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Think of TRT as your base camp

Key strategies to preserve muscle include: consuming adequate protein (0.7-1 gram per pound of goal body weight daily), performing resistance training 2-3 times weekly, avoiding extremely rapid weight loss, and maintaining adequate caloric intake rather than severely restricting

Thus, under conditions of limited oxygen availability, glucose would be a preferred substrate

doi: 10.1016/j.jcmgh.2019.04.008 499 LuniaMKSharmaBCSharmaPSachdevaSSrivastavaS

Friolet R, Hoppeler H, Krhenbhl S: Relationship between the coenzyme A and the carnitine pools in human skeletal muscle at rest and after exhaustive exercise under normoxic and acutely hypoxic conditions

10.1109/EMBC46164.2021.9630223 117