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Testosterone Replacement Therapy (TRT) for Men

Be More Energetic, Stay Active, And Live Well

Our Most Comprehensive Low Testosterone Treatment For Men

What is testosterone?

Testosterone is the most powerful androgen that is derived from the Greek words for “man-maker.” As men age, the inner workings of the human body and testosterone levels decline. This contributes to bone calcium declines, muscle mass decreases, body fat increases, and cognition slows down. Red blood cell counts also decline. The average man becomes less energetic and less sexually active. As all this occurs, testosterone levels are falling. Total testosterone levels fall by about 1% a year starting around age 30, while free testosterone, the form that does the hormone’s work, falls about 2% a year.

What are some Low Testosterone (Hypogonadism) symptoms?



Sexual Function

How do I know if I need Testosterone Replacement Therapy (TRT)?

A simple blood test is the best way to check your hormone levels. We will issue a lab requisition. Our physician can then review the results with you and create a customized treatment plan if hormone replacement is warranted.

Nearly all men with hypogonadism have total testosterone levels below 300 nanograms per deciliter (ng/dL), free testosterone levels below 5 ng/dL, and bioavailable testosterone levels below 150 ng/dL. But since hormone levels fluctuate widely during the course of the day, blood should be drawn between 7 a.m. and 10 a.m. for greatest accuracy.

Our goal is to optimize your testosterone levels to the highest quartile in the reference range rather wait for you to drop below 300 ng/dL. More importantly, we go by your clinical presentation and how you feel. This will help you reach your optimal health and set you up for success.

We practice evidence based medicine. We are all about optimal health and improving your well being so you can be the best version of yourself. 

Treatment for Low Testosterone

We have several treatment options for TRT that suit your needs. Our physician will work with you to see what’s best for you. Transdermal creams and gels work well and are well-absorbed in most men and are the most common testosterone replacement method. Testosterone injection is the most effective replacement method, and we highly recommend this method. You can easily do it yourself at home. We will teach you how to do it.

Whenever you use testosterone, you do so at the risk of decreasing fertility. If you are a client under 40 years old, you should consider using clomiphene and/or human Chorionic Gonadotropin (HCG). Optimizing testosterone levels will be most effective if you also incorporate proper lifestyle, nutrition, dietary restrictions, and exercise.

Clomiphene Citrate and Enclomiphene

Clomiphene and Enclomiphene belong to a class of medication called Selective Estrogen Receptor Modulator (SERM). It is an alternative treatment option for men with hypogonadism or Low T who desire fertility. However, testosterone is more effective in raising serum testosterone levels and improving symptoms, but it will result in lower testicular volume than clomiphene. Lower testicular volume is associated with decreased sperm production and decrease a man’s chance of having a child later in life. If you are younger than 40 years old, we highly recommend you take SERM and/or Human Chorionic Gonadotropin (HCG) instead of testosterone to treat your suboptimal testosterone levels.

Human Chorionic Gonadotropin (HCG)

HCG is a polypeptide hormone produced by the human placenta. It can help the body increase production of testosterone and increase sperm production, which can reduce infertility. There is no decrease in testicular size with this medication. It can be used as TRT or cycle with TRT to help preserve fertility and treat testicular atrophy from exogenous testosterone usage.

Bioidentical Testosterone

This is a type of testosterone with the same exact chemical structure of the testosterone that is produced naturally by your body. There are several of testosterone esters that can be formulated: cypionate, enanthate, propionate, or in combination of the three in one vial. They differ in the onset of action, duration of action, and side effects profile. They form in various forms including creams, injectables, and implantable pellets.

Nandrolone Decanoate

Nandrolone Decanoate (Deca-Durabolin) is an injectable anabolic steroid which we can use an adjuvant therapy to treat hypogonadal men who are also suffering from joint pain and want to increase more muscle mass especially after surgery and for physical rehabilitation. One common side effect when not used correctly is erectile dysfunction from nandrolone metabolite. It's best use in an injectable form (not topical) and can be combined with bioidentical testosterone cypionate and enanthate. We highly recommend the patient find out the underlying cause of the joint pain before considering Anabolic Androgenic Steroid (AAS) therapy to reduce pain and restore function.

Oral Anabolic steroids

Oxandrolone (Anavar) and Stanozolol (Winstrol) are examples of oral anabolic steroids that also can be used as an adjuvant therapy to treat hypogonadism. With any oral anabolic, it's best to consult with a doctor and check your blood test. They're used to promote muscle growth and weight gain following severe trauma, extensive surgery, muscle atrophy, chronic infections, autoimmune conditions, and long term use of corticosteroid medication such as hydrocortisone/prednisone.

Aromatase Inhibitor (AI)

Aromatase inhibitor (AI) is a medication that's used to lower estrogen level by inhibiting the conversion of testosterone to estrogen. There are three types of aromatase inhibitors currently approved by the FDA: Exemestane, Anastrozole, and Letrozole. Anastrozole is the most commonly used aromatase inhibitor to decrease unwanted side effects of high estrogen such as nipple sensitivity, breast tenderness, puffy nipples, and man boobs (gynecomastia) while on TRT. In rare case, another medication called Tamoxifen can be used to treat gynecomastia. Aromatase inhibitor is not recommended in all men who are on TRT and should be used sparingly depending on each individual case.

Getting Started With TRT

This testosterone optimization process is EASIER than going to your doctor’s office. It’s ultra-convenient!

1. Book Appointment and start your initial consultation. We then discuss your unique wellness plan in real time that includes diet, exercise guidance, lifestyle modification support, and motivation.

2. Take your lab requisition and complete your diagnostic tests at Quest or LabCorp before 11am. We also have at-home diagnostic tests or we can have a mobile phlebotomist draw your blood and collect lab samples at your home for an additional cost. Moreover, we can review and see whether we can use your previous lab results.

3. View and discuss your detailed test report within one week during your follow-up consultation. If treatment is indicated, you will receive patient education on how to use your medication as we establish your direct-to-home shipments or e-prescribe to your local pharmacy.

4. Begin at-home treatment and continue your follow-up visits via telehealth or in-person at our clinic.

5. Start living your life to the fullest.

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TRT Side Effect

Most patients experience no major side effects while on testosterone except for the added benefits of the therapy. However, adverse reactions do occur and are easy to correct.

Some major side effects include increase red blood cells, gynecomastia (rare), acne, fluid retention (rare), possible accelerate male pattern hair loss (if client has genetic predisposition), and decrease sperm count (infertility).

At Alpha Hormones®, we will closely monitor your health during your follow-up visits. If necessary, we will adjust your therapy and treat the side effects if they occur.

TRT Myths

We are here to dispel some myths about testosterone therapy. According to Morgentaler et al. Mayo Clinic Proceedings Consensus Recommendation:

TRT Benefits

The Most Comprehensive TRT Package Starting At $249/Month Or $2490/Year [Get 2 Months Free And Save $498 On Your Annual Subscription]

Our comprehensive program includes: initial & follow-up consultations, blood test, access to your personalized nutrition and exercise plans, testosterone plus supplies with free delivery, and many more membership benefits