Patient satisfaction is of utmost importance to us and making sure we answer all of your questions is one of our top priorities.
We ask all new patients to bring three things with them to their visit.
You’ll need your photo ID and insurance card.
It will help if you can show us a full list of medications, and a clear summary of your health history. Our providers can use this information to determine if a prescription is contributing to your condition.
For your convenience, we accept all major credit cards, personal checks, and cash. Insurance is accepted by the laboratory onsite for your blood work, insurance is not accepted for your treatment but we’re happy to give you a special receipt (“super bill”) that you can submit to your insurance company for possible reimbursement.
Insurance is accepted for your bloodwork. Most treatments are considered elective care and are not covered by insurance, but we will provide you with special documentation (a “super bill”) that you can submit to your insurance company, if you elect to do so.
If there is a clinic that claims they take insurance for TRT treatment be sure to understand the cost first before assuming they are going to be a less expensive option.
Health savings accounts (HSA) and benefit cards are accepted.
There is no age limit for testosterone therapy. Testosterone therapy produces benefits for men of all ages.
The hypothalamus and pituitary detect the presence of testosterone and regulate production in the body. When levels of testosterone are properly regulated, natural production does diminish within the body because optimum levels are achieved. When testosterone levels fall due to discontinuing therapy or therapy interruptions, the hypothalamus and pituitary detect the drop and resume the chemical signaling that results in the natural production of testosterone.
However, for a man who has Low-T, the body either transmits inadequate signals to produce sufficient testosterone naturally, or the body cannot respond appropriately to the signals to produce sufficient testosterone. Therefore, patients who have Low-T and discontinue therapy will most likely return to their natural baseline production, but their baseline level is, in effect, inadequate.
Every patient has a unique set of factors affecting how rapidly the injections work for them, including other medical conditions, medications, body fat percentage, severity of testosterone deficiency, etc. Although most patients feel some degree of improvement within four weeks, some people feel improvement after the first injection while some may take two to three months. The increase will be subtle at first, but will start to culminate after several weeks on treatment. If symptoms don’t improve after a few weeks of therapy, we will draw labs and discuss alternative treatment options.
There are many different blood tests that all have different “reference ranges”. However, it is important to understand how those reference ranges are determined. For purposes of serum testosterone reference ranges, the “norms” are not age-adjusted, in other words, men ages 18-80 are thrown in to the same patient population, thus a wide spectrum from 250-1100 is now considered “normal”. However, it is our belief that a 20 year old should not have the same testosterone level as an average 70 year old and be considered in the range of “normal” or “low normal”. Multiple studies have demonstrated that testosterone levels should not be expected to drop significantly just due to aging. Thus, for those men with Low-T symptoms who have what some consider “borderline levels” treatment with testosterone is often clinically supported and recommended.
Hypogonadism is a chronic condition for many men. There are some who have temporary conditions leading to Low-T, which include significant infection or other short-term physical or emotional stress. However, for many patients who have been feeling the symptoms of Low-T for more than just a few months, the condition is long-standing and will require testosterone replacement. Just as a diabetic can require insulin or someone with hypothyroidism can require thyroid replacement to be healthy, someone with hypogonadism can require testosterone replacement to be at his best indefinitely.
Pellets are inserted in the upper buttocks through a tiny incision which is then covered with a steri-strip. Local anesthesia is used prior to insertion and you’ll feel almost nothing at all during the 3-minute procedure other than perhaps a little pressure when the pellets are inserted through the trocar. Other than bruising and possibly some minor discomfort afterwards, there are rarely any complications from this simple procedure. After insertion, we suggest that you avoid strenuous physical activity for 48 hours and refrain from swimming or soaking in the bathtub for 3-5 days.
The pellets are absorbed naturally by the body over a period of 4-6 months. There is no need to remove them.
Prior to treating you, a blood analysis is performed in order to gather information on your current hormone levels. Using this data, our physicians create the correct balance between the testosterone pellets they prescribe for you. After your initial pellets are inserted, blood work is performed regularly so that we can continue to analyze your status and make sure the pellets are working like they should be.
Although testosterone is a hormone that is generally associated with men and giving men their masculinity, women’s bodies produce testosterone as well. The level of testosterone in women is certainly lower than it is in men, but it is present. In fact, the body makes all the intracellular estrogen it needs from testosterone. Women need testosterone too.
Some patients could experience one or more of the following side effects:
Increase in red blood cells
This can be beneficial if you have anemia. However, we monitor this closely and if necessary to reduce your number of red blood cells, a simple and quick blood donation that is commonly referred to as a “therapeutic phlebotomy,” will be performed. Polycythemia is sometimes called erythrocytosis, but the terms are not synonymous because polycythemia refers to any increase in red blood cells, whereas erythrocytosis only refers to a documented increase of red cell mass. Testosterone replacement therapy sometimes increases hemoglobin and hematocrit with or without an increase the red cell mass.
If you have a history of prostate cancer, a prior clearance from your urologist who is overseeing your care will be needed.
Acne, oily skin, increased body hair and flushing have been reported. These side effects are not very common, but when/if they occur, often are transient
Testosterone reduces the production of a man’s sperm during therapy.
Although uncommon, you must use caution if you have a history of heart failure or kidney disease.
No, No and No. Oral testosterone can be hyper toxic to the liver and lead to long term damage of your liver and kidneys. These products are NOT regulated by the FDA and there is no way to be for sure what are in these products and where they are being manufactured. While they are easy to get your hands on, they are not recommended.
With so many other options available, such as testosterone injections, testosterone cream, and testosterone pellets, you have no reason to take any form of oral testosterone. All of these methods bypass the liver and go directly into the bloodstream, which is less taxing on the liver.
Because we are in a low testosterone epidemic! Alarming scientific evidence recently presented in a well-researched report shows American men 35 to 70 years old are plagued with testosterone levels significantly lower than their fathers before them.
Some scientists blame record low levels of testosterone on a combination of environmental factors such as phytoestrogens in plants like soy, flame retardants in computers and furniture, hormones in our food supply, and BPA in plastic containers.
Traditionally, testosterone and estrogen have been considered to be male and female sex hormones, respectively. However, estradiol, the predominant form of estrogen, also plays a critical role in male sexual function. Estradiol in men is essential for modulating libido, erectile function, and spermatogenesis.
If you are currently on testosterone therapy and you don’t know your estradiol level, you need to find a specialist that understands the importance of both testosterone and estradiol. You can’t have one without the other.
Depending on what size IV bag you opt for, on an average it takes around 20 minutes for a vitamin drip and can take up to an hour for the larger bag.
The Myers cocktail is an all-time celebrity favorite! It is the ultimate vitamin infusion that contains the most studied vitamin mixture created by Dr. John Meyer in the 1950s. The Meyers cocktail contains multiple high dose vitamins for optimizing your immunity, neuro-function, metabolic energy, and cell recovery. It has been studied in multiple chronic fatigue and life debilitating disorders such as Parkinson’s disease, cancer, fibromyalgia, and dementia just to name a few.
The frequency of IV Drip therapy is determined on a patient by patient basis. For example, someone undergoing high dose Vitamin C therapy for cancer treatment may receive three IV drips a week, whereas a generally healthy individual may only require IV Drip therapy twice a month. Diagnostic tests are available to better determine how often a person should be receiving treatments.
GAINSWave is a protocol for men that improves sexual performance and keeps the penis healthy. It is not a device. It is simply a protocol. The most common devices used to perform WAVE Therapy are the EVIVE or Storz.
There have been multiple studies that verify the effectiveness of the shockwave treatment. This therapy has been used in Europe for more than 15 years with great success.
These are some of the clinical studies below:
Patients usually report improved sleep within the first few weeks of therapy. Of course, this is only noticed in patients who have trouble sleeping in the first place, however, most patients at least notice an increase in sleep quality. This is usually concurrent with increased energy levels and improved mood. After 3-6 months of therapy, patients start reporting noticeable or significant body changes, such as increase in muscle tone and a leaner physique. Over time patients will also notice a significant improvement in skin tone and health.
In HGH therapy, the main difference is Ipamorelin is a secretagogue. This means, it is not growth hormone itself, but it actually stimulates the pituitary gland to produce more growth hormone naturally. This gives the body the benefits of HGH without giving the actual hormone. This bypass of injected HGH prevents many problems. Unlike Ipamorelin, when you use HGH injections, it accumulates in the body. Levels of exogenous hormone increase for a while and then drop back down suddenly. Patients taking HGH often experience benefits for a period of time and then the effects abruptly stop. It then takes more and more medication to produce the same original effect, and taking too much can lead to severe HGH side effects. Because Ipamorelin stimulates growth hormone production naturally, it is typically much safer than HGH. With Ipamorelin, the body attempts to self regulate how much or how high hormone levels can get. This type of regulation is referred to as normal feedback; a protection mechanism of the body. When levels get too high, normal feedback mechanisms help bring levels to a more safe and steady state.
Your first visit is $99, this fee includes a confidential consultation with one of our medical providers, PSA testing, testosterone assessment, body composition analysis, and a customized "test dose" of our proven medication if needed. HSA (Health Savings Account), FSA (Flexible Spending Account), and Care Credit cards are accepted!