Question 1

What is TRT?

Accepted Answer

Testosterone replacement therapy restores testosterone to a healthy range in men with clinically low levels (hypogonadism), confirmed by blood work. We offer compounded testosterone as a weekly injection or a daily topical cream — plus enclomiphene, a daily oral capsule that raises your own production instead of replacing it. All of it is prescribed and monitored by a U.S.-licensed physician.

Question 2

Do I need bloodwork before starting?

Accepted Answer

Yes. A baseline panel — total and free testosterone, plus markers like hematocrit and PSA — is required before any prescription is written. A licensed physician confirms low T and that treatment is appropriate for you.

Question 3

How long until I notice a difference?

Accepted Answer

Many men notice changes in energy and libido within 4 to 8 weeks once the dose is dialed in. Mood, sleep, and body composition typically take longer to settle. Individual results vary based on your baseline labs, dose, and response.

Question 4

Injection, cream or oral — which is right for me?

Accepted Answer

Injections give the steadiest control and the longest clinical track record. Cream avoids a weekly shot but absorbs more variably day to day. Enclomiphene is the oral option and the only one that is not testosterone — it raises your own production, which matters most if fertility is a priority. Your provider helps you choose based on your labs, goals and routine, or you can let your provider decide.

Question 5

Will TRT affect fertility?

Accepted Answer

Yes. Exogenous testosterone signals the body to slow its own production, which can reduce sperm production. If preserving fertility matters to you, say so before starting — enclomiphene and hCG are the options your physician can consider precisely because they work with your own production rather than replacing it.

Question 6

What are the risks and side effects?

Accepted Answer

Known effects can include thicker blood (erythrocytosis), fertility suppression, acne, and fluid retention. TRT is not appropriate for everyone — a personal history of prostate cancer is a contraindication. Your physician reviews your full history and monitors your labs throughout treatment.

Question 7

Is this covered by insurance?

Accepted Answer

Our TRT program is cash-pay only, billed monthly. Your price includes provider visits, standard lab work drawn at a partner lab, medication and shipping. Nothing is charged unless a provider issues a prescription.

Question 8

Which states is TRT available in?

Accepted Answer

Because testosterone is a controlled medication, TRT is limited to where our prescribing physicians hold a controlled-substance license — currently 24 states and Washington, DC: Arizona, California, Colorado, Florida, Georgia, Idaho, Indiana, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Montana, New York, Oklahoma, Oregon, South Carolina, South Dakota, Texas, Utah, Virginia, Washington, West Virginia, Wyoming, and Washington, DC. Your prescription also depends on a U.S.-licensed physician confirming TRT is appropriate for you.

Question 9

What is enclomiphene, and how is it different from testosterone?

Accepted Answer

Enclomiphene is not testosterone. It is a selective estrogen receptor modulator taken as a daily oral capsule, and it works by signalling your own system to produce more testosterone rather than supplying it from outside. That mechanism is why it is usually the option discussed when preserving fertility matters. It is not right for everyone, and your physician decides from your labs and history whether it fits.

Question 10

Do I have to go to a lab, or does someone come to me?

Accepted Answer

You draw at a partner lab near you. Your provider orders a standard panel at baseline and at follow-up, and it is included in your monthly price.

Question 11

How often are labs rechecked once I have started?

Accepted Answer

Periodically — typically every three to six months — and your physician adjusts the dose, changes the form, or adds hCG or anastrozole based on what the results show. Completing those labs is a condition of continued treatment, not a formality: if required bloodwork is not done, your physician may reduce your dose or stop treatment.

Question 12

Can I get TRT for muscle building or athletic performance?

Accepted Answer

No. Testosterone is prescribed here to treat clinically low levels confirmed by bloodwork, and a physician only writes it when your labs and symptoms support that diagnosis. Normal testosterone with performance goals is not an indication for treatment, and a request framed that way will be declined.

Feel unstoppable again.

Testosterone Cream

Enclomiphene (TRT alternative)

Testosterone Injection

What changes when you feel like you again.

From first click to first dose.

Complete Your Assessment

Lab work at a partner lab

Provider Reviews Your Case

Start & Stay Monitored

Real prescriptions. Real physicians. Real monitoring.

What's included in your care

Ready to feel like yourself again?

Questions about testosterone therapy.