Testosterone Therapy

Getting older happens. Feeling older doesn't have to. Testosterone replacement therapy (TRT) returns your body to the optimal hormone levels you used to have. Optimizing testosterone can help you feel younger, perform better, and restore your youthful vigor.

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Benefits of Testosterone

Increased Energy

Feel more alive, more awake, and ready to tackle anything.

Increased Desire

Boost your libido and find a new level of desire.

Improved Body Composition

Testosterone enhances lean muscle mass, decreases abdominal fat, and increases bone density.

Increased Confidence

Testosterone can increase confidence and certainty, giving you the power to achieve more.

Disease Prevention

Low levels of testosterone are associated with higher rates of heart disease and alzheimer's.

Improved Metabolic Health

Testosterone improves insulin sensitivity resulting in lower blood sugar.

Testosterone Options

Injectable Testosterone

Injectable testosterone comes in a vial with a set of needles for self injection.

  • Easily Adjust Dose
  • Easily Adjust Frequency
  • Lowest Cost
  • Needles can be inconvenient
  • Can decrease fertitilty

Topical Testosterone

Topical testosterone comes as cream/gel that is applied to the skin.

  • Easily Adjust Dose
  • Easily Adjust Frequency
  • Can transfer to other people
  • More expensive than injectable testosterone
  • Can decrease fertitilty

Testosterone Pellets

Testosterone pellets allow patients to recieve a single subdermal application that lasts for weeks.

  • Single dose can last 4+ weeks
  • Uneven absorption
  • Injection site soreness
  • Can be expensive
  • Can decrease fertitilty

Clomiphene Tablets

Clomiphene is an oral tablet that stimulates your body to make more testosterone.

  • Protects your natural fertility
  • Pill format can be convenient
  • Low Cost
  • Some studies of clomiphene report fewer benefits than other forms of testosterone therapy

How it works:

Getting started couldn't be easier and with our no-risk cancellation policy there's no reason to wait.

Sign Up
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Sign Up

Signing up is easy and takes less than 5 minutes. Our service costs only $75/month.

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Get Blood Drawn

Visit a nearby blood-draw site for a routine blood draw to see whether you may qualify for treatment.

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Meet your Doctor

Meet with our world-class weight-loss doctors over Zoom to discuss your needs and find the best options for you.

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Begin Treatment

Get your medication right away. Depending what you and your doctor decide, medication costs range from $25 to $50 per month.


Frequently asked questions

What are the Symptoms of Testosterone Deficiencies

Testosterone is the major male hormone responsible for masculine changes such as increased muscle mass, increased libido/sexual performance, adequate bone density and balanced moods. Low testosterone has been associated with the following issues in men:

- low libido/sexual dysfunction
- decreased muscle mass/athletic performance
- depressed mood/anxiety
- increased incidence of diabetes/metabolic disease
- Increased incidences of heart disease and dementia.

What kind of results can I expect from Testosterone therapy?

Common Benefits from Testosterone Therapy include
- Improved libido/sexual function
- Increased muscle mass/decreased abdominal fat.
- improved Energy, confidence, and mood
- possible improvements in blood sugar and cholesterol

How do I know if I need Testosterone Therapy

Testosterone deficiency is defined mainly by symptoms of low libido/erectile dysfunction, low energy, infertility, and decreased muscle mass. Testosterone deficiency is confirmed by a blood test drawn between 7-10am in the morning.  

What are my options for Testosterone therapy

The mainstay of testosterone treatment is different formulations of Bioidentical testosterone. Bioidentical testosterone comes in one of three forms (injectable, topical, or oral). In addition to Bioidentical Testosterone, Selective Estrogen Receptor  Modulators (SERMs) can be used in patients who are low in testosterone but still desire fertility. The above-mentioned medications are dosed as follows:

1. Injectable testosterone dosed every 1-2 weeks
2. Topical testosterone in the form of a gel, cream, or patch dosed daily
3. Twice daily oral testosterone
4. Selective Estrogen Receptor Modulators (SERMS) - daily oral medication that increases testosterone production by stimulating the testicles' natural testosterone production, thus preserving fertility.

What are the risks of Testosterone Therapy

The risks of Testosterone therapy are an area of controversy, with many believing they are overstated. Potential risks include the following:

- Heart Disease/High blood pressure: Older studies have demonstrated a slightly increased risk in heart attacks in patients older than 65. To put it in perspective, if you treated 1000 men with Testosterone for 1 year, you would expect to see an addition 1-5 heart attacks. A more recent (and better-designed trial) called the TRAVERSE Trial, failed to show an increased risk of heart attacks in patients treated with testosterone. Of note, transdermal/topical preparations of testosterone have lower incidences of heart disease than injectable testosterone.

- Prostate Cancer - there is a theoretical risk for the increase of prostate cancer in males treated with testosterone. To date, no trials have demonstrated an increased risk, however, it is recommended that patients on testosterone be screened annually for prostate cancer.

- Prostate enlargement (unrelated to cancer) may increase in some patients on testosterone therapy

- Increased Red Blood Cell (RBC) counts: Testosterone therapy naturally increases the production of RBCs. Too many RBC's can lead to issues such as blood clots, strokes, and heart attacks. For this reason, we monitor blood cell counts regularly in patients on testosterone therapy. If RBC counts become too high, the options are to either discontinue therapy or to donate blood.

- Decreased Fertility - patients receiving Bio-identical testosterone therapy frequently experience a reduction in sperm production and infertility. In most cases, fertility returns somewhere between 18-24 months after stopping therapy, however, persistent infertility has been reported

- Blood Clots - A  2020 publication in the Journal of the American Medical Academy (JAMA), demonstrated an up to 2 fold increase in blood clots in patients (with or without hypogonadism) on testosterone therapy.

- local irritation from injections or topical medications

It is important to note that these risks noted above are based on studies in which the subjects were undergoing testosterone therapy with a formal diagnosis of male hypogonadism (symptoms + repeated Testosterone levels < 300ng/dl). As a result, this data on risk may not be entirely applicable in those with "normal testosterone levels" but with significant hypogonadal symptoms.

How do I choose which therapy to take

1. Topical testosterone
a. pros - easy to apply, reduced risk of heart disease, less hormonal peaks and valleys
b. Cons - application site irritation; messy; the potential of transference to family members/close acquaintances; difficulty in getting accurate monitoring lab testing as testing timing is critical, yielding inaccurate results.

2. Injectable testosterone
a. Pros - well studied for many years, weekly to biweekly dosages. easy to monitor. very cost-effective.
b. Cons - reduces sperm production and fertility; shots can be painful or overwhelming to some patients. Longer dosing intervals can lead to peaks in valleys of testosterone levels.

3. Oral Testosterone
a. Pros - easy administration, similar benefits to other forms of Testosterone, lower risk of prostate enlargement
b. Cons - relatively expensive, BID dosing. Older forms of oral Testosterone are associated with liver toxicity.

4. Clomophene/Enclomophene
a. Pros - easy to dose. Predictable increases in testosterone. No increased estrogen levels. Can be used in patient's desiring fertility. Long term safety promoted
b. Cons - some studies show greater improvement in Low-T symptoms on Testosterone when compared to clomophene/Enclomophene.

What should my Testosterone Levels Be?

The diagnosis of male low testosterone is based on symptoms of low testosterone and repeated morning lab values below 300ng/dl of Total Testosterone. This one-size-fits-all approach does fail to consider that "normal testosterone" levels are highly dependent upon age and other factors. Our approach is to individually optimize your testosterone levels for maximal relief of low-test symptoms while avoiding supratherapeutic (or superhuman) levels to minimize the possibility of side effects and harm.

What if start Testosterone therapy and Don't feel any benefit?

Not every patient with low testosterone will experience a benefit from treatment. Most who do, will experience improved symptoms in 3-6 months. For those who do not feel the benefits of improved testosterone, it is reasonable to stop the medication. At Valuemed, we have no contracts so you can cancel your service anytime.

Who should avoid Testerone Therapy?

Contraindications to androgen replacement therapy include a history of breast cancer, prostate cancer, uncontrolled heart failure, myocardial infarction or cerebrovascular accident within the past six months, untreated obstructive sleep apnea, having a hematocrit over 48%, men planning fertility, having a palpable undiagnosed prostate nodule, an elevated PSA (prostate-specific antigen) above 4 ng/mL, or an elevated PSA level above 3 ng/mL in high-risk patients including African Americans and men with a first-degree relative with prostate cancer.

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You know your body, and we want to follow your lead as we develop your treatment plan. No gatekeepers, no judgment.

We know medicine. We're here to provide information and guidance. We'll help you understand your options so you can make the best decision.

You are in charge.

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We follow the latest safety guidelines and we're informed by the latest evidence.

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