Before & After: A TRT Transformation You Can See in the Bloodwork

There are before-and-after photos… and then there are before-and-after labs.

Many men come to AlphaMD with the same story:

“I don’t feel like myself anymore—but my doctor says my labs are normal.”

Meet Mark—a representative patient profile modeled after real results we’ve seen at AlphaMD. His 12-week journey shows what happens when medically-guided testosterone therapy is paired with smart, sustainable lifestyle changes.

This transformation didn’t just show up in the mirror—it showed up in his labs.

Week 0: The Slump

Mark is 42, married, working full-time, and raising two kids. He used to be active and sharp, but lately:

• He woke up tired despite sleeping 8 hours
• Lost all motivation to exercise
• Libido was almost nonexistent
• Gained stubborn belly fat
• Felt foggy and short-tempered more days than not

Composite Baseline Labs:

MarkerValueTotal Testosterone315 ng/dLFree Testosterone6.3 pg/mLEstradiol19 pg/mLHematocrit42.2%

While technically “normal,” these levels are far from optimal for physical, mental, or sexual health.

The TRT Plan

After a full evaluation, Mark began a clinically sound, well-structured TRT protocol—modeled after the plans we prescribe to real AlphaMD patients every day.

His Starting Stack:

• Testosterone Cypionate – 100mg twice weekly (subQ)
• HCG – 500 IU twice weekly (to preserve fertility and natural function)
• Anastrozole – 0.125mg twice weekly (only as needed based on lab monitoring)
• Vitamin D3 – 5000 IU/day
• Creatine Monohydrate – 5g/day
• Omega-3 Fish Oil – 2g/day
• Zinc + Magnesium – nightly

Lifestyle Focus:

• Strength training 3x/week
• Cardio 2x/week
• High-protein, whole food-based nutrition
• Eliminated alcohol and late-night eating
• Improved sleep hygiene and consistency

Week 4: The Lights Come Back On

Within a month, Mark began noticing meaningful shifts—both in how he felt and how he performed:

• Energy and focus returned in the morning
• More stable mood throughout the day
• Libido returned
• Workouts felt productive again
• Less reactive at home, more present at work

Labs at Week 4 (Modeled on Typical Results):

MarkerValueTotal Testosterone782 ng/dLFree Testosterone22.9 pg/mLEstradiol28 pg/mLHematocrit45.0%

Well within the optimal range—and more importantly, he felt it.

Week 8: Visible Progress

Mark’s physical and mental transformation became more noticeable by the week:

• Lost 7 pounds of fat
• Gained 3 pounds of lean muscle
• Strength and endurance improving
• Waist down 2 inches
• Clearer skin, better posture, increased confidence

Week 12: Full Reset

By week 12, Mark felt like himself again—maybe even better.

Results (Based on Composite Patient Outcomes):

• Fat loss: 11 pounds
• Muscle gain: 5 pounds
• Waist: 3 inches smaller
• Libido: fully restored
• Energy: sustained throughout the day
• Mood: confident, calm, and focused
• Improved sleep and recovery

Final Labs:

MarkerBeforeAfterTotal Testosterone315875Free Testosterone6.326.9Estradiol1930Hematocrit42.247.0

The Takeaway

Mark’s story is representative—but far from rare. This kind of result is achievable when TRT is properly prescribed, carefully monitored, and combined with supportive lifestyle habits.

It’s not just about increasing testosterone. It’s about rebuilding a man’s ability to show up—with clarity, strength, and drive.

Want to know what your numbers say about your health and performance?
Book a physician-guided consultation with AlphaMD and get real answers, expert insights, and a clear path forward. Book your consultation today.