TRT & Testosterone Replacement Therapy

Testosterone replacement therapy (TRT) is a medical treatment that restores testosterone levels in men with clinically diagnosed low testosterone (hypogonadism). TRT is appropriate for men experiencing symptoms of low T—such as fatigue, decreased libido, erectile dysfunction, loss of muscle mass, increased body fat, mood changes, and cognitive difficulties—combined with blood tests confirming low testosterone levels (typically below 300 ng/dL total testosterone). Our comprehensive evaluation includes a complete symptom assessment, detailed medical history review, and extensive hormone panel testing to determine if TRT is right for you. TRT is not appropriate for men with normal testosterone levels seeking performance enhancement, those with prostate or breast cancer, untreated severe sleep apnea, or men actively trying to conceive (though fertility-preserving alternatives exist).

We offer multiple testosterone delivery methods to match your lifestyle and medical needs. Injectable Testosterone (Most Popular): Testosterone cypionate or enanthate administered weekly or bi-weekly. Provides the highest absorption rate, most consistent levels, and best cost-effectiveness. This is included in our all-inclusive program. Testosterone Pellets: Small pellets implanted under the skin every 3-6 months. Ideal for men who prefer not to think about weekly treatments. Offers steady, consistent hormone levels with minimal maintenance. Topical Testosterone (Gels/Creams): Applied daily for steady hormone levels. Requires careful application to avoid transfer to others. Good option for those uncomfortable with injections. Which is best? It depends on your priorities: Injections offer the best effectiveness and value (included in our $2,000/year program), Pellets are best for convenience and "set it and forget it", and Topicals are best for those who prefer no needles. During your free consultation, we discuss all options and help you choose based on your lifestyle, preferences, and treatment goals. Our program includes estrogen management (anastrozole) regardless of delivery method to ensure optimal hormone balance.

When properly prescribed and monitored by qualified physicians, TRT is safe and effective for men with clinically low testosterone. We conduct comprehensive baseline testing and regular follow-up labs to monitor hormone levels, hematocrit (red blood cell count), PSA (prostate health), liver function, and lipid panels. Potential side effects include increased red blood cell production (managed with periodic blood donation if needed), acne or oily skin, potential worsening of sleep apnea, testicular atrophy, and temporary fertility suppression. Estrogen-related side effects like water retention, mood changes, or gynecomastia are prevented through our comprehensive estrogen management protocols. Serious complications are rare when treatment is properly supervised. We see patients regularly, adjust dosing based on labs and symptoms, and address any concerns promptly. Our goal is optimal hormone balance with minimal side effects.

TRT results follow a predictable timeline, though individual response varies. Within 2-3 weeks, most men notice improved energy levels, better mood, and enhanced sense of well-being. At 3-6 weeks, libido and sexual function typically improve significantly. By 6-12 weeks, you may notice improvements in strength during workouts and beginning changes in body composition. At 3-6 months, significant improvements in muscle mass, fat loss, bone density improvements begin, and cognitive benefits become more apparent. Full optimization typically occurs at 6-12 months with maximum benefits in body composition, strength, and overall vitality. We monitor your progress with regular lab work and adjust your protocol as needed to ensure you achieve optimal results. Some men respond faster than others based on their starting testosterone levels, age, overall health, and lifestyle factors.

TRT can suppress natural testosterone production and significantly reduce sperm count, potentially causing temporary infertility while on treatment. This occurs because external testosterone signals your body to reduce its own production. For men concerned about fertility, we offer alternatives: hCG (human chorionic gonadotropin) stimulates natural testosterone production while preserving fertility and can be used alone or alongside TRT. Clomiphene citrate is another option that stimulates your body to produce more testosterone naturally. If you stop TRT, your natural production will eventually recover, though this can take weeks to months depending on treatment duration. We can support recovery with hCG or clomiphene if needed. For men not concerned about fertility, standard TRT is typically the most effective option. We discuss all fertility considerations during your consultation and can design protocols that balance hormone optimization with fertility preservation based on your family planning goals.

Our TRT program pricing is transparent and all-inclusive. Initial consultation is completely free with no obligation. 12-Month All-Inclusive TRT Program: Regular Price $2,750/year — Current Special: $750 OFF, Now $2,000/year (just $167/month). Includes EVERYTHING: All office visits, testosterone medication, anastrozole (estrogen management), complete lab work, medical supervision, and follow-up consultations. No hidden fees or surprise costs. This all-inclusive approach means you know exactly what you're paying upfront—no separate charges for labs, medications, or visits. Insurance & Payment Options: Insurance coverage for TRT varies significantly. Some plans cover diagnostic testing and testosterone prescriptions with prior authorization, but often don't cover comprehensive optimization programs. We provide documentation for insurance submission or HSA/FSA reimbursement. Many patients choose our cash-pay program for complete privacy, no insurance restrictions on protocol, and immediate treatment without prior authorization delays. During your free consultation, we discuss all payment options and answer any pricing questions.

Our TRT program is a comprehensive men's health optimization system, not just a testosterone prescription. What's included: Initial comprehensive consultation with symptom evaluation and medical history review, complete diagnostic lab panel (testosterone total/free, estradiol, SHBG, PSA, CBC, CMP, lipids, thyroid), personalized treatment protocol designed for your specific needs, all medications and supplies (testosterone, syringes, alcohol swabs, sharps container), estrogen management when needed (anastrozole via pellet or oral), ongoing medical supervision with provider access, regular follow-up labs and protocol adjustments, and patient education and injection training. What makes us different: We're a real medical practice with licensed physicians—not an online pill mill or telemedicine-only service. You'll see the same providers who know your history. We offer same-day lab results with our on-site CLIA-certified testing. Our protocols are individualized, not one-size-fits-all. We include estrogen management that most clinics ignore. We treat the whole patient, addressing factors like sleep, nutrition, and lifestyle that affect hormone health. With over 12 years of experience and 100,000+ patients treated, we have the expertise to optimize your results while minimizing side effects.

When testosterone levels increase through TRT, a portion naturally converts to estrogen via the aromatase enzyme. Elevated estrogen in men can cause water retention, mood swings, gynecomastia (breast tissue growth), and reduced libido—often counteracting TRT benefits. Proper estrogen management ensures you get the full benefits of testosterone optimization without unwanted side effects.

Estrogen pellet therapy uses small implants (similar to testosterone pellets) containing anastrozole or other aromatase inhibitors that release medication steadily over 3-4 months—ideal for patients who prefer minimal maintenance. Oral estrogen management involves taking pills 1-3 times weekly, allowing for more precise dosage adjustments based on lab results. Both are effective; the choice depends on your lifestyle and how your body responds to treatment.

We monitor estradiol (E2) levels through regular blood work, typically every 4-8 weeks initially, then quarterly once stable. Optimal male estradiol ranges are generally 20-40 pg/mL. We also track symptoms like water retention, mood changes, and libido. Our comprehensive panels include sensitive estradiol testing, testosterone (total and free), SHBG, and other markers to ensure complete hormone optimization.