
At MEDALMA we take a structured, physician-led approach to hormone health grounded in comprehensive assessment, laboratory testing, and individualized medical care.
Patients often seek evaluation when experiencing ongoing fatigue, reduced motivation or drive, mood changes, decreased libido, difficulty concentrating or changes in body composition that are not explained by lifestyle factors alone.
Because these symptoms can overlap with many health conditions, proper medical assessment is essential before considering treatment.

Hormone care for men is offered through both a structured TRT program and individual consultations.
The TRT program is $1,400 and includes a physician-led initial assessment and three follow-up visits over 12 months for ongoing monitoring and treatment adjustment. Payment is required in full at booking.
Individual consultations are also available:
TRT (testosterone replacement therapy) is a medical treatment used in men with clinically confirmed low testosterone levels.
When appropriately prescribed and monitored by experienced clinicians, it may help improve symptoms associated with low testosterone, including energy, mood, muscle mass, sexual function, and overall sense of well-being.
Low testosterone can only be confirmed through blood testing.
Symptoms such as low energy, brain fog, reduced libido, erectile dysfunction, weight gain, or difficulty building muscle may be associated with low testosterone, but they are non-specific and can have multiple underlying causes.
For this reason, diagnosis is based on laboratory evaluation alongside a clinical assessment.
At Medalma, testosterone replacement therapy may be prescribed in different formulations depending on clinical factors and patient needs. Options may include:
Your physician will determine the most appropriate option based on your clinical profile, treatment goals, and preferences.
When clinically indicated, TRT may help improve symptoms associated with low testosterone, including energy, mood, cognitive clarity, libido, body composition, and sleep quality.
Individual response varies depending on baseline hormone levels and clinical context.
TRT can be safe when appropriately prescribed, medically supervised, and regularly monitored.
When used without proper evaluation or follow-up, it may carry risks or lead to suboptimal outcomes.
At Medalma, treatment is guided by regular clinical review and laboratory monitoring to help ensure therapy remains appropriate over time.
TRT may suppress sperm production and reduce fertility during treatment.
If fertility is a consideration, this should be reviewed with your physician before initiating therapy. In certain cases, alternative strategies may be considered depending on clinical goals.
TRT is generally a long-term therapy for men with clinically confirmed low testosterone.
If treatment is discontinued, testosterone levels will typically gradually return to pre-treatment levels.
Your physician will regularly review your response to treatment, goals, and preferences to support informed decisions about whether to continue, adjust, or discontinue therapy.
TRT may be associated with side effects in some individuals. These can include an increase in red blood cell count, acne, or fluid retention.
In certain cases, changes in hormone levels may also have effects on the prostate or cardiovascular risk profile, which is why ongoing monitoring is an essential part of treatment.
At Medalma, regular blood work and clinical follow-up are used to guide dose adjustments and help ensure treatment remains appropriate and well-tolerated.
Some men may notice early changes in energy, mood, or well-being within a few weeks of starting TRT.
Other outcomes, such as changes in body composition, strength, or sexual function, typically develop over several months of consistent treatment.
Response varies between individuals and depends on baseline hormone levels, clinical context, and adherence to the treatment plan.
Our approach is built on physician-led, evidence-based care for men’s hormone health, with a focus on safety, precision, and long-term outcomes. Care includes: