The question is whether testosterone replacement therapy is actually the cure-all treatment to strength, endurance, and physical prowess Hegseth and his Department of Defense have framed it to be? Now Pete Hegseth wants testosterone boostsBelow, Daskalakis explains the complexities of testosterone therapy, what it actually is meant to treat, and why “high T” is not always a good thing. The goals of testosterone replacement therapy as opposed to testosterone-based hormone replacement therapy are slightly different, though there is overlap in each treatment’s impact on the body. Are there detriments to high testosterone levels? High testosterone levels can also worsen acne and cause hair loss for people who are genetically predisposed.