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Podcast Episode

Everything You Need to Know About Testosterone Replacement Therapy

The Retreat Radio··3 August 2026·23 min

About this episode

Summary:In this episode of The Retreat Radio, PA Heather kicks off a hormone therapy series by breaking down testosterone.While many people associate testosterone with men, Heather explains why it is also essential for women and how low levels can affect energy, mood, libido, muscle mass, bone health, cardiovascular health, and quality of life.Heather walks through testosterone therapy options, including creams, gels, oral testosterone, liposomal oral formulations, injectable testosterone cypionate, and pellets. She discusses pros and cons, absorption issues, dosing challenges, insurance limitations, and why some methods may work better than others.The episode also covers key lab markers, including free testosterone, total testosterone, SHBG, DHEA, estrogen, and hematocrit, and why optimizing hormones requires more than one lab value.Finally, Heather discusses why there is still no FDA-approved testosterone product for women in the United States and highlights efforts to improve access to evidence-based hormone care. Keywords: testosterone therapy, testosterone replacement therapy, TRT, testosterone for women, low testosterone symptoms, testosterone pellets, testosterone injections, oral testosterone, liposomal testosterone, testosterone cream, testosterone gel, hormone replacement therapy, HRT, bioidentical hormones, free testosterone, SHBG, DHEA, hormone optimization, menopause hormones, perimenopause hormones, female testosterone therapy, testosterone side effects, testosterone monitoring Key Topics:Why testosterone matters in women and menSymptoms of low testosteroneTestosterone and libido, energy, mood, muscle mass, and bone healthTotal testosterone vs free testosteroneUnderstanding SHBG and DHEACritical lab markers for testosterone therapyMonitoring hematocrit and estrogen levelsTestosterone creams and gelsOral testosterone and first-pass metabolismLiposomal oral testosteroneInjectable testosterone cypionateTestosterone pellet therapyPellets vs injections vs oral testosteroneInsurance coverage for testosterone therapyWhy women lack FDA-approved testosterone optionsOptimizing hormones vs treating to "normal" lab rangesThe future of women's hormone therapyThe work of Kelly Casperson to improve access to testosterone therapy for women Chapters:00:00 Introduction to Hormone Therapy01:42 Understanding Testosterone in Women07:37 Monitoring Testosterone Therapy12:24 Forms of Testosterone Therapy17:57 Insurance and Accessibility Issues20:55 Advocacy for Women's Hormone HealthResources:InstagramTikTokWebsiteDFH SupplementsKelly Casperson's InstagramKelly Casperson's Podcast: You Are Not Broken