Testosterone and hormone health

Testosterone plays an important role in energy, mood, libido, body composition, and overall physiological function. When levels are clinically low, men may experience persistent changes that affect how they feel and perform day to day.

At MEDALMA we take a structured, physician-led approach to hormone health grounded in comprehensive assessment, laboratory testing, and individualized medical care.

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When hormone evaluation may be appropriate

Hormonal imbalance is rarely defined by a single symptom, but rather by a pattern of persistent changes in how the body functions.

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.

Experiencing these symptoms? Hormone testing can help identify whether low testosterone may be contributing.

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What patients can expect

TRT at MEDALMA is delivered through a structured medical pathway designed to ensure appropriate assessment, safe initiation, and ongoing monitoring.

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Comprehensive intake & blood panel

Care begins with a structured clinical intake with a nurse and targeted laboratory testing to establish your baseline health and hormone profile.

Eligibility for treatment is determined through a combined review of your medical history, symptoms, and laboratory results, which are then interpreted by a physician as part of your overall assessment.

Physician review & treatment plan

You will then meet with a physician to review your results in full clinical context. If clinically appropriate, a personalized treatment plan is developed based on your physiology, health history, and goals.

Ongoing monitoring & follow-up

Hormone therapy requires ongoing oversight and adjustment over time. Follow-up appointments and repeat bloodwork are scheduled approximately every three (3) months to monitor response, ensure safety, and optimize treatment as needed.

Physician-led testosterone care

Comprehensive assessment and physician-led care to support energy, performance, and long-term health.

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FAQs

What is Testosterone Replacement Therapy (TRT)?

TRT is a medical treatment that restores testosterone levels in men with clinically low testosterone. It can improve energy, mood, muscle mass, sexual function and overall vitality when supervised by experienced clinicians.

How do I know if I need TRT?

The only way to confirm low testosterone is through blood testing. Symptoms such as low energy, brain fog, erectile issues, low sex drive, weight gain, or difficulty building muscle may indicate low T, but lab work is essential for diagnosis.

How much is an appointment?

Hormone care for men is offered through both individual consultations and a structured follow-up program, depending on your preference.

The comprehensive TRT program fee is $1,400 and includes an initial assessment, along with three follow-up visits over 12 months to support ongoing monitoring and adjustment of your treatment plan. Payment is required in full at the time of booking.

For those who prefer a more flexible approach, individual consultations are also available:

Initial assessment with a nurse and physician: $600 (50% deposit required at booking)
30-minute follow-up: $225 (nurse) / $300 (physician)
15-minute urgent consultation: $150

What is Testosterone Replacement Therapy (TRT)?

What is the process at MEDALMA?

Comprehensive intake and full blood panel to assess hormone levels and overall health.
Specialist review by a physician experienced in TRT.
Personalized treatment plan, which may include injectable or topical testosterone.
Ongoing monitoring every three months with labs and follow-up appointments to ensure safety and results.

What forms of TRT are available?

At MEDALMA TRT may be prescribed as: 

Injectable testosterone (intramuscular or subcutaneous
Topical testosterone (creams or gels)

Your doctor will recommend the best option for your needs and lifestyle.

What are the benefits of TRT?

When appropriately prescribed and monitored, TRT can:

Restore energy and motivation
Improve mood, focus, and mental clarity
Increase libido and sexual performance
Support muscle growth and fat loss
Improve sleep and overall well-being

Is TRT safe?

Yes—when medically supervised. Unsupervised or improperly managed TRT can carry risks. At MEDALMA, patients are carefully monitored with regular blood testing and clinical follow-up to ensure treatment remains safe and effective.

Will TRT affect fertility?

TRT can lower sperm production and affect fertility. If you plan to have children, discuss this with your doctor. There are alternative treatment options to raise testosterone without suppressing fertility.

How long do I need to stay on TRT?

TRT is typically a long-term therapy. If you stop treatment, testosterone levels will return to baseline. Your doctor will review your goals and help you make an informed decision about ongoing treatment.

Does TRT cause side effects?

Possible side effects may include increased red blood cell count, acne or fluid retention. Rarely, improper dosing may affect the prostate or cardiovascular system. These risks are minimized through regular monitoring and personalized dose adjustments.

How quickly will I feel results?

Some men notice improvements in energy and mood within a few weeks. Muscle, fat and sexual health changes may take 2–3 months, with full benefits often seen after 6–12 months of consistent therapy.

Why choose MEDALMA for TRT?

Expert physicians specializing in men’s hormone health
Comprehensive lab testing before treatment begins
Individualized care plans (no one-size-fits-all approach)
Close monitoring every 3 months for safety and effectiveness
Integration with lifestyle, nutrition, and fitness support