Testosterone replacement therapy and taking steroids are not the same – they’re actually quite different. Testosterone medications for TRT use ingredients involving bioidentical testosterone. This means that chemicals are created that are identical to the naturally occurring testosterone hormone. While both testosterone replacement therapies and steroids can raise T levels in the body, they are typically used for very different reasons. Men opting for TRT are aiming to alleviate symptoms associated with low testosterone due to an underlying condition like hypogonadism. TRT is medically controlled, while steroids can often be abused.