Men’s Health
Testosterone replacement therapy for men
Physician-led TRT in San Antonio. Dr. Francisco Cardona has treated low testosterone since founding Fit-Life MD in 2013, with every plan built on a full lab evaluation and ongoing monitoring.
Low testosterone
Signs of low testosterone
Testosterone naturally declines with age, but for many men it drops low enough to affect how they feel and function every day. Common signs include:
- Low energy and fatigue
- Low libido or changes in erections
- Loss of muscle and strength
- More body fat, especially around the waist
- Poor sleep, low mood or irritability
- Brain fog and trouble focusing
These symptoms can have many causes. That is why treatment only starts after your labs confirm low testosterone and help rule out other issues.
Your evaluation
A complete lab evaluation
Before starting TRT, Dr. Cardona reviews your symptoms, health history and a full lab panel, including:
- Complete blood count (CBC)
- Comprehensive metabolic panel (CMP)
- Lipid panel
- Hemoglobin A1C
- Vitamin D
- Total and free testosterone
- SHBG
- LH and FSH
- PSA
- IGF-1 (insulin-like growth factor)
- Vitamin B12 and folic acid
Labs can be drawn here at our office and billed to most insurance plans.
Treatment options
How testosterone is given
- Injections — our preferred method, given in office or at home
- Topical creams applied daily
- Sublingual troches that dissolve under the tongue
Dr. Cardona recommends the method that fits your labs, goals and lifestyle, and adjusts your dose over time.
Fertility
Protecting your fertility
Testosterone therapy can lower sperm production. If you want to preserve fertility, we offer enclomiphene or clomiphene, which help your body make more of its own testosterone. hCG can also be prescribed through a pharmacy; coverage depends on your insurance.
Monitoring
Ongoing monitoring
TRT is never set-and-forget. Follow-up visits and labs track your testosterone levels, blood count (hematocrit), PSA, lipids and how you feel, so your plan stays safe and effective.
Cost
What TRT costs
Testosterone replacement therapy at Vita Nova starts at $125 per month. Prices may vary based on your medication and plan. Physician visits are self-pay, and lab work can be billed to most insurance plans.
Women’s hormone therapy is also available. Learn about hormone therapy for women, or see our medical weight loss and ED treatment options.
Questions
TRT FAQs
How much does TRT cost in San Antonio?
TRT at Vita Nova starts at $125 per month. Prices may vary based on your medication and plan. Physician visits are self-pay, and labs can be billed to most insurance plans.
Do I need labs before starting testosterone?
Yes. Every plan starts with a full lab evaluation, including total and free testosterone, SHBG, LH, FSH, PSA, a blood count and metabolic panels. Labs can be drawn at our office.
Do you accept insurance for TRT?
Physician visits are self-pay. Lab work can be drawn here and billed to most insurance plans.
Will testosterone affect my fertility?
It can lower sperm production. If fertility matters to you, we offer enclomiphene or clomiphene, and hCG can be prescribed through a pharmacy, with coverage depending on your insurance.
What is the best way to take testosterone?
Injections are our preferred method and can be done in office or at home. Topical creams and sublingual troches are also available. Dr. Cardona helps you choose at your evaluation.
How soon will I feel a difference?
Many men notice changes in energy, mood and libido within several weeks, while changes in body composition take a few months. Results vary from person to person.