Low Testosterone Replacement Therapy
Our goal is to help you begin feeling as well as you did in your 20’s and 30’s, before your natural testosterone levels began to decrease. In order to accomplish this goal we use a bio-identical hormone replacement therapy to optimize and regulate your testosterone levels as well as several other hormones. Since the hormones we use occur naturally in your body, it greatly reduces many of the adverse side effects commonly associated with synthetic therapies.
To begin treatment, we need three things need to occur. First, we need lab-work from you. This will help understand your current testosterone levels and ensure we get the initial dosing correct. It will also help us identify anything else that might be going on. Secondly, we will need a completed intake form with your informed consent. This will help us understand your health history, your current symptoms and a few lifestyle considerations and goals that will also assist us in determining the best course of action. Lastly, we bring it all together in the consultation with one of our providers. This is the point where it all comes together. The lab-work, coupled with the information from the intake will guide the practitioner in asking the right questions to make absolutely sure that we get you off on the right foot as quickly as possible with your initial prescription. Our approach saves you time and money by ensuring we eliminate as much trial and error as possible.
(applies to men only)
To ensure stable hormone levels and avoid significant hormonal "peaks and valleys," men on our program adhere to a protocol of injecting testosterone twice per week. This split-dose approach maintains a consistent therapeutic range of testosterone throughout the week, leading to improved symptom stability and minimized side effects compared to less frequent dosing schedules.
Our protocol integrates a fixed regimen of one oral enclomiphene tablet with every testosterone injection to proactively mitigate testicular atrophy and preserve fertility.
However, the use of the oral anastrozole tablet is highly individualized; its dosage is precisely managed based on ongoing lab results and patient-reported symptoms to maintain essential hormone balance only as required.
After being on the initial therapy for 60 days, we follow up with you again with additional lab-work and another consultation to ensure the treatment is working as desired. This also gives us a chance to determine if your individual physiology requires any additional tweaking to ensure the most appropriate dosing and optimal state is achieved. After this follow-up appointment, you will have labs and a consultation with our practioner every 5 to 6 months. Make no mistake though if you ever feel that anything is amiss or if you feel like your hormones are out of balance, please let us know immediately and we will get you back to the lab for lab-work asap.