There is also a close connection between testosterone levels and how the body handles fat and sugar. If blood tests show that liver enzymes are high, doctors usually repeat the test after a few weeks. These body changes may cause a mild rise in liver enzymes without real liver damage. But testosterone still affects the body in many ways, and sometimes this can lead to small changes in liver enzyme levels. When a blood test shows that liver enzymes are high, it may be a sign that the liver is under stress or damaged. By watching enzyme levels over time, doctors can safely guide testosterone therapy and make changes if needed. If liver enzymes stay high or go much higher than normal, the doctor may stop or lower the dose of testosterone. There are different ways to take testosterone, and each method has its own benefits and risks. It may also reduce the body’s ability to make its own testosterone in the future. It can lead to side effects like acne, hair loss, mood changes, and heart or liver problems. Clinical parameters were studied between both groups over the treatment period by linear mixed effects, repeated-measures model with period, group, and their interaction as fixed effects. Although clinical and experimental trails recommend a physiological level of testosterone to prevent hepatic steatosis in males, only a few studies have been published on the direct effects of long-term TTh on hepatic steatosis. Another study by Kim et al. in healthy Korean men showed that low TT levels were inversely correlated with NAFLD after controlling for the effect of insulin resistance. Even with an abnormally low level that is replicated on a repeat test, the decision to begin testosterone replacement therapy and the proper dose requires a careful conversation with your doctor. Men and women need the proper amount of testosterone to develop and function normally. Because prostate cancer is so common, doctors tend to be leery of prescribing testosterone to men who may be at higher than average risk of having undiagnosed prostate cancer. Testosterone therapy does not appear to increase the risk of prostate cancer, but it can stimulate the growth of prostate cancer cells. Testosterone, the active ingredient in Androgel, is metabolized in the liver. However, severe or prolonged liver damage may be irreversible. The form of testosterone you use (oral versus injectable) is particularly important in this case. Some supplements, such as milk thistle and SAMe, are thought to have liver-protective properties. However, these symptoms can also be caused by other conditions, so it’s crucial to consult a healthcare professional for diagnosis. Your healthcare provider will determine the appropriate schedule based on your specific circumstances. These drugs were made in a special way so that the liver would not break them down before they reached the bloodstream. In the past, many people used a form of oral testosterone known as 17-alpha-alkylated testosterone, such as methyltestosterone. People who already have liver problems may need closer monitoring or a different type of treatment.