NOTICE: The Frequently Asked Question information contained here is general information and is not intended to take the place of your personal physician’s advice, or to diagnose, treat, cure or prevent any disease. The FAQs contained herein are not a substitute for medical advice or treatment for specific medical conditions, and should not be used as such. Only a qualified physician can examine your specific conditions, symptoms, test results, history and circumstances to determine if you qualify for and should undertake treatment.
After contacting us you will be assigned a patient advisor. Our advisor will discuss your symptoms and collect your medical history and patient forms. You will get an examination from a local physician of your choosing and if they diagnose you with one of the symptoms of Low T (fatigue, libido, muscle loss, ED, etc.) in their exam (use our form – link), we will schedule a blood test. We will collect your credit card testing payment then you can elect to go to a local LabCorp or we can mail a self testing blood kit directly to you.
Once we have your complete medical history, charts and tests our Anti-Aging Physician specialist will develop a diagnosis and treatment plan. We will discuss the treatment recommendations and options with you and then take a credit card payment and ship you your hormone prescription either in an injection kit or a cream based topical to apply to your skin. We will then walk you through your injections and discuss the treatment. Your second blood test occurs in 2-3 months but we will already have been discussing the program and results with you. We will continue to review your progress and schedule a blood test every 3-6 months and always be available to answer any questions you have. It is not unusual to recalibrate your treatment prescription according to test results and the progress of the treatment.
After contacting us you will be assigned a patient advisor. Our advisor will discuss your symptoms with you and collect your medical history and patient forms You will get an examination from a local physician of your choosing and if they diagnose you with one of the symptoms of Low T (fatigue, libido, muscle loss, ED, etc.) in their exam (use our form – link), we will schedule a blood test. After you pay for these initial tests we will schedule a blood pull at a local LabCorp or we can mail a self testing blood kit directly to you. The self administered kit includes a blood spotting test by pricking your finger and dotting a paper as well as a saliva vial test. Ongoing tests can be completed at a local LabCorp or mailed directly to you.
During the interview process you can indicate your preference for treatment. It typically would be a topical cream or gel applied to the skin, an intra-muscular (IM) injection every week into the hip or a sub-cutaneous (Sub-Q) injection every 2-3 days into the thigh, waist or arm. We recommend starting with a cream and can calibrate your dosage and delivery method according to your comfort level, tests or effects. Your treatment kits will be mailed directly to your home or office.
We will be in constant contact with you and always available to answer any questions. The first follow-up testing typically occurs in two months. We will continue tests every six months but may request more frequent testing and tele-consultations if either you or your physician wants to keep a closer look at your progress.
Physicians recommend taking a blood testosterone level test by 10am as your levels peak each morning. Significant changes in testosterone levels typically only occur in younger, healthy men under 40 years of age however. One study of over 3,000 men showed an unchanged in testosterone levels from 6 a.m. through 2 a.m. The group then experienced a 13% change from 2 p.m. to 6 p.m. which is unlikely to alter the diagnosis of Low T. Studies have also shown that men with testosterone levels under 300 ng/dl who are most likely to be diagnosed with low testosterone saw even less variation over the course of the day.
Only when the test results do not match the picture presented from the individuals history and symptoms and produce a surprising result.
Ask your doctor to test you again and to examine your Total Testosterone, Free Testosterone and SHBG levels to see if there is diminished level anywhere. If you are not comfortable with your physician’s diagnosis or comfort with this area of medicine please contact us today to discuss further testing by experts in this specialty.
This is not a common confusion by physicians not thoroughly trained in the latest learning’s in this area. Many years ago, physicians were taught that when someone had testosterone levels it was either due to testicular failure exhibiting high LH levels; or, pituitary or hypothalamus issues and low LH levels. Over the past 20 years most physicians are now taught that the primary reason for low testosterone levels is due to aging and LH levels will typically be in the normal ranges. High or low LH levels can sometimes indicate specific causes of Low T and suggest a specific treatment but Low T is Low T is the testosterone levels are low and is treatable.
A simple blood test drawn in our office will reveal your levels. Results are given usually within 24 hours.
No. We are supplementing what your body is not producing in sufficient quantity.
HRT may continue indefinitely as long as you want to maintain results. The length of necessity varies from person to person. Hormone levels are affected by genetics, lifestyle habits and environmental factors. Some patient can stop with consistent dedication to their treatment plan, which includes not only hormone therapy, but nutrition and fitness recommendations as well. Unfortunately, there is not one answer that will apply to all individuals. Treatment plans are specifically tailored to each individual and their needs.
As you consider whether or not testosterone therapy is right for you, there are side effects of testosterone replacement that you need to take into account.
For example, if you already struggle with sleep apnea, testosterone replacement therapy could potentially make your sleep apnea worse.
Another side effect could be decreased testicular size, and, in some cases, a decrease in sperm count. Fluid retention, liver toxicity, enlarged breast size, increased red blood cells, and acne are also potential side effects of testosterone replacement therapy. If you start to experience any negative side effects, report them to your local clinic immediately.
You’re lying in bed. Your face feels flushed, and beads of sweat are popping out across your forehead. You kick of the blankets thinking that will help, but it does not. You think to yourself, “This can’t be a hot flash; hot flashes only happen to women, right?” Wrong.
Men who have low testosterone levels can also experience hot flashes. In fact, hot flashes are one of the most common symptoms of andropause. In some cases, testosterone replacement therapy can help with controlling these hot flashes.
When a young man goes through puberty, his testosterone levels will affect the size and development of his penis. Low testosterone in older males does not necessarily affect penis size.
Lower testosterone levels in adults can cause other sexually related side effects such as reduced libido, less desire or erectile dysfunction issues. These side effects can be treated with testosterone therapy.
Erectile dysfunction (ED) is caused by many factors, including low testosterone. Many studies have shown that testosterone replacement therapy will actually help with ED if the cause is low testosterone. Additionally, if your testosterone is low and you are already on medication for erectile dysfunction, testosterone therapy may increase the effects of your ED medication.