Your first 90 days on a GLP-1
Week by week: what the starter dose actually feels like, when appetite changes show up, when your provider will titrate, and the three weeks most people find hardest.
Hormones · TRT
Testosterone Replacement
Testosterone therapy dosed to your labs and your symptoms — not to a number someone else decided was normal.
Pricing confirmed on your consultation
Your consult is free. We will not prescribe this — or anything — before a clinician has spoken with you and reviewed your bloodwork. Final cost depends on the form and dose prescribed.
FDA-approved · Rx only
Mechanism
Treat the person, not the range.
Testosterone influences energy, mood, libido, body composition, bone density and cognition. When levels fall, the effects rarely show up as one clean symptom.
Reference ranges are wide, and where you land inside one matters less than how you feel and function. Treatment targets symptom resolution with levels kept in a safe physiologic range.
Labs come first, always. Baseline total and free testosterone, estradiol, LH, FSH, PSA and a complete blood count establish what is actually happening before anything is prescribed.
Protocol
How treatment usually runs.
A typical schedule. Yours is set by your clinician after your labs come back.
| Phase | Weeks | Typical | Purpose |
|---|---|---|---|
| Baseline | Week 0 | Labs only | No prescription before results are reviewed. |
| Start | 1–6 | Weekly injection or daily topical | Conservative starting dose. |
| Recheck | 6–8 | Repeat labs | Trough levels, estradiol and haematocrit. |
| Maintenance | 9+ | Adjusted to labs and symptoms | Monitoring continues every 6–12 months. |
What to expect
Honestly, over time.
Week 2–4
Mood and energy
Often the first thing patients notice.
Week 4–6
Libido
Sexual function typically responds in this window.
Month 3–6
Body composition
Lean mass and strength change with training.
Month 6–12
Full effect
Bone density and red blood cell changes take longest.
Evidence
What the research shows.
Testosterone therapy reliably improves libido, mood, energy and lean body mass in men with clinically confirmed low testosterone and symptoms.
It is not a performance enhancer for men with normal levels, and prescribing it as one carries real risk. Diagnosis comes before treatment.
Safety and eligibility
Your consult and labs screen for all of the following.
- Do not use with prostate or breast cancer, or while trying to conceive — testosterone suppresses sperm production.
- Requires monitoring of haematocrit; testosterone can thicken the blood.
- Tell your provider about sleep apnoea, heart failure or a history of blood clots.
- Common side effects include acne, injection-site reaction, fluid retention and mood changes.
- Fertility — if you want children, discuss enclomiphene or hCG before starting TRT.
FAQ
Testosterone Replacement questions.
Persistent fatigue, low libido, difficulty building or keeping muscle, increased body fat, low mood, poor concentration and disrupted sleep. Symptoms overlap with several other conditions, which is why lab confirmation is required.
Testosterone therapy suppresses the body's own production and can significantly reduce sperm count, sometimes lasting after stopping. If fertility matters to you, tell your provider — enclomiphene or hCG may be more appropriate.
Mood and energy often shift within two to four weeks. Libido typically responds by week four to six. Changes in body composition take three to six months, and bone density longer.
Yes, always. Baseline total and free testosterone, estradiol, LH, FSH, PSA and a complete blood count are required before any prescription, with repeat labs at six to eight weeks.
We will not prescribe before we understand you.
Book a one-to-one consult with the clinical team. We talk through your goals, order the bloodwork that matters, and build a plan from what we find.