Low testosterone treatment
that starts with a diagnosis.
Provider-led testosterone replacement therapy built on comprehensive morning lab work, a body composition analysis, and a protocol designed and monitored by a provider who knows your chart.
Sound familiar?
Tired no matter how much you sleep
The afternoon crash hits harder, and coffee stopped fixing it a long time ago.
Drive isn't what it was
Lower libido, less spontaneity, and a spark that feels dimmer than it should at your age.
Gym results stopped coming
Same effort, less muscle, and strength that fades faster between sessions.
Belly fat that won't move
Weight settles around your midsection even when your habits haven't changed. Many patients pair TRT with medical weight loss.
Fog, irritability, flat mood
Shorter fuse, less motivation, and days that feel gray for no clear reason.
You've been told "you're fine"
A single lab said "normal range," but nobody looked at your symptoms next to your numbers.
These symptoms have a lot of possible causes, so we start with comprehensive lab work. When they trace back to low testosterone, the condition has a name, a diagnosis code, and an established treatment path.
What is testicular hypofunction?
Testicular hypofunction, also called male hypogonadism, is the recognized medical condition in which the body doesn't produce enough testosterone. It carries its own diagnosis code (ICD-10 E29.1), and it's diagnosed with blood work.
It comes in two forms
Primary hypogonadism starts in the testes themselves: they get the signal to produce testosterone but can't keep up. Secondary hypogonadism starts upstream, in the pituitary gland or hypothalamus, when the brain's signal to produce testosterone weakens. The distinction matters because it changes how your provider designs treatment, which is why the workup comes first.
Why it becomes more common with age
Testosterone production typically declines about 1% per year after age 30. That slow slide is why symptoms usually creep in over your 30s, 40s, and 50s, a little at a time. Research also suggests average testosterone levels in men have fallen measurably over the past few decades, independent of age.
How it's properly diagnosed
Clinical guidelines call for testosterone to be measured in the morning, when levels peak, and confirmed on more than one occasion, alongside a symptom evaluation. That's how we do it at Summit Health: comprehensive morning labs, a repeat confirmation, and a full review of how you actually feel.
"My labs came back normal. So why do I feel like this?"
We have this conversation more than any other one in the office.
Standard reference ranges are built from broad population averages, typically spanning roughly 300 to 1,000 ng/dL. A 40-year-old whose level has drifted from 800 down to 320 is still technically "in range," yet his body is operating on far less testosterone than it was built for, and he often feels it: in energy, drive, mood, and body composition.
This is what low-normal testosterone means: levels near the bottom of the reference range, paired with real symptoms. Guidelines increasingly recognize that symptoms plus consistently low or low-normal levels, evaluated together by a qualified provider, are what matter. A population average tells you very little about where you personally function best.
Our approach to low-normal levels
If your levels sit low-normal and your symptoms fit, we look at the full picture: repeat morning labs, related hormones like estradiol and LH, thyroid, metabolic markers, and a body composition analysis. We offer treatment when the evidence supports it, and we'll say so plainly when it doesn't.
Benefits of testosterone replacement therapy
In men with low testosterone, restoring levels to a healthy physiologic range has been associated with improvements across energy, mood, body composition, and sexual health*:
*Percentages reflect improvements reported across published research and patient-reported outcomes in men treated for low testosterone, including findings from the NIH Testosterone Trials. Individual results vary and are not guaranteed. TRT is prescribed only when clinically appropriate after provider evaluation.
TRT, done the right way
Diagnosis before prescription
Morning labs, confirmed on repeat testing, plus a symptom review and body composition analysis. If you don't need TRT, we'll tell you.
One provider, start to finish
Scott Adler, PA-C reviews every lab value with you, designs your protocol, and adjusts it as your body responds.
Safety monitoring built in
Ongoing labs track hematocrit, estradiol, PSA, and more. Testosterone moves the rest of your hormonal picture with it, so we manage all of it.
Fertility considered up front
TRT can suppress natural fertility. If children are still on the table for you, we'll talk through protective options before you start.
A word about online T "clinics"
Some websites will ship testosterone after a video call and a single lab, with little follow-up after that. At Summit Health, TRT is diagnosed properly, prescribed only when appropriate, dispensed through licensed U.S. pharmacies, and monitored the whole way through.
How it works
Initial consultation
A 45-minute visit with your provider covering comprehensive labs, a body composition analysis, and a full discussion of your symptoms and goals. In-person or telemedicine.
Diagnosis & protocol design
Scott reviews every value with you, confirms whether testicular hypofunction or low-normal testosterone with symptoms is present, and designs your protocol if treatment is appropriate.
Your personalized treatment
Weekly or biweekly injections timed for steady bioavailability, filled through licensed U.S. pharmacies, with your first month of medication included in the initial consultation.
Ongoing optimization
Follow-up labs, estrogen and fertility management, dose adjustments, unlimited messaging, and unlimited in-office or telehealth visits. Most men judge progress over a 3 to 6 month window.
Transparent pricing
No hidden fees and no surprise add-ons. Here's how it works:
$225
Initial consultation
- 45-minute office or telemedicine visit
- Detailed laboratory evaluation, labs included
- Body composition analysis
- First month of medication included
- Diet, exercise, and supplement guidance
$175/month
Complete monthly TRT program
- Testosterone medications and supplies included along with ongoing labs
- Fertility and estrogen management with estrogen medication included. Fertility medication offered at extra cost
- Unlimited in-office or telehealth appointments
- Unlimited messenger support
- Ongoing body composition scans
You'll design your exact protocol with your provider and confirm it before you start anything.
TRT FAQs
What is testicular hypofunction?
Testicular hypofunction, also called male hypogonadism, is the medical condition in which the testes don't produce enough testosterone. It can originate in the testes themselves (primary) or in the brain's hormonal signaling (secondary). It's diagnosed with repeated morning blood tests alongside a symptom evaluation, and it's the formal diagnosis behind most medically supervised TRT.
My testosterone came back "normal." Could I still benefit from treatment?
Possibly. Reference ranges are population averages, and a level near the bottom of the range can still be a meaningful drop from where your body used to operate. When low-normal levels are paired with consistent symptoms, guidelines support a full evaluation: repeat morning labs, related hormones, and a provider-led review. Treatment is considered when the complete picture supports it.
Is TRT safe? What do you monitor?
Like any prescription therapy, TRT has potential side effects, which is why monitoring is built into our program. Ongoing labs track hematocrit (red blood cell levels), estradiol, PSA, and your testosterone response, and we screen for conditions like untreated sleep apnea before starting. Long-term studies in properly monitored men are reassuring, and we'll walk through the full risk picture with you at your consultation.
Will TRT affect my fertility?
It can. External testosterone signals the body to reduce its own production, which can suppress sperm production over time. If you may want children in the future, tell us up front: protocols exist to help protect fertility during treatment, and we build that into your plan from day one.
How soon will I notice changes?
It varies. Many men report changes in energy, mood, and libido within the first several weeks, while body composition and strength changes typically build over 3 to 6 months of consistent treatment and training. Individual results vary and aren't guaranteed.
Do I have to stay on TRT forever?
Not necessarily, but it's a long-term commitment for most men, because stopping typically returns levels to their pre-treatment baseline. Some men with secondary hypogonadism can restart natural production with alternative protocols. Your provider will discuss what stopping would look like before you ever start.
Why injections instead of gels or pellets?
Weekly or biweekly injections give precise, adjustable dosing and steady blood levels at a reasonable cost, which is why they're our primary protocol. Your provider will discuss whether an alternative form fits your situation better.
Do you offer telemedicine?
Yes. Consultations and follow-ups can be done in-person at our Springfield clinic or by telemedicine, with same-week appointments and free phone consults to get started.
Scott Adler, PA-C, your provider from start to finish
Every TRT protocol at Summit Health is built, prescribed, and monitored by Scott, the same provider patients describe in 54 five-star Google reviews as thorough, responsive, and easy to reach when you have a question.
Wondering if low T explains how you feel?
Start with a free phone consult and find out where your levels actually are.