Are over-the-counter testosterone boosters the same as TRT?

No. Supplements marketed as testosterone boosters are not prescription testosterone replacement.

Prescription testosterone is a controlled medication managed through licensed clinicians and regulated pharmacies. “Testosterone boosters” are dietary supplements, with ingredients and quality that can vary. They do not go through the same approval process as prescription medicines and should not be expected to substitute for testosterone replacement when medically necessary. FDA supplement information.

That does not mean every supplement is identical or contains nothing useful. It means its claims need to be evaluated rather than assumed.

Next: Bring the product name and ingredient label to Valerie before relying on it to treat symptoms.