Testosterone Replacement Therapy
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Dr. Dylan Krueger, NMD has received extensive training in both conventional and functional medicine as well as post-graduate training in hormone replacement therapy. He combined his interests in functional medicine and hormone optimization with his dream of being a small business owner to form Atlas Health Medical Group in Gilbert, AZ. His private practice focuses on identifying and treating the underlying causes of hormone imbalance with outside the box solutions.
Dr. Krueger's passion for hormone replacement, performance, bio-hacking, nutrition and exercise is utilized with every patient he sees as he creates personalized treatment plans that fit patients' busy lives. This comprehensive approach has helped patients live their best lives, feeling strong and energized, ready to take on the world.
Dr. Krueger loves offering cutting edge therapies and has helped hundreds of patients feel great again. In his free time, he enjoys camping, hiking, golfing, weight lifting, stand-up comedy shows, watching Minnesota sports teams (sadly), reading and spending time with his wife, son Liam and his dog Lily.
Naturopathic Medical Doctor
What Our Fantastic Clients Say
Frequently Asked Questions
To become eligible for testosterone replacement therapy patients must have symptoms of low testosterone impacting their lives and baseline blood work showing their free and/or total testosterone below the optimal range for their age bracket. (2) These are general guidelines and each doctor and clinic have their own criteria of when to treat.
Getting initiated on TRT starts with a consultation with a doctor, who will review your history and symptoms and determine if you are a potential candidate for the treatment. If the patient has symptoms that could be from low testosterone, the doctor will next order lab tests to establish baseline health and hormone levels. If the lab results show that the patient's testosterone levels are low as compared to their age group, and the patient is having low T symptoms, then TRT can be initiated. The patient will be started on a standardized trial dose of testosterone and labs will be re-ran in 10 weeks to monitor treatment results and patient safety. The dose may or may not be changed at the 10 week follow-up based on symptoms and lab numbers. After that, the patient will continue to have his labs monitored routinely, approximately every 4-6 months, and will continue to be under the doctor's care and guidance.
Pricing varies greatly from clinic to clinic. A general ballpark estimate would be between $100-250 per month for TRT care that would include labs, the medication, syringes, and doctors appointments. Insurance may cover the lab work, providing lower costs to the patient. Getting the testosterone medication covered by insurance can be trickier with most patients opting to just pay out of pocket for it.
Baseline lab testing is required before starting TRT. The more comprehensive the testing is, the better results and safety for the patient. Labs that should be ordered as part of a TRT and general wellness screen include:
- Complete Blood Count (CBC)
- Comprehensive Metabolic Panel (CMP)
- Lipid Panel
- Free Testosterone
- Total Testosterone
- Prostate-Specific Antigen (PSA)
- Vitamin D3
- Sex Hormone Binding Globulin (SHBG)
Total testosterone is the sum of the bound and unbound testosterone in your body, while free testosterone is unbound and bio-available for use in your tissues. (5) Free testosterone tends to have a stronger clinical correlation with how patients actually feel, and thus can be more of a useful metric.
The short answer is no TRT is not dangerous when managed by a hormone doctor. TRT taken off the street or bought online can be extremely dangerous that's why it needs to be managed by a medical professional. TRT when taken at the correct dosage and monitored regularly with lab work is very safe and has a long track record of safety across the globe. (3) Not monitoring blood work is where dangerous situations can arise.
- Increased sex drive
- Decreased belly fat
- Increased muscle mass
- Decreased fatigue
- Improved stamina
- Increased motivation
- Improved mood
- Faster recovery
- Increased sense of wellbeing
- Increased bone density (1)
TRT does not cause cancer and is extremely safe overall when prescribed by a trained physician. Hormone replacement therapy can potentially worsen an existing cancer and it is advised to discontinue therapy if that is the case. The main concern with males and TRT is prostate cancer. (4) Oftentimes cancerous cells are present in the prostate but undiagnosed because the patient may not have any symptoms yet. This is why all TRT patients complete regular blood work and physical examinations. Patients with elevated PSA values are not advised to take TRT and are referred out to a local Urologist.
This is a potential side effect but is relatively rare if prescribed and used properly. Testosterone can convert into estradiol through a process called aromatization, which over time can cause gynecomastia, aka man boobs. (6) Clinically, I’ve seen this happen but only in older males that just take TRT and do not incorporate any lifestyle changes or exercise, particularly weight training. Patients that weight train tend to not experience this side effect. High estradiol levels from taking TRT is easily treated by adding in a very small dose of anastrozole once weekly to block estrogen conversion. This fixes the issue very quickly.
Testosterone replacement therapy overall is very safe when prescribed and closely managed by a physician. But like all medications, there are some side effects that can happen from time to time. One side effect is higher estradiol levels that could eventually lead to gynecomastia. This is rare and happens typically if someone is not being managed by a doctor or if they are taking testosterone and not weight training.
Another side effect is acne which is also rare if the patient is taking the correct dosage. Acne can be caused by many things including hormonal imbalances and very high testosterone can lead to acne in males of all ages.
Another more common side effect is having the blood “thicken” so to speak. Medically this is called erythrocytosis, or high red blood cell count that leads to higher hematocrit levels as well. Red blood cells contain iron, a metal, so when counts are increased, the blood is more viscous and thicker. This is typically not much of a problem but theoretically could lead to a cardiac event such as a heart attack or stroke if left untreated for prolonged periods of time. Clinically, I see this in approximately 10% of my patients on TRT. There are 2 solutions that correct this side effect. First, lower the dose of testosterone down until the RBC labs return into the normal range. The second option is a therapeutic blood donation, aka giving blood. This can be done at places like the Red Cross or other local blood donation centers. Patients need to donate whole blood NOT plasma. Donating whole blood every 3 months should resolve this side effect over time without needing to change the dose of the testosterone.
An additional side effect is having your PSA numbers increase in your prostate. Testosterone itself does not cause cancer but if a patient has cancerous cells already present in the prostate it could theoretically fuel them and aid in cancer growth because testosterone is anabolic. This again, is another reason why TRT needs to be managed by a doctor. In my clinic we test for baseline PSA levels and then routinely monitor PSA throughout treatment. If PSA rises significantly or outside of the normal reference range, I have patients stop taking TRT and have them get their prostate evaluated by a Urologist. When this situation happens, it's typically in older males.
Hair loss can also be a side effect of TRT. This is largely genetic based and would happen at some point regardless of using TRT or not. For patients that have a strong disposition towards androgenic alopecia, aka male pattern balding, TRT can potentially hasten the progression of hair loss development. This happens because testosterone gets converted into DHT, dihydrotestosterone, which can cause the hair to shrink in diameter and eventually fall out. Fortunately, there are ways to minimize this side effect such as taking DHT blockers, either as supplements or medications, or having platelet rich plasma injections into the hair as a preventative.
Another concerning side effect of TRT is testicular shrinkage. This does happen and for some males is concerning and for others is no big deal. The reason this happens is because testosterone is naturally made in the testes so when you’re taking an outside source of testosterone, exogenous, your body slows down its own natural production. This in turn decreases the size of the testes. There are medications and peptides that can be taken in conjunction with TRT to avoid this problem, but from my experience most patients are not too concerned about it.
Lastly, some patients can experience mood changes and increased aggression on TRT. This typically is seen when patients are taking an incorrect dose and their testosterone gets way too high. I would say this is rare and the vast majority of patients report positive mood changes and more mental resilience. (7)
Do You Need a TRT Doctor Focused on Results-Based Solutions in Fountain Hills, Arizona and the East Valley?
Atlas Health Medical Group in Fountain Hills, Arizona specializes in providing Functional & Regenerative Medicine to the East Valley including Gilbert, Mesa, Queen Creek, and Chandler. Offering innovative treatments such as non-surgical joint reconstruction, Bio-Identical Hormones, testosterone replacement therapy, Nutrient IVs and supplements that allow us to individualize care for every patient. We pride ourselves on setting the standards of patient care and result-driven treatments. This approach has allowed us to become the leading wellness clinic in Fountain Hills, San Tan Valley, Queen Creek, Chandler, Gilbert, and Mesa, Arizona. Our patients return to health and live the life they intended.
Top 5 TRT Clinics in Fountain Hills
1. Atlas Health Medical Group
About: The Atlas Health Medical Group is conveniently situated near downtown Gilbert, near the Gilbert Water Tower, Gilbert's First Jail House, and Liberty Market, among other significant landmarks. Their office is only a few blocks from the historic downtown district, which is home to several hundred-year-old buildings as well as a plethora of high-end shopping, dining, and entertainment options. You've been missing out if you haven't been to downtown Gilbert.
Gilbert, which is centrally located at the intersection of highways 60 and 87, south of San Tan Mountain Regional Park and just west of South Mountain Park and Preserve, serves as the area's commercial, cultural, and political center. It is located in the Phoenix metropolitan area to the southeast of the city. It's about 17 miles east of Queen Creek and Chandler Heights, and was once known as the "Hay Shipping Capital of the World." Golfland Sunsplash, Clare's Metal Store, Riparian Preserve at Water Ranch, and Mother Nature's Farm are just a few of the awesome places to visit in the area.
This makes Atlas Health Medical Group (conveniently situated on West Elliot Road) a centrally located Naturopathic clinic providing groundbreaking therapies such as Platelet Rich Plasma (PRP), Bio-Identical Hormones, testosterone replacement therapy (TRT), Nutrient IVs, easily accessible in Maricopa County and the surrounding communities.
Services Offered: Hormone Replacement for men and women, Microneedling, Platelet Rich Plasma (PRP), and Platelet Rich Plasma for Hair Loss, fertility optimization, general functional medicine.
What Makes them Different: Atlas Health Medical Group uses functional medicine doctors that focus on addressing the root cause of their patients health concerns instead of just trying to manage symptoms. By getting to the bottom of the health issue they are able to achieve substantially greater results that have a longer lasting impact on their patients lives. The team at Atlas Health Medical Group guides patients to optimal health allowing them to feel like the best version of themselves day in and out.
2. Primary Care Walk-in Medical Clinic
About: Primary Care Walk-In Medical Clinic treats patients of all ages at three locations in Gilbert, Fountain Hills and Scottsdale, Arizona. The clinic is uniquely equipped to provide high-quality medical services in a walk-in office setting, bringing together convenience and compassionate care. The team at Primary Care Walk-In Medical Clinic strives to treat patients with chronic, acute, or urgent medical conditions promptly and effectively. The clinic proudly offers a wide range of services, including: Primary care, Pediatric care, Geriatric care, Physicals, Immunizations, Aesthetics, Urgent care.
Services Offered: walk-in services, primary care, hormone therapy, IUDs, allergy testing, immunizations, botox and fillers.
What Makes Them Different: At Primary Care Walk-In Medical Clinic, patients of all ages can expect a friendly atmosphere and exceptional medical care. The clinic holds extended hours, including over the lunch hour and evenings to better meet patient needs.
3. Fountain Hills Med Spa
About: r. Kaveh Karandish is a board-certified internal medicine physician and a minimally invasive aesthetic & cosmetic specialist. He graduated from St. Vincent Hospital / New York Weill Medical College in 2009. His work experience consists of positions of Assistant Professor & Researcher at the University Of Miami Internal Medicine & Rheumatology Departments, medical directorship of various clinics in South Florida & Arizona & as a Hospitalist in various medical centers in both Florida & Arizona for the past decade.
Services Offered: neuromodulators, fillers, non-surgical facelift (PDO Threads), body contouring, hair loss rejuvenation, laser rx, non-surgical rhinoplasty, Y-Lift, hormone replacement therapy.
What Makes Them Different: Fountain Hills Med Spa provides the very best cosmetic skincare and medical age management treatments. We have a well-trained medical team that has been selected carefully to serve you with the best services. We only use industry-approved state-of-the-art technologies. Our expert medical staff is focused on helping each client achieve their desired results while ensuring their safety and comfort.
4. East Valley Naturopaths
About: Dr. Carol Jamison is an AZ licensed Naturopathic Physician. She received her undergraduate degree in Nutritional Sciences from the University of Arizona and her Doctorate of Naturopathic Medicine from Southwest College of Naturopathic Medicine in 2003. Dr. Jamison has enjoyed practicing Naturopathic medicine in Fountain Hills since January 2005. Her special interests include working with endocrine issues including Thyroid disorders, Hashimoto’s, Male and Female hormone imbalances, gastrointestinal problems, diabetes, anxiety and depression. For some patients, Dr. Jamison acts as their primary care physician, but she often and happily works in conjunction with a patient’s other doctors to achieve holistic care for each person.
Services Offered: hormone support, thyroid disease, cupping, acupuncture, biopuncture, vitamin injections, adrenal support, food sensitivity testing, supplements.
What Makes Them Different: They are a Naturopathic medical office that offers most primary care medical services, and treatments for many chronic conditions. They also offer analysis and treatment of body chemistries and energies.
5. Scottsdale Naturopathic Primary Care
About: Dr. Nicole Sundene has worked in primary care and women's health for the past 20 years. She currently works as a Naturopathic Medical Doctor at Scottsdale Naturopathic Primary Care located in The Promenade Scottsdale shopping center. For the past 12 years she has worked as a Naturopathic Doctor in Women's Health, Bioidentical Hormones, Herbal Medicine, Nutritional Counseling. Dr. Sundene's integrated approach to medicine comes from her experience assisting many MD's in Family Medicine, ENT, Dermatology, Urology, Gastroenterology, Urgent Care, Urology and Women's Health from 1999-2007. Prior to that she worked for GNC health food store while going to school for a degree in Nutritional Biochemistry at Western Washington University.
Services Offered: Comprehensive Lab Evaluation: Vitamins, Hormones, Cholesterol, Blood Chemistry & CBC, Urgent Care with herbs, nutrition & antibiotics. In House Labs: Strep, Urine, Yeast, Pap, Occult Blood, Food Allergy & Glucose, Chronic Disease Management with Botanical Medicine, Nutrition, Lifestyle Counseling & Prescription Medicine, Hormones for Women: Creams, Troches & Pellets, Estrogen Bioidentical Pellets, Testosterone Pellets, Progesterone Pellets, Food Allergy Testing, Adrenal Stress Testing, Neurotransmitter Testing for Depression, Fibromyalgia, Fatigue and Mood Disorders, Weight Loss Program, Body Fat Analysis, B-12 Shots with Walk-In Hours, Detox Shots, Fat-burning Injections Traumeel Injections for arthritis and pain, Immune Booster Shots
What Makes them Different: Dr. Sundene takes pride in always looking for the root cause of disease and restoring health so that her patients end up on the least amount of prescription drugs possible. Her mission is to provide a safe, private, personable, compassionate and educational environment for all patients challenged by chronic disease conditions.
Fountain Hills Health Facts
Fountain Hills, Arizona is a small community in Maricopa county that is best know for formerly having the worlds largest fountain. The fountain is still in operation and can be seen every hour across the city pumping water 560 feet up into the air. Fountain Hills is an isolated community surrounded mainly be desert and Native American land. The city sits to the northeast of Phoenix and east of Scottsdale, AZ. The city is mainly accessed through state route 87 or Shea Boulevard and is home to 23,785 permanent residents and any more in the winter months. Fountain Hills is a massive snow bird community that comes to life in the months of October through March every year. Formerly ranch and Native American land, the city become incorporated in 1989 and has continued to expend since.
The city sits amidst the southwest Sonoran desert in the Arizona valley of the sun and is known for its piercing hot and dry climate in the summer months. Temperatures routinely reach above 100 degrees Fahrenheit during the months of June, July and August, making shade, trees, AC and swimming pools a must for locals to thrive.
Fountain Hills has approximately 11,893 men that reside there permanently. Popular activities in Fountain Hills include: walking, golf, pickleball, card games, and swimming. Regrettably, some males in Fountain Hills are greatly struggling with their wellness and are unable to participate in everything the community has to offer. These males may be suffering from symptoms of low testosterone and are unable to enjoy the life they intended with their families and loved ones. Symptoms of low T may include: fatigue, low motivation, low libido, weight gain, loss of bone density, brain fog, loss of focus, depression, loss of muscle mass and erectile dysfunction.
Male Health Stats in Fountain Hills
- 3,651 people are overweight
- 5,043 are obese
- 1,094 are severely obese
- 2,854 have low testosterone
- 666 have significant low T symptoms
Common Questions about TRT
This depends on the patient's preference. Yes, some patients will be on TRT forever if they chose to be. (9) Others can take it and get off depending on their health needs and situation. There are some medications and peptides that aid patients who choose to discontinue TRT but maintain healthy hormone levels.
Testosterone replacement can most definitely impact fertility in males. It doesn't make conceiving impossible but it will be much harder. The reason being is TRT lowers your body's own testosterone production which in turn lowers your sperm count. (10) There are medications that counterbalance this effect or we can help patients get off TRT to increase their chances at successful fertility.
This is a common known side effect of taking an outside source of testosterone. Your testicles are responsible for making testosterone in your body and when they no longer need to produce as much because you're taking an outside source of testosterone, they decrease in size. For the vast majority of guys this is not much of an issue.
The cost of TRT includes not only the medication itself but also labs and doctors appointments. This can vary greatly from clinic to clinic with a general ballpark estimate between $99-250 per month.
Testosterone replacement therapy is 100% legal in the United States when prescribed by a physician or licensed medical provider. TRT is 100% illegal when bought online, off the street, or from another country.
The cause of low T varies case by case on an individual basis. Some things that can cause low T include:
- Prolonged stress
- Lack of sleep
- Inadequate calories
- Poor diet
- Medication side effects
- Lack of weight training
- Recreational drugs
There is no specific age requirement to start on TRT. That being said, most men will start to experience low T symptoms in their early 40’s to 50’s and that is typically where most will begin to consider TRT as an option. If a person has low T symptoms and low testosterone on lab work, then they would be a good candidate for hormone replacement therapy.
Fountain Hills, Arizona Overview:
History of Fountain Hills
Fountain Hills is a smaller town located in Maricopa County, Arizona, United States outside of Phoenix. Here's a brief overview of its history:
1960s: The history of Fountain Hills begins in the late 1960s when a group of investors, including Robert P. McCulloch, purchased a large parcel of land in the area. McCulloch was a businessman and entrepreneur known for his involvement in the chainsaw and outboard motor industries.
1970: In 1970, the development of Fountain Hills officially began. The community was designed as a master-planned development with a focus on natural beauty and preserving the desert landscape. One of the community's most notable features is the man-made fountain from which the town gets its name. This fountain is situated in a man-made lake and shoots water into the air at regular intervals and can be seen every hour throughout the city and beyond.
1971: The fountain was completed in 1971 and quickly became a prominent landmark for the area. If you’ve been to Fountain Hills, you know about the fountain.
1975: Fountain Hills was incorporated as a town in 1975, establishing its own local government.
1980s-1990s: Throughout the 1980s and 1990s, Fountain Hills continued to grow and develop as a residential community. The town's unique design and commitment to preserving its natural surroundings attracted residents and tourists alike.
2000s-Present: Fountain Hills has maintained its focus on planned development and preserving its natural beauty into the 21st century. The community is known for its arts and cultural events, including an annual art fair. It's also a popular retirement destination for its peaceful atmosphere and scenic surroundings. Many midwesterners reside in the city during the winter months.
The town has continued to evolve, adding amenities and services to accommodate its growing population while maintaining the principles of planned development and desert preservation that have defined its history. The city is a short 40 minute drive outside of Phoenix, making it easy to access for tourists and locals.
Eduction in Fountain Hills
Fountain Hills is a town located in Maricopa County, Arizona, and is served by the Fountain Hills Unified School District (FHUSD). Here are some key points about education in Fountain Hills, AZ:
Fountain Hills Unified School District (FHUSD): The school district serves the town's educational needs. It encompasses several schools, including an elementary school, middle school, and high school. These schools provide education from kindergarten through 12th grade. The district is home to a diverse and growing student population.
Fountain Hills High School: The high school in Fountain Hills offers a range of academic and extracurricular activities. Students can participate in various sports, arts, and clubs including dance, golf and football.
Academic Programs: Like many school districts in the United States, Fountain Hills schools likely offer a standard curriculum that covers subjects like English, mathematics, science, and social studies. They may also offer advanced placement (AP) courses and other enrichment opportunities for academically inclined students. Students taking AP courses can earn college credits while still in High School.
Extracurricular Activities: Schools in Fountain Hills may offer a variety of extracurricular activities, including sports teams, clubs, arts programs, and community service opportunities. These include swimming, golf, basketball and soccer teams.
Parental Involvement: Parental involvement is often encouraged in the education system, and schools may have parent-teacher associations (PTAs) or other mechanisms to engage parents in their children's education. Active parents often encourage their children to perform well in school.
Community Support: The local community in Fountain Hills may play an active role in supporting education through partnerships, fundraising, and volunteering. The city hosts many retired volunteers.
Resources: The quality of education can depend on factors such as funding, teacher expertise, and facilities. Schools in Fountain Hills may have access to various resources, including technology and teaching materials. The school district receives funding through local property taxes.
Higher Education: While Fountain Hills itself may not have a major university or college, there are higher education institutions in nearby areas like Scottsdale and Phoenix. Fountain Hills is a short 40 minute drive away from ASU and an 1 hour drive away from GCU.
Benefits of Living in Fountain Hills
Fountain Hills, Arizona, offers a unique blend of benefits for its residents oft have enabled sustained growth:
Natural Beauty: The town is known for its stunning natural surroundings, including the famous Fountain Hills Fountain, one of the world's tallest fountains, and the picturesque McDowell Mountains. Residents can enjoy hiking, outdoor activities, and scenic views of the fountain every hour.
Small Community Feel: Fountain Hills maintains a relatively small population compared to nearby cities like Scottsdale or Phoenix. This can lead to a stronger sense of community, with opportunities for close-knit relationships and a slower-paced lifestyle with many residents being already retired.
Low Crime Rates: Fountain Hills has historically had lower crime rates compared to other parts of the Phoenix metropolitan area, making it an appealing choice for families and individuals seeking a safer environment free from dangerous criminals.
Arts and Culture: The town hosts various cultural events and festivals, including an annual art fair and the Fountain Hills Great Fair, providing opportunities for residents to engage in artistic and cultural activities. Artist’s from around the state often sell and share their art at these well established events.
Outdoor Recreation: With its proximity to the McDowell Mountains and the Sonoran Desert, Fountain Hills offers plenty of opportunities for outdoor enthusiasts, including hiking, biking, golfing, and exploring the desert landscape.
Golf Courses: There are several golf courses in and around Fountain Hills, making it a desirable location for golf enthusiasts to enjoy their favorite sport. Tonto Verde is a great course to check out for golf enthusiasts.
Retirement Destination: Fountain Hills has been a popular choice for retirees due to its quieter pace of life, scenic beauty, and pleasant climate. Many retirees flock here from Minnesota and Illinois.
Close Proximity to Amenities: While Fountain Hills offers a more serene setting, it's still within reasonable driving distance of the amenities and attractions of larger cities like Scottsdale and Phoenix. Scottsdale is a short 20 minute drive away!
Health and Wellness: The town's focus on outdoor activities, clean air, and a generally active lifestyle can contribute to a sense of health and well-being for its residents of all ages.
Real Estate: Depending on market conditions, Fountain Hills may offer relatively more affordable housing options compared to neighboring communities. Housing here is generally much cheaper
Family Activities in Fountain Hills
Fountain Park: The centerpiece of the town is the Fountain Park, home to one of the world's tallest fountains. The fountain shoots water over 500 feet into the air. It's a great place for a leisurely stroll, a family picnic, or simply enjoying the view. Enjoy the fountain year round every hour.
Hiking: There are several hiking trails in the McDowell Mountain Regional Park, which is close to Fountain Hills. These trails offer beautiful desert landscapes and varying levels of difficulty, making it suitable for family hikes. These trails are generally easy to moderate making them accessible for everyone.
River of Time Museum: This museum showcases the history and culture of the Lower Verde Valley, including the history of Fountain Hills itself. It's an educational and interactive experience that can be enjoyable for both kids and adults.
Art in the Park: If your family enjoys art, consider visiting the Art in the Park event, which takes place regularly in Fountain Park. Local artists display their creations, and it's a great opportunity to appreciate and purchase unique pieces that represent the beautiful southwest.
Fountain Hills Theater: Check the schedule for family-friendly plays and performances at the local theater. It can be a fun way to introduce your kids to the world of performing arts and inspire their creative side.
Biking: Fountain Hills has biking trails that offer a chance to explore the scenic beauty of the area on two wheels. You can bring your own bikes or rent them locally.
Picnicking: With its picturesque surroundings, Fountain Park is a wonderful spot for a family picnic. Enjoy the fresh air, beautiful views, and spend quality time together.
Outdoor Recreation: The nearby Salt River and Saguaro Lake offer opportunities for water-based activities such as kayaking, tubing, and paddleboarding. These activities can be a great way to cool off and have fun as a family. The salt river is ice cold in the hot summer, making it a popular destination for residents.
Local Events: Keep an eye on local event calendars for festivals, farmers markets, and other community events that are family-friendly. These can provide unique experiences and a chance to interact with locals.
Cooking or Art Classes: Some local businesses might offer cooking or art classes specifically designed for families. This could be a fun way to learn something new together.
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- Can testosterone injections cause hair loss? hims.
This varies greatly from doctor to doctor and from patient to patient. The optimal range and dosage for you may be way different than another person based on many factors. Generally speaking, from my experience guys typically are feeling good at 750-1300 ng/dL for total testosterone and 15-25 ng/dL for free testosterone.
Everyone’s experiences are a little different on TRT. Generally speaking, patients feel increased sex drive, fatigue resilience, leaner, better recovery after workouts / training, stronger overall, increased motivation, increased confidence, and just a general sense of wellbeing.
Unfortunately, most insurances do not cover TRT because they deem it medically unnecessary. The other issue with coverage is your lab numbers have to be out of range for men of all age groups instead of men of your age group. For example, a 50 year old male might have a total testosterone of 425 and have symptoms of low T. The insurance company will say he’s within the reference range and we will not pay for treatment even though the man is suffering and is clinically low for his age bracket. Fortunately, TRT is extremely affordable at many clinics and the medication itself is less than $1 a day in generic form.
Yes, testosterone generally helps guys lean out around the abdomen and can boost your metabolism when combined with weight training. Just taking TRT alone without any lifestyle changes will not be enough for people to lose belly fat.
The short answer is it depends largely on your genetics. TRT will increase DHT, which is believed to be the main driver of male pattern baldness. (11) Whether a person loses hair with increased DHT typically depends on their scalp’s androgen receptor sensitivities, which is based on an individual's genetics. Luckily, there are ways to mitigate the effects of DHT on the scalp such as finasteride, minoxidil, microneedling and PRP shots. These all allow individuals to take TRT and not worry about hair loss. Another strategy to decrease androgen receptor sensitivity is to take TRT in a daily small dose instead of a once weekly larger dose.
This is a common misconception. TRT does not fix ED, but it does increase sex drive. ED is typically a blood flow issue that is better treated with vasodilator medications that increase blood flow to the penis. TRT may help ED if the dysfunction is based on mental barriers, as testosterone boosts confidence, but this is an indirect approach to the problem.
This is a broad question and the answer varies by age, symptoms and baseline testosterone levels from the patients blood work. Generally, the starting dose is between 100-200 mg weekly for the injectable forms. I typically start patients at 150mg per week and readjust the dose after new blood work in 10 weeks time. Rarely do I need to increase the dose up, and typically I don't need to change the dose at all. This seems to be a good sweet spot.
TRT does many things that cumulatively increase a man’s overall wellness and sense of wellbeing. Testosterone can increase sex drive, motivation, recovery, strength while reducing fatigue and body fat. All the effects of taking TRT are amplified when used in conjunction with healthy diet and lifestyle changes.