Frequently Asked Questions
In healthy men, testosterone levels between 350 ng/dL and 1000 ng/dL are referred to as “normal.” Normal physiology allows the brain and the testes to work together to keep testosterone in this range. The brain produces “signal” hormones that are responsible for stimulating testosterone production. These signals are periodically released, which in turn stimulates testosterone production. When levels of testosterone are in an acceptable range, the production of the signal hormones are slowed, which in turn allows the testosterone levels to decrease.
To treat type 2 diabetes, we recommend lifestyle modifications in the areas of nutrition and exercise. Based on the severity of your diabetes, your Low T medical provider will determine a goal for managing your blood glucose levels to as close to the normal range as possible, to prevent long-term risks to your health and longevity. Treatment regimens may also include medication in addition to lifestyle changes. However, to the extent possible, we aim to prevent, reduce, or eliminate the amount and the number of medications you are taking to treat chronic conditions such as diabetes.
To treat high blood pressure, we recommend lifestyle modifications in the areas of nutrition and exercise. Based on the severity of your high blood pressure and other co-morbid conditions such as diabetes, and your overall cardiovascular health, your LTC medical provider will set a goal for your blood pressure and determine if medication is needed to help meet that goal. To the extent possible, we aim to prevent, reduce, or eliminate the amount and number of medications you are taking to treat chronic conditions such as high blood pressure.
To treat high cholesterol, we recommend lifestyle modifications in the areas of nutrition and exercise. Based on the type and severity of your cholesterol and other co-morbid conditions such as diabetes, and your overall cardiovascular health, your Low T medical provider will set a goal for your cholesterol levels and determine if medication is needed to help meet that goal. To the extent possible, we aim to prevent, reduce, or eliminate the amount and number of medications you are taking to treat chronic conditions such as high cholesterol.
Using the gold-standard procedure (pressure application), we test your sensitivity for approximately 80 allergens, including dust mites, insects, pet dander, grasses, pollen, mold, and some foods. We then prepare a small dose of the specific allergens you react to and inject that customized dosage, which enables your body to become more tolerant of the allergens. Allergy injections begin on a weekly basis and then reduce in frequency over time.
First we ask that you take an at-home sleep apnea test to confirm the diagnosis. If you have mild to moderate sleep apnea, your Low T medical provider may recommend a simple oral device that can change the position of your jaw and the soft tissue of the mouth and throat to relieve symptoms.
For more severe sleep apnea cases, your medical provider may recommend a continuous positive airway pressure (CPAP) machine. Your Low T treatment team will assist with the fitting of the CPAP and the titration of the air flow to maximize your results.
If you have low thyroid (hypothyroidism), your Low T medical provider may write a prescription for an oral thyroid medication, such as Armour Thyroid or Levothyroxine.
No. Fasting is not required. We do recommend that you drink plenty of water prior to your appointment, to make sure you are hydrated.
During your first visit, you will complete a health questionnaire where you will tell us about any symptoms you’re having and your medical history, and you will a have simple blood test*, and your vitals will be checked, and you’ll be on your way. As you are heading out we’ll book your second visit for you.
*The labs consists of a hormone panel, prostate, thyroid, cholesterol, A1C- glucose, liver function and more.
At your second visit , which is only about 35 minutes – you will meet with our medical provider where they will conduct a physical exam, and discuss the results of your labs, your vitals, your answers to our health assessment, your health goals and any recommended therapy. If you had low testosterone levels on your first blood draw, we will run a 2nd test during this visit to verify that you do have low testosterone and you could potentially begin therapy.
The $99 health assessment includes a consult with a medical provider as well as data gathering. We capture your medical history; any symptoms you are experiencing; and a quantification of how you are feeling, which will result in your LTC Vitality Score.
In addition, we take your vitals — blood pressure, pulse rate, weight — and do a full blood panel:
At your first appointment, we will conduct a $99 health assessment. This evaluation helps us understand your medical history, any symptoms you are experiencing, and how you are feeling. The health assessment also includes blood work and other vitals.
Learn more about adverse reactions and side effects of low testosterone injections, including inflammation and pain at the site of the intramuscular injection.
The proper method of testosterone delivery for you is a matter for your physician to determine; however, many find that some gels tend to be messy and less convenient than other treatment modalities. In addition, there can be a risk of unintentional transmittal to children or others with whom you may have physical contact.
Testosterone patches can create a significant rash at the site of application. They also don’t stick well, especially during the summer months.
Experience has shown that gels and patches may require dosage adjustments to obtain medically appropriate blood concentrations, and some patients may never absorb enough testosterone from gels or patches to improve symptoms. These modalities often have a higher conversion to less desirable hormones in the process of transfer through the skin.
The physicians at Low T Center regularly employ intramuscular testosterone injections because of their clinical effectiveness and convenience.
Most health insurance is accepted, in which case you are responsible for any applicable deductibles or co-pays under the terms of your health insurance plan. Learn more about the cost of low testosterone treatment, including information about our self-pay option.
Some patients could experience one or more of the following side effects from testosterone replacement therapy:
- Increase in red blood cells. This can be beneficial if you have anemia. However, it can be potentially dangerous because an increase in red blood cells can lead to blood clots, heart attack, or stroke.
- Prostate effects. If you have an enlarged prostate, testosterone may worsen your symptoms, particularly if you are more than 50 years of age. If you have a history of prostate cancer, you cannot receive testosterone therapy without prior clearance from the urologist who is overseeing your care.
- Skin reactions. Acne, oily skin, increased body hair, and flushing have been reported. These side effects are not very common, but if they occur, often they are transient.
- Infertility. Testosterone therapy down regulates production of a man’s sperm. Be upfront with your medical provider about your desire for children, and be sure to discuss the situation with your spouse or partner, if appropriate.
- Sleep apnea. This is a condition that disrupts breathing during sleep, and if already present, may be worsened by the use of testosterone therapy. If you snore or suspect you may have sleep apnea, be sure to talk to your medical provider about the situation. Considering a sleep study for further evaluation may be appropriate prior to starting therapy.
- Fluid retention. Although uncommon, you must use caution if you have a history of heart failure or kidney disease.
See the complete list of potential low testosterone treatment side effects for more information.
Benefits of testosterone replacement therapy vary based upon the pre-therapy symptoms and other factors, but they can include the following:
- Increased energy
- Decreased irritability and depression
- Improved muscle mass and strength
- Improved sexual desire
- Improved visuospatial cognitive function and verbal memory
- Higher motivation
- Decreased body fat (optimal results received through accompaniment of a diligent diet and exercise regimen)
- Possible improvement in erectile function
- Thicker skin
Hypogonadism, in a male, refers to a decrease in either testosterone production, sperm production, or both. The medical professionals at Low T Center address the testosterone aspect of this condition. Decreased sperm production requires a careful, thorough evaluation by a fellowship-trained specialist.
To determine a diagnosis of hypogonadism, the medical professionals at Low T Center will first confirm your symptoms, and then perform a simple blood test, the results of which you will know in about 20 minutes. If your total or free testosterone is below the normal range, you may be diagnosed as hypogonadal.
Only your physician can fully answer this question; however, in general, testosterone replacement therapy is not recommended for, or should be avoided by, patients with the following conditions:
- Breast or prostate cancer
- A palpable prostate nodule
- Untreated obstructive sleep apnea
- Severe benign prostatic hyperplasia symptoms (AUA prostate symptom score > 19)
- Uncontrolled severe heart failure
- Unexplained PSA elevation
- Severe lower urinary tract symptoms associated with benign prostatic hypertrophy
- Unstable severe congestive heart failure (class III or IV)
Testosterone is a hormone made by the body that is responsible for the normal growth and development of the male sex organs and for maintenance of other sexual characteristics. In men, testosterone is produced in the testes, the reproductive glands that also produce sperm. The amount of testosterone produced by the testes is regulated by the hypothalamus and the pituitary gland. Testosterone can affect the following:
- Growth and maturation of prostate and other male sex organs
- Development of male hair distribution such as facial hair
- Changes in body muscle mass and strength and fat distribution
- Sex drive and sexual function
- Mood and energy level
- Bone strength
Low testosterone treatment is the practice of diagnosing hypogonadism (low testosterone) through a combination of symptoms and testosterone blood values below the lower limit of normal and treating with testosterone injections, gels, patches, surgically implanted pellets, or oral applications. Low T Center uses injection therapy to treat low testosterone in hypogonadal men.
Still have a question?
If you don’t find an answer to your question above, contact us, and a knowledgeable member of the Low T Center staff will get back to you within 24 hours.
NOTICE: The information contained on this page is general information and is not intended to take the place of your personal physician’s advice, or to diagnose, treat, cure, or prevent any disease. The FAQ contained herein are not a substitute for medical advice or treatment for specific medical conditions and should not be used as such. Only a qualified physician can determine if you qualify for and should undertake treatment.