Testosterone Replacement Therapy (TRT)

TRT is a medical treatment that restores testosterone to healthy levels in men with clinically diagnosed low testosterone (hypogonadism). It’s administered via injection, typically once or twice weekly, and monitored through regular lab work to ensure safety and effectiveness.

Common signs of low testosterone include persistent fatigue despite adequate sleep, reduced libido, difficulty building or maintaining muscle, increased body fat, brain fog, and mood changes. Symptoms alone don’t confirm low T. Diagnosis requires lab testing showing testosterone below the normal range combined with clinical symptoms. Our providers evaluate both.

Common side effects may include acne or oily skin, mild fluid retention, increased red blood cell production, testicular shrinkage (if not using hCG), and potential impact on fertility. More serious but less common risks include cardiovascular effects, worsening sleep apnea, prostate concerns, and mood changes. We monitor for these through regular lab testing, including hematocrit, PSA, lipid panels, and comprehensive metabolic panels. Most side effects can be managed through dosage adjustments, the use of aromatase inhibitors when clinically indicated, or protocol modifications.

Most men notice initial improvements in energy and mood within 3-4 weeks of starting treatment. Sexual function improvements typically occur within 4-6 weeks. Significant changes in body composition (increased muscle mass, reduced body fat) generally become apparent at 8-12 weeks and continue improving over 6-12 months. Mental clarity and cognitive improvements often manifest within the first month. Results vary based on individual factors, dosing protocols, lifestyle factors, and baseline testosterone levels.

TRT can suppress natural sperm production and impact fertility. However, we offer solutions: hCG can be used alongside TRT to help maintain fertility and testicular function, or enclomiphene may be a better option as it naturally stimulates testosterone production without suppressing fertility. If you’re planning to have children within the next few years, discuss this with our physicians during consultation to determine the most appropriate treatment approach for your situation.

No. When testosterone is restored to healthy physiologic levels under medical supervision, it does not cause aggression or “roid rage.” These misconceptions stem from anabolic steroid abuse at supraphysiologic doses. Most men report improved mood stability, reduced irritability, and better emotional regulation when their testosterone is optimized. Aggression issues are typically associated with very high doses combined with other factors, not medically supervised TRT at appropriate levels.

You can discontinue TRT, but it’s important to do so under medical supervision. Stopping abruptly can cause temporary symptoms as your body adjusts and natural production restarts. Post-cycle therapy (PCT) protocols using medications like enclomiphene can help restart natural testosterone production more efficiently and minimize symptoms during transition. If you’ve been on TRT long-term, recovery of natural production may take several months. We provide physician-guided transition protocols if you choose to discontinue treatment.

Most insurance plans provide limited or no coverage for telehealth testosterone therapy, particularly when prescribed through specialized optimization clinics. Traditional insurance-based care often involves significant copays and authorization hassles, and may limit treatment options to basic protocols. Our transparent pricing model is often more affordable than insurance-based care when you factor in copays, lab fees, and consultation charges. We provide documentation you can submit for potential HSA/FSA reimbursement.

Most men inject testosterone once or twice weekly. Twice-weekly injections (every 3.5 days) provide more stable blood levels and consistent energy, reducing peaks and troughs. Some men prefer once-weekly injections for convenience. We tailor injection frequency to your preferences, lifestyle, and how your body responds. More frequent injections (every other day or daily) may be recommended for some patients seeking maximum stability, though most do well with twice-weekly protocols.

MCT (medium-chain triglyceride) oil is our carrier for testosterone cypionate. Unlike inflammatory seed oils (grapeseed, cottonseed) used by most pharmacies, MCT oil offers significant advantages: more comfortable injections with smaller needles (29-31 gauge vs. 23-25 gauge), more stable and predictable absorption, longer shelf stability (18-24 months vs. 12-15 months), and no inflammatory burden. MCT oil’s lower viscosity makes injections easier while providing consistent, reliable testosterone delivery.

Our Essentials Panel includes CBC, Total PSA, Total Testosterone, and Estradiol. These are the minimum markers needed to safely prescribe TRT and monitor your response. Want deeper insights? Ask about our Performance, Complete Health, or Longevity Pro panels during your consultation.

If you’re not currently on testosterone therapy, we accept labs from the last 6 months. If you’re already on TRT, labs must be from the last 90 days. Labs must include CBC, PSA, Total Testosterone, and Estradiol. Not sure if yours qualify? Ask during your free consult.

You must be at least 18 years old and a Florida resident (for now). Qualification depends on clinical symptoms and lab evidence of low testosterone. Some medical conditions may prevent treatment. Your provider will review your full health history during the consultation.