Why am I struggling to lose fat even while on TRT?

While TRT is a powerful tool for improving body composition, fat loss still fundamentally requires a caloric deficit and metabolic optimization. If your nutrition is truly dialed in, we often look at other hormonal factors like cortisol or thyroid function that might be stalling your progress. A clinician reviewing your labs can look beyond testosterone at thyroid function, cortisol and insulin sensitivity, since each can stall fat loss on its own. Addressing sleep, nutrition and those factors is usually what breaks a stubborn plateau.