Low testosterone is common, treatable, and routinely missed, because a standard panel usually says you're fine. We measure properly, then treat if your numbers and your symptoms agree.
Tired in a way sleep doesn't fix.
Low testosterone is common, treatable, and routinely missed, because a standard panel usually says you're fine.
Start TRT Book a free consult →It rarely arrives as one dramatic change. It's a slow flattening that's easy to blame on age, work, or sleep.
What low testosterone actually feels like.
It rarely arrives as one dramatic change. It's a slow flattening that's easy to blame on age, work, or sleep.
Reference ranges are built from a broad population across a wide age span, so a number at the bottom of the range counts as normal even when you feel nothing like yourself. Testosterone also moves through the day, which means a draw taken at the wrong hour can read normal while your symptoms are entirely real. We look at your numbers alongside how you actually feel, rather than either one alone.
"Your levels are normal" is not the same as "your levels are right for you."
Reference ranges are built from a broad population across a wide age span, so a number at the bottom counts as normal even when you feel nothing like yourself. We look at your numbers alongside how you actually feel.
From here to your first prescription.
They work differently, and which one suits you depends on what you want from the next few years.
Replaces testosterone directly. The most direct route to getting levels where they need to be, and the better-established path. Because your body senses the testosterone you're taking, it produces less of its own while you're on it, which affects fertility.
Start TRTPrompts your body to produce more of its own testosterone rather than replacing it. Because it works with your natural production, men who want to preserve fertility often start here.
Start enclomipheneNot sure which one fits? That's exactly what the free consult is for.
Two ways to raise testosterone.
They work differently, and which one suits you depends on what you want from the next few years.
Replaces testosterone directly. The most direct route, and the better-established path. Your body produces less of its own while you're on it, which affects fertility.
Start TRTPrompts your body to produce more of its own testosterone rather than replacing it. Men who want to preserve fertility often start here.
Start enclomipheneNot sure which one fits? That's exactly what the free consult is for.
The honest timeline, in three stages.
If treatment is appropriate, you get a six-month prescription with monthly refills, shipped to your door. Your clinician re-tests your levels after you start and adjusts your dose based on your numbers and how you actually feel, rather than leaving it where it began.
The months after your first prescription.
If treatment is appropriate, you get a six-month prescription with monthly refills, shipped to your door. Your clinician re-tests your levels after you start and adjusts your dose based on your numbers.
Testosterone doesn't work in isolation. A few everyday things push it around, and your clinician will talk through the ones that apply to you.
The things that help, alongside treatment.
Testosterone doesn't work in isolation. A few everyday things push it around.
How much does TRT cost at Refuvia?+
$249 for your first month, which includes your baseline lab panel and your visit with a licensed clinician, then $149 a month. A three-month package is $450, which works out to $150 a month.
Do I need labs before starting?+
Yes, and they're included in your first month. Treating testosterone without measuring it is guessing, and your clinician needs a baseline to adjust against later.
I was told my levels are normal. Why do I still feel like this?+
Reference ranges are wide and built from a broad population, so a number near the bottom still counts as normal. Testosterone also fluctuates through the day, so a single draw can read normal while your symptoms are real. Your clinician reads your numbers alongside how you feel.
What's the difference between TRT and enclomiphene?+
TRT replaces testosterone directly. Enclomiphene prompts your body to make more of its own. Because enclomiphene works with your natural production, men who want to preserve fertility often start there.
Does TRT affect fertility?+
It can. When you take testosterone, your body senses it and produces less of its own, which can reduce sperm production. If fertility matters to you now or later, tell your clinician at your first visit, because it changes what they'll recommend.
How long until I feel different?+
Sleep and mood often shift in the first few weeks. Energy and clarity usually follow. Changes in body composition take a few months. Individual results vary.
Where is this available?+
All 50 states. Care is delivered over telehealth, so there's no clinic to travel to.
What does the $149 a month cover?+
Your monthly refill after your first month. If treatment is appropriate, your prescription runs for six months with monthly refills, and check-ins and dose adjustments are part of the plan.
Can lifestyle changes raise testosterone?+
They can help. Better sleep, strength training, losing excess body fat, and drinking less all tend to support healthier levels. For some men that's enough; for others, treatment is what closes the gap, and your clinician will talk through both.
Questions about TRT.
How much does TRT cost?+
$249 for your first month, which includes your baseline lab panel and your visit with a licensed clinician, then $149 a month. A three-month package is $450, which works out to $150 a month.
Do I need labs before starting?+
Yes, and they're included in your first month. Treating testosterone without measuring it is guessing, and your clinician needs a baseline to adjust against later.
I was told my levels are normal.+
Reference ranges are wide and built from a broad population, so a number near the bottom still counts as normal. Testosterone also fluctuates through the day, so a single draw can read normal while your symptoms are real. Your clinician reads your numbers alongside how you feel.
TRT or enclomiphene?+
TRT replaces testosterone directly. Enclomiphene prompts your body to make more of its own. Because enclomiphene works with your natural production, men who want to preserve fertility often start there.
Does TRT affect fertility?+
It can. When you take testosterone, your body senses it and produces less of its own, which can reduce sperm production. If fertility matters to you now or later, tell your clinician at your first visit, because it changes what they'll recommend.
How long until I feel different?+
Sleep and mood often shift in the first few weeks. Energy and clarity usually follow. Changes in body composition take a few months. Individual results vary.
Where is this available?+
All 50 states. Care is delivered over telehealth, so there's no clinic to travel to.
What does the $149 a month cover?+
Your monthly refill after your first month. If treatment is appropriate, your prescription runs for six months with monthly refills, and check-ins and dose adjustments are part of the plan.
Can lifestyle changes raise testosterone?+
They can help. Better sleep, strength training, losing excess body fat, and drinking less all tend to support healthier levels. For some men that's enough; for others, treatment is what closes the gap, and your clinician will talk through both.
