Testosterone therapy requires bloodwork monitoring. Results vary.

Testosterone Replacement Therapy (TRT) in Miami

Part of the LONGEVITY ENGINE Hormonal Health Protocol

Testosterone replacement therapy (TRT) corrects deficiency states or optimizes low-normal levels through pharmaceutical-grade testosterone administration, improving sexual function, energy, body composition, muscle strength, mood, and cognitive function.

Overview

What is Testosterone Replacement Therapy?

  • •Corrects deficiency states: Restores testosterone to physiologic levels in hypogonadal men
  • •Improves sexual function, energy, body composition, muscle strength, mood, and cognitive function
  • •Administered via weekly injections, daily gels, or quarterly pellets based on individual preference
  • •Requires comprehensive baseline assessment including PSA screening, hematocrit monitoring, and cardiovascular evaluation
  • •Optimizes low-normal levels for improved vitality and metabolic health
  • •Long-term treatment requiring ongoing physician supervision and regular monitoring
  • •FDA-approved testosterone products with pharmaceutical-grade quality standards
  • •DEA Schedule III controlled substance requiring PDMP tracking and documentation
Who It's For

Ideal For

  • ✓Men with diagnosed testosterone deficiency (total testosterone <300 ng/dL confirmed on repeat testing)
  • ✓Men experiencing symptoms of hypogonadism (low energy, sexual dysfunction, mood changes, body composition decline)
  • ✓Men aged 50-75+ with low-normal testosterone (300-500 ng/dL) and clinical symptoms seeking vitality optimization
  • ✓Men committed to regular monitoring and long-term treatment compliance
  • ✓Men interested in disease prevention through hormonal optimization and healthy aging
  • ✓Proactive individuals seeking age-positive approach to healthspan extension

Contraindications

  • ✕Personal history of prostate cancer (active or recent)
  • ✕Severe untreated sleep apnea
  • ✕Severe polycythemia (hematocrit >54%)
  • ✕Acute myocardial infarction or severe cardiac disease
  • ✕Severe kidney disease (eGFR <30)
  • ✕Inability to commit to regular monitoring (labs, PSA, cardiovascular assessment)
  • ✕Men seeking performance enhancement without documented testosterone deficiency
How It Works

Comprehensive Hormone Baseline & Assessment

In-person evaluation including medical history, cardiovascular assessment (blood pressure, EKG if indicated), physical examination with vital signs and testicular examination, body composition analysis, baseline laboratory testing (total/free testosterone, estradiol, LH, FSH, PSA, hematocrit, lipids, metabolic panel), sleep apnea screening, contraindication screening, and goal setting with realistic expectations. Duration: 60-90 minutes. Required for standard of care compliance.

Testosterone Initiation & Titration Protocol (Weeks 1-12)

Start testosterone via chosen method: injections (100-150mg weekly intramuscular, self or clinic-administered), gel (50-100mg daily applied to skin), or pellets (600-1200mg implanted subcutaneously lasting 3-4 months). Regular symptom assessment and lab monitoring at 6 weeks to confirm adequate dosing. Dose adjustments made based on testosterone levels (target 500-1000 ng/dL) and response. Side effect screening for polycythemia, acne, mood changes. PDMP controlled substance documentation maintained.

Maintenance & Long-Term Monitoring (Ongoing)

Regular appointments every 3 months initially, then every 6-12 months once stable. Ongoing symptom assessment (energy, sexual function, mood, exercise tolerance, body composition), physical examination (vital signs, weight, body composition), comprehensive lab monitoring (PSA annually, total and free testosterone, hematocrit, lipids, metabolic panel), cardiovascular monitoring (blood pressure, EKG if symptomatic), medication dose optimization, complication screening (polycythemia, cardiovascular changes, sleep apnea worsening), and PDMP compliance tracking.

Monitoring & Safety

Downtime

None for injections, gels, or pellets. Minimal injection site discomfort (2-3 days) for injection method.

Timeline

Energy improvement in 2-4 weeks; sexual function improvement 4-8 weeks; full body composition changes 12-16 weeks.

Common Experiences

  • •Initial energy and mood improvement within 2-4 weeks
  • •Enhanced sexual function and libido (4-8 weeks)
  • •Increased muscle strength and exercise tolerance
  • •Improved body composition (increased muscle, reduced fat over 12-16 weeks)
  • •Mild injection site discomfort (if injections chosen)
  • •Possible acne or mood changes during titration requiring dose adjustment

Rare Risks

  • ⚠Polycythemia (elevated hematocrit) requiring blood donation or dose reduction
  • ⚠Cardiovascular events (thrombosis, myocardial infarction) in men with cardiac risk factors
  • ⚠Gynecomastia if testosterone converts to excessive estrogen
  • ⚠Prostate cancer acceleration (only in men with pre-existing undiagnosed disease; does not cause cancer)
  • ⚠Sleep apnea worsening requiring additional monitoring
  • ⚠Liver dysfunction (rare with FDA-approved formulations)
FAQs
Will testosterone cause prostate cancer?

No, testosterone does not cause prostate cancer in men without pre-existing disease. However, if undiagnosed prostate cancer exists, testosterone can accelerate growth. This is why we perform comprehensive PSA and free testosterone screening before treatment and monitor annually. Billions of men have been treated with testosterone for 50+ years; we don't see increased prostate cancer rates. Men with personal prostate cancer history are not candidates for treatment.

If I stop testosterone, will my levels stay low?

No. When discontinuing testosterone, your body resumes natural testosterone production within 4-6 weeks and returns to your baseline level. Testosterone is a long-term treatment like blood pressure medication—you must continue it to maintain benefits. Some patients do this indefinitely; others take breaks. We discuss treatment duration preferences with each patient based on individual goals.

Can I combine testosterone with other treatments like GLP-1 for weight loss?

Absolutely, and they work synergistically. Testosterone improves metabolism and muscle mass; GLP-1 reduces appetite and improves glucose control. Together, they create superior fat loss and metabolic improvement compared to either alone. Both require physician oversight. We coordinate across all pillar treatments (LONGEVITY ENGINE and BODY ARCHITECTURE) for optimal health outcomes.

Ready to Learn More?

Schedule a comprehensive assessment with Dr. Hernández Loy to determine if this protocol aligns with your biological goals.

Request Physician Consultation