Testosterone Replacement Therapy


The most common symptoms of declining testosterone levels include decreased libido, fatigue, increased body fat, erectile dysfunction, depression, poor concentration and difficulty sleeping.

  • On average, Male testosterone production starts to decline around age 30.
  • 40% of Men over the age of 45 are affected by symptoms of low testosterone.
  • Many common health conditions can lower testosterone levels at earlier ages (and also be improved with TRT)

Once you've completed your initial evaluation and obtained your labs, we'll use your results in conjunction with your symptoms to come up with an individualized treatment plan. Testosterone injections are self administered on a weekly basis.

Monthly supplies of Testosterone will be sent to your local pharmacy. We'll help you identify which pharmacy will be the cheapest option in your area. For example, CVS may offer at $13 for a month supply, Walmart at $23, or Costco at $47. Needles and syringes will be sent to your home.

You will be provided with detailed instructions on how to safely administer injections at home. We'll be happy to walk you through your first few injections via video visit if you'd prefer that as well.

Follow up visits and labs are essential to ensuring your safety, minimizing risks, and avoiding any unwanted adverse effects of TRT.

  • After treatment initiation - visits will be conducted every 4-6 weeks (prior to each refill of Testosterone).
  • Labs (to include Testosterone levels and Blood counts) will be obtained about 1-2 months after initiation, and 2-3x yearly pending the individual.

The time it takes to notice the positive effects of treatment will vary by the individual, and the amount of effort put into adopting healthier lifestyles. On average, most individuals will notice a difference in the first month - with peak symptom improvement being achieved after 1 year.


Testosterone Replacement Therapy is safe and effective for most individuals, but there are a few medical conditions that make TRT unsafe.

  • Breast or Prostate Cancer
  • Uncontrolled Heart Failure
  • Heart Attack or Stroke in the Past 6 Months
  • Untreated Obstructive Sleep Apnea
  • Hematocrit Over 48% (Thick Blood)
  • Highly Elevated PSA Levels (Prostate Specific Antigen)

Please talk to your doctor if you have any questions or concerns about these conditions.

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