Testosterone Optimization

What Are You Looking To Achieve?

Sexual Function and Performance!

  • Erectile dysfunction
  • Libido
  • Sexual Stamina

 

Athletic Performance!

  • Increases muscle mass
  • Increases gym performance
  • Improving Cardiac Stamina
  • Assists in breaking past athletic plateaus

 

Improved Work Performance!

  • Increased motivation
  • Improved mental focus
  • Improved mood, sleep, and overall wellbeing!
Reserve My Appointment

We Will Work Together on a Custimized Treatment Plan

How Does Testosterone Replacement Work?

What Does Testosterone Levels Regulate?

Testosterone is the primary male hormone responsible for regulating sex differentiation, producing male sex characteristics, spermatogenesis and fertility.

  • Male hair patterns
  • Deep voice
  • Skeletal muscle growth
  • Motivation and drive

Basic Testosterone Physiology

Gonadotropin Releasing Hormone (GnRH): stimulates the pituitary glad to secrete luteinizing hormone (LH) and follicular stimulating hormone (FSH)

  • LH: Released by the pituitary and stimulated by leydig cells in the testes to produce testosterone
  • FSH: Released by pitulitary and stimulated by sertoli cells in the testes to produce sperm

 

Adjunct Medications

Alternative Health offers adjunctive therapies to help testosterone stimulation as well!

Certain medications are beneficial for preventing your naturally produced testosterone from being converted into estradiol.

  •  Anastrozole

Others are helpful in stimulating the cells in the testes to produce more natural testosterone.

  • Human Chorionic Gonadotropin (HCG)
  • Clomiphene citrate

 

If you are a man with healthy testosterone levels but are still symptomatic and wanting to maintain your masculine edge, these are additional options

What about Peptide Therapy?

Peptides are short chains of amino acids that are responsible for cell signaling and function.

Their Uses Include:

  • Increase muscle mass
  • Improve physical performance
  • Restore sexual function and desire
  • Increase fat loss and lower blood glucose levels
  • Support cognitive function and overall wellness

Get Started Today!

  • Men's testosterone levels are at a historical LOW

  • Enviornmental Factors in our food and water, as well as obesity are the main factors

  • Guidelines for typical use are not age or weight adjusted limiting care to many men!
  • Benefits occur in a step wise fashion over 3-12 months
    • 2-4 weeks psychological improvements
    • 4-16 weeks physical and sexual improvement
    • 6-12 months results in consistency of well-being

  • Off-label use is both safe and legal for symptomatic men when followed by an overseeing provider!
Reserve My Appointment

Treatment Pricing

Testosterone Replacement Therapy:

Initial Consultation: The initial consultation includes a history and physical. In addition, we will go through each lab one by one with you, so you understand where you stand with your health. This visit is more than just a testosterone consultation; it includes your first treatment in our office!  It also includes a free B12 vitamin injection if desired.

Counseling on additional services such as growth hormone optimization with the use of peptides and erectile dysfunction treatment can also be discussed.

$250

If you qualify and wish to proceed with testosterone optimization therapy, you will be prescribed biweekly injections and have follow up visits scheduled every 8-12 weeks depending on your progress.

 

Home Supply: Currently, we only offer testosterone delivered directly to you from the pharmacy for home administration. 

This option is best practice as twice weekly injections provide the most stable, therapeutic results. Shipping is included.

 

1.    $262.5 for 6-week supply of testosterone with
supplies.

2.    $525 for 12-week supply of testosterone with
supplies. 

 

GROWTH HORMONE OPTIMIZATION:

 We utilize growth hormone secreting medications. This essentially tells your brain to produce Human Growth Hormone (HGH) naturally. The medications are administered on a nightly basis and results in faster gym recovery times, faster injury recovery, increased muscle development, fat loss, improved skin quality, and improved sleep. It is typically given in 3-month cycles with 1-2month holiday.

1.    Sermorelin: $210-250 which would be a 30 day supply depending on dose. Sermorelin is a Growth Hormone Releasing Hormone Analog that stimulates the production of HGH. It is taken nightly and improves sleep quality. In addition, it aids in fat loss, improves muscle composition and anecdotally improves mood and well-being

2. Tesamorelin: $210-250 which would be a 30 day supply depending on dose. Tesamorelin acetate, a synthetic peptide consisting of 44 Amino Acids, is structurally and functionally similar to growth hormone-releasing hormone (GHRH). It can be used to enhance muscle mass and lean muscle retention. It is helpful in boosting energy levels, enhancing athletic performance and improving metabolic function. It is also believed to improve skin elasticity and reduce signs of aging.

***Your follow up visit are included in the price of treatment, however labs must be completed at an extra cost. We will happily fax lab orders to requested laboratory of choice, or you can complete them in office through UltaLabs.

A Note About Insurance

Unfortunately, insurance companies do not cover off-label testosterone or peptide treatments. 

Reserve My Appointment

Visit Expectations

If you are ready to move forward to find a treatment option, these are the steps:

  1. Call our office at 701-317-1747 and get orders for lab work. We can fax orders to your lab of choice OR you can have your lab work completed through Ulta Lab at our office.
  2. Once results are received, we will call and schedule your appointment.
  3. At your appointment, Dr. Ewals will review your labs with you and discuss options for TRT and peptide treatments.
  4. You can then choose whether you would like to receive in-office treatment starting at your first appointment or have medications mailed to your home!
  5. Initial follow up is 4 weeks from treatment start up
  6. Additional follow ups will occur every 8-12 weeks as needed by individual response

Men's Health FAQs

After reviewing your lab work with Dr. Ewals, you will have medication mailed to your home in 2-3 days time!

Some patients could experience one of more of the following side effects from testosterone replacement therapy:

  • Increased red blood cells. This can be beneficial if you have anemia. However, it can be potentially dangerous because an increase in red blood cells can lead to clots, heart attack, and stroke. It is important to follow up with ordered labs to monitor levels with your provider and manage appropriately. 
  • Skin Reactions. Acne, oily skin, increased body hair and flushing have been reported. These side effects are not very common, but if they occur, often are transient. 
  • Infertility. Testosterone therapy regulates the production of a man’s sperm. Be transparent with Dr. Ewals regarding your desire for children. There are options for men’s health adjuncts available with TRT which help preserve fertility. 
  • Fluid Retention. Although uncommon, you may have some fluid retention. Be sure to disclose any history of heart failure or kidney disease.

In general, TRT should be avoided with the following conditions:

  • breast or prostate cancer
  • erythrocytosis
  • severe benign prostatic hyperplasia
  •  heart failure
  • Unexplained elevated PSA
Reserve My Appointment