Texas Testosterone Replacement Therapy
Explore replacement and optimization options, whether that means exogenous hormone replacement or enhancing your body’s ability to produce on its own.
Either your body can't produce it, or your brain isn't telling it to.
Hypogonadism, the clinical term for low testosterone, is a progressive condition that doesn't resolve on its own. It falls into two categories depending on where the problem originates, and that origin changes which treatments are appropriate and what long-term management looks like. Both are well understood and treatable, but they aren't interchangeable.
Primary Hypogonadism
Your testes aren't producing enough testosterone on their own. Whether this is due to injury, infection, or something you were born with, treatment means replacing what your body can no longer make, which is where TRT comes in.
Secondary Hypogonadism
Your testes may still be capable of producing testosterone, but your brain isn't sending them the signal to do it. This can develop from aging, obesity, chronic stress, or certain medications. Treatments work by restoring that signal.
Signs & Symptoms of Low Testosterone
Low testosterone shows up differently for everyone
Sexual Health
- Low or absent sex drive
- Fewer or no morning erections
- Erectile dysfunction
Body and Physical
- Losing muscle despite training
- Gaining fat, especially around the midsection
- Feeling physically weaker than you used to
Mood and Mental
- Irritability or a short fuse
- Difficulty concentrating or staying focused
- Low motivation
Energy and Sleep
- Fatigue that sleep doesn't fix
- Difficulty falling or staying asleep
- Feeling drained by mid-afternoon
If a few of these sound familiar, blood work can tell you what's behind them.
Most clinics prescribe testosterone. Few bother figuring out if you need it.
Pill mills run a questionnaire, check a single lab value (if that), and write a prescription. That can mask an underlying condition, miss contraindications, or put you on a one size fits all protocol that was never built around you.
Inaccurate Testing
Most clinics use what's called an immunoassay to measure testosterone. It's cheaper, but it's less reliable, especially at the ranges where accuracy matters most. The gold standard is LC-MS/MS, the same methodology used in clinical research for its precision, but most clinics don't use it because it costs more.
Incomplete Labs
Total testosterone is one number, and on its own it tells you almost nothing. You need to see the full picture of hormones, metabolic health, and organ function, to understand what's driving the problem. Most clinics check one or two values and stop there.
Overprescribing
200mg of testosterone cypionate every two weeks and anastrozole. That's what most men receive regardless of their lab results, symptoms, or their goals. Sometimes the answer isn't a prescription at all. It could be a vitamin D deficiency, weight loss, better sleep, or managing stress. The industry knows this, it just isn't profitable to tell you.
HOW WE DO IT
Customized for you.
Diagnostics and Conversation
Your blood work, your symptoms, and a live consultation with your medical provider is the starting point for any treatment.
Plans Built Around You
Your lab results and symptoms together determine what's prescribed for you. The dosage, frequency, and administration is individualized. Nothing is templated.
Care Beyond the Prescription
Monitoring your symptoms, adjusting medications, and managing potential side effects is an ongoing process with your medical provider.
Start with a deeper look
A single blood panel can show you more about your health than most people ever see.
Starting at $179
Get startedFrom intake to treatment in four steps.
No monthly subscriptions or hidden fees.
Online Assessment
Complete a brief intake covering your health history, current symptoms, and what you are looking to address.
Lab Testing
Select one of our blood work panels and complete your draw at a Quest location near you, or send us labs from the last 6 months. At-home draws are available for an added fee.
Provider Consultation
Meet with your licensed medical provider for a live video or phone consultation where they review your results, explain what they mean, and build your protocol with you.
Start Treatment
If treatment is clinically appropriate, your provider prescribes through one of our licensed partner pharmacies and your medications ship directly to your home.
Testosterone Replacement Therapies for Men
Compounded Testosterone Injection
A clinically monitored testosterone therapy option using scheduled injections as the route of administration.
Compounded Transdermal Testosterone Cream
A clinically monitored testosterone therapy option using daily topical cream as the route of administration.
Enclomiphene
A selective estrogen receptor modulator (SERM) that acts on the hypothalamic-pituitary signaling involved in testosterone production.
Kyzatrex®
An FDA approved oral testosterone replacement therapy option for men.
Pregnyl® (Human Chorionic Gonadotropin)
Also known as HCG, prescribed off label to maintain testicular function and fertility during TRT.
Important: Compounded testosterone preparations are not FDA approved. The FDA does not evaluate compounded products for safety, effectiveness, or quality. Not available in all 50 states. Prescription products require an online consultation with a healthcare provider who will determine if a prescription is appropriate.
Kyzatrex® is the registered trademark of Marius Pharmaceuticals, Inc. Alchemical Transformations Health Services, PC. is not affiliated with or endorsed by Marius Pharmaceuticals, Inc.
Pregnyl® is the registered trademark of Organon LLC. Alchemical Transformations Health Services, PC. is not affiliated with or endorsed by Organon LLC.
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