Women Want Strong Men

Top 10 TRT Mistakes Clinics Must Leave Behind with Dave Lee

Jan 31, 2026
Dave Lee, a men's health clinician focused on testosterone replacement and longevity, presents a top-10 list of common TRT clinic mistakes. He breaks down injection frequency and dosing strategies. He urges broader testing, cautions against over-optimizing hormones in younger men, and highlights lifestyle, insulin resistance, and nutrition as key factors for better outcomes.
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ADVICE

Ditch Once-Weekly Injections

  • Avoid once-a-week testosterone cypionate injections because they create large hormonal swings and side effects.
  • Use divided dosing (daily, every-other-day, or at least twice weekly) to keep testosterone levels stable.
INSIGHT

Top-Range Often Isn’t Optimal

  • Optimal testosterone often lies well above the top quartile of reference ranges for many men, sometimes up to double the top range.
  • Providers frequently under-dose, leaving men suboptimally treated even if labs look 'in range'.
ADVICE

Run Broader Baseline Labs

  • Order broad, comprehensive testing beyond just total testosterone and CBC to find root causes of symptoms.
  • Check thyroid, DHEA, liver markers and other hormones to expand the levers you can adjust.
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