Low testosterone (Low T) is common, and gets more common with age as our hormone levels naturally decline. Low T symptoms include:
The good news is low testosterone is treatable, and treatment can be life-changing.
Feel more energy throughout the day. Say goodbye to afternoon slumps, daytime naps, and constant fatigue.
Regain your motivation for work and life. Enjoy improved concentration and sharper focus.
Rev up your sex drive and enjoy better performance with stronger, longer-lasting erections.
Build and maintain lean muscle mass, boost your metabolism, and maintain a healthier body weight.
Enjoy deeper, more restful sleep and wake up feeling refreshed and ready to take on the day.
Relieve symptoms of depression, anxiety, and irritability. Feel more confident, resilient, and satisfied with life.
The determination of whether you are a candidate for TRT requires an assessment by a qualified healthcare provider to evaluate your symptoms, and a blood test to measure your testosterone.
The normal testosterone range in men is considered to be 300-1000ng/dL, but this is an arbitrary range based on population studies, not on what is ideal for men to feel and function their best.
Our approach is to treat men based primarily on their symptoms, not their blood levels. In our experience, men frequently have symptoms of low testosterone at levels <300ng/dL, but also can have symptoms of Low T at levels up to 500-600ng/dL.
Bioidentical testosterone in injection form is the most common type of testosterone therapy used, because of consistent and reliable results. More than 90% of TRT patients use injectable testosterone. Less commonly used formulations include topical, pellet, and oral.
Enclomiphene (and clomiphene) is a SERM (selective estrogen receptor modulator) that stimulates the body to produce more testosterone on its own. Enclomiphene is less reliable than testosterone, but can be an ideal choice in younger men.
The combination of testosterone and enclomiphene can maximize the benefits and minimize the drawbacks of each. Get consistent and reliable results, and maintain your own testosterone production, preserve fertility, and prevent testicular shrinkage.
In men, testosterone is typically administered as a weekly injection in the muscle of the butt, thigh, or arm. Injections result in excellent testosterone blood levels and symptom resolution, and this is the way more than 90% of men get their testosterone. We will teach you how to do injections at home, or you can come to the office for your injections. Testosterone can also be administered in topical form, but absorption and symptom resolution is more variable.
Yes. To be a candidate for testosterone replacement therapy, you need to have symptoms consistent with low testosterone, and a blood test that shows low testosterone. We also have to make sure your PSA and hematocrit aren’t elevated. We perform these tests for free in the office (testosterone, PSA, hematocrit). If you are a candidate for treatment, we can start testosterone in the office that day.
You may feel a change within the first week, but it can take 3-6 months to feel the full effects of testosterone replacement. Often the first changes men feel are an increase in libido and energy.
No. There is no evidence that testosterone replacement therapy increases the risk for either prostate cancer or cardiovascular disease.
Yes! Bioidentical hormones are molecularly the same as the hormones your body normally makes, and therefore function exactly the same as your normal hormones. Pharmaceutical companies make altered version of hormones (so they can patent them), but they don’t work in the same way as your body’s normal hormones. Mother Nature has provided us with the ideal hormones, and pharmaceutical companies, unsurprisingly, have not been able to improve upon them.
Side effects can occur if testosterone levels become too high. Possible side effects include elevated hematocrit, acne, oily skin, male pattern hair loss, nipple pain, and aggression. Testosterone also reduces sperm count and fertility, and can cause testicular shrinkage. If men want fertility within 6-12 months, testosterone shouldn’t be started, and enclomiphene or clomiphene should be considered instead.
Our goal is to resolve your symptoms of low testosterone to get you feeling like your younger self again, without causing side effects. Generally this means getting your testosterone level into the top third of the normal range.
Meet with David Oliak, MD, or Allison Mollet, PA, for a free consult and in-office testosterone test to see if testosterone or enclomiphene is right for you.
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