Understanding Low Testosterone (Low T) in Men

Testosterone naturally peaks in early adulthood and gradually declines as men age — often beginning around the mid‑30s and continuing at about 1% per year. For some men, this decline becomes more noticeable and begins affecting energy, mood, strength, sexual health, and overall well‑being. Low testosterone (also called male hypogonadism) occurs when the testicles no longer produce adequate levels of testosterone, or when the brain signals that regulate testosterone production become less effective.

Why Low T Happens

Several factors can contribute to declining testosterone levels:

Normal aging, which reduces testicular and hormonal function over time
Excess body fat, especially abdominal fat, which is strongly linked to lower testosterone
Poorly managed Type 2 diabetes, sleep apnea, or chronic medical conditions
Stress, certain medications, or prior injury to the testicles

These changes can develop slowly, which is why many men don’t realize their symptoms are hormone‑related.

Common Symptoms of Low T

Low testosterone can affect multiple systems in the body. Men may experience:

Reduced sex drive and erectile dysfunction
Fatigue and decreased energy
Loss of muscle mass and strength
Increased body fat or difficulty losing weight
Mood changes, including irritability, low motivation, or depressed mood
Trouble concentrating or memory changes
Decreased endurance and overall vitality

How Testosterone Therapy Can Help

When clinically appropriate, Testosterone Replacement Therapy (TRT) can help restore hormone levels and improve many of the symptoms associated with Low T. Research shows TRT may support improvements in:
Sexual function and libido
Lean muscle mass and strength
Energy levels and mood
Bone density and overall vitality
TRT is medically supervised and tailored to each patient’s needs, with ongoing monitoring to ensure safety and effectiveness.

How Our Process Works

1. Initial Evaluation — $250

Your first visit gives you a complete, medically guided picture of your hormone health. This appointment includes:

Comprehensive laboratory blood work
InBody 580 body composition scan
A full consultation with our Nurse Practitioner
Personalized clinical guidance and treatment planning

This establishes your baseline and ensures testosterone therapy is safe and appropriate for you.

2. Monthly Testosterone Replacement— $135/month
Your ongoing care is supported through a simple monthly subscription designed for consistency, safety, and results. This includes:
•    Testosterone medication
•    All required supplies (needles, syringes, alcohol wipes)
•    Ongoing medical support for questions, dose adjustments, and symptom monitoring
•    Quarterly follow‑up appointments
•    Quarterly InBody 580 scans to track muscle mass, fat loss, and progress
•    Biannual laboratory blood work to monitor hormone levels, safety markers, and overall health
Your subscription keeps your treatment predictable, affordable, and medically supervised.

Note depending on estrogen levels, estrogen blockers may be required.

3. Follow‑Up & Long‑Term Support

Every three months, you’ll meet in person for:

A follow‑up evaluation
Updated InBody scan
Review of symptoms, progress, and goals
Any necessary dose adjustments
A 3‑month minimum commitment is required
Monthly autopay is required for all active patients

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Sexual Dysfunction

Treatments for erectile dysfunction, low libido (lack of sexual desire).

Sildenafil (generic Viagra)

Sildenafil is a medication used to support erectile function by improving blood flow during sexual stimulation. It belongs to a group of medications called PDE‑5 inhibitors, which help relax blood vessels and make it easier to achieve and maintain an erection. Most people take it 30 minutes to 1 hour before sexual activity, and it generally lasts around 2 hours, though it remains in the body longer.

Tadalafil (generic Cialis)

Tadalafil is a long‑acting PDE‑5 inhibitor used to support erectile function by improving blood flow during sexual stimulation. It can also help with urinary symptoms from an enlarged prostate (BPH). One of its biggest advantages is duration. Many patients call it the “weekend option” because it can remain effective for up to 36 hours, offering more flexibility and less timing pressure. It may be taken as needed before sexual activity or once daily, depending on the treatment plan.

PT‑141 (Bremelanotide)

PT‑141, also known as bremelanotide, is a peptide used to support sexual desire and arousal by acting directly on the brain pathways involved in sexual response. Unlike medications that work through blood flow, PT‑141 targets melanocortin receptors in the central nervous system, which play a role in sexual motivation and arousal.