Testosterone Replacement Therapy In Miami

One of our HRT doctors will determine the proper route of testosterone administration. We also account for the patient’s preference for administration. For instance, our physicians find that injectable or non-methylated rapid dissolve testosterone tablets are the most efficient and effective way to increase testosterone levels. 

Transdermal creams/gels have increase testosterone levels. However, they are not as effective and could be transmitted to your loved ones.

Concerning testosterone pellets, they can be painful, cause scar tissue, and they can sometimes malfunction. There cannot be buyer’s remorse with pellets because the testosterone dosage cannot be adjusted once implanted. All of our treatments are personalized based on the patient’s bio-individuality. Bio-individuality means “there’s no one-size-fits-all” hormone therapy protocol. Each person is a unique individual with highly individualized hormonal requirements.

Differences in pharmacokinetics influence how the body responds to testosterone pellets. These include anatomy, metabolism, body composition, and cell structure. Two individuals in the same weight and height class can have completely different responses to the same testosterone dose. When a pellet is surgically administered, there is no way to control how the patient will respond to the amount.

About 40% of our patients have used pellets and were ultimately unsatisfied with the results. Going the injectable or rapid dissolve tablet route is always the best option. We can always quickly adjust and address the dosage if there is an altered patient response to the medication.

Generally yes, because TRT counts as a medical procedure. Check your policy, but many health insurances have appropriate copays and deductibles.

We recommend using a gonadotropin-releasing hormone agent while on testosterone replacement/optimization therapy or as a post-cycle treatment. This assists in avoiding the adverse effects of unopposed exogenous testosterone therapy. If a gonadotropin-releasing hormone agent is not used during treatment, you’re likely to suffer from withdrawal symptoms. 

As a result, the testicles shrink, and the semen count drops. During testosterone replacement/optimization therapy, our patients have observed an increase in testicular function and size within the first three weeks.

NO! Aromatase inhibitors are harsh chemicals designed for women cancer patients. They have been shown in multiple clinical studies to cause bone mineral density and HDL cholesterol issues. Both can be harmful to male health when negatively affected.

When AI’s are scripted, the doctor must indicate the clinical need. A doctor measures this with side effects, symptoms, and elevated readings of estrogen via blood work.

There are no specific threshold or estrogen measurement levels where a man is ‘too high’ or ‘too low.’ It has to be based on side effects or symptoms. Usually, when men are below ten on their estrogen readings, they have sexual dysfunction, brain fogginess, and joint pain. This is why indiscriminate prescribing of AI should be avoided at all costs.

When AI’s are indicated, follow the minimum effective dosage principle. Doctors measure emotional well-being and the absence of side effects. In addition, AI’s are only considered when natural estrogen blocking alternatives do not work on the patient. The ultimate goal is to remove the patient from the AI once achieving the balance between testosterone and estrogen. Then and only then should you consider using an AI.

Male hypogonadism is a condition in which the body doesn’t produce enough of the hormone that plays a key role in masculine growth and development during puberty (testosterone) or enough sperm. You can be born with male hypogonadism, or it can develop later in life. Environmental factors include endocrine-disrupting chemicals, electrical magnetic fields, injury, or infections. We can address this once labs have been drawn and determined by one of our specialized hormone physicians.