FREQUENTLY ASKED QUESTIONS ABOUT TESTOSTERONE REPLACEMENT THERAPY
WHAT IS TESTOSTERONE REPLACEMENT THERAPY?
Testosterone Replacement Therapy, commonly abbreviated as TRT, is the medical name for treating hypogonadism using pharmaceutical grade testosterone compounded in the United States.
HOW LONG DOES IT TAKE FOR TESTOSTERONE REPLACEMENT THERAPY TO WORK?
When treating hypogonadism using testosterone, every patient can differ on the time that it takes to notice differences. Most men notice changes on weeks 3-4 with mental cognition increasing, the late afternoon fog that clouds your thoughts. On weeks 6-8, energy levels start to increase and by week 16, you should be at your optimal dose and notice all changes in symptoms.
HOW IS TESTOSTERONE REPLACEMENT THERAPY ADMINISTERED?
Testosterone Replacement Therapy can be administered in multiple ways from gels/creams, pellets, oral, and intramuscular injections. There are many pros and cons for all styles of treatment but we prefer intramuscular injections and there are a few reasons why. Intramuscular injections, using our specific testosterone that is compounded here in the United States, allows us to know EXACTLY what is being using, where it is being injected and also how much your body will absorb.
TRT is administered through the muscle by a licensed medical staff member.
HOW SAFE IS TESTOSTERONE REPLACEMENT THERAPY?
Safety is always the first thought in mind for any of our staff members. TRT with Mantality is managed by licensed physicians and medical providers that are trained in treating hypogonadism using testosterone replacement therapy, that's why insurances allow us to work with them.
Most of the reason that people read about TRT being unsafe is because it was being performed illegally by testosterone made from outside of the country or the care is not being managed correctly. Because are staff is trained and some of the top hormone specialists in the United States, we understand how to properly perform testosterone replacement therapy and have success doing so!
DO THE SHOTS HURT?
It always depends on the patient. The shots are intramuscular and, for most patients, are not painful.
HOW DO I PAY?
We have flexible payment plans to fit any budget. We accept multiple insurance carriers which help with payment options.
HOW OFTEN WILL I NEED LAB WORK?
It depends on age, weight, hormonal status at the time of the initial testing, and per your doctor’s evaluation. Once we find your optimal levels, you can expect lab work to happen every three months.
WHEN DO I SEE THE DOCTOR?
Follow-up labs and physicals are initially performed by the doctor. Then you will have follow-up appointments at a minimum of once or twice per year. More visits may be necessary depending on your case.
DO I STOP MY REGULAR MEDICATION?
Absolutely not. Speak with your primary care physician before beginning the testosterone therapy since some medications may require adjustments. We are not primary care doctors so we recommend you inform your own doctor about your specific therapy.
WHAT LAB TESTS DO YOU RUN?
We run standard lab tests along with specific tests to assess the levels of testosterone, free testosterone, and estrogen in the body.
IS THE TREATMENT COVERED BY INSURANCE?
Yes. Our doctors are providers with most insurance carriers. We will research your policy and then review with you the coverage details before we begin any work.
CAN I USE BLOOD WORK FROM MY PRIMARY CARE DOCTOR?
No. We do not accept outside blood work results.
WHAT HAPPENS IF I'M ON TESTOSTERONE AND I DON'T USE HCG?
When your body has enough testosterone, the brain does not send the luteinizing hormone (LH) signal to your testicles. This means you will not make any testosterone until your levels drop to below normal, causing the signal to return and stimulate production. Since you are getting testosterone from an outside source, your brain is most likely not sending that signal to your testicles. Over time, the adage of “use it or lose it” comes into play, and your testicles will shrink in size. The time and amount of shrinkage are different for every man.
HOW QUICKLY WILL I SEE RESULTS?
We wish we could guarantee a timeline for your treatment results. However, everyone is different. Most of our patients recognize a change within the first three to five weeks after therapy. On top of the therapy, understanding that this is a tool to help you achieve your overall goals, work on your part will be required i.e. if your goal is weight loss then exercising and dieting will be key to optimize your treatment.
WHY USE THIS THERAPY NOW?
Medical science is starting to recognize that men also have hormone issues as they age. It is not uncommon for physicians to prescribe estrogen for women who have been diagnosed as estrogen deficient. Now physicians realize the same pertains to men. If men have low testosterone levels, treating these patients with optimal levels of testosterone is appropriate.
DO YOU USE HUMAN CHORIONIC GONADOTROPIN?
Yes. While every treatment plan is unique, we feel that it is important to continue natural production. This allows the testosterone that we are giving our patients to stack on top of their natural production.
IS THERE A SAFER ALTERNATIVE TO HUMAN GROWTH HORMONE?
We offer Sermorelin, which is a peptide that stimulates the body to produce growth hormone. This is a separate and distinctive treatment from testosterone therapy. However, there is empirical evidence to support the synergistic effects of these two combined therapies.
WHY DON'T YOU USE HUMAN GROWTH HORMONE?
Human growth hormone (HGH) was used for anti-aging in the past, but it has been under increased scrutiny by many of the medical and legal professionals for a variety of reasons.
Side effects can be serious due to improper dosing. Most professional sports regulatory bodies have prohibited the use of growth hormone. According to the Code of Federal Regulations (CFR), growth hormone can only be used for AIDS or AIDS-related symptomatology or adult-onset growth hormone deficiency. Otherwise, its use is prohibited under federal law.
Because of the many challenges with growth hormone and the fact it is only legal to prescribe for those above issues, we have discovered an alternative. Sermorelin is a polypeptide compound that, when administered, does not supply growth hormone to the body. Instead, it stimulates your body’s production of natural growth hormone and can be thought of as a growth hormone stimulator.
Sermorelin increases your HGH by stimulating the pituitary gland and, because of that, it has certain advantages over HGH that include:
Because your body will produce more growth hormone from Semorelin, your body’s regulatory mechanisms will prevent the growth hormone spike from getting too high.
It is a more natural way to increase growth hormone response in a manner that is similar to how growth hormone is released during a normal day/night cycle.
It stimulates your brain – specifically the pituitary – to produce more growth hormone. This process typically declines in normal aging and, by providing this stimulus, helps keep the pituitary active and healthy.
IS SERMORELIN EXPENSIVE?
It is about a quarter of the price of actual growth hormone so, comparatively speaking, it is not.
WHAT ARE THE COMPLICATIONS OF TESTOSTERONE REPLACEMENT THERAPY?
There are a few complications that will be explained to you at your examination. These side effects are typically only if the dosage is too much, which is why we take extreme caution to ensure you will not be receiving more than needed to achieve the optimal clinical outcome.
IS IT TRUE THAT TESTOSTERONE WILL CAUSE MY TESTICLES TO SHRINK?
This typically happens when patients are not prescribed HCG. Our treatment uses medications to optimize your natural production and decrease the likelihood of any testicular shrinkage. If for any reason our patients experience this during treatment, they should call our office to discuss their options.
CAN YOU REALLY HELP WITH CHEST FAT (AKA MAN BOOBS)?
Most of the time this is from too much estrogen in the body, which causes the body to retain both fat and water in the breast tissue. Appropriate testosterone therapy includes a medication to decrease excess estrogen.
WILL I GET ACNE AGAIN OR LOSE MY HAIR?
It is slightly possible to have some of these symptoms, but typically this occurs when there is an excess of testosterone in the body. We strive to gradually raise your body’s levels to an acceptable healthy balance which should not produce these unwanted side effects.
WHAT AGES OF MEN DO YOU TREAT?
We generally treat men 30 years of age or older who have specific health concerns and objective low lab values. We require our patients to have a primary care doctor who will assess their overall health.
WHAT LAB TESTS ARE PERFORMED LATER ON?
We will consistently monitor the prostate and hormone levels plus certain blood counts.
WHAT IF SOMETHING IS WRONG?
We will discontinue your plan and recommend an appropriate provider to resolve your issue. Once there is a resolution, it is possible you may continue with the appropriate therapy.