We are an exclusively cash pay practice.
The initial in-home exam, full panel of bloodwork, and telemed consult with Dr. Wdowin is $375 and the cost of the program is normally $375 a month which includes periodic exams/bloodwork/consults, all meds and access to a patient liaison 24/7.
All of our programs are 6-months long and take into consideration never causing you to be dependent on T-levels or shutting down your natural production. During month 2 we come back out for follow up exam/bloodwork/consult to monitor progress and make any necessary changes. At the end of month 6 we come back out for follow up exam/bloodwork/consult to determine where to go from there. This is all included in the program and there are never any hidden costs.
Having a level of testosterone above 100 naturally will stimulate prostate growth whether supplemented or not and it is by an inconsequential amount. There is no risk of prostate cancer – it’s a myth and most studies support that. In fact, many Urologists sometimes utilize T-level therapy to treat cancer patients.
Insulin and Cardiovascular Effect –actually low testosterone can lead to diabetes and heart conditions – according to numerous studies. A person’s testosterone has a vasodilatory effect – opens blood vessels, brings more blood to the brain, heart, liver, muscles, and bones. There is an inverse correlation between low testosterone and cardiovascular risk (heart attack or stroke), meaning the lower your T-level the greater the risk.
If you are prone to hair loss it may accelerate the process but it will not cause hair loss.
Only if you overload the system with testosterone do you see those kinds of side effects. Our goal is to bring your levels to optimal like they were when you were in your 20’s. Were you more aggressive in your 20’s? It won’t make you into something you are not.
Our programs specifically address this issue. After long term testosterone supplementation, your body will think it doesn't need to produce it anymore because it has enough. We will always cycle you off and “reboot” your system every 4-5 months so that your body resets to normal and you will never shut down your body's natural production.
We don’t believe in the concept of a “booster.” Your natural hormone levels change as you get older and that can cause a lot of symptoms generally associated with aging. The correct way to refer to it would be “optimization.” The goal is to get you back to your most optimal hormone balance.
Let's put it this way. The anticipation is much worse than the actual shot. Pain is subjective so we can’t give an unequivocal answer to that. But it's no more than a pin prick.
Without specialized training or careful attention to detail, it is common to only check a man's total T-levels. However, in certain cases, for example when the level of Sex Hormone Binding Globulin (SHBG) is abnormal, a test for free or bioavailable T may be performed as it may more accurately reflect the presence of a medical condition. We believe in looking at the total picture and will test a whole range including a CBC (complete blood count), CMP (complete metabolic panel), PSA (prostate specific antigen - presence of prostate cancer), LH (Luteinizing hormone), Lipid Panel (cholesterol) and E2 (estrogen) as well as free and total testosterone.
We only supply our diagnosed patients with the highest quality bioidentical T available. This is available in either cream or injectable form. This is only dispensed by our pharmacy after a careful examination, medical diagnosis and prescription.
It is important to address the total picture. Only after a careful examination of your medical history, vitals, symptoms and comprehensive blood work, will a diagnosis and treatment protocol be rendered.
Your T-level peaks in your 20’s. After about the age of 30 it diminishes naturally at a rate of about 1-2% per year. That doesn’t take into account the detrimental effect of things like poor sleep, environmental factors, poor diet and insufficient exercise.
Underactive testes cause primary hypogonadism. That’s because they don’t manufacture sufficient levels of T for optimal growth and health. This underactivity can be caused by an inherited trait. It can also be acquired by accident or illness.
Secondary hypogonadism is caused by damage to the pituitary gland or hypothalamus. These parts of the brain control hormone production by the testes.
You may be affected by primary, secondary, or a mixed hypogonadism. Mixed hypogonadism is more common with increased age.
The hypothalamus and pituitary gland control how much T the testes produce and secrete. The hypothalamus sends a signal to the pituitary gland to release gonadotrophic substances (follicle stimulating hormone and luteinizing hormone). Luteinizing hormone (LH) stimulates production.
Nurse practitioners (NPs) are registered nurses with advanced education, graduate degrees, and clinical training that enable them to carry out most of the same patient care activities as physicians. In addition to performing physical exams and patient histories, nurse practitioners can order and analyze lab tests, diagnose illnesses, prescribe medications, develop treatment plans, and advise patients on lifestyle changes. Although nurse practitioners can work independently in some states, in California they work closely with physicians, who provide guidance and oversight.
We go well beyond what an ordinary clinic would require. We take into account a full panel of blood tests to assess your situation. We will only prescribe treatment if a medical diagnosis is appropriate.
Erectile dysfunction (ED) is caused by many factors, including low T. Many studies have shown that TRT will actually help with ED if the cause is low T. Additionally, if you are also on medication for erectile dysfunction, TRT may increase the effects of your ED medication.
Andropause, or male menopause (“man-opause”) is the name given to the gradual drop in T-levels that typically affect men between the ages of 40 and 55. Low T, also known as hypogonadism, affects an estimated 13 million men in the U.S.
This decline in male hormones is a natural phenomenon; no man can avoid it. Due to lifestyle factors including stress, poor diet, a lack of physical activity and poor sleep habits, more men under 40 are affected by low T levels.
Additionally, men may experience the following symptoms: