Testosterone
Therapy for Men

Total testosterone below 300 ng/dL can be considered normal by insurance companies. So, low testosterone is not seen as a medical issue.

Most men will benefit from testosterone levels of 800 ng/dL to 1200+ ng/dL.

Low testosterone is best treated using hormone replacement therapy (HRT). This is best done with intramuscular (IM) or subcutaneous (SQ) injections.

We promote testosterone injections using the SQ route using insulin-sized syringes. We also have creams and even oral testosterone (which is new on the market).

Ideally, testosterone is injected twice weekly to avoid TRT lows that can occur. Once weekly or especially less will only result in mild, short-lived benefits.

Other products exist, including intranasal testosterone, topicals, patches, or pellets, but none compare to direct administration.

We work closely with you to reach your ideal hormone levels.

In short, yes. We have access to all of these modalities. The gold standard is systemic testosterone injections that are easy to self-administer using insulin-sized syringes. Testosterone creams and even oral testosterone is also available - just ask!

Refer to our Labs page to see which labs we generally like to have to start. We don’t treat labs; we treat your symptoms. However, we have some base labs we like to start with and we monitor them every 2-6 months dependent upon your stage of therapy. It takes 2-6 months to become “optimized” or “dialed-in”.

Refer to our Labs page to see which labs are required.

TRT temporarily suppresses your body’s natural testosterone production, but this effect is reversible. When therapy is discontinued, we use medications such as HCG to stimulate the testes and enclomiphene to boost pituitary signaling for LH and FSH. In some cases, FSH is added to accelerate recovery, helping natural testosterone production return within 1 to 6 weeks.

If you are on HCG or Enclomiphene, you will continue making our own natural testosterone. We then use testosterone to supplement or boost your natural levels until you feel benefit.

Human chorionic gonadotropin (hCG) is an injectable that helps balance hormones. HCG effectively balances testosterone, enhances its effects, and keeps you in a stable mood. Most notably, it prevents testicular atrophy (shrinking testicles, which occurs only in some males) and maintains fertility in men who wish to have children while on TRT.

Enclomiphene is an oral SERM, a selective Estrogen Receptor Modulator. It essentially tells the brain to keep telling the testicles to keep doing their job (making testosterone and sperm) while on TRT.

Our automated system will send you an email reminder before you run out. We will automatically order refills on your behalf to avoid interruptions in your therapy. If you would like to discuss any changes, hone your goals, or if you have any other requests, you only have to reach out.

You can start with labs or schedule a free initial consult above. We recommend labs if you have not had them completed in 6+ months. We are happy to take over care without delay or labs if you are coming from another facility and are already on testosterone replacement therapy (TRT).