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Your Guide to Getting Started with Testosterone Replacement Therapy (TRT)

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Dr. Hardik Soni

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Stepping Into TRT for the First Time

Here at Ethos Spa, we understand how low testosterone can make you feel like a shadow of your former self. 

We’ve helped countless men reinvigorate their lives through customized TRT treatment plans. Our experienced medical aestheticians stay up-to-date on the latest advancements in men’s health to provide the most effective therapies using state-of-the-art techniques.

In this guide, we’ll walk you through everything you need to know to get started on the path to revitalized health and wellness through TRT

Consider this your blueprint to understanding the treatment process, so you can take the first steps toward becoming your best self once again.

Who is a Candidate for TRT?

So how do you know if TRT might be right for you? 

Testosterone production naturally begins to decline in men after age 30 at a rate of about 1% per year. Some men can experience a more significant drop that leads to symptoms of testosterone deficiency. 

TRT may be an option if you have:

  • Symptoms of low testosterone – low sex drive, erectile dysfunction, decreased energy, reduced muscle mass, increased body fat, mood changes, sleep problems, etc.
  • A blood test confirming clinically low testosterone levels
  • No other underlying health issues causing your symptoms
  • Ruled out contraindications through medical evaluation

It’s important to understand that low testosterone symptoms alone are not enough to get approved for TRT. You’ll need lab testing to confirm a true testosterone deficiency requiring treatment.

Understanding the TRT Evaluation Process

If your tests indicate you have clinically low testosterone, also known as hypogonadism, your doctor will discuss TRT as a potential treatment option. The evaluation process involves:

Medical history review 

Your doctor will ask about any conditions or medications that could be impacting your testosterone levels. Providing full, accurate information is vital.

Physical exam

This comprehensive exam will help identify any underlying health issues contributing to symptoms.

Multiple blood tests

At least two tests will be done at different times to confirm low testosterone, as levels can fluctuate. Both your total and free testosterone levels will be evaluated.

Discussion of treatment options

If it is determined TRT is appropriate, your doctor will explain how the therapy works, risks and benefits, and what to expect.

The evaluation process is essential for developing a customized treatment plan tailored to your unique health profile and goals. 

Getting Prescribed TRT

If TRT is determined to be an appropriate treatment option, your doctor can write you a prescription to begin therapy. TRT prescriptions are typically provided by endocrinologists or men’s health specialists, who have extensive expertise in optimizing testosterone levels.

Your primary care physician can give you a referral to see a hormone health expert who can develop the ideal treatment plan and carefully monitor your progress. The right specialist will partner with you to help you safely achieve your wellness goals through TRT.

Before prescribing testosterone replacement, your doctor will discuss your full medical history, any pre-existing conditions, and medications you currently take to ensure TRT is suitable for you. There are some situations where TRT may not be recommended, such as in patients with prostate cancer.

Understanding TRT Administration and Dosages

TRT is delivered through different methods, including:

  • Intramuscular injections – Testosterone injections into the muscle are the most common TRT delivery method. Effects are seen quickly and dosing is easily adjusted.
  • Transdermal patches – Adhesive patches placed on the skin release testosterone gradually over time. Patches must be changed daily.
  • Topical gels – Specialized gels containing testosterone are applied daily to the arms, shoulders or abdomen. They absorb into the skin.
  • Implanted pellets – These small testosterone pellets are placed under the skin through a quick, minimally invasive procedure and slowly release hormones.

The starting dosage is determined from your lab work and adjusted based on your symptoms and clinical response. Your doctor will advise you on the best administration method based on your lifestyle, preferences, and health needs. 

Monitoring Your TRT Treatment Progress

TRT requires diligent monitoring to keep you on the path to optimal wellness. Follow-up appointments and bloodwork will be scheduled to track your testosterone levels, symptoms, side effects, and overall progress on treatment.

This careful tracking enables your doctor to adjust your dosage and delivery method if needed. You’ll also learn proper at-home administration techniques for methods like self-injecting testosterone. 

Ethos Spa empowers our clients with the knowledge and care required for the best results.

In addition to watching lab levels, you will monitor key indicators like energy improvements, muscle tone, sexual function, motivation, and general well-being. Keeping records of any changes you experience helps personalize your treatment.

Through collaborative tracking of your treatment response, we’ll ensure your testosterone levels are optimized as safely and effectively as possible. Consistent monitoring is the key to long-term TRT success.

Monitoring MethodDetails
Lab WorkBlood tests to track testosterone levels
Symptom TrackingNote any changes in energy, sexual function, motivation, etc.
Side Effect MonitoringWatch for potential side effects and discuss with doctor
AppointmentsFollow-up regularly with your healthcare provider

Restore Your Vitality with Customized TRT

If declining testosterone has you feeling your get-up-and-go has gotten up and gone, TRT may be the energizing solution you’ve been looking for. When administered properly under medical supervision, testosterone therapy can help reignite your zest for life.

Here at Ethos Spa, our goal is to offer the latest in precision testosterone optimization to have you feeling like your old self again—or better yet, an even more vibrant version! Our experts stay on the cutting edge of men’s health treatments to devise customized plans you can feel confident in.

Are you ready to get your energy back? Contact us today to schedule your initial TRT consultation!

Dr. Hardik Soni

MD, Founder/Lead Physician

About Dr. Hardik Soni

Dr. Hardik Soni is the founder and Medical Director of Ethos Aesthetics + Wellness. His primary focus is on minimally invasive and non-invasive cosmetic procedures including botulinum injection (Botox and Dysport), dermal fillers (Juvederm, Restylane, Radiesse), laser hair removal, chemical peels, and laser skin rejuvenation. Dr. Soni believes in a more conservative approach and his first goal is education. Clients are able to determine the ideal treatments after discussion with Dr. Soni regarding the expected outcomes, cost, as well as risks.

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