Hormone Mangement

Testosterone decline is a normal process of aging, usually starting around age 30.  Additionally, lifestyle choices such as poor diet, lack of exercise and low vitamin D can all contribute to low T

We do a comprehensive initial lab panel to check not only hormone levels but also to establish baseline cholesterol, PSA, and liver function and assess for other factors that could be contributing to symptoms.  Tests include:  CBC, CMP, TSH, Thyroid panel, Fasting lipid panel, PSA, Vitamin D, Estradiol, Total and free testosterone. 

Documented side effects of TRT have included:  worsening sleep apnea, decreased testicular size, decreased sperm count, fluid retention, liver toxicity, gynecomastia, increased red blood cells, acne and while it is thought testosterone doesn't specifically cause hair loss, it could speed up the process in those who have a genetic predisposition.  These side effects are rare when utilized correctly under medical supervision

No.  The reference range tells you the range including 95% of the population.  An optimal range is what is healthy for you as an individual

Most men start to see some improvement in sex drive and overall sense of well-being by 6-8 weeks.  Within 6 months, most men notice more muscle mass, mental clarity, less belly fat and improved physical performance and endurance.  After one yar, most men experience increased strength and bone density. 

All visits are confidential and discreet, and we aim to create a comfortable, friendly environment. Initial visits are planned for up to an hour and include comprehensive medical history, physical exam, and discussion about treatment options and benefits/disadvantages of each treatment. If labs haven't already been drawn, we will provide an order slip to have these done.  

Any previous diseases, current medications, social, family and surgical histories.  We ask about risk factors such as systemic diseases or certain types of medications, lifestyle factors such as diet, exercise, stress, sleep habits, smoking history, alcohol or drug consumption, and questions about sexual performance such as desire, ability to have and maintain an erection

All men with low T could benefit from healthy levels of testosterone.  If you are symptomatic and your testosterone is on the low end of the reference range, TRT might be indicated and of benefit.  

Yes.  ED can be caused by many factors, including low testosterone.  Other medications work to increase blood flow to facilitate erections, but \many studies have shown that TRT can help with both ED and libido

Studies have shown it is safe and effective to stay on TRT for 20+ years.  As long as a patient is monitored and remains int he normal range, there is no need to cycle off.  If you stop replacement, your body will go back to producing the levels it produced prior to therapy or less, accounting for the natural average 1% decrease annually. 

We do not work directly with insurance carriers, but do take FSA/HSA, work with CareCredit and strive to keep pricing of our services competitive and accessible.