Signs & Symptoms of Low Testosterone in Men:

Fatigue: Persistent tiredness, even after a full night's sleep, and a general lack of energy.
Decreased libido: A noticeable drop in sexual desire or interest in sexual activities.
Erectile dysfunction: Difficulty achieving or maintaining an erection, often linked to hormonal imbalances.
Mood changes: Increased irritability, feelings of depression, or mood swings due to lower hormone levels.
Reduced muscle mass: A decrease in muscle strength and size, making physical activities or exercises harder to perform.
Increased body fat: Accumulation of fat, especially around the abdomen, as testosterone helps regulate fat distribution.
Difficulty concentrating: Cognitive issues such as brain fog, memory problems, and trouble focusing.
Reduced bone density: Low testosterone can contribute to weaker bones, raising the risk of fractures or osteoporosis.
Sleep disturbances: Trouble falling or staying asleep, which can be linked to hormonal imbalances.
Hot flashes: Similar to symptoms experienced by women during menopause, some men may experience sudden feelings of warmth or sweating.

Treatment Types:

Testosterone replacement therapy offers several methods for men, each with its benefits and considerations:

Injections: Administered every 1-2 weeks, they provide effective testosterone supplementation but may cause discomfort at the injection site and fluctuations in testosterone levels.
Creams: Applied daily to the skin, they offer a non-invasive option but require careful handling to avoid transferring the hormone to others and can be less effective for some.
Pellets: Small pellets inserted under the skin provide a steady, long-lasting release of testosterone for 3-6 months, with minimal maintenance, though they require a minor surgical procedure and can cause site irritation.

Virtual Consultation
- The provider and patient meet to discuss the treatment plan.
- A lab order will be provided to ensure the treatment is appropriate and safe for the patient.
- A follow-up visit will be scheduled to review lab results and determine if the patient is cleared for treatment.
Initial Pellet Insertion
- The medical provider will visit the patient’s home to perform a minimally invasive pellet insertion.
- Local anesthesia will be applied to the insertion site for comfort.
- This is a straightforward outpatient procedure.
Spot Check
- Occurs after the initial pellet insertion.
- The patient will need to get blood work 5 weeks post-insertion, with a lab order provided.
- Based on the testosterone levels, an additional pellet insertion may be needed to achieve optimal results.
Follow-Up Insertions
- Pellets typically last 3-6 months, depending on metabolism, activity level, hormone needs, body composition, and lifestyle factors.
- Follow-up insertions will be scheduled as needed based on individual response to the treatment.

Many men begin noticing improvements within a few weeks to a few months. It may take 3-6 months for the full benefits, including increased energy, improved mood, and enhanced libido.
Stopping testosterone therapy can lead to a return of symptoms like fatigue, low libido, and mood changes. It's important to discuss any changes with your healthcare provider before discontinuing treatment.
The cost of testosterone therapy can vary depending on the treatment method and provider fees. Injections and gels/creams are generally more affordable, while pellet therapy tends to be more expensive due to the procedure required.
Yes, testosterone therapy can be combined with other treatments like lifestyle changes (exercise, diet) and medications for related conditions, such as erectile dysfunction. Always consult your healthcare provider to ensure the treatments work together effectively.
Testosterone therapy is not suitable for all men, particularly those with certain health conditions such as prostate cancer, breast cancer, or untreated sleep apnea. A thorough medical evaluation is necessary to determine if it’s the right treatment.