Should you add testosterone during menopause to support your strength training and muscle?

You've seen testosterone pitched for muscle, energy, mood, and fat loss. Prescriptions have more than doubled in a few years, and the FDA held a public workshop on it in September 2026. I put those claims under the microscope, from who's promoting them to the dose required to add muscle in women.

You'll learn:

• The ONE thing testosterone is proven to help women with
• Whether testosterone crashes at menopause, and who's the exception
• How high the dose was in the most-cited muscle study
• 4 basics that build muscle with or without hormones
• What to ask your doctor before you try testosterone (4 questions)

If you want to build muscle in menopause without guessing about hormones, hit play!

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Timestamps:

0:00 - Testosterone for women and the FDA workshop
3:17 - Who's promoting testosterone to women
7:18 - Testosterone levels across menopause
9:24 - What 36 trials show testosterone does
12:08 - The high-dose muscle study
15:42 - Pellets, compounded products, and safety
17:02 - 4 basics for building muscle in menopause
21:21 - Tracking how you feel to use in your training
25:01 - Bonus: creatine and lean mass after 50

Episode Resources:

• Episode 501: what perimenopause does and doesn't do to your weight
• Episode 505: creatine for women in menopause
• Episode 511: belly fat after 40 and what hormone therapy can do
• Episode 439: HRT and fat loss after 40 (Dr. Maria Sophocles)

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Educational content only, not medical advice.