Testosterone Replacement Therapy (TRT) can sometimes cause acne. Here's how and why it happens:

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1. Increased Sebum Production:
 Testosterone can increase the production of sebum, an oily substance produced by sebaceous glands in the skin. Excess sebum can clog pores, leading to acne.

2. Hormonal Changes:
 Fluctuations in hormone levels, particularly an increase in testosterone, can stimulate the sebaceous glands and exacerbate acne.

3. Skin Sensitivity:
 Some individuals may be more sensitive to changes in hormone levels, making them more prone to developing acne when undergoing TRT.

 Managing Acne While on TRT

1. Skincare Routine: 
Maintain a consistent and gentle skincare routine. Use non-comedogenic (non-pore-clogging) products and avoid harsh scrubs or cleansers that can irritate the skin.

2. Topical Treatments: 
Over-the-counter acne treatments containing benzoyl peroxide, salicylic acid, or retinoids can help manage mild to moderate acne.

3. Diet and Hydration: 
A balanced diet and proper hydration can support overall skin health. Avoiding high-sugar and high-fat foods might reduce acne flare-ups.

4. Medical Treatments: 
In more severe cases, a dermatologist might prescribe medications like topical or oral antibiotics, or stronger retinoids.

5. Adjusting TRT Dosage: 
Sometimes, adjusting the dosage of TRT under the supervision of a healthcare provider can help reduce acne symptoms.

If acne persists or becomes severe, it's essential to consult with a healthcare provider or dermatologist to explore other treatment options and ensure that your TRT regimen is optimized for your health.

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