Frequently Asked Questions

What is testosterone?

Testosterone is the predominant male hormone and is responsible for the normal growth and development of the male sex organs, bone density, muscle mass, and is essential for health and well-being 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 effects the following: 

  • Growth and maturation of prostate and other male sex organs
  • Changes in body muscle mass and strength and fat distribution
  • Sex drive (libido)
  • Mood and energy level
  • Bone density and muscle mass

What are “normal levels’ of testosterone?

In healthy men, testosterone levels between 350 ng/dL and 1,000 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 is slowed, which in turn allows the testosterone levels to decrease.

What is Testosterone Replacement Therapy?

Testosterone Replacement Therapy is the practice of diagnosing a person with low levels of testosterone and treating with injections, gels, patches, surgically implanted pellets or through oral applications. At the viTal4men clinics, we use injection therapy to treat low testosterone in eligible patients.

What are the benefits of Testosterone Replacement Therapy?

Benefits of Testosterone Replacement Therapy vary based upon the pre-therapy symptoms and other factors, but can include:

  • 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

How do you determine if I have low testosterone?

To determine testosterone levels, the medical professionals at viTal4men will perform a simple blood test, the results of which you will know within a few days.

If your total or free testosterone are not within the normal range, you may be a candidate for treatment. Determining whether a patient is the right candidate for testosterone therapy is evaluated on a case by case basis by the medical professionals in conference with the patient.

What are the risks of Testosterone Replacement Therapy (TRT)?

Although rare, there are some risks with Testosterone ReplacementTherapy (TRT).  Some patients could experience the following side effects:

  • TRT increases the volume of your prostate gland.  To date, there have not been any studies showing that TRT increases the risk of prostate cancer.  However, there is some theoretical concern because prostate cancer is treated by blocking testosterone.  We should assume that the long term risk at this point is uncertain.  If you have an enlarged prostate, referred to as Benign Prostatic Hyperplasia (BPH), 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 TRT.
  • Infertility – This is common particularly in young men, but usually reversible after stopping TRT.
  • Sleep Apnea – This is a condition that disrupts breathing during sleep.  Although uncommon, it is a reported side effect.
  • Fluid Retention – Although uncommon, you must use caution if you have a history of heart failure or kidney disease.
  • Acne, oily skin, increased body hair and flushing have also been reported.
  • Increased blood pressure.

What is hypogonadism?

Hypogonadism, in a male, refers to a decrease in either testosterone production, sperm production, or both. The professionals at viTal4men address the testosterone aspect of this condition.

What does the viTal4men clinic do?

At viTal4men, our focus is treating men that have been diagnosed with low testosterone. We are a Primary Care clinic so we can treat most general medical needs in office, including physicals and flu vaccinations.

What is the cost of Testosterone Replacement Therapy at viTal4men?

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 policy.

Some insurance companies, such as Blue Cross Blue Shield, require two consecutive blood tests taken before 10am indicating you have low testosterone. We also have affordable self-pay options available for patients choosing a