Do I need lab work to qualify?
Yes. Hormone optimization requires lab confirmation of low testosterone before a provider can prescribe — a one-time lab draw to confirm low testosterone. Enclomiphene candidates also need an LH/FSH baseline. If you don't have recent labs, the Your essential hormone panel (6–7 markers needed to prescribe and monitor safely) is included in your program. The Men's Hormone Health Panel ($170) — adding LH, FSH, PSA, lipids, metabolic, full hormone profile, plus cardiac and longevity markers — is an optional upgrade billed separately. Additional charges apply.
How often are labs done during treatment?
Your program includes a small monitoring lab panel, checked every 3 months — quarterly labs are a required part of safe hormone therapy, not an optional add-on. If you have recent outside labs, you can upload them to your patient portal for provider review, and your provider may use them where clinically appropriate. Deeper panels available through our labs page are optional, billed separately, and non-refundable once collected.
How often are provider check-ins, and how are they done?
Provider check-ins are typically every 3 months. Some check-ins may be asynchronous (non-face-to-face) — handled through secure messaging and review of your information. Where a synchronous (live) visit is required by state law for GLP-1 or hormone programs, it's conducted by phone call. For TRT specifically, synchronous check-ins are quarterly and are done as video visits.
What if my labs are normal?
If your testosterone is in the normal range and you have no clinical symptoms, TRT is not indicated. You'll receive a free consultation and you will not be charged for any medication or program fee. If you only had the essential labs your provider ordered to qualify, those are included at no cost. If you chose to add the Men's Hormone Health Panel ($170), that panel is non-refundable once the labs have been performed. We do not prescribe testosterone to men with normal levels — that's not optimization, that's supraphysiological dosing, and it carries significantly higher risk.
Is this the same as the testosterone I'd get from my doctor?
The active ingredient is bioidentical testosterone — chemically identical to what your body produces. The difference is that compounded testosterone is prepared by a licensed 503A pharmacy on a per-prescription basis, which allows for custom dosing and delivery formats not available through standard branded products.
How long until I feel different?
Most men report improved energy and mental clarity within 3–6 weeks. Libido and cognitive effects are usually first. Body composition changes (lean muscle, fat loss) typically take 3–6 months. Enclomiphene works by raising your own testosterone — most men notice energy and libido changes within 4–6 weeks, with fuller effects over 2–3 months.
Can I combine TRT with add-ons like HCG?
Yes, in some cases. TRT is often paired with HCG (to preserve testicular function and fertility) or anastrozole (to manage estradiol). Your provider will recommend based on your full lab panel and goals. Add-ons are priced separately and added to your base program.
What about fertility — will TRT make me infertile?
TRT suppresses your body's natural testosterone production, which significantly reduces sperm count in most men. If you may want biological children in the future, discuss fertility-preserving alternatives with your provider before starting — options include HCG (which preserves testicular function), enclomiphene (which raises testosterone without suppressing sperm), or sperm banking before therapy begins. This is a serious consideration for men under 40.
What happens if I stop TRT?
Your body may take 3–12 months to resume natural testosterone production after discontinuing TRT — sometimes longer. Symptoms typically return during this window. We taper carefully when patients choose to discontinue, and can prescribe restart protocols (HCG, clomiphene) to support recovery of natural production. This is a topic to discuss with your provider before starting therapy.
What's included in the monthly cost?
One transparent monthly price covers your provider consultations, all medication and supplies, prescription writing and dose adjustments, monthly fulfillment from a licensed 503A pharmacy, ongoing provider access, quarterly clinical reviews with the essential labs needed to monitor your therapy, order-status updates and shipment tracking, and free shipping nationwide — all in. Your program is a simple monthly subscription you can cancel anytime with no fees. Want the full picture? The optional Men's Comprehensive Health Panel adds cardiac-risk and longevity biomarkers (ApoB, Lp(a), hs-CRP, HbA1c, IGF-1 and more) for a deeper baseline — and you can add recovery and performance support like NAD+ or glutathione anytime.
Can I track my order and shipment?
Yes. You'll get order-status updates and shipment tracking by email at every step — when your prescription is reviewed, when the pharmacy fills it, and when it ships — so you always know where your order is. Everything is also visible in your account.
Are supplies included, or do I buy them separately?
Everything you need is included. Your medication ships with all required supplies — nothing extra to buy, and no per-order shipping fee. Free shipping is included on every order.
What are the risks and side effects of testosterone therapy?
Testosterone therapy is a medical treatment with real risks, which is why it requires ongoing provider supervision and lab monitoring. The most common is an increase in red blood cell count (elevated hematocrit/polycythemia), which can thicken the blood and is the primary reason quarterly bloodwork is mandatory. Other potential effects include acne or oily skin, fluid retention, breast tenderness or enlargement, worsening of obstructive sleep apnea, mood or sleep changes, suppression of natural testosterone production, and reduced sperm production and fertility. Testosterone can also raise PSA and may worsen urinary symptoms in men with benign prostatic hyperplasia (BPH), so prostate monitoring is part of care. The FDA notes a possible association between testosterone use and cardiovascular events; your provider will weigh your individual cardiovascular risk before and during treatment. This list is not exhaustive — discuss your full history with your provider, and report new or severe symptoms promptly.
Who should not use TRT? (Contraindications)
Testosterone therapy is not appropriate for everyone. It is generally contraindicated in men with active prostate cancer or male breast cancer, and is used with significant caution — or avoided — in men with untreated severe obstructive sleep apnea, uncontrolled heart failure, a recent cardiovascular event, an elevated hematocrit at baseline, or a known sensitivity to the formulation. Men who wish to preserve fertility or are actively trying to conceive should discuss alternatives, because TRT suppresses sperm production. A licensed provider determines eligibility individually based on your labs, symptoms, medical history, and current medications; not all applicants qualify.
