Testosterone Replacement Therapy
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Have you lost your energy? Recharge your body and life with 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.
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)
TRT can be taken in 2 ways, either injectable or topical cream. (8) The injectable is anywhere from daily to once weekly depending on the dosage and patient's preference. The cream is applied daily. There are pros and cons to each method but the vast majority of patients we treat opt to use the injectable version. The injectable is cheaper typically and increases testosterone levels faster, with the downside being you do have to inject yourself with a needle.
Do You Need a TRT Doctor Focused on Results-Based Solutions in Queen Creek, Arizona and the East Valley?
Atlas Health Medical Group serving Queen Creek, Arizona specializes in providing Functional & Regenerative Medicine to the East Valley including Gilbert, Chandler, Mesa, 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 Queen Creek, 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. East Valley Urology Center - Queen Creek
About: Dr. Rahul Mehan founded East Valley Urology (EVU), designing the office from the ground up with input from patients. EVU started as a urological practice, but Dr. Mehan quickly noticed that urological care and health and wellness go hand in hand. The experienced team at EVU is skilled and experienced in the latest cutting-edge technologies and welcome patients into a friendly, comfortable atmosphere.
Services Offered: high-intensity focused ultrasound, hormone replacement therapy, vasectomy, Urolift, aquablation therapy, and Rezum
What Makes Them Different: Dr. Mehan envisioned a center where patients could obtain high level, compassionate urological care while keeping health and wellness in mind. To this end, EVU even features a Health and Wellness Center to provide
3. Younger Medical Health and Wellness
About: Whether you're looking for wellness support, direct primary care, hormone therapy or weight loss support, Younger Medical is there for you! Begin your path to wellness by booking an evaluation with them today. They look forward to getting you on the right track to becoming a happier and healthier you!
Services Offered: Direct primary care, IV fluids, weight loss therapy, testosterone replacement therapy.
What Makes Them Different: Younger Medical stands apart when it comes to health and wellness. Their commitment to their patients is to provide them a total health and wellness regiment. They want their patients to make lifestyle changes that positively impact their lives and improve their health and wellness. At Younger Medical, they are dedicated to helping guide and hold their patients accountable on this journey. Together, they know they can make a positive difference in their patients' lives and their overall physical and mental state.
4. Queen Creek Naturopathic
About: Dr. Kris Berkner is a licensed Naturopathic Medical Doctor in the state of Arizona. As a Primary Care doctor who understands that treatment of the individual is key to attaining and maintaining health, she believes that each person has the ability to improve their health. She works directly with patients that have pain, headaches, digestive issues, fatigue, brain fog, bone health, anxiety and depression, addiction to drugs and alcohol, as well as many other health concerns
Services Offered: Naturopathic pediatrics, acupuncture, botanical medicine, clinical nutrition, IV therapy, homeopathy, hormone replacement therapy
What Makes Them Different: They believe in treating the cause of your health problems through a wide array of Naturopathic treatment options.
5. Optima Medical - Queen Creek
About: Our team of Doctors, Nurse Practitioners, and Physician Assistants are not only qualified medically but truly listen to our patients and are attentive to their healthcare needs.
Services Offered: primary care services, respiratory care, sleep apnea, weight management, pain management, lab testing
What Makes them Different: We believe that healthcare should be delivered and received without any burden. Our administrative and clinical staff work in conjunction to reduce wait times and guarantee insurance coverage.
Queen Creek Health Facts
Queen Creek, Arizona is a rapidly growing suburb of the Phoenix metro on the southeast side of the valley. Open land, spaces, new development, and affordable living have attracted young families and retirees to the area. Queen Creek used to be mainly farm and ranch land but now has rapidly become a go to destination in Arizona. Residents of Queen Creek prefer an active outdoor lifestyle and enjoy many activities and events. Unfortunately, some males are suffering from low testosterone and are not able 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 muscle mass and erectile dysfunction.
Male Health Stats in Queen Creek
- 10,858 people are overweight
- 14,996 are obese
- 3,254 are severely obese
- 8,488 have low testosterone
- 1,981 have significant low T symptoms
Common Questions about TRT
This depends on the patients goals and objectives. Yes, it is true some patients will choose to be on TRT infinitely if its beneficial to them. (9) Others take TRT over a shorter duration as they work to improve other areas of their health and increase their ability to naturally produce testosterone. There are some medications and compounded peptides that be of help to patients who choose to discontinue testosterone but maintain healthy hormone levels.
It is true, testosterone replacement therapy does lower fertility generally speaking. It doesn't make conceiving impossible but it will be much harder because your bodies LH and FSH signals will be diminsihed. 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, but this should be planned in advanced for best results.
The short answer is yes, TRT does cause some testicular atrophy. This is a common known side effect of taking an outside, exogenous, 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. This happens because the FSH and LH signaling in the brain is altered on TRT, thus slowing downing sperm production and testes size. For the vast majority of males this is not much of an issue and they are not concerned overall.
John is a 53 year old male that come to our clinic with symptoms of weight gain, low libido and low afternoon energy. He also reports that he has less motivation to exercise and is body doesn’t respond to training like it used to. We decided that he may be a testosterone replacement therapy candidate and ordered a comprehensive mens health lab panel. The panel included a complete blood count, comprehensive metabolic panel, lipid panel, vitamin D, estradiol, PSA, HbA1c, TSH, Free T4, free and total testosterone.
I received the lab results approximately 4 days later and we scheduled an appointment to review them in office.
John’s labs showed that his free testosterone was 385 ng/dl which was low for his age bracket and his free testosterone was 5 pg/ml which was low for all male age brackets. John was a good candidate to begin testosterone replacement therapy. I started him on a trial dose of .75 mg (150mg) once per week intramuscular injection. We would re-test his blood work in 10 weeks time and complete another follow-up at that time to reevaluate.
After, 10 weeks I received updated number from John. His total testosterone had increased from 385 to 1072 ng/dl and his free testosterone had increased from 5 to 19 pg/ml.
John reported that his lido was definitely improved and that he had started going to the gym more. He had lost about 5 pounds during that time and was feeling very well overall. We agreed to keep the dosage the same for the time being and will re-test his hormones in 20 weeks time for safety and treatment process.
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 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.
Weight training is a requirement for my patients when on TRT for best results with the therapy. It helps minimize side effects and enhance benefits that result in overall profound effects. Most guys will need a gym membership to consistently weight train so we have composed a list of the best locations to train in Queen Creek, AZ.
Top 5 Gyms in Queen Creek
1. Mountainside Fitness Queen Creek
About: At Mountainside Fitness, they take their reputation as being one of the leading gyms in Queen Creek, AZ very seriously. In each of their health and fitness centers, their staff genuinely cares about the experience of their Members. From group fitness classes to onsite childcare, Mountainside Fitness has something for everyone. To see what their Queen Creek, AZ fitness center has to offer, check out their amenities. Their club memberships are created for individuals, couples and families with month to month or contract pricing options. Plus, they also offer corporate fitness center memberships which provide employees savings up to 20% off membership.
What Makes them Different: We are an Arizona-born fitness center dedicated to creating an inclusive environment where friends and family can come together with a common goal of improving their overall health and wellness. We promise to offer state-of-the-art amenities, interactive and reliable childcare, and an innovative approach to group fitness at an affordable price.
2. Planet Fitness
About: We strive to create a workout environment where everyone feels accepted and respected. That’s why at Planet Fitness Queen Creek, AZ, located behind Discount Tire, we make sure our club is clean and welcoming, our staff is friendly, and our certified trainers are ready to help. Whether you’re a first-time gym user or a fitness veteran, you’ll always have a home in our Judgement Free Zone®.
What Makes them Different: Get high-quality fitness at an affordable price. Planet Fitness offers low startup fees, no-commitment options as well as the PF Black Card® where you can get ALL. THE. PERKS all in the Judgement Free Zone®.
3. Orangetheory Fitness
About: Orangetheory Fitness is a franchised gym with multiple locations throughout Arizona and beyond. The gym consists of a 100% class based model with members picking from different types of classes at various times and days throughout the week. The gym does not allow individual workouts, as it believes group workouts are more effective.
What Makes them Different: To be the trusted global leader of innovative heart rate-based interval training.
4. CrossFit Queen Creek
About: They are more than a gym as they help their community improve their health, quality of life, and longevity is their mission at CrossFit Queen Creek. For more than 10 years, they've been dedicated to offering the best possible fitness programs aimed at helping people of all fitness levels through community-based strength and conditioning programs in Queen Creek and Gilbert AZ. Their top-tier coaches will push you to reach your fitness peak through a combination of CrossFit methodology and proper nutrition. You can rest assured that you’ll see a drastic improvement in not only your athletic performance and fitness level but your overall health and well-being as well.
What Makes them Different: What started in the garage has now turned into something that they could have never imagined. As the sport of fitness has evolved so has CrossFit Queen Creek and Queen Creek powerlifting club. In the beginning they offered our clients great fitness through constantly varied, functional movements, performed at high intensity! They now offer the most balanced and robust style of fitness training for team and individual sports. They also specialize in helping the individual who is looking to shed some weight.
5. Fit Body Boot Camp Queen Creek
About: Your premier destination for high-intensity fitness bootcamp workouts. If you’re ready to challenge yourself, transform your body, and achieve remarkable results, their dynamic and motivating boot camp programs are designed to take your fitness to the next level. Get ready to sweat, push your limits, and unleash your full potential in the heart of Queen Creek, Arizona.
What Makes them Different: If you’re ready to experience the power of our intense bootcamp workouts and take your fitness to new heights, join them at Fit Body Arizona in Queen Creek. Whether your goal is to lose weight, increase strength and endurance, or improve overall fitness, their bootcamp programs are designed to help you achieve remarkable results. Experience the support, camaraderie, and transformative energy of our fitness community. Take the first step towards a stronger, healthier, and more confident you today!
Background Info on Queen Creek
History of Queen Creek
Here's a brief history of Queen Creek:
Early History: The area around Queen Creek has a long history dating back thousands of years. Native American tribes, including the Hohokam and O'odham peoples, were some of the earliest settlers into the region. They built extensive irrigation systems to support their agriculture and left behind evidence of their settlements through historical artifacts.
Incorporation: Queen Creek was officially incorporated as a town on September 5, 1989. Before its incorporation, the area was primarily rural, with agriculture, ranching, and mining being the main economic drivers.
Agriculture: Historically, Queen Creek was known for its fertile soil and agricultural potential. Cotton, corn, and other crops were grown in the area, and farming played a significant role in the town's early economy. This is still a large part of the town but is shrinking due to massive housing and commercial development.
Growth and Development: In the late 20th century and early 21st century, Queen Creek experienced significant population growth and suburban development. The town's proximity to the Phoenix metropolitan area and its relatively affordable housing attracted many new residents seeking a suburban lifestyle while still being close to urban amenities. Many new residents came from out of state, primarily California as the cost of living was so much cheaper for retirees on a fixed budget.
Economic Diversification: As the population grew, Queen Creek started diversifying its economy. While agriculture remains an essential part of the town's heritage, the area has also seen an increase in commercial and retail developments, providing residents with more local employment opportunities and services than ever before. Despite that, many residents still commute to Phoenix or the east valley for work.
Community and Recreation: Queen Creek has been focused on providing recreational opportunities and fostering a sense of community. The town has developed parks, recreational facilities, and community centers to promote active lifestyles and community engagement.
Preservation Efforts: As the town grows, there has been an increased emphasis on preserving the area's natural and cultural heritage. Local authorities and organizations have worked to protect open spaces, historical sites, and archaeological resources the best they can while balancing the needs for development and housing.
Education in Queen Creek
Queen Creek, AZ, is a growing community in the southeastern part of the Phoenix metro area. It is served by several public and private schools for K-12 education.
Public Schools: Queen Creek Unified School District operates the public schools in Queen Creek. Some of the schools in the district include:
- Queen Creek High School: This is the main high school serving the community, offering various academic and extracurricular programs.
- Queen Creek Middle School: A middle school that feeds into Queen Creek High School.
- Elementary Schools: Several elementary schools are available throughout the area, including Queen Creek Elementary School and Gateway Polytechnic Academy.
Charter Schools: In addition to public schools, there are charter school options in the area, which are publicly funded just like public schools but operate independently. These schools often have unique educational approaches and curriculum but can lack extracurricular activities such as sports.
Higher Education: Queen Creek itself is primarily a residential community, and there are no major universities or colleges located within the town. However, as part of the Greater Phoenix area, students have access to numerous colleges, including Arizona State University, the University of Arizona, and other community colleges and technical schools.
Here are some healthy activities that are popular in Queen Creek:
Hiking and Nature Trails: Explore the beautiful outdoor areas around Queen Creek by going on hikes and nature walks. San Tan Mountain Regional Park and Queen Creek Wash Trail are popular choices for outdoor enthusiasts and active families
Cycling: The town has several bike paths and routes that provide opportunities for cyclists to enjoy scenic desert rides and stay active.
Parks and Recreation Centers: Queen Creek has numerous parks and recreation centers offering various sports facilities, playgrounds, and open spaces for activities like basketball, tennis, soccer, and more.
Golfing: If you enjoy golf, there are golf courses in and around Queen Creek where you can play and get some exercise. Make sure you’re well hydrated for summer golf as the heat is seriously hot from June through August.
Yoga and Fitness Classes: Many fitness studios and gyms in Queen Creek offer yoga, Pilates, and other fitness classes to help you stay in shape and maintain a healthy lifestyle.
Community Events: Keep an eye out for community events like fun runs, charity walks, and fitness challenges that are organized throughout the year.
Farms and U-Pick Fruit Orchards: Some local farms and orchards allow visitors to pick their own fruits and vegetables, providing a fun and healthy way to spend time outdoors. Queen Creek is home to Schnepf Farms, which offers family actives all year round including pumpkin picking, cookouts, and family events.
Equestrian Activities: If you are interested in horse riding, Queen Creek has equestrian facilities and trails where you can enjoy this activity. This is especially popular for snowbirds from he midwest or mountain west who own horses.
Healthy Eating: Explore the local farmers' markets to buy fresh produce and support local growers. Queen Creek also has various healthy eateries that offer nutritious meals and options for health-conscious individuals.
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- 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.
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- 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.
This varies greatly from doctor to doctor and from patient to patient based on the doctors comfortable range and the patients symptom picture. 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. When free and total testosterone levels start getting above these optimal ranges, the changes of side effects greatly increases.
Everyone’s experiences are a little different on TRT. Generally speaking, patients initially feel increased sex drive & libido,less tiredness, leaner body composition, better recovery after workouts / training, stronger overall muscles, increased motivation, increased confidence, and just a general sense of wellbeing and happiness.
Unfortunately, most major health insurances will not cover testosterone replacement therapy because they view it as medically unnecessary. The other issue with insurance coverage is your lab results have to be out of range for men of all age groups instead of men of your age group. This can be problematic especially since the major labs use different ranges. For example, a 57 year old male might have a total testosterone of 389 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.
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 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.
Healthy Restaurants in Queen Creek
About: The little victories in life carry us through the day, like catching a sunrise, scoring that elusive shaded parking spot, or finding time for a good meal. Original ChopShop is here to be a guaranteed effortless victory.
What Makes them Different: Eating well on a consistent basis can be challenging. Meetings, school, traffic, morning workouts, soccer practice and social events fill our day. Lost in the shuffle is time to prepare meals that make us happy about how we fuel our bodies. This inspired us to create Original ChopShop, a neighborhood eatery crafting food from whole ingredients. Since the first Shop opened in 2013, our goal has been to provide a warm, welcoming place full of energetic people where you can Fuel your Well-Being. We believe that eating well leads to happiness. Thus, our team is eager to serve good-tasting, nutritious food made for Every/Body. We threaded Original ChopShop together with bits and pieces of our hearts – and we think that food should not only taste good, but should make you Feel Good, too.
Salad and Go
About: Good eating shouldn't be complicated. Their mission is to make fresh, nutritious food convenient and affordable for ALL.
What Makes them Different: They believe in a world where everyone thrives.
And they know the role affordable, nutritious food plays in building strong communities.
They are shaking things up by making meals that are not only convenient and affordable, but good for their guests and the local communities. The use of quality, fresh ingredients in chef-curated recipes creates nutrient rich meals that are delicious and satisfying. This unbelievable experience at the convenience and cost of a drive-thru means you can compromise less, crave more and keep your day brighter!
Pita Jungle - Queen Creek
About: Bassel Osmani, co-founder/owner of Pita Jungle, was born in Lons-Le-Saunier, France, and raised in Tripoli, Lebanon. He came to Arizona in 1985, to attend school at Arizona State University (ASU). While studying BioEngineering, Osmani met Nelly Kohsok and Fouad Khodr, two other international students. The three socialized outside of classes, and Osmani was impressed by their brilliance, structure, hard-working attitudes, and vision for the future.
Fouad Khodr, co-founder/owner of Pita Jungle, was born and raised in Beirut, Lebanon. He came to Arizona in 1982, when he transferred from American University in Beirut to Arizona State University (ASU).
Nelly Kohsok, co-founder/owner of Pita Jungle, was born and raised in Paris, France. She moved to the US along with her parents when her father was relocated to Phoenix for work. After her bachelor’s degree in political sciences (Science-Po Paris), she came back to Arizona State University (ASU) for a Master’s in Broadcasting where she met Fouad Khodr and Bassel Osmani.
Upon graduating college, Osmani, Kohsok, and Khodr recognized a need for more healthy restaurants around ASU’s Tempe campus, and set out to leverage each of their own experiences gained in working in restaurants around town to make a difference. It was then that the vision for Pita Jungle was born.
Osmani, Khodr, and Kohsok founded Pita Jungle on the principle of serving the best quality food at a reasonable price with exceptional customer service. Instead of focusing on profit right out of the gates, they placed bringing people through the doors as a top priority. Another key component and differentiating factor for the restaurant was the vegan and vegetarian menu items. At the time when the company started, there was only one nearby market offering these kinds of options, and the team wanted to make healthy, great-tasting food readily available for those leading non-meat lifestyles.
With only a limited budget and a vision, the three opened the first Pita Jungle location in Tempe in 1994. They built the location with their own hands, employing the help of only one handyman. The brand was awarded “Best Vegetarian Restaurant” in The Arizona Republic’s “Arizona Best Yesterday and Today“ list in its first year, and it didn’t take long for the restaurant to take off. In 1997, the second location was opened in Chandler. The owners noted the openings of the first and second locations as the turning point for the brand—when they realized people truly liked the quality food being served and the experience that went along with it.
Today, Osmani, Kodr, and Kohsok remain hands-on leaders at Pita Jungle, overseeing every aspect of the restaurant, from quality control and kitchen operations to customer service and cleanliness. They remain passionate and proud of the brand the partners have built. Pita Jungle was named to Restaurant Business’s “Future 50 Fastest-Growing Small Chains in America” in 2014.
In his free time, Osmani enjoys spending time with family, enjoying delicious food and wine from around the world, snowboarding, pickle ball and traveling to ocean destinations to sail and windsurf. He resides in the Phoenix Metro area with his family.
Khodr enjoys traveling and exploring the different types of cuisine offered around the world. He resides in Scottsdale, Arizona with his wife, Mavi, their son, and daughter.
When Kohsok became a mom, she ended up relocating back to France to be close to her parents. Kohsok’s passion is testing food all over Europe as her daughters are now leaving the nest.
What Makes them Different: Back in 1994 they gave up engineering and broadcasting to open a restaurant where the food was fresh and healthy, and the people were fun and creative. Pita Jungle has been a dream come true, and they’d like to think that they created something a little bit off the beaten path.
The Bistro Queen Creek
About: New American restaurant serving Queen Creek, AZ and the surrounding communities.
What Makes them Different: Counter-service cafe with a garden patio serving eclectic breakfast & lunch fare & coffee drinks. Coffee, wine, breakfast, lunch, dinner, great patio, herb and vegetable garden, family owned, free wifi
About: Ahipoki brings fresh seafood and healthy proteins together for delicious meals for everyone.
What Makes them Different: The Ahipoki concept was born out of the desire of a restaurant group wanting to bring a much needed health-conscious California inspired seafood restaurant with a south pacific flair to its customers. Health conscious poke bowl lovers can sit down and relax in a laid-back atmosphere all while enjoying the fusion of Japanese and Hawaiian flavors coupled with a fresh fish experience normally found outside of a quick serve restaurant.
Queen Creek is a sharply growing town located in the southeastern part of the Phoenix metropolitan area. It's known for its family-friendly atmosphere and numerous benefits that attract residents from all over the country, especially folks from the midwest and California. Here are some of the benefits of living in Queen Creek:
Affordable Housing: Compared to many other areas in the Phoenix metropolitan area, Queen Creek tends to offer more affordable housing options. This makes it an attractive location for first-time homebuyers, families, and individuals looking for a lower cost of living. Living in Queen Creek is generally cheaper than Tempe, Gilbert, Chandler and Scottsdale.
Safety: Queen Creek is considered a safe community, which is a significant factor for families and individuals seeking a peaceful and secure environment to call home. Queen Creek has very low crime and extremely low violent crimes, making it family friendly.
Recreational Opportunities: The town boasts a variety of recreational options, including parks, playgrounds, and hiking trails. San Tan Mountain Regional Park, with its scenic views and outdoor activities, is a popular destination for residents and visitors alike. Hiking and mountain biking are go to activities for the outdoor types in the area.
Schools: Queen Creek has access to several highly-rated public and charter schools, making it an appealing choice for families with children.
Community Events: The town often hosts community events and festivals, fostering a sense of community and providing opportunities for residents to come together. Some events include the 4th of July celebration, memorial day and Veterans Day events.
Growing Economy: Queen Creek's economy has been growing at a blistering pace, and new businesses and services are continually being added to the area, providing job opportunities for residents.
Proximity to Amenities: While offering a suburban feel, Queen Creek is still conveniently close to major metropolitan amenities. Residents can easily access shopping centers, restaurants, entertainment options, and healthcare facilities. Most of these options can be found in Gilbert, which is a short 15-20 minute drive away.
Sunny Climate: Arizona is known for its warm, dry and sunny climate, and Queen Creek is no exception. This weather appeals to those who enjoy outdoor activities and dislike cold winters. Be careful for dehydration in the summer months though.
Outdoor Lifestyle: The region offers numerous opportunities for outdoor enthusiasts, including hiking, biking, camping, and water sports at nearby lakes such as Saguaro and Roosevelt Lake.
Sense of Community: Queen Creek's small-town charm and close-knit community create a friendly and welcoming atmosphere for newcomers.