Low Testosterone

Testosterone is a hormone that is found in both male and female patients. This hormone plays an important role in overall health. Adequate levels of testosterone promotes a decrease in adipose tissue (fat), an increase in strength, a protection against cardiovascular disease, mental clarity, and a wide range of other benefits. 

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Clinically low testosterone levels

The American Association of Clinical Endocrinologists recommends that male patients have testosterone levels between 300 - 800 ng/dl to maintain a high quality of life. Patients should note that this is a wide range and should only be used as a guide. For example, some male patients may have a testosterone level of 400 ng/dl and although this cannot be classified as clinically low, those levels can lead to negative symptoms that may require supplementation. 

umar, P., Kumar, N., Thakur, D., & Patidar, A. (2010). Male hypogonadism: Symptoms and treatment. Journal of Advanced Pharmaceutical Technology & Research, 1(3), 297. doi:10.4103/0110-5558.72420

Happy couple embracing

Common symptoms of low testosterone.

It is important for patients to be aware of low symptoms. This is especially true because most symptoms appear gradually over time. This happens due to age, medications, or other biological changes. It is very common for patients not to notice these low symptoms because these symptoms have become the new normal for them. 

Feeling constantly tired
Increase in adipose tissue, specifically around the belly area
Erectile dysfunction
Reduced mental clarity
Uninterested in sex
Lack of restful sleep
Loss of muscle mass
Loss of motivation


Causes of low testosterone

Normal aging
Klinefelter’s syndrome
Undescended testicles
Cancer treatment
Injury to testicles
Pituitary syndromes
Inflammatory disease
High stress

Hormone Graphic

Symptoms of high testosterone

Just as important is acknowledging and recognizing the signs of too much testosterone, something that is important after starting treatment. The following are a few symptoms of high testosterone. 

Increase in oily skin
Uncommon acne
Heart palpitations
Erectile dysfunction
Strong erections but low sensitivity

How do I check my testosterone levels?

If you are experiencing symptoms we recommend to test your testosterone levels for more accurate diagnosis. Checking your levels involves drawing blood and performing laboratory tests to determine levels. From start to finish you can have your results within 3 business days. Testosterone tests may be covered by your insurance.

Methods to replace testosterone

Topical gels
Oral tablet 
Nasal Sprays


What are the goals of testosterone therapy?

The goal of a testosterone program is to restore levels within the upper limits of the normal range. Restoring those levels will alleviate low testosterone symptoms, improve quality of life, restore sexual function, protect against cardiovascular disease ,and re energize. Depending on the form of medication delivery, patients can expect to experience benefits in as little as 30 days.


What are the risks associated with this program?

Risks of testosterone replacement include, but are not limited to: stimulation of benign and malignant prostate tumor. Testosterone replacement is contraindicated in patients with known prostate cancer. Side effects of testosterone replacement may include, but are not limited to: an increase in the red blood cells, determined by periodic measuring of your red blood. It is not a common occurrence and generally poses no health risk; it can be corrected by donating blood or with a therapeutic phlebotomy. Male pattern baldness, gynecomastia (breast enlargement), diminished sperm production and a reduction in the size of the testicles may develop in men. Testosterone replacement may reduce insulin requirements in insulin dependent diabetics. Older male patients may be at a slightly increased risk for the development of prostate enlargement when replacing testosterone. The concurrent use of testosterone with corticosteroids may enhance edema (fluid retention) formation. Edema may be a complication with testosterone replacement in patients with pre-existing cardiac, renal, or hepatic disease. It is not known whether testosterone replacement therapy will increase the risk for prostate cancer. The most common immediate side effects (occurring in approximately no more than 6% of users) include, but are not limited to: acne, application site reaction, headache, hypertension (high blood pressure), abnormal liver function tests, and non-cancerous prostate disorder. Other side effects may include greasy hair and skin, a strong body odor, and aggressiveness.