Testosterone Replacement Therapy
Restore What Time Takes Away.
What It Treats
How It Works
TRT replaces deficient testosterone through bioidentical hormone delivery. Testosterone binds to androgen receptors in muscle, bone, brain, and adipose tissue, restoring anabolic signaling. Available as injections (weekly/biweekly), pellets (every 4-5 months), creams (daily), or troches (sublingual daily).
Mechanism of Action
Testosterone isn't just a "sex hormone" — it's a master regulator of metabolism, mood, cognition, bone density, and body composition. After age 30, men lose approximately 1-2% of their testosterone production per year. By 50, many men are operating at half the level they had in their 20s. The Testosterone Trials (TTrials) — the largest, most rigorous study of TRT ever conducted — published in the New England Journal of Medicine, showed that restoring testosterone to mid-normal range significantly improved sexual function, physical function, and vitality in men over 65 with documented low T. We offer multiple delivery methods: injections, pellets, creams, and troches — matched to your lifestyle and preference.
In 790 men aged 65+ with low testosterone (<275 ng/dL), TRT for 1 year significantly improved sexual function (increased desire, erectile function, and sexual activity), physical function (improved 6-minute walk distance), and vitality compared to placebo. The TTrials established that testosterone replacement in hypogonadal older men produces clinically meaningful benefits across multiple symptom domains.
In 5,204 men aged 45-80 with hypogonadism and pre-existing or high risk for cardiovascular disease, TRT for a mean of 21.7 months did not increase the incidence of major adverse cardiovascular events compared to placebo (7.0% vs 7.3%). This definitive safety trial — the largest cardiovascular outcomes trial of TRT ever conducted — resolved years of uncertainty and confirmed that testosterone replacement is cardiovascularly safe in the populations most commonly treated.
The Results
The clinical evidence for TRT spans thousands of patients across multiple landmark trials. The TRAVERSE trial in the New England Journal of Medicine — a cardiovascular safety trial of over 5,000 men — confirmed that TRT does not increase cardiovascular risk, putting to rest years of outdated concerns. Meanwhile, a comprehensive meta-analysis in JAMA Network Open showed TRT consistently improves body composition (increased lean mass, decreased fat mass), sexual function, mood, and bone mineral density. Our patients typically notice energy and mood improvements within 2-4 weeks, with full body composition changes at 3-6 months.
Meta-analysis of 109 randomized controlled trials comprising 7,522 men showed TRT significantly increased lean body mass, decreased fat mass, improved sexual function, and enhanced bone mineral density without increasing cardiovascular events. The analysis confirmed that TRT's benefits are most pronounced in men with clearly documented hypogonadism and appropriate monitoring.
Ideal For
Men with documented low testosterone (below 300 ng/dL total T, or symptomatic below 450) experiencing fatigue, weight gain, low libido, or mood changes. Lab confirmation required before treatment.
Your Protocol
Delivery method matched to patient preference: Cypionate injections 100-200mg weekly, pellet insertion every 4-5 months, topical cream daily, or troches sublingual daily. Labs monitored at 6 weeks, then quarterly. Estradiol and hematocrit managed as needed.
Ready to Start Testosterone Replacement Therapy?
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Cancellation Policy: A $50 non-refundable deposit is required to confirm your appointment for all consultations — our front desk will reach out to collect it after you book. The deposit is applied toward your visit cost. We require at least 24 hours' notice for cancellations or changes. No-shows or late cancellations will forfeit the deposit. By booking, you agree to these terms.
Business hours: Mon–Thu 8am–6pm · Fri 8am–12pm
