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
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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.
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)
This varies from clinic to clinic but generally speaking, patients will need baseline labs and follow-up labs at 10 weeks and then every 20 weeks after that ongoing.
- 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 Mesa, Arizona and the East Valley?
Atlas Health Medical Group in Mesa, Arizona specializes in providing Functional & Regenerative Medicine to the East Valley including Gilbert, Chandler, Queen Creek, and San Tan Valley. Offering innovative treatments such 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 Queen Creek, Chandler, Gilbert, and Mesa, Arizona. Our patients return to health and live the life they intended.
Top 5 TRT Clinics in Mesa, AZ
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. Rose Canyon Health & Wellness
About: Megan Haden is a board-certified family nurse practitioner in Mesa, Arizona who specializes in integrative and functional medicine. She has devoted her life to helping people understand and relieve illness. She has a passion for helping patients with autoimmune disorders, hormone imbalance, and GI disorders, naturally while also providing them with the primary care services they need.
Services Offered: Men's Health, Women's Health, direct primary care, weight loss, integrative medicine
What Makes Them Different: Rose Canyon Health and Wellness offers integrative healthcare to provide patients with health solutions and personalized care. They do more than simply treat physical ailments. As a part of their holistic approach, they address the emotional, spiritual, and mental health of their patients so that they may help them create whole-person wellness.
3. Urologic Surgeons of Arizona
About: Urologic Surgeons of Arizona is a cutting-edge urology practice with offices in Mesa and Chandler, Arizona. The experienced multispecialty team treats urological issues, including kidney stones, hematuria, erectile dysfunction, and bladder cancer, along with general health conditions like diabetes and hypertension.
Services Offered: robotic surgery, prostate cancer, enlarged prostate urinary incontinence, kidney stones, bladder cancer, kidney cancer, HRT, erectile dysfunction, pelvic organ prolapse.
What Makes Them Different: The Urologic Surgeons of Arizona team emphasizes optimal urologic and whole-body health for every patient. From mild conditions requiring simple treatment to complex robotic surgeries for cancer, the Urologic Surgeons of Arizona puts patient health first.
4. Alexander Medical
About: Robert Alexander, ACNP is a native of Gilbert Arizona. After graduating from Highland High School in 1995, he spent seven years volunteering his time at a local church and helped develop the largest teen program in the United States.
During this time, he attended ASU and in 2002 he received a degree in Business Management. After working for two years, Robert wanted to help people achieve a higher quality of health so, he returned to school and received a Bachelor's Degree in Nursing from Grand Canyon University in 2009. From there, Robert moved to Nashville and attended Vanderbilt University and graduated with a Master in Nursing with a focus in acute care. He then attended Duke University with a focus in orthopedics.
Services Offered: TRT, women's hormones, primary care, thyroid health, men's sexual performance, weight management, general health, sports medicine.
What Makes Them Different: Alexander Medical focuses on optimizing patient health, while implementing long-lasting lifestyle changes. In 2014, Robert Alexander began the Alexander Medical journey to impact the lives and well-being of his patients. With a focus on Testosterone Replacement Therapy, as well as Thyroid Treatment, Alexander Medical aims to improve each patient and provide support for each individual journey through nutrition and medication adjustments.
5. Envoque MD
About: Specializing in bioidentical hormone replacement therapy, thyroid optimization, and medically assisted weight loss. Envoque MD has built a team of collaborative experts that are dedicated to serving the well-being of their clients. Their mission is to address the whole person by integrating different modalities in a safe, effective, supportive environment. Their team brings together the latest weight loss technology with sound nutrition, exercise, and education that can change your life forever.
Services Offered: Women’s hormone therapy, testosterone replacement therapy, thyroid treatment, semaglutide weight loss.
What Makes them Different: Each of their skilled practitioners has years of experience in helping people just like you achieve their weight loss goals. They look forward to the opportunity to partner with you in seeing your dreams become reality.
Mesa Health Facts
Mesa, Arizona is massive sprawling suburb of Phoenix, AZ. Mesa sits to the east of Phoenix and Tempe, and to the north of Chandler and Gilbert. Mesa is the largest suburb of the Phoenix valley and is home to a whopping 512,498 people as of 2022 and growing. The city sits in the heart of the Sonoran Desert and is known for its hot and dry climate. Temperatures routinely reach above 100 degrees Fahrenheit during the months of June, July and August. Mesa has a huge economy for a suburban area, with its top employers consisting of Banner Health, Mesa Public Schools, Boeing Company, the City of Mesa, and Walmart.
Mesa has approximately 256,249 men that make the city their home. Popular hobbies in the area include, hiking, running, golf, pickle ball, tennis, and swimming. Sadly some males in Mesa are really struggling and are unable to enjoy everything the city has to offer. These males may be suffering from low testosterone and are not able to experience 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 muscle mass and erectile dysfunction.
Male Health Stats in Mesa
- 78,669 people are overweight
- 108,650 are obese
- 23,575 are severely obese
- 61,500 have low testosterone
- 23,575 have significant low T symptoms
Common Questions about TRT
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. The price point is lower if you have health insurance, which will typically cover the labs needed to start the treatment and to monitor the results. Some clinics will combine the doctors visit, labs, and medications into a bundle and charge monthly or yearly for the service.
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. Buying testosterone online is not only illegal but extremely dangerous as well because the product may or may not contain testosterone and is likely contaminated.
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
- Bassil N, Alkaade S, Morley JE. The benefits and risks of testosterone replacement therapy: a review. Ther Clin Risk Manag. 2009;5:427-448.
- Crawford C. Acp guideline addresses age-related low testosterone.
- Corona G, Torres LO, Maggi M. Testosterone therapy: what we have learned from trials. J Sex Med. 2020;17(3):447-460.
- Osterberg EC, Bernie AM, Ramasamy R. Risks of testosterone replacement therapy in men. Indian J Urol. 2014;30(1):2-7.
- Testosterone levels test: medlineplus medical test.
- Raheem AA, Zaghloul AS, Sadek AMG, Rayes B, Abdel-Raheem TM. The impact and management of gynaecomastia in klinefelter syndrome. Front Reprod Health. 2021;3.
- Ponce OJ, Spencer-Bonilla G, Alvarez-Villalobos N, et al. The efficacy and adverse events of testosterone replacement therapy in hypogonadal men: A systematic review and meta-analysis of randomized, placebo-controlled trials. J Clin Endocrinol Metab. Published online March 17, 2018.
- Trt: uses, side effects, and cost of testosterone replacement therapy. Healthline.
- Testosterone replacement therapy: is it right for you? - urology care foundation.
- Patel AS, Leong JY, Ramos L, Ramasamy R. Testosterone is a contraceptive and should not be used in men who desire fertility. World J Mens Health. 2019;37(1):45-54.
- Can testosterone injections cause hair loss? hims.
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.
History of Mesa, AZ
Mesa, Arizona, has a rich and fascinating history that stretches back centuries. Here's an historical overview up to present day:
Prehistoric Era: The area around present-day Mesa has been inhabited by indigenous peoples for thousands of years. The Hohokam people were one of the prominent prehistoric cultures that settled in the region around 1 AD. They created an extensive canal system to irrigate their crops, which allowed them to thrive in an otherwise arid environment. This innovation was a breakthrough and allowed a very hot and harsh climate to be livable.
Spanish Exploration: In the 16th century, Spanish explorers arrived in what is now Arizona, including the Mesa area. They brought new technologies, animals, and crops, but their direct influence on the region was limited and not sustained.
Mexican and American Territorial Periods: In the early 19th century, Arizona became part of Mexico after gaining independence from Spain. However, in 1848, after the Mexican-American War, the area came under U.S. control as part of the Treaty of Guadalupe Hidalgo. Mesa would remain a US territory and later become part of the state of Arizona.
Mormon Settlement: The history of modern Mesa began in the late 19th century when Mormon pioneers led by Daniel Webster Jones settled in the Salt River Valley in 1877. The area provided fertile land for agriculture, and the Mormons dug additional canals to enhance the irrigation system, following in the footsteps of the ancient Hohokam. The Mormon influence can still be felt today in Mesa with LDS churches widely available.
Town Development: The town of Mesa was officially established in 1878, and its growth was bolstered by the arrival of the Southern Pacific Railroad in 1887. The railroad connection enabled Mesa to become a transportation hub for agricultural products, further stimulating its development.
Incorporation and Expansion: Mesa was incorporated as a city in 1883. Over the years, it continued to expand both in population and economy. Cotton, citrus fruits, and other agricultural products were significant contributors to the city's prosperity. Unfortunately, over time these industries fell by the wayside as other developments and industries emerged.
Economic Diversification: While agriculture remained important, Mesa underwent economic diversification in the 20th century. Industries such as aerospace, electronics, and tourism started to play a crucial role in the city's economy. This attracted population growth from across the US for high paying middle class jobs.
Growth and Development: From the mid-20th century onwards, Mesa experienced substantial population growth. The expansion of Phoenix, Arizona's capital city, contributed to the city's growth as well. Mesa became one of the largest suburbs of Phoenix and developed a distinct identity of its own.
Today, Mesa continues to be a vibrant city with a diverse population, thriving economy, and a mix of cultural attractions and outdoor activities. It has preserved some of its historical sites and landmarks while embracing modern development and urbanization. Economic growth remains a top priority for the city with new businesses emerging and redevelopment taking place in various parts of the city.
Education in Mesa
The education system in Mesa is overseen by the Mesa Public Schools District, which is the largest public school district in Arizona and one of the largest in the United States.
School Levels: The education system in Mesa, like in most U.S. cities, follows a standard structure. It includes primary education (elementary schools) for grades K-6, middle schools for grades 7-8, and high schools for grades 9-12.
Curriculum: Mesa's public schools typically adhere to state and national standards in their curriculum. This includes subjects like mathematics, language arts (English), science, social studies, and other elective courses.
Extracurricular Activities: Schools in Mesa often offer a variety of extracurricular activities such as sports, music, drama, debate, and clubs, providing students with opportunities to explore their interests outside the classroom. Some Charter schools do note proved these activities.
Charter and Private Schools: In addition to the public school system, there are also charter schools and private schools in Mesa. These institutions may offer alternative approaches to education and cater to specific educational philosophies or student needs. These schools may provide additional academic benefits but lack other amenities that public schools provide.
Higher Education: Mesa is home to several institutions of higher education, including Mesa Community College, which is part of the Maricopa County Community College District. Mesa Community College has multiple campuses and is heavily invested in by the city. This provides residents a low cost entry point into college with a wide variety of classes taught for all majors.
Education Quality: The quality of education in Mesa can vary from school to school. Some schools may excel academically, while others may face challenges. Parents and students often research school performance and ratings to make informed decisions about where to attend. Schools in middle to upper class neighborhoods tend to be of higher quality than lower income areas in the city due to local tax structure and teacher retention.
College and Career Readiness: Like most educational institutions in the U.S., Mesa schools place a strong emphasis on college and career readiness, aiming to prepare students for success beyond high school. This includes traditional 4 year college degrees as well as various trade programs that can be completed in 1-2 years after High School.
Benefits of Living in Mesa, AZ
Warm Climate: Mesa enjoys a warm and sunny climate throughout most of the year. This can be appealing to individuals who prefer milder winters, and abundant sunshine with limited rain or clouds.
Outdoor Activities: The city's climate and landscape offer plenty of opportunities for outdoor activities, such as hiking, biking, golfing, and various water sports such as paddleboarding. The nearby Superstition Mountains and Tonto National Forest provide beautiful natural settings for outdoor enthusiasts. This includes hiking trails of all difficulty levels, tons of mountain biking trails, and camp sites throughout the mountain range.
Affordable Housing: Compared to many other cities in Arizona and the United States, Mesa generally offers more affordable housing options. This can be beneficial for families and individuals looking to buy or rent homes. Housing in Mesa is generally cheaper than Tempe, Scottsdale, Gilbert and Chandler.
Job Opportunities: Mesa's proximity to Phoenix, the state capital, opens up numerous job opportunities in various industries. The city itself has a diverse economy, including healthcare, education, technology, aerospace, construction and tourism. New job opportunities continue to open upon Mesa as the economy evolves to meet modern demand.
Education: Mesa is served by the Mesa Public Schools district, which offers several public schools with good reputations. There are also private and charter school options available. Additionally, the city is home to Mesa Community College and other educational institutions. It is also very close to ASU and GCU within the valley and less than 2 hours away from University of Arizona.
Cultural Attractions: Mesa has a vibrant arts and cultural scene, with museums, theaters, and art galleries. The Mesa Arts Center hosts a variety of performances and events throughout the year. These events bring together people of all backgrounds and showcase what the city has to offer.
Spring Training: For baseball enthusiasts, Mesa is a hub for spring training. Several Major League Baseball teams hold their spring training sessions in the city, offering an exciting experience for sports fans. Baseball fans travel in from all across the nation in March and April to enjoy their favorite teams preparing for the upcoming season. A local favorite is the Chicago Cubs, who have an incredible training facility in Mesa just off the 202 and Dobson.
Proximity to Phoenix: As a suburb of Phoenix, Mesa benefits from the amenities of a major city, including shopping centers, restaurants, entertainment venues, and professional sports teams. Phoenix is a quick 20 minute drive from most parts of Mesa.
Community Events: Mesa hosts various community events and festivals, bringing residents together and fostering a sense of community.
Family-Friendly Environment: The city offers a family-friendly environment with many parks, recreational facilities, and family-oriented activities.
As with any city, there are also some potential drawbacks to consider, such as the scorching hot summers, traffic congestion in certain areas (especially the 101), and water scarcity due to the desert climate. Nevertheless, Mesa's unique mix of benefits makes it a desirable place to live for many individuals and families. If you're considering relocating to Mesa or any other city, it's always a good idea to visit, explore the area, and gather current information to make an informed decision.
Parks in Mesa, AZ
Here are some of the well-known parks in Mesa:
Riverview Park: Located along the banks of the Salt River, this park features a large playground, picnic areas, splash pads, and a lake.
Red Mountain Park: A popular spot for hiking and outdoor activities, Red Mountain Park offers scenic views of Mesa and the surrounding area.
Usery Mountain Regional Park: While technically located outside of Mesa, it's close enough to be easily accessible. This park provides hiking trails, camping sites, and opportunities for bird-watching. You’ll love the hiking trails here!
Dobson Ranch Park: A community park with sports fields, playgrounds, and a lake for fishing and boating.
Mesa Riverview Splash Pad: A great spot to cool off during hot Arizona days, this splash pad offers water play areas for children. Get here early in the summer because the park fills up fast!
Pioneer Park: A family-friendly park with sports facilities, a playground, and walking paths.
Desert Arroyo Park: Features sports fields, a playground, and ramadas for picnics.
Sherwood Park: A neighborhood park with a playground, basketball courts, and open green spaces.
Healthy Activities in Mesa, AZ
Hiking: Mesa is surrounded by beautiful desert landscapes and mountains, making it a great place for hiking enthusiasts. Some popular trails in the area include Usery Mountain Regional Park, Lost Dutchman State Park, and Superstition Mountains. This is a dream come true for hiking lovers. It takes years to explore all these trails!
Biking: Many areas in and around Mesa offer biking opportunities, whether it's mountain biking on the trails or cycling along the streets and dedicated bike paths. This is one of the best cities in the US for mountain biking.
Water Activities: Although Mesa is in the desert, there are opportunities for water activities. You can visit nearby lakes like Saguaro Lake and Canyon Lake for kayaking, paddleboarding, and boating. You’d be surprised by how many people own boats here.
Golfing: Mesa has numerous golf courses for golf enthusiasts. It's a great way to enjoy the beautiful weather and stay active. Favorite courses include Las Sendas, and Longbow Golf Club.
Yoga and Meditation: Many yoga studios and wellness centers in Mesa offer classes and workshops for individuals interested in practicing yoga and meditation to promote physical and mental well-being.
Fitness Classes: Mesa has various gyms and fitness centers that offer a wide range of classes, such as aerobics, Zumba, CrossFit, and more. Many discount fitness gyms are also available with memberships starting at $9.99 a month.
Farmers Markets: Visiting local farmers markets is a healthy and enjoyable way to explore fresh produce and local products. You can find several farmers markets in Mesa, providing a chance to support local farmers and artisans.
Community Parks: Mesa has a good number of community parks where you can take leisurely walks, have picnics, or play sports with friends and family.
Cultural Activities: Engaging in cultural activities, such as visiting museums, art galleries, and attending cultural events, can also contribute to a healthy and enriching lifestyle. Downtown Mesa host many of these events on a monthly basis, especially in the winter tourist months.
Pita Jungle - Known for its Mediterranean-inspired cuisine with various vegetarian, vegan, and gluten-free options. Give the falafels a try!
Nekter Juice Bar - A popular juice bar with a variety of fresh juices, smoothies, acai bowls, and healthy snacks. There green juice is a great energy pick me up!
Fresh Millions Restaurant - A fast-casual restaurant that allows you to customize your own salads, bowls, and wraps with a selection of fresh ingredients.
Flower Child - Another restaurant chain that emphasizes healthy, farm-to-table dishes, including plenty of vegetarian, vegan, and gluten-free choices. Organic options are also available here on select menu items.
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.
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.