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Randy Couture talks TRT

There are a lot of black and white issues in MMA. However, one area of gray pertains to the use of testosterone replacement therapy by fighters hoping to extend their careers. Though it’s a natural substance and prescribed by doctors, it’s also a performance enhancing process based on replenishing testosterone otherwise lost by the aging process.

A fighter who knows a thing or two about competing at a high level despite coming into the sport at a late age is Randy Couture, the former double-divisional champion who fought well into his 40s. Couture recently weighed in on the topic of TRT in an interview with MMAFrenzy where he had some interesting insight into the matter.

“There is such fine line with all of the anti-aging stuff that’s out there now,” began Couture on the topic. “TRT is generally something a guy does in their 40’s and 50’s when their natural production of testosterone drops off. There are other natural ways to boost your own body’s production without replacing it and it’s safer as well, but it still should be under the care of a physician. It’s a very fine and a very personal thing and there is no easy answer.”

“An athlete is using his body to earn a living and entertain the fans, they want to get the most out of themselves, but sometimes they go too far with it,” Couture concluded, showing both understanding and concern.

Recent examples of both situations include Quinton Jackson, who used testosterone to heal his knee faster than normal to be able to compete at an event in February, and Alistair Overeem, whose recent failed drug test for testosterone abuse cost him a title-fight and nine months of his career.


  • MMA-LOGIC says:

    If you cant do it naturally, you cant do it professionally.
    Maybe in the future, the unfortunate people missing limbs will get robot arms that are only allowed to be as strong as the strongest amoung us.

  • Lord Faust says:

    So where’s the line? Not trying to start shit, but what’s the difference between surgery and properly supervised TRT? (i.e. when you look like Hendo, not Todd Duffee.)

  • JabCrossHook says:

    No matter what TRT improves your performance in the same way anabolics or any other type of steroids. Guys that are on TRT will have an unfair advantage over an opponent that doesn’t use. As far as I’m concerned any athlete that uses TRT is cheating to some degree whether they admit it or not. Even if its used to rehab an injury, the testosterone will effect healthy parts of your body and you will see much better gains, and muscle endurance on the non-injured parts of your body therefore giving anyone who uses TRT an unfair advantage.

  • fitfreak says:

    I don’t have a problem with TRT. I love it when an older fighter can still hang with the young guys. I don’t consider it cheating if test are kept within a reasonable range. The younger fighter always has the advantage of youth. Obviously, it’s easy to abuse. You could easily cycle higher doses when training, then lower your dose to normal levels right before a fight.

    If this is going to be allowed, then there should be some strict guidelines. Anyone who receives an exemption for this should be subject to random testing.

  • Dufresne says:

    The highest naturally rated testosterone:epitestosterone ratio I’ve read about was 5:1 which would technically get that athlete suspended form the Olympics, but not by the NSAC since they have a 6:1 limit.
    Properly done TRT results in small spikes around the times of injections with levels dropping to below normal right about the time they’re scheduled for another shot. If done right the testosterone ratio shouldn’t have giant fluctuations.
    The problem with athletes and TRT is the same problem with students and adderall: there are some that really do need the treatment and a ton that find a doctor that will prescribe it without having done his due diligence in the diagnosis.

    TRT is a legitimate therapy that some people do need to function properly. But the number of athletes who are suddenly diagnosed as having low testosterone is more than a bit suspicious to me.

  • Lord Faust says:

    Yeah the rise of TUEs just reeks of seedy doctors.

  • Rece Rock says:

    there should be full disclosure to your opponent before signing fight contracts that his opponent is partaking in TRT… because of HIPPA it would never happen but it would be nice

  • climbarock says:

    It’s not a gray area, it’s clear as day that TRT is a PED loophole. Shenanigans.

  • Lord Faust says:

    Sorry but no. It’s been established multiple times what actual TRT is. Periodic, brief spikes in T levels when you get your shot (from a doctor) that level off to normal very quickly.

    Just because shady fighters / doctors are getting in on it does not devalue the procedure.

    Is it being administered correctly, with the proper / necessary oversight, probably not.


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