Men's Hormone Therapy
Feel like yourself again.
Low testosterone doesn't announce itself. It shows up as a slow fade — the workouts that stop paying off, the afternoon crash you've started planning around, the shorter fuse, the flatter mood. Most men assume it's just age and get on with it.
Sometimes it is. Sometimes it's a hormone level we can measure and correct. The only way to know is to look.
Energy & Drive
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Persistent fatigue
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Loss of motivation
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Afternoon crashes
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Feeling flat
Body Composition
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Stubborn belly fat
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Losing muscle
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Slower recovery
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Reduced strength
Mood & Focus
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Irritability
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Brain fog
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Low mood
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Trouble concentrating
Sexual Health
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Libedo
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Reduced performance
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Erectile difficulty
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Loss of confidence
What Testosterone Does Well
Let's be straight about this.
If your testosterone is genuinely low and we bring it back into range, libido and sexual function usually respond well. So does body composition — most men add lean mass and lose fat over several months, provided they're training and eating like someone who wants that. Energy and mood often improve too.
What testosterone won't do is fix everything at once. Fatigue has a lot of causes: sleep apnea, thyroid problems, anemia, depression, chronic stress, alcohol. If your testosterone is normal and you're exhausted, testosterone isn't your answer, and putting you on it would just delay finding the real one. Your initial panel screens for several of those, which is part of why we run it.
I'd rather tell you that now than have you find out at month four.
Labs Are Required, And Here's Why
This is the real difference between the men's and women's programs. Women can start estrogen and progesterone based on symptoms. Testosterone doesn't work that way, for three reasons.
We have to confirm it's actually low. Testosterone therapy is prescribed for documented low testosterone — not for symptoms alone. Plenty of men with these symptoms have normal levels, and the treatment for them is something else entirely.
We have to watch what it does to the rest of you. Testosterone raises red blood cell count, and if it climbs too high, that thickens your blood. It converts to estrogen at a rate that varies a lot between men. It requires prostate monitoring. None of that is alarming when it's tracked. It's only a problem when nobody's looking.
Timing matters more than people expect. Testosterone peaks in the morning, so a draw taken at 4pm can read low on a man whose levels are fine. Bloodwork has to be drawn between 7 and 10am to mean anything.
Here's What That Looks Like In Practice
To start — a full baseline panel: complete metabolic panel, CBC, thyroid, total and free testosterone, estradiol, LH, FSH, SHBG, DHEA-sulfate, total and free PSA, morning cortisol, prolactin, and ferritin. It's thorough on purpose. Half of it is looking for the other explanations.
At 90 days — a shorter maintenance panel to see how you've responded and adjust.
Annually after that — the same maintenance panel.
Already have recent labs? If they're within the last 12 months, drawn in that morning window, and cover what we need, we can often use them. Bring them to your consultation and we'll look.
Otherwise I draw here in the office. I open at 8am, which sits right inside the window, so there's no separate trip to a lab and no 7am appointment across town. Lab draws are priced separately, and I'll walk you through the cost before we draw anything.
What You'll Be Prescribed
Prescribed by a licensed clinician after reviewing your labs, and shipped to your door.
Testosterone — injection or cream. The foundation of the program, and for most men the only thing they'll need. Injection is weekly and cheaper; cream is daily and avoids needles. We'll talk through which fits your life.
hCG — added alongside testosterone. When testosterone comes from outside your body, your own production shuts down and your testicles gradually stop working. hCG keeps them switched on. If fertility matters to you now, or you think it might later, this is the one that protects it. Some men also use it on its own before committing to testosterone.
Anastrozole — some men convert testosterone into estrogen faster than others. When that happens you can end up with the exact symptoms you walked in with — moodiness, water retention, tender chest — even with good testosterone numbers. Anastrozole slows the conversion. It isn't part of every plan and we don't prescribe it preventively, because pushing estrogen too low causes its own problems. Your 90-day labs tell us whether you need it.
Enclomiphene — a different route entirely. Rather than replacing your testosterone, it signals your brain to make more of your own. Your testicles keep working, your fertility stays intact, and it's a pill rather than a shot or a cream. It only works if your testes still respond, which your labs will tell us. Some men start here and move to testosterone later. Some never need to.
Questions about how each one is used? See our FAQ →
One thing you should know before you start
Testosterone therapy suppresses sperm production, and for some men that doesn't fully reverse when they stop. If you might want children, say so at the consultation — it genuinely changes what is recommended, and enclomiphene exists for exactly this reason. This is not a detail to discover later.
Simple Pricing
Every price includes your medication shipped to your door and every consultation: the first one, the monthly ones, and the "is this normal?" ones in between.
One price whatever your dose. When your prescription changes, your cost doesn't.
Lab draws are priced separately.
Anastrozole (Oral, Tablets)
$130/month
Testosterone Therapy (Injection)
$140/month
Testosterone Therapy (Topical, Cream)
$140/month
Enclomiphene
$145/month
hCG
$340 / 3-month supply
HSA and FSA funds are accepted.
Each medication is priced on its own, because not every man needs the same ones. Most men start with testosterone alone. hCG is billed as a three-month supply, which works out to about $113 a month.
Labs are separate and priced by panel.
As Much Support As You Want, As Little As You Need.
Some clients want a conversation every month. Some want to be left alone until something comes up. Both are fine, and neither costs extra.
Every consultation is included in your monthly price — the first one, the monthly ones, and the "hey, is this normal?" ones in between. Message me before you change something. Call me when a side effect worries you. Or don't, and just let your medication arrive.
None of this requires you to come in. But my office is here in Edina if you'd rather sit down and talk it through.
Whichever program you're in, this is how it works.
Is This Right For Everyone?
No. Certain health histories make testosterone therapy a poor idea — some prostate and cardiac conditions, untreated sleep apnea, an already-high red blood cell count. A licensed clinician reviews your history and your labs before anything is prescribed.
If you're not a good candidate, I'll tell you, and we'll talk about what else might be going on. That conversation is free and it's the right place to find out.
Looking for the women's program? [See Women's Hormone Therapy →]
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Complete Your Intake In The Portal
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A licensed clinician reviews and prescribes.
They look at your history, your labs if you have them, and what you're trying to achieve, then set your protocol. Your medication ships directly to your door.
Your Client Portal
Manage Everything in One Place
Your portal keeps everything in one place — message support or clinicians, track your orders, view past orders, and access important documents like lab results and medication guidance.
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