Testosterone, done right.
Real testosterone replacement therapy starts with the full hormone picture — not just total T. Free T, SHBG, estradiol, and pituitary markers tell us what's actually bioavailable and whether replacement is the right call. When it is, dosing is titrated to your numbers, not a starter pack.
Who you'll actually see
Your clinician actually knows you.
Kevin Watson, FNP-C — American Association of Nurse Practitioners (AANP) board-certified Family Nurse Practitioner. Based in Twin Falls, Idaho.
Measured, evidence-led care. Every plan is built from your labs, your symptoms, and your goals — not from a template.
Not sure this is the right starting point?
Answer a few questions and we'll match you with the care path — and the clinician — that fits your situation.
If any of this sounds like you.
Energy, mood, libido, and recovery feel off — and the basics (sleep, training, food) aren't moving them anymore.
Total T came back low (or high-normal) and no one explained what it actually means. You want a clinician who reads the whole panel.
You're on therapy but estradiol, hematocrit, or libido aren't right. You want labs-driven adjustments, not a copy-paste protocol.
Four steps. No insurance paperwork.
45-minute video visit. History, symptoms, prior labs if you have them. Your clinician orders the right panel — not the bare minimum.
Total T, free T, SHBG, estradiol-sensitive, LH, FSH, prolactin, hematocrit, lipids, PSA. Drawn at Labcorp or Access Medical Labs near you.
If replacement is indicated: dose, route (injection / cream), and an estradiol management plan. If it isn't, we say so — and tell you why.
Every 90 days: trough labs, symptom review, hematocrit / estradiol management. Dose adjustments via portal. No annual-only labs.
The tools we reach for.
Every plan is built around your labs and your goals. Below are the evidence-based options we draw from — none of them are prescribed by default.
Total T, free T, SHBG, estradiol-sensitive, LH, FSH, prolactin, plus thyroid and metabolic markers. Quarterly cadence.
Cypionate or enanthate, weekly or twice-weekly. Compounded supplies routed to a pharmacy of your choice.
For members who prefer no needles or have specific clinical considerations. Same labs, different delivery.
Aromatase inhibition when actually warranted by labs — not blanket prescribed. Hematocrit and PSA tracked at every recheck.
For members who care about fertility or testicular volume on TRT. Optional and protocolized — discussed at every consult.
Every 90 days: trough labs, hematocrit, estradiol, lipids, PSA. Dose changes only based on numbers + symptoms.
“First time anyone has explained estradiol to me without it sounding like a sales pitch. Three months in and I actually feel like a human again.”James · 44 · Boise, ID
Start here.
$95 first consult. Labs and medications billed at cost. Many members find replacement isn't the right call — and we tell you that too.