Testosterone Replacement Therapy
Better Med Spa’s Testosterone Replacement Therapy program combines detailed symptom review and hormone labs with customized testosterone delivery (injections, gels, or pellets) to restore levels to an optimal physiologic range. Clients receive regular follow-up, safety labs, and lifestyle support to enhance energy, sexual function, muscle, mood, and long‑term health while monitoring prostate, blood counts, and cardiovascular risk. Available via telehealth with recent bloodwork, shipped directly to you.
How It Works
TRT replaces missing testosterone with bioidentical hormone (most commonly testosterone cypionate injections, transdermal gels, or long‑acting pellets), raising serum testosterone from hypogonadal to mid‑normal physiologic ranges. Adequate testosterone supports protein synthesis, bone turnover, erythropoiesis, libido, mood, and cognitive function, and can improve body composition and insulin sensitivity in deficient men. Modern guidelines emphasize treating only men with both symptoms (fatigue, low libido, ED, low mood, decreased strength) and consistently low morning testosterone on repeat labs, followed by regular PSA, hematocrit, and symptom monitoring.
What It Targets
Our TRT plans are designed to target:
- Symptomatic hypogonadism: low libido, erectile difficulties, low energy, reduced motivation, brain fog, depressed mood.
- Loss of lean muscle mass and strength, increased abdominal fat, reduced exercise performance with aging or chronic stress.
- Low bone mineral density and fracture risk related to chronic androgen deficiency.
- Quality‑of‑life decline in appropriately screened men and select women with confirmed low T, when lifestyle alone is not sufficient.
Benefits
TRT is believed to help with:
- Improved energy, mood, and libido: Properly dosed TRT can enhance sexual desire, erectile function, daily energy, motivation, and sense of well‑being in hypogonadal men.
- Better body composition and strength: Restoring testosterone supports lean muscle, reduces fat mass (especially central), and improves exercise tolerance and recovery when paired with resistance training.
- Bone and metabolic support: TRT can increase bone mineral density and may improve certain cardiometabolic markers in appropriately selected men, though cardiovascular data are mixed and require individualized risk assessment.
- Structured, guideline-based care: Better Med Spa follows endocrine society principles—diagnose correctly, treat to physiologic levels, monitor PSA, hematocrit, and symptoms, and adjust or discontinue if risks outweigh benefits.
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Questions?
We're here to answer your questions and provide the best services for your needs.
What is Testosterone Replacement Therapy and who is it for?
TRT is prescription hormone therapy for men (and select women) with documented hypogonadism—low morning testosterone on at least two tests plus consistent symptoms like low libido, fatigue, or loss of strength. It is not recommended for people with normal levels seeking performance or anti‑aging benefits alone.
What TRT options are available?
Common options include weekly or biweekly testosterone cypionate injections or daily transdermal gels/creams. Each has pros and cons regarding convenience, level stability, and side effects; the Better Med Spa team helps choose the best fit.
What are the main risks and contraindications?
Risks include erythrocytosis (high hematocrit), acne, hair loss, fluid retention, gynecomastia, infertility, worsening sleep apnea, and potential effects on the prostate and cardiovascular system. TRT is contraindicated in men with untreated prostate or breast cancer and generally avoided in those actively trying to conceive because it suppresses spermatogenesis.
How is safety monitored?
Clients receive baseline and follow‑up labs (total and free testosterone, CBC/hematocrit, PSA, lipids, liver function, ± estradiol), along with blood pressure and symptom checks at regular intervals. Doses are adjusted to keep levels in a safe mid‑normal range, and therapy is paused or modified if hematocrit, PSA, or side effects become concerning.
How does TRT fit with other Better Med Spa services?
TRT integrates naturally with GLP‑1 or peptide protocols, body‑contouring, performance programs, and K‑Beauty facials—helping clients feel as strong and energized as they look. For operations and profitability, TRT works best in bundled memberships that include labs, visits, coaching, and aesthetic services, with automated follow‑ups to reinforce adherence, outcomes, and retention.