FAQ
Find answers to our most commonly asked questions.
We are an exclusively cash pay practice.
We have a number of programs that range from vitamin support packs to peptide programs to hair and ED medications to hormone therapy. Each has a different cost and is tailored to your needs.
Everything starts with an initial appointment that takes less than 30 minutes. One of our Nurse Practitioners will come to your home or office at a time that works best for you. Then we’ll set up a telemed consult with one of our specialists to discuss your results and create a personally tailored plan. You’ll never have to wait in a doctors office lobby again.
- Complete Blood Count (CBC)
- Comprehensive Metabolic Panel
- Coronary Risk Profile
- Tumor Markers Endocrine Evaluation
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.
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.
A peptide is a short chain made up of two or more amino acids. The amino acids are linked by a chemical bond called a peptide bond. When organized in complex structures (typically consisting of 50 or more amino acids), peptides then become proteins. Peptides have several functions in the body and can be supplemented to improve things like sexual function, growth hormone and stimulate testosterone production.
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 single ingredient, high potency pharmaceutical grade supplements separated into daily packs for you. No more bottles.
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 total health. We will only prescribe treatment if a medical diagnosis is appropriate.
Yes. Oral medications are often the first line of treatment for erectile dysfunction. For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects.
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:
- Decreased muscle and strength
- Depression
- Declining ability to concentrate
- Lack of energy
- Low libido
- Weak erections