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What is Testosterone?

Testosterone is the hormone responsible for many of the physical and mental characteristics that define male health. It plays a crucial role in developing muscle mass, maintaining energy, regulating mood, and supporting sexual health. While often associated with physical strength and libido, testosterone impacts nearly every aspect of a man’s life,  and maintaining healthy testosterone levels is essential for living an active, fulfilling life at any age.


Symptoms of Below Average Testosterone



Testosterone influences mood regulation and cognitive function. Men with declining testosterone levels often report feeling irritable, anxious, or depressed. Some may also experience difficulty concentrating, memory lapses, brain fog, or an ability to "show up" for their loved ones.


A drop in testosterone can lead to chronic tiredness, even after adequate sleep. Men may feel that they have less stamina and energy to get through daily tasks or enjoy physical activities that they previously enjoyed.

Lower testosterone levels are often associated with an increase in body fat, particularly around the abdomen. This is partly due to a slowdown in metabolism, making it easier to gain fat and harder to lose it.


Testosterone and Aging

Testosterone levels naturally peak during adolescence and early adulthood, typically reaching their highest levels around age 20. However, starting around the age of 30, testosterone production begins to gradually decline by about 1-2% per year.

While everyone's testosterone levels decrease with age, the severity of the symptoms and their impact on quality of life can vary greatly. For some men, this decline is gradual. For others, the drop is more noticeable, leading to a condition known as "andropause",  (or male menopause). This is characterized by a more dramatic fall in testosterone and the onset of more pronounced symptoms like depression, erectile dysfunction, and extreme fatigue. While some assume these changes are just "part of getting older," the truth is that the symptoms of low testosterone (Low-T)  are not inevitable and can be reversed through testosterone replacement therapy (TRT).

With a multitude of options for safe, effective, and affordable treatment of low-T, men no longer need to accept these changes as “normal”. TRT can help you regain control over the effects of aging, allowing you to feel stronger, healthier, and  more driven (no matter your age). 

It's time to get back to feeling like the man you used to be. 

TRT Process & Treatment Options

Our testosterone replacement therapy is customized to your individual needs to ensure safe and effective results. Here’s an overview of how the process works:


Ready to get started? Contact us today to take the first step toward reclaiming your livelihood.

FAQS

How long will it take to notice the results?

The rate at which patients respond to TRT varies, depending on individual factors such as underlying health conditions, medications, body fat percentage, and the degree of testosterone deficiency. Some may notice improvements as early as the first injection, while for others, it may take two to three months to experience significant changes. Most patients begin to feel better within about four weeks, though initial progress is often subtle and builds gradually over time. If there is little to no improvement after several weeks, we’ll run additional lab tests and consider alternative treatment approaches to ensure the best outcome.

Do you take insurance?

Most treatments are considered elective care and are not covered by insurance.

If you encounter a clinic that claims they take insurance for TRT treatment be sure to understand the cost first before assuming they are going to be a less expensive option.

Health Savings Accounts (HSA), and Flexible Spending Accounts (FSA) are accepted.

Can men be too old for testosterone replacement therapy?

There is no age limit for testosterone replacement therapy; it produces benefits for men of all ages.

Will being on testosterone replacement therapy cause my body to stop naturally producing testosterone?

When supplementing with exogenous testosterone, the hypothalamus and pituitary glands react accordingly to reduce the creation of endogenous testosterone in the body. When therapy is discontinued those same monitoring systems recognize the absence of supplemental testosterone and will trigger the release of chemicals to reengage the natural production of testosterone in the body. 

However, for a man that has low-T, the endocrine system is either transmitting inadequate signals, or the body cannot respond appropriately to the signals to trigger the production of testosterone. So, while patients generally will return to somewhere near their baseline when discontinuing therapy, that baseline was already inadequate, and often is even lower proportionate to aging that has occurred since the time they began therapy. 

What are the possible side effects of testosterone replacement therapy?

Increase in Red Blood Cells
Testosterone therapy may increase red blood cell production, which can be beneficial for those with anemia. However, we carefully monitor this. If necessary, a simple procedure called therapeutic phlebotomy (blood donation) will be performed to reduce red blood cell levels. It's important to note that while polycythemia refers to any rise in red blood cells, erythrocytosis specifically denotes an increase in red cell mass. TRT can elevate hemoglobin and hematocrit levels with or without impacting red cell mass.

Prostate Effects
If you have a history of prostate cancer, clearance from your urologist is required before starting TRT. It’s important to understand that testosterone does not cause prostate cancer.

Skin Reactions
Some patients may experience acne or oily skin, though these side effects are uncommon and typically temporary if they do occur. Some patients experience minor side effects and temporary inflammation due to injections. 

Sperm Count
Testosterone therapy can reduce sperm production during treatment, but it is not considered a contraceptive, as men can still conceive while on testosterone.

Fluid Retention
While rare, those with a history of heart failure or kidney disease should be cautious, as TRT may cause fluid retention.


My PCP doesn't think I need testosterone replacement therapy. Why? They say my levels are "normal" or "low normal".

There are numerous blood tests, each with its own "reference range." However, it's important to understand how these ranges are established. When it comes to serum testosterone, the reference ranges are not age-adjusted, meaning men from 18 to 80 years old are grouped together. As a result, a wide range of 250 to 1100 ng/dL is considered "normal." At our clinic, we believe it’s unreasonable to classify a 20-year-old and a 75-year-old within the same "normal" range. Research shows that testosterone levels shouldn't drastically decline solely due to age. For men experiencing Low-T symptoms, even with "borderline" testosterone levels, treatment with testosterone is often supported and recommended based on clinical evidence. 

How long will I need to receive treatment? 

For many men, hypogonadism is a long-term condition. While some may experience temporary drops in testosterone due to factors like a severe infection or short-term physical or emotional stress, most men who have been dealing with Low-T symptoms for more than several months often face a chronic condition that requires ongoing testosterone replacement. Just as a diabetic may need insulin or someone with hypothyroidism may require thyroid medication to stay healthy, men with hypogonadism often need ongoing testosterone replacement therapy to maintain their best health and well-being over the long term. 


Do you offer peptides?

We do offer some peptides. The FDA banned compounding pharmacies from selling certain peptide therapies. Only peptides that the FDA deemed as well studied and have a generic form are allowed to be compounded currently. We do not prescribe products banned by the FDA.