Frequently Asked Questions
Injection therapy is the most effective way to achieve optimal benefits while minimizing side effects. The most common and effective cycle is weekly injections. Testosterone Cypionate is used via injection to increase your levels. Some patients can experience benefits on a 10-14 day cycle. We also offer prescriptions for pharmaceutical gels/creams if you qualify for therapy and injection therapy is not right for you.
Hypogonadism is a chronic condition for most people. Some suffer short term Low T resulting from infection, physical, or emotional stress. When the infection is treated, the physical damage is healed, or the emotional stress is alleviated testosterone levels can return. Men who have been experiencing symptoms for months are considered chronic and will need on-going treatment. If therapy is discontinued the symptoms will return. This is similar to diabetics needing insulin or patients that are on medication for thyroid issues.
Your body will return to its baseline performance level over the course of a few months. It is important to note that you can easily titrate off the therapy under the supervision of a healthcare professional to minimize side effects by tapering down the dose.
Yes, Low T is a chronic condition and most insurance carriers will pay for the therapy. Call us today to verify your insurance coverage before your consultation or discuss our self-pay rates at 800-246-LOWT.
Yes, testosterone is a steroid but not all steroids are testosterone. There are several other naturally occurring steroids that are present in the body. These include cortisol and estrogen. The term steroid refers to a common chemical structure. It is important to note the Men’s T Clinic is not an anabolic steroid clinic. Men who use anabolic steroids (those seen in body building competitions) will have extremely high levels of testosterone and will not qualify for therapy.
Testosterone should range between 350ng/mL to 1000ng/mL.
That depends on what therapy is best for you. Injections are the easiest to manage and titrate. The creams and gels are a little more difficult to determine absorption rates. Regardless of the therapy that best fits you it will depend on a number of factors. How severe is your condition? Do you have other medical factors that could contribute to challenges in therapy? What is your body fat percentage? Testosterone is a lipophylic, meaning it is absorbed through fat tissue in the body. Increased body fat could slow absorption. Most patients see improvement by week 4 of therapy with some getting near immediate results. If no improvement is experienced by week 12 the diagnosis should be reconsidered and alternatives should be explored.
The regulation and production of testosterone is the responsibility of the hypothalamus and pituitary gland. The body does a nice job on its own of balancing these levels when functioning properly. If TRT is right for you this is not happening. When testosterone levels are manipulated via injections the hypothalamus and pituitary will respond by signaling the testes to decrease natural production. For those patients that suffer from Low T the body is either not signaling production effectively or it is not able to produce effective levels once given the signal to do so. Therefore, patients that discontinue therapy will revert back to their pre therapy baseline levels. Those levels have been diagnosed as being inadequate.
The short answer is that with injection administration it is easier to determine the amount of testosterone your body receives and it is much easier to modify the dose. Injections allow you to achieve optimal levels to maximize outcomes while minimizing side effects. The costs to insurance companies and the chances of secondary exposure to other household members can be higher with the gels/creams. All of your options will be discussed with you in your initial consultation. If you are currently on a gel/cream and want more information from our healthcare provider please call us today at 800-246-LowT.
Testosterone therapy is safe when administered at appropriate doses and intervals and overseen by a healthcare provider to ensure potential side effects are managed effectively. It may take a while to determine the most effective dose. Even though therapy is generally safe, failure to effectively monitor therapy could cause harm to the individual, therefore we want to limit side effects as much as possible by administering the injections in our office whenever possible. Dosage can be adjusted to compensate for a disruption in therapy should you anticipate being out of town for an extended period of time.
Pellet therapy can be an effective treatment plan for Low T. This therapy can be effective once the optimal dosage is determined. The easiest way to find the optimal dose is to use injection therapy first. Once the pellets are inserted it is more difficult to modify the treatment to manage side effects. Insurance plans may not cover pellet therapy. All of your options will be discussed with you at your initial consultation. For additional information call us at 800-246-LowT.
The only way to monitor your testosterone level effectively and identify potential issues is with blood tests. This will help identify the proper dose for you. No one likes to give blood but our trained staff members will make the process as painless as possible.
Production of testosterone levels in the body can vary and a blood test is a snap shot of your current production. What is considered normal is not age adjusted. Men between the ages of 18 and 80 can have a wide range of levels. A 35 year old should not have the same levels as a 65 year old. Multiple things can determine your level at any given time. For example, increases in the cortisol hormone (which increases with stress) have been known to lower testosterone. Testosterone levels from 350ng/mL to 1000ng/mL are considered normal. You could be in the low normal range. Hypogonadism (Low T) is diagnosed when symptoms and testosterone levels are considered. If you are borderline and have symptoms you can be effectively managed with testosterone and qualify for therapy.
In both cases it is possible to alter the dosage and administration cycle to reduce the number of office visits. While not ideal (see next question) some men have been effectively treated on a 10-14 day cycle. Saturday appointments are available upon request. Call us today to ask further questions at 800-246-LowT.
The goal of treatment is to find a steady state testosterone level to minimize the peaks and valleys of treatment. Patients on extended intervals between injections often experience higher than optimal levels early on after injection (the peak) and a drop in therapy benefits before their next injection (the valley).The half life of testosterone cypionate is 7-8 days. Half of the dose is present in the body one week after injection. As stated earlier, some patients are able to maintain levels on a 10-14 day cycle but the vast majority achieve better results on a weekly basis.
Most insurance carriers cover the costs associated with TRT. You will be responsible for the co-pay portion of your office visit or unmet deductible. The co-pay and deductible can vary depending on your insurance coverage. Call us today at 800-246-LowT to have our trained professionals verify your insurance coverage.
That depends on what treatment is right for you? Weekly injection therapy will cost $395 a month. That includes 4 office visits, injections, and any related lab work. Other options may be available. Call us today to discuss what might work best for you at 800-246-LowT.
Once the appropriate dosage has been established for you, here are some of the benefits you will likely experience.• Increase in lean muscle mass/decrease in belly fat
• Increased energy
• Increased libido
• Positive outcomes in mood and ambition
• Increase in metabolism
• Increased bone mineral density
• Thickened body hair and skin
• Improved cognitive function
• Improved sexual function
Symptoms include but are not limited to:
• Reduced energy
• Decreased lean muscle mass
• Decreased Libidos
• Decreased general mood and ambition
• Consistent feeling of being tired
Call us today to discuss your treatment options and 800-246-LOWT.
TRT can have side effects which is why it is important to seek treatment under the direction of a healthcare provider. General side effects may include:
• Increase in acne
• Increase in estrogen levels
• Mild fluid retention
• Stimulation of prostate tissue with possible urination symptoms of decreased stream and frequency
• Breast enlargement
• Worsening of sleep apnea
• Decreased sperm count and testicular size
• Increased red blood cell count
Many of these symptoms are easily treatable with medication usually in the form of a genericestrogen blocker. These benefits and side effects will be discussed in greater detail on your initial office consultation. Call us today to discuss what might work best for you at 800-246-LowT.