Well, yeah. Adipocytes multiply when you get fat. But when you lose weight, they don't apoptose, they just shrink in volume by giving up their lipid stores.
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Once you’ve reached a level of physical strength it’s easier to return to that level in the future. This has been a topic of debate in the sports world because past anabolic steroid use could therefore carry benefits into the future long after the athlete has stopped using the steroid. Non-professional athletes shouldn’t get too excited about using steroids, though, because the damage steroids do to the body’s own hormone systems also has lasting effects unless you plan on doing TRT for the rest of your life, which has its own downsides.
For average people this does show the importance of getting at least some exercise when you’re young. It’s much easier to get a little bit fit when you’re young which then makes it easier to stay fit in the future. Never too late too start.
But the doctor was mentioning that none of the influencers influencing young people to try T and Steroids (which is rampant right now) are ever mentioning that you are on a ticking clock to infertility as soon as you start this stuff. Some people can regain their fertility but it might take years, and some people are going to be permanently infertile even staying on HRT.
Plenty of those "alpha male" guys on social media are shooting blanks.
I know that's different than permanent TRT but I feel like you couldn't get very far researching that stuff without understanding that you natural test production (and sperm production) would get "shut down" as soon as you started adding exogenous androgens.
There are two problems with framing it as an infertility problem:
1 - It reduces fertility but many users retain some fertility. The bigger problem for most is that natural testosterone production won't come back to the same level if they ever discontinue, so they're on it for life. Managing testosterone injections every week or multiple times per week for the rest of your life is doable but a pain, especially if you have to travel or you're not the best at keeping up with prescriptions. There are also ups and downs and side effects that come from artificial testosterone dosing. Many people are surprised to discover that after the first year or two they don't feel "great" any more and it's just back to where they started, but with a lifetime dependency now. Others get serious side effects like Gynecomastia (breast growth in men, possibly requiring surgery) or secondary hormonal alterations that negatively impact mood, cognition, or libido.
2 - Many young men in their 20s or even teens see infertility as a positive rather than a negative. It's very common for people of this age to think they've made up their mind for life, but they have yet to even have a serious relationship or even know any peers with kids. People who work in fertility fields are starting to see a lot of men who went into TRT or steroids when they were young because they thought the consequences would never be a problem for them.
> Plenty of those "alpha male" guys on social media are shooting blanks.
Honestly, they don't care. I skim the testosterone subreddits occasionally and many people brag and joke about how small their testicles are.
It's crazy to me to see this shift happening. TRT clinics that advertise on the radio, TikTok, and everywhere else will entice people to come in for "free tests" but the trick is that it doesn't matter what your numbers come back as, they'll always find a way to prescribe you TRT because it's easy recurring revenue for them with lifelong dependence attached.
An aggressive protocol of HCG and HMG (analogues for FSH and LH in the pituitary) reactivated the testes to get back to spermatogenesis and T production after about 5 years of complete dormancy. It took about 4 months of daily needles and well-timed marital conception-attempts. The son I fathered as a result is anecdotally very strong and a voracious eater. My urologist said it sounded like I knew everything I needed to do and was satisfied to let me self-treat.
Maybe beginner bodybuilders understand this. But I'd argue the average new steroid user is more likely the be un/mis-informed. The average person gets all their information from Instagram/Tiktok/Youtube/Reddit.
But my observation is a lot of people are jumping on gear for purely aesthetic reasons. They are ordering online from research chemical sites and they're almost always not working with a trainer/coach/doctor (vast majority of young people on gear are not doing it under any type of supervision, also means many skip basic necessities like regular bloodwork).
It's much more common for people to jump on gear, experience a negative effect, and then do research afterwards. Which is fine for substances that are relatively benign, but risky when you're messing with your hormones especially at a young age.
It's not because they couldn't recover, it's because they don't want to or see the point.
At least it is much less serious than people in the opposite situation, that think they want a child at 19 without understanding the implications.