Male bioidentical hormone replacement therapy—primarily testosterone replacement—for men experiencing symptoms of low testosterone: fatigue, low libido, depression or mood changes, loss of muscle, brain fog, weight gain despite effort, decreased motivation. Confirmed via lab work showing low or low-normal testosterone levels.

Men experiencing low T symptoms with lab confirmation. Levels typically decline starting in late 30s, accelerating through 40s and 50s. Some men have low T due to other causes (medications, medical conditions, lifestyle, prior anabolic steroid use). Symptoms plus lab confirmation guides the decision—not age alone.

Pellet insertion every 5 months on average. Bioidentical testosterone pellets placed under the skin (usually hip area) during a quick in-office procedure. Pellets release consistent doses around the clock, avoiding the peak-and-valley patterns of weekly injections or daily creams.

We numb the insertion site with local anesthetic before placement. Slight pressure during placement. Soreness at the site for about 7 days. Avoid swimming, hot tubs, and strenuous exercise for 5–7 days.

Energy and mood improvements often within 2–4 weeks. Libido improvement at 3–6 weeks. Strength and body composition changes (with consistent training) over 3–6 months. Average re-insertion occurs every 5 months. Schedule blood work 4 weeks after your initial insertion and a lab review at 5 weeks.

When properly screened and monitored, yes. We screen for contraindications (prostate cancer history, severe cardiovascular disease, untreated severe sleep apnea, certain blood disorders). Lab work monitored regularly. Properly managed testosterone replacement has strong safety data.

Male HRT starts with a $150 consultation. Pellet insertion and dosing are quoted after labs come back, since cost depends on the dosing your individual labs call for. Members receive discounted pricing.

Properly dosed bioidentical testosterone replacement that brings you to physiologic levels typically improves mood, not destabilizes it. The "roid rage" stereotype comes from abuse of synthetic anabolic steroids at supratherapeutic doses. We dose to optimize, not to exceed normal range.

Yes—suppressing your body's natural testosterone production can reduce sperm count. If preserving fertility is important, we discuss alternatives (clomid, HCG protocols) that maintain testicular function. Tell us at consultation if fertility is a current concern—it changes the treatment approach.

Comprehensive panel: total and free testosterone, estradiol, SHBG, DHEA-S, complete blood count (CBC—we monitor hematocrit), PSA (prostate marker), comprehensive metabolic panel including liver and kidney function. Possibly additional markers based on history. Initial labs are more extensive than follow-ups.

Book a wellness consultation. We'll review your symptoms, medical history, order labs, and design a treatment plan based on results. If you have recent labs from primary care, bring them. Call (806) 701-5840 or book online.

Most men who start testosterone replacement stay on it long-term because the underlying decline doesn't reverse. Some men can taper if the cause was specific and resolvable (medication side effect, lifestyle factor, weight loss). We discuss long-term planning from the start and revisit annually.