Testosterone Replacement Therapy


What is Testosterone?

Testosterone helps a man maintain energy, mood, bone strength, sex drive and sexual function and muscle mass and strength. Testosterone is a hormone made naturally by the body. Most of the testosterone in a man's body is produced in the testicles.

Normal Levels of Testosterone

Just like your cholesterol or blood pressure, there is a numerical range of testosterone levels (also known as testosterone levels) that are considered normal. The brain and the testicles work together to keep testosterone in this range. When levels of testosterone are below normal, the brain signals the testicles to make more. When testosterone levels reach a normal level, the brain signals the testicles to make less. Normal levels of testosterone change as you age.

Interested in using testosterone replacement therapy to get your testosterone levels to a healthy, normal level? Contact one of our physicians at 480-839-4131 for a free consultation regarding testosterone replacement therapy.

What is Low Testosterone?

Typically, a man's testosterone level is considered low if it's below 300 ng/dL. Low testosterone can be caused by a signaling problem that occurs between the brain and the testicles that causes the production of testosterone to drop below normal. The brain may also signal the testicles to cut testosterone production if it feels the body has too much testosterone. Low testosterone also can occur when your testicles can't make normal levels of testosterone. Low testosterone affects more than 13 million men in the U.S. over the age of 45. Even though it's natural for men to lose testosterone as they age, the medical condition hypogonadism, also known as low testosterone, is not a natural part of aging. Typically, there is no cure for low testosterone. It is a medical condition that may require ongoing treatment.

The good news is, low testosterone can be easily diagnosed with a simple blood test and treated with testosterone replacement therapy (TRT) to bring your testosterone levels back to normal.

Think your testosterone levels are low? Contact one of our physicians at 480-839-4131 for a free consultation regarding testosterone replacement therapy.

Signs and symptoms of low testosterone may be clear and easy to recognize. But at first look, you may not think they point to low testosterone. Take a look at the symptoms below to see if any apply to you. You may be surprised how easily they can be overlooked.

For more information on testosterone replacement therapy, visit the following other pages:

Signs and Symptoms of Low Testosterone

The signs and symptoms of low testosterone may include:

  • Fatigue or loss of energy
  • Low sex drive (reduced desire to be intimate)
  • Sexual dysfunction (weak erections, failure to get erections)
  • Depressed mood
  • Decreased sense of well-being
  • Increased body fat
  • Loss of muscle mass
  • Decreased bone strength

These symptoms may be a sign of low testosterone or other health conditions and should not be ignored. Low testosterone can be diagnosed by a doctor with a simple blood test. Normally, a man's testosterone level is considered low if it's below 300 ng/dL. It's important to keep your testosterone at a normal level for your age. The right testosterone replacement therapy can bring your testosterone levels back to normal and keep them there. And once you get back the testosterone you've been missing, you may experience lasting symptom relief.

Benefits of Healthy Testosterone Levels

  • Increased muscle mass & strength
  • Increased sexual potency and frequency
  • Lowers cholesterol levels
  • Increased energy, stamina and endurance
  • Improved mental functioning
  • Improves mood
  • Improved feeling of well-being
  • Protects against heart disease
  • Improved focus and concentration 

Side Effects of Testosterone Therapy

There are no proven negative side effects testosterone therapy for those who use the correct dosage and are under doctor supervision. Testosterone replacement therapy has been tested throughout the world for over 60 years. Testosterone injections replenish low testosterone levels to normal values, so with testosterone injections negative symptoms are a thing of the past. There are several important rules to abide by in order to protect your health and safety and avoid any negative side effects of testosterone injections. Make sure you work with a reputable medical clinic and get your testosterone prescription from a trustworthy source. At transformyou you can avoid all side effects of testosterone therapy since you work directly with Dr. Bird, who is dedicated to patients’ health and safety.

Increased Likelihood of Low Testosterone

Some men are more likely to have low testosterone than others. There are also certain medical conditions that increase the odds of having low testosterone, such as:

  • Obesity
  • Diabetes (Men age 45 and older with diabetes are twice as likely to have low testosterone.)
  • High blood pressure
  • High cholesterol
  • Asthma/Chronic obstructive pulmonary disease (COPD)
  • HIV

Because low testosterone signs and symptoms may not be clear and apparent, they may seem to be a normal part of aging or assumed to be caused by other health conditions. If you have symptoms of low testosterone ask to get tested. All it takes is a simple blood test that can be done during a routine checkup. If you do have low testosterone, we can recommend treatments that can help bring testosterone up to normal levels and keep them there.

The Endocrine Society recommends that all men with type 2 diabetes have their testosterone levels checked. Patients who have been diagnosed with diabetes have an increased chance of also having low testosterone.

How Do I Get Started?

Your first step is to call and schedule an appointment with Dr. Bird or Dr. Skelton, and the consultation is free. If you have recent labs showing Testosterone levels please bring them with you. If you don't we can order them for you. Your health insurance will most likely cover the labs. For those paying cash we use Any Lab Test Now for blood draws, they don't require a doctor's order. The fees associated with blood tests are the patients responsibility. Once we know you need Testosterone therapy we will order the correct dosage for you from our pharmacy. Step-by-step instructions will be included with your supplies. 4-5 weeks after treatment has begun it is a good idea to get your Testosterone levels rechecked to make sure the levels are improving and to make any necessary dosage adjustments. FSA & HSA cards are an acceptable form of payment!


Q: Where are you located?

A: We serve patients in the Phoenix AZ metro area including Tempe, Chandler, Gilbert, Mesa, Scottsdale, Ahwatukee, Peoria, Glendale, Avondale and Fountain Hills.

Q: What types of Testosterone do you use?

A: We use Testosterone Cypionate, Testosterone Propionate, Testosterone Enanthate and Testosterone cream. 

Q: Is it true that a man's Estrogen can rise once Testosterone replacement has begun?

A: Yes, as a matter of fact this will happen almost to everyone who begins treatment. Testosterone is converted to Estrogen through an aromatase enzyme. To prevent this from happening during treatment we will use a medication called an aromatase inhibitor so that your Estrogen levels stay low.

Q: Will my body be able to produce it's own Testosterone after treatment?

A: In many cases yes, we use two medications during and after treatment to help you body continue to produce it's own Testosterone. If you have a true problem where your body is unable to make it's own Testosterone then you may have be on continuous treatment. We can determine where the problems is after one cycle of Testosterone replacement.

Q: What if my blood test shows lower levels of Testosterone but the lab didn't mark it as low?

A: Testosterone has quite a large numerical range of what they call "normal levels." It could be anywhere from 250 up to 1100ng/dl depending on which lab service is used. Even if you are at the low end of normal you can begin treatment. Most men feel their best when their serum levels are between 600-900ng/dl.

Q: What is the difference between serum and free Testosterone?

A: Serum testosterone is basically your total testosterone level as measured in your blood. Free testosterone is the testosterone in your blood that is not bound to sex hormone binding globulin (SHBG). It is this free testosterone that is biologically active – able to exert it's effect by permeating a cell and activating its receptor.

Q: Is SHBG (sex hormone binding globulin) bad?

A: Reducing SHBG will increase free testosterone and a rise in SHBG will decrease free testosterone. So it could be bad if you had high levels of it. Certain substrates, hormones, nutrients and even food have an effect on increasing or decreasing SHBG. High insulin levels as well as high IGF-1 levels decrease SHBG. Estrogen increases SHBG.

More Information on Testosterone Replacement Therapy

For more information on testosterone replacement therapy, visit the following other pages: