Testosterone: The Missing Link

For people with fear around testosterone

Happy Sunday!

Tonight at 8 PM EST, Jay and I will be live streaming with Sarah Morgan.

She is working on bringing the most effective oral peptide delivery system to market.

We will walk through her revolutionary technology as well as the future of oral peptide delivery systems.

Bring your questions as we will also take time for Q&A!

I just returned home from the Biohacking Conference in Austin, Texas, this weekend.

There were thousands of attendees, and a significant demand for information about peptides.

I was actually surprised to see how many people were on board with the idea of peptides via research.

But, I did notice one thing about people’s mindset with health optimization.

When the conversation shifts to testosterone therapy, even some of the most veteran peptide users start looking at the floor.

Suddenly, it’s crickets.

A hush falls over the crowd.

“Oh, I don’t know about that one, Hunter. Isn’t testosterone dangerous? Doesn’t it cause cancer? Won’t I go bald? What about my heart?”

Let me set the record straight, because I spoke to dozens of men and women this weekend who were basically fearless about every experimental peptide on earth—but had deeply rooted fears about the one therapy that is more researched, more standardized, and more life-changing than all the rest.

That therapy is testosterone replacement (optimization) therapy (TRT or TOT)—specifically, when delivered as an injection or cream, the only two delivery systems worth discussing if you actually care about results.

Let’s bust these myths, one by one, and put the science front and center.

Because after this, my hope is you’ll finally see why optimizing testosterone isn’t something to fear—it’s something to embrace.

Myth #1: Testosterone Is Only for Men, and Only if You’re “Old”

This is probably the most common myth I heard all weekend, especially from women.

Testosterone is absolutely essential for BOTH men and women.

Men make more, sure—about 5-10mg a day compared to a woman’s 0.3-0.5mg, but it’s critical for mood, libido, bone density, metabolism, and even brain health in both sexes.

Studies show that women with low testosterone (especially after menopause or surgical ovary removal) have dramatically higher rates of depression, anxiety, loss of muscle, and bone loss.

In men, low T leads to fatigue, loss of drive, muscle wasting, metabolic dysfunction, and, yes, a pretty miserable sex life.

Myth #2: Testosterone Causes Cancer—Especially Prostate or Breast Cancer

Here’s the big one that makes people’s voices drop to a whisper. Let’s talk science:

  • Prostate Cancer (Men): Massive studies, meta-analyses, and position statements from the Endocrine Society and American Urological Association all agree: there is NO conclusive evidence that physiologic testosterone therapy (meaning, restoring your levels to mid-normal—not bodybuilder doses) increases the risk of developing prostate cancer. In fact, men with the lowest testosterone often have more aggressive prostate cancers if they do get them.

  • Breast Cancer (Women): The doses used in testosterone creams or injections for women are so low (typically 10-20mg per week) that there’s zero credible evidence linking this therapy to increased breast cancer risk. Most experts believe restoring normal testosterone lowers overall cancer risk by reducing inflammation, insulin resistance, and visceral fat.

If you’ve been told otherwise, ask your provider for the studies—not 1980s anecdotes.

Myth #3: Testosterone Will Turn You Into a Bald, Angry, Infertile Monster

Let’s break these out:

  • Hair Loss: Baldness is about genetics, folks. If your hair follicles are sensitive to DHT (a metabolite of testosterone), then yes, you might see some acceleration of what would have happened anyway. But women using low doses don’t get “male pattern baldness.”

  • Aggression/Roid Rage: “Roid rage” is a bodybuilder problem, not a TRT problem. When your testosterone is in the normal physiologic range, most people report better mood, less anxiety, and less irritability.

  • Infertility: This is a big concern for young men wanting to keep their options open. It’s true—if you inject testosterone, your body will stop making as much of its own, and sperm counts will drop. But this is reversible. There are medications like hCG and HMG that can keep you fertile on TRT. In women, low-dose testosterone doesn’t typically suppress ovulation at all. In fact, it’s used in IVF sometimes to improve fertility.

Myth #4: Testosterone Therapy Causes Heart Attacks, Strokes, and Blood Clots

This one keeps doctors and patients up at night. Here’s what the science says:

  • Well-controlled TRT (injection or cream, not oral) actually improves insulin sensitivity, lipid profiles, and reduces visceral fat.

  • A 2015 Mayo Clinic review of 30+ studies found NO increased risk of heart attack or stroke with properly monitored TRT.

  • The only real risk comes if you’re a guy with sleep apnea and you don’t treat it (which, by the way, is itself worsened by being overweight with low testosterone).

  • Women on physiologic doses simply don’t get “thick blood” issues unless their dose is way too high for too long.

Myth #5: I’ll Have to Take It Forever, and I’ll Never Make My Own Again

No, you won’t.

The body’s natural production does slow down while you’re on exogenous (external) testosterone, but it can come back if you decide to stop—especially if you were healthy to start.

But here’s the kicker: in my experience, almost nobody ever wants to go back.

Once you get your energy, drive, mood, and vitality back, there’s zero reason to “see what happens” off therapy—unless you’re actively trying for kids or you just love rolling the dice with your health.

Myth #6: Testosterone Injections and Creams Are “Dangerous”—Patches, Pellets, or Gels Are Better

This is just flat-out wrong.

The only two delivery methods that reliably work for most people are injections and creams (preferably compounded at a quality pharmacy for exact dosing and proper absorption).

Patches, gels, and pellets are notorious for uneven dosing, skin irritation, or hormone “dumping” followed by long droughts.

If you want steady, optimized results—you inject it, or you rub the right cream in daily. That’s it. Everything else is a compromise.

If your provider is still pushing patches or pellets, it’s time for a new provider.

Myth #7: Women Should Never Use Testosterone—It’s “Unnatural”

The research is crystal clear: women NEED testosterone.

It’s essential for libido, energy, cognitive function, muscle mass, and bone density.

The North American Menopause Society and Endocrine Society both recognize the value of low-dose testosterone for women with symptoms of deficiency.

And no—if you dose it correctly and check labs every 3–6 months, you won’t grow a beard, deepen your voice, or get “man hands.”

You’ll just feel better.

Here’s What I Tell Everyone: Just Try It—for 6 Months

Here’s my honest advice after talking to hundreds of people, reading thousands of studies, and seeing the impact firsthand:

  • If you’ve done all the right things—dialed in your diet, trained hard, optimized sleep, managed stress—and you still feel “off,” just try testosterone therapy for six months.

  • Do it the right way: get a provider who knows how to prescribe injections or creams (not just gels and patches), checks your labs, listens to your symptoms, and adjusts as needed.

  • Worst-case scenario? You don’t feel any different, and you stop. Your body returns to baseline. No harm, no foul.

  • But in almost all cases—if you needed it and you did it right—you’ll never look back.

Life’s too short to let irrational fears or outdated myths keep you from feeling and performing your best.

If you’re already comfortable injecting peptides, trust me—testosterone (done right) is not the villain you’ve been told it is.

In fact, it’s often the missing link.

Best,

Hunter Williams