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This podcast episode offers a comprehensive guide to managing potential side effects of testosterone replacement therapy (TRT). It clarifies that while many men experience no issues, common side effects can include high hematocrit, which is an increase in red blood cell volume, and testicular atrophy along with decreased fertility. The speaker, Nelson Virtual, emphasizes that issues like liver problems, prostate cancer, or heart attacks are generally not direct side effects of TRT, despite common misconceptions. Solutions are provided, such as blood donation or therapeutic phlebotomy for high hematocrit and HCG for testicular atrophy and fertility concerns, while also dismissing many media-driven fears about TRT as unfounded by current data.