TRT, done correctly.
Testosterone replacement is a Schedule III controlled substance. We follow Endocrine Society 2018 + AUA 2018 guidelines: two morning fasting total-T levels < 300 ng/dL plus symptoms — not just one or the other.
Start your assessmentWhat to expect
- Symptom assessment (ADAM screen)
- Baseline labs: total + free T, hematocrit, PSA (age 40+), LH/FSH, prolactin
- Synchronous video visit for first prescription (DEA Special Registration requirement)
- Personalized dosing — typically testosterone cypionate 100mg weekly IM
- Recheck labs at 6–8 weeks; clinician adjusts
Where we operate
NM, MS, AL, ID require synchronous video for controlled-substance prescribing — we accommodate. NY uses EPCS for controlled substances; we're EPCS-ready. Some states require additional in-person evaluation; we'll let you know up front.
Testosterone replacement is contraindicated in active prostate cancer, untreated severe sleep apnea, and uncontrolled heart failure. Eligibility is determined by the prescribing clinician.