone is going to be lower than when you were on TRT.

Some men do this & it works for them, it just makes keeping that weight off harder.

Yes, this is possible and we have had several patients where this is the case.

Obesity and low testosterone levels is like playing chicken or the egg. Which was first? Did obesity cause low testosterone, or did low testosterone contribute to the obesity?

If the obesity was the cause for low testosterone, then resolution of the obesity should return testosterone levels to normal. However, this can be difficult to achieve due to being in a hypogonadal state, which means you lose muscle mass and slow your metabolism. Weight loss is very hard if your testosterone levels are low.

But yes, using TRT to help put on muscle (1 lb of muscle burns on average 7-10 calories/day at rest) will increase your basal metabolism, and you will lose weight much faster and be more likely to keep the weight off.