Testosterone Optimization in Texas
Feel like yourself again—on purpose, not by accident.
We use data-driven testosterone optimization (not one-size-fits-all TRT) to restore androgen physiology, stabilize symptoms, and protect cardiometabolic risk—all virtual, Texas-only.
Who This Helps (and who it doesn’t)
Likely candidates:
daytime fatigue, reduced libido/erections, decreased strength/power output, central adiposity/visceral fat, brain fog, low drive/motivation, poor sleep quality, depressed mood.
Clinical pattern:
symptoms plus low morning total and/or free testosterone, with context (SHBG, estradiol, insulin resistance markers, etc).
Not a fit right now:
untreated severe OSA (sleep apnea),
uncontrolled polycythemia (elevated RBC/Hematocrit, smoking, OSA, etc),
active prostate/breast cancer, significant fertility goals without a preservation plan, or
expecting “weekly megadose and vibe checks.” We don’t do that.
Our Evaluation Protocol (no guesswork)
Baseline (fasting, 8–10 AM preferred):
CBC (RBC, Hgb, Hct, Plt), CMP, lipid panel (consider apoB/A1), fasting glucose, LH/FSH (as indicated), total T + SHBG (calculated free T or use equilibrium dialysis when indicated), estradiol, PSA (age/risks), prolactin (if hypogonadism pattern unclear), DHT (as needed).
Vitals & risks: BP, anthropometrics, OSA screen, medication/alcohol review, training load.
Symptoms instrument: brief standardized inventory to track response (libido/erection, energy, sleep, mood, body comp).
Follow-up labs: 8-12 weeks after initiation/titration, then every 6 months once stable.
Treatment Philosophy
Stable kinetics. Minimal drama.
Dosing cadence: Testosterone cypionate/enanthate in split dosing (e.g., twice weekly) to reduce peak-trough swing, aromatase volatility, and side-effects.
Routes: IM or deep SC depending on patient preference, body habitus, and absorption.
Aromatase inhibitors: not routine. Consider only for symptomatic, biochemically confirmed hyper-estrogenic states after dose/formulation optimization.
Fertility preservation: hCG or SERM strategies when indicated; we’ll be clear about trade-offs.
Adjuncts: sleep consolidation, strength training periodization, protein targets, insulin-sensitizing strategies as needed (you know I’ll say it: fix the lifestyle levers).
Peptides: used strategically when recovery, sleep, or body composition stalls and risk-benefit checks out.
Translation: precise dosing, objective monitoring, no “bro-science.” If your hematocrit creeps or BP misbehaves, we act.
Safety Rails & Monitoring
Hematocrit: action thresholds with dose/schedule changes, hydration/OSA management; phlebotomy only if appropriate.
BP & lipids: manage risk (apoB targets) and inflammation sources; reinforce aerobic base + resistance training.
Estradiol: manage the patient, not just the number; breast tenderness/refractory edema are signals, not sins.
Prostate: PSA trend interpretation and urology referral criteria followed.
Adverse events: edema, acne, mood irritability, erythrocytosis: respond with kinetics + dose first.
What Working With Us Looks Like
15 Minute Free Consult (Texas residents): Discuss symptoms + history → baseline labs.
Initial Lab Review Consult: We review physiology, goals, risks; co-design protocol based on symptoms/lab results/goals.
Start & stabilize (8-12 weeks): titrate to clinical + biochemical targets.
Quarterly/Semi-annual optimization: train, sleep, nutrition, and metabolic markers aligned to your goals.
Anytime messaging via SMS or portal for quick clarifications (no preventative med refills, sick calls, etc; we’re here for men’s health only).
Pricing
See our current membership and medication pricing on the Pricing page. We operate cash-pay/direct care with transparent costs. Labs may be routed to your preferred facility or cost-minimized through our partners.
FAQs
How fast will I notice improvement?
Energy/sleep/libido often start changing within 2–6 weeks; body composition and strength trends build over 8–16+ weeks with training and nutrition.
Do you treat outside Texas?
No. We are Texas-only for medical care.
Do you prescribe pellets or weekly megadoses?
No. Pellets = poor control and removal issues; weekly megadoses = volatile pharmacokinetics. We prefer smaller, more frequent dosing for stability.
Do you automatically prescribe an aromatase inhibitor?
No. We treat symptoms + evidence, not a “target estradiol.” AI is used sparingly.
Can I keep fertility?
We’ll discuss hCG/SERM options when fertility is a near-term priority and tailor accordingly.
Compliance & Boundaries
Testosterone is a Schedule III controlled medication requiring appropriate evaluation, documentation, and monitoring.
We do not replace primary or emergency care. For acute issues, contact your PCP or ED/911.
All care delivered via telemedicine consistent with Texas regulations.
Final CTA
Strong, focused, and predictable. If you’re tired of swinging between “wired and tired,” let’s fix the physiology and the lifestyle machinery that drives it.