Testosterone Replacement Therapy

Evidence-based treatment for low testosterone. Restore your energy, strength, and vitality.

What Is Testosterone Replacement Therapy?

Testosterone Replacement Therapy (TRT) is a medical treatment that restores testosterone levels to optimal ranges when your body no longer produces adequate amounts naturally.

Testosterone is the primary male hormone responsible for:

  • Energy and vitality

  • Muscle mass and strength

  • Fat distribution and metabolism

  • Bone density

  • Red blood cell production

  • Mood and cognitive function

  • Libido and sexual function

  • Confidence and drive

As men age, testosterone production naturally declines—typically 1-2% per year after age 30. For some men, levels drop much more dramatically due to genetics, medical conditions, medications, or lifestyle factors. When testosterone falls below optimal levels, quality of life suffers significantly.

TRT corrects this deficiency by supplementing your body's natural production, allowing you to function at your peak once again.

Is TRT Right for You?

Common Low Testosterone Symptoms:

Persistent fatigue and low energy

Decreased libido and sexual function

Erectile dysfunction

Loss of muscle mass and strength

Increased body fat, especially abdominal

Reduced bone density

Mood changes: depression, irritability, lack of motivation

Brain fog and poor concentration

Decreased confidence and assertiveness

Poor recovery from exercise

Sleep disturbances

Who Benefits Most from TRT:

  • Men with clinically low testosterone (typically <300 ng/dL)

  • Men with symptoms despite "normal-range" testosterone

  • Athletes and active individuals seeking optimal performance

  • Men experiencing age-related hormone decline

  • Those with medical conditions affecting testosterone production

Important: TRT requires proper medical evaluation including comprehensive lab work and physician assessment. It's not appropriate for everyone, and safety must be evaluated individually.

TRT Delivery Methods

We offer multiple testosterone delivery methods to match your lifestyle and preferences:

Testosterone Injections (Most Common)

  • Weekly or bi-weekly subcutaneous or intramuscular injections

  • Most cost-effective option

  • Stable, predictable levels with proper dosing

  • Self-administered at home with tiny needles

  • Best for: Most men seeking reliable, affordable treatment

Testosterone Cream/Gel

  • Daily topical application

  • No needles required

  • Absorbed through skin

  • Best for: Men uncomfortable with injections

Testosterone Pellets

  • Implanted under skin every 3-6 months

  • Set-it-and-forget-it convenience

  • Steady hormone release

  • Requires minor in-office procedure

  • Best for: Men wanting minimal maintenance

Your physician will recommend the optimal method based on your goals, lifestyle, and how your body responds to treatment.

What To Expect?

Week 1-2: Initial Changes

  • Improved mood and motivation

  • Better sleep quality

  • Slight increase in energy

Week 3-4: Building Momentum

  • Noticeable energy improvements

  • Enhanced libido

  • Better mental clarity

  • Improved gym performance

Week 6-8: Physical Changes Begin

  • Increased muscle mass

  • Decreased body fat

  • Strength gains in the gym

  • Improved sexual function

  • Consistent energy throughout the day

Month 3-6: Full Optimization

  • Significant body composition changes

  • Peak performance in physical activities

  • Stable mood and confidence

  • Optimal sexual function

  • Sustained vitality

Long-Term Benefits:

  • Maintained muscle mass and strength

  • Healthy body composition

  • Bone density preservation

  • Cardiovascular health support

  • Sustained quality of life

Important: Results vary by individual. Optimal dosing requires monitoring and adjustments over the first few months.

Safety & Ongoing Care

TRT is safe when prescribed and monitored by a qualified physician. At Vanguard, we take your safety seriously:

Comprehensive Monitoring Includes:

  • Regular blood work to track testosterone, estrogen, red blood cell count, liver and kidney function

  • Symptom assessments and dose optimization

  • Screening for potential side effects

  • Prostate health monitoring

  • Cardiovascular risk assessment

Potential Side Effects & Management:
Most side effects are mild and easily managed with dose adjustments:

  • Acne (managed with dose optimization)

  • Fluid retention (typically temporary)

  • Elevated red blood cells (monitored via labs)

  • Testicular shrinkage (managed with HCG if desired)

  • Hair loss (genetic predisposition, can be treated)

Who Should Not Use TRT:

  • Men actively trying to conceive (without HCG co-therapy)

  • Active prostate cancer

  • Severe untreated sleep apnea

  • Uncontrolled heart failure

  • Elevated red blood cell count

Your physician evaluates your candidacy during consultation and monitors you throughout treatment.

Your physician will recommend the optimal method based on your goals, lifestyle, and how your body responds to treatment.

Which Plan works for you?

Choosing the right care plan is essential to optimizing your health and performance. Vanguard Men’s Health offers personalized treatment plans designed around your unique needs and evolving goals. Whether the focus is hormone balance, vitality, or long-term wellness, every plan is built to deliver measurable, lasting results.

Initial Consultation:

Perfect for someone that just getting started.

Laboratory Testing:

Ideal for someone that needing more capabilities and a much more intricate care plan.

Monthly Treatment:

Designed for monthly and for someone with advanced needs.

Follow-Up Labs & Visits:

For maintaining the effectiveness and long term support.

$149

  • Comprehensive medical evaluation

  • Symptom assessment

  • Treatment plan development

$150-$300

(often insurance covered)

  • Comprehensive hormone panel

  • Metabolic markers

  • Safety screening

$150 -$250

  • Testosterone medication

  • Injection supplies

  • Ongoing messaging support

$100-$200

(quarterly)

  • Monitoring bloodwork

  • Dose optimization

  • Progress assessment

Total First Year Investment: Approximately $2,500-$3,500
Ongoing Annual Cost: Approximately $2,000-$3,000

Compare this to the cost of diminished quality of life, poor work performance, relationship strain, and health decline from untreated low testosterone.

READY TO GIVE it A TRY?

Start Your Optimization Journey

Don't spend another day accepting fatigue, poor performance, and declining vitality. Take control of your hormone health with expert medical guidance.

Vanguard Men's Health

Vanguard Men’s Health specializes in personalized, physician-led hormone optimization and men’s wellness care. We combine medical expertise, advanced diagnostics, and a patient-first approach to help men restore energy, confidence, and long-term health—without insurance hassles or rushed appointments.

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