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⚠️ Side Effects

Bad acne and oily skin since starting TRT—how do I fix this?

Asked in r/trt · Answered by the HeydayMD team ·

I'm a few months into TRT and my face and back are breaking out constantly. My skin is super oily—is there a way to manage this without stopping treatment?

The short answer

Increased androgen levels stimulate the sebaceous glands to overproduce sebum, which is why acne and oily skin are common side effects during the first few months of TRT. Adjusting your injection frequency to maintain more stable testosterone levels or incorporating a targeted skincare regimen usually brings these breakouts under control. At HeydayMD, our clinical team monitors your labs closely and can tailor your protocol to minimize skin flare-ups while keeping your testosterone optimized.

Every body is different. A licensed provider can look at your own labs and symptoms.

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The information on this page is for educational purposes only and is not medical advice. Questions are paraphrased from public Reddit discussions, which are linked for reference — HeydayMD is not affiliated with Reddit. Answers are general education written by the HeydayMD team, not individual guidance. Always talk to a licensed healthcare provider before making treatment decisions.