Why is TRT making my sleep worse after a year?

While TRT often improves energy, it can negatively impact sleep by exacerbating sleep apnea or causing overstimulation if your dosage or timing is off. It is crucial to monitor your hematocrit and estradiol levels, as imbalances here can lead to restlessness and night sweats. At HeydayMD, we frequently help patients fine-tune their protocols to ensure they get the restorative rest they need while maintaining optimal hormone levels. If your sleep hasn't improved after a year, a comprehensive review of your blood work and a potential sleep study are the next logical steps.