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.

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.

What patients can expect

TRT at MEDALMA is delivered through a structured medical pathway designed to ensure appropriate assessment, safe initiation, and ongoing monitoring.
1

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.
2

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.
3

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.

FAQs

How much does a consultation cost?

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:

  • Initial assessment: $600 (50% deposit required)
  • 30-minute follow-up: $300 
  • 15-minute follow-up: $150

What is Testosterone Replacement Therapy (TRT)?

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.

How do I know if I need TRT?

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.

What forms of TRT are available?

At Medalma, testosterone replacement therapy may be prescribed in different formulations depending on clinical factors and patient needs. Options may include:

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

 

Your physician will determine the most appropriate option based on your clinical profile, treatment goals, and preferences.

What are the benefits of TRT?

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.

Is TRT safe?

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.

Will TRT affect fertility?

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.

How long do I need to stay on TRT?

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.

Does TRT cause side effects?

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.

How quickly will I feel results?

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.

Why choose MEDALMA for TRT?

 

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:

  • Physician oversight from clinicians experienced in men’s hormone health
  • Comprehensive baseline laboratory testing prior to treatment initiation
  • Individualized treatment planning based on clinical and biochemical assessment
  • Regular monitoring to guide dosing, safety, and treatment response
  • Integration with nutrition, lifestyle, and metabolic health where appropriate