We Have Answers.

Do you take insurance?

We are an exclusively cash pay practice.

How much does the program cost?

The initial in-home exam, full panel of bloodwork, and telemed consult with Dr. Wdowin is $375 and the cost of the program is $375 a month which includes periodic exams/bloodwork/consults, all meds and access to a patient liaison 24/7.

How does the program work?

All of our programs are 6 months long and take into consideration never causing you to be dependent on Testosterone or shutting down your natural production. During month 2 we come back out for followup exam/bloodwork/consult to monitor progress and make any necessary changes. At the end of month 6 we come back out for followup exam/bloodwork/consult to determine where to go from there.

Does T therapy increase prostate growth?

Having a level of T above 100 naturally will stimulate prostate growth whether supplemented or not and it is by an inconsequential amount. There is no risk of prostate cancer – it’s a myth and most studies support that. In fact, many Urologists utilize Testosterone therapy to treat cancer patients.

Does testosterone therapy cause cardiovascular problems?

Insulin and Cardiovascular Effect –actually Low T can lead to diabetes and heart conditions – according to numerous studies. Testosterone has a vasodilatory effect – opens blood vessels, brings more blood to the brain heart liver muscles and bones. There is an inverse correlation between low T and cardiovascular risk (heart attack or stroke), meaning the lower your testosterone the greater the risk.

Does HRT cause hair loss?

If you are prone to hair loss it may accelerate the process a bit but it will not cause hair loss.

Will HRT make me aggressive?

Only if you overload the system with Testosterone do you see those kinds of side effects. Our goal is to bring your levels to optimal like they were when you were in your 20’s. Were you more aggressive in your 20’s? It won’t make you into something you are not.

Will I become dependent on it forever?

Our programs specifically address this issue. After long term testosterone supplementation, your body will think it doesn't need to produce it anymore because it has enough. We will always cycle you off testosterone and “reboot” your system every 4-5 months so that your body resets to normal and you will never shut down your body's natural production.

What are testosterone boosters?

We don’t believe in the concept of a “testosterone booster.” Your natural hormone levels change as you get older and that can cause a lot of symptoms generally associated with aging. The correct way to refer to it would be testosterone “optimization.” The goal is to get you back to your most optimal hormone balance.

Are testosterone shots painful?

Let's put it this way. The anticipation is much worse than the actual shot. Pain is subjective so we can’t give an unequivocal answer to that. But it's no more than a pin prick.

Which testosterone levels are checked?

Without specialized training or careful attention to detail, it is common to only check a man's total testosterone levels.  However, in certain cases, for example when the level of Sex Hormone Binding Globulin (SHBG) is abnormal, a test for free or bioavailable testosterone may be performed as it may more accurately reflect the presence of a medical condition. We believe in looking at the total picture and will test a whole range including a CBC (complete blood count), CMP (complete metabolic panel), PSA (prostate specific antigen - presence of prostate cancer), LH (Luteinizing hormone), Lipid Panel (cholesterol)  and E2 (estrogen) as well as free and total testosterone.

What is the best testosterone to use?

We only supply our diagnosed patients with the highest quality bioidentical testosterone available. This is available in either cream or injectable form. This is only dispensed by our pharmacy after a careful examination, medical diagnosis and prescription.

What testosterone level should be treated?

It is important to address the total picture. Only after a careful examination of your medical history, vitals, symptoms and comprehensive blood work, will a diagnosis and treatment protocol be rendered.

When is your testosterone the highest and when is it the lowest?

Your testosterone peaks in your 20’s. After about the age of 30 your testosterone diminishes naturally at a rate of about 1-2% per year. That doesn’t take into account the detrimental effect of things like poor sleep, environmental factors, poor diet and insufficient exercise.

Why are testosterone pills bad?

First, most prescription testosterone pills are toxic to the liver. Obviously, this is a major issue. It’s no good getting your hormone levels under control if we damage your liver in the process.

For these same oral testosterone pills, the negative side effects actually go far beyond liver toxicity. Many also have some serious negative effects on your cholesterol levels.

Of the remaining prescription testosterone pills on the market, most are simply not very effective. By the time they make it through your digestive system, they’ve lost almost all of their potency.

Why is my testosterone level low?

Underactive testes cause primary hypogonadism. That’s because they don’t manufacture sufficient levels of testosterone for optimal growth and health. This underactivity can be caused by an inherited trait. It can also be acquired by accident or illness.

Secondary hypogonadism is caused by damage to the pituitary gland or hypothalamus. These parts of the brain control hormone production by the testes.

You may be affected by primary, secondary, or a mixed hypogonadism. Mixed hypogonadism is more common with increased age.

How is testosterone produced in the body?

The hypothalamus and pituitary gland control how much testosterone the testes produce and secrete. The hypothalamus sends a signal to the pituitary gland to release gonadotrophic substances (follicle stimulating hormone and luteinizing hormone). Luteinizing hormone (LH) stimulates testosterone production.

What Is a Nurse Practitioner?

Nurse practitioners (NPs) are registered nurses with advanced education, graduate degrees, and clinical training that enable them to carry out most of the same patient care activities as physicians. In addition to performing physical exams and patient histories, nurse practitioners can order and analyze lab tests, diagnose illnesses, prescribe medications, develop treatment plans, and advise patients on lifestyle changes. Although nurse practitioners can work independently in some states, in California they work closely with physicians, who provide guidance and oversight.

How Do I qualify for testosterone optimization?

We go well beyond what a Testosterone clinic would require. We take into account a full panel of blood tests and not just your Total Testosterone levels. It is important to look at the full picture and we will only prescribe Testosterone if a medical diagnosis is appropriate.

Is it safe to undergo testosterone replacement and take drugs for erectile dysfunction?

Erectile dysfunction (ED) is caused by many factors, including low testosterone. Many studies have shown that testosterone replacement therapy will actually help with ED if the cause is low testosterone.  Additionally, if your testosterone is low and you are already on medication for erectile dysfunction, testosterone therapy may increase the effects of your ED medication.

What is Andropause?

Andropause, or male menopause (“man-opause”) is the name given to the gradual drop in testosterone that typically affects men between the ages of 40 and 55. Low testosterone, also known as hypogonadism, affects an estimated 13 million men in the U.S.

This decline in male hormones is a natural phenomenon; no man can avoid it. Due to lifestyle factors including stress, poor diet, a lack of physical activity and poor sleep habits, more men under 40 are affected by low testosterone levels.

When a man’s testosterone levels are low, he may experience the following symptoms:

• Decreased muscle and strength
• Depression
• Declining ability to concentrate
• Lack of energy
• Low libido
• Weak erections

If you experience one or more of the above symptoms, we encourage you to schedule a consultation.