Call for a Lab Order
Call Will at (218) 274-4500. He sets up your lab order and books your consultation, and you pay the $200 fee when the time is set.
No medical details needed on the phoneMen's health · Testosterone & peptides
Don't Feel Like Yourself?Let's Find Out Why
Tiredness, low libido or poor sleep can come from sleep problems, stress, medicines, weight, thyroid or low testosterone (low T). We start with lab work and an unhurried conversation, then talk through options that fit you, including doing nothing.
ND + MNIn office in Grand Forks or by telehealth
Labs firstEarly-morning blood tests before any decision about treatment
1Clinician from first visit to every follow-up, Dr. Charlotte Ewals
Your callNot starting treatment is always an option, and we'll say so
Two consultations
Pick Your Starting Point
Both are conversations with Dr. Ewals, backed by evidence. Neither commits you to treatment.
Consultation
Testosterone
Whether your testosterone is low, why, and whether treatment makes sense, with the risks and alternatives laid out.
- Two morning blood tests
- Other causes checked
- Monitoring built in
$200consultLearn more
Consultation
Peptides
An evidence-first talk about a specific product: FDA status, where it comes from, what the research shows and the risks.
- FDA status checked
- Evidence explained
- No hype
$200consultLearn more
Our approach
Honest About the Limits
We don't promise results or timelines. Everyone responds differently, and treatment isn't right for everyone with symptoms.
- Being offered testosterone without proper testing or a clear reasonDiagnosis first: symptoms plus repeated early-morning labs, and treatment only if it's clinically appropriate
- Low energy blamed on testosterone by defaultSleep, weight, medicines and thyroid are checked too, because they cause the same symptoms
- Nobody mentions the downsidesFertility, blood count, sleep apnea and other risks discussed before you decide
- Subscriptions with pricing you can't pin downConsultation and TRT membership fees are listed before you book. Labs are billed separately
- Started, then left on your ownFollow-up visits and repeat labs built in, with the same clinician each time
How it starts
Three Steps, Labs First
You'll know what's happening, and what it costs, at every step.
An Early-Morning Blood Draw
Testosterone is highest in the morning, so timing matters. Labs can be done at a facility of your choice and are billed separately.
Usually repeated on a second daySit Down with Dr. Ewals
Your results explained, your history and your options, including not treating. If you both decide to go ahead, you'll leave with a plan and a follow-up schedule.
The decision is yoursBook online
Pick a Time That Works
New or returning? Choose below and book a time straight into Dr. Ewals' calendar.
FAQ
What men ask us before a first consultation. Still unsure? Call Will at (218) 274-4500.
See every questionHow much does TRT cost at Alternative Health?
- Initial consultation: $200. If you qualify and decide to start treatment, it includes your first 4-week supply of testosterone, supplies and shipping.
- Every 4 weeks after that: $175, OR
- Pay $2,000 upfront for the whole year and save $300. ($200 consultation fee is credited toward membership, leaving a balance of $1,800)
- Follow-up visits are included in both plans.
- Lab work is billed separately by the lab you choose. (If you don't have a preference, we can refer you to a lab.)
Do I need lab work before a testosterone consultation?
Usually, yes. Call us for a lab order, complete the labs, and then book your visit so Dr. Ewals can review the results with you. Low testosterone is generally confirmed with early-morning blood tests on more than one day, not symptoms alone.
What are the common signs of low testosterone?
Low energy, low libido or weaker erections, losing muscle and gaining weight around the midsection, low mood, poor concentration and poor sleep. Every one of these has other possible causes, including sleep apnea, thyroid problems, medicines and stress, which is why we test rather than guess.
What does treatment involve if my levels are low?
Dr. Ewals sets a dose and shows you how the medicine is taken. Your medication and home-use supplies are shipped to you as part of the TRT membership. Follow-up visits are every 8 to 24 weeks, depending on the person, and your dose is adjusted from your lab results.
How often will I need labs on treatment?
Once your levels are stable, usually after 2 to 4 months, labs are typically every 3 to 6 months. They check testosterone, red blood cell count and other markers. Labs are billed by the lab and aren't included in the TRT membership.
What did the FDA change about testosterone in 2025?
Two things. After a large trial (TRAVERSE) found no increase in major heart problems, the FDA had testosterone labels updated to reflect those results. It also required a warning that testosterone can raise blood pressure, so Dr. Ewals monitors yours.
Who shouldn't take testosterone?
Men with or being evaluated for prostate or breast cancer, untreated severe sleep apnea, uncontrolled heart failure or a very high red blood cell count, and men trying to conceive now. Dr. Ewals goes through all of this before anything is prescribed.
Can testosterone treatment affect fertility?
Yes. Testosterone therapy can lower sperm production. If you might want children, say so at your first visit so you can discuss other options.
I'm already on testosterone elsewhere. Can I switch to you?
Yes. Email or fax your most recent labs and your last visit note (info@alternativehealthgf.com or (701) 757-0974), then call Will to book. Dr. Ewals reviews your records first. Depending on what they show, she may order additional testing before continuing your treatment.
What are peptides?
Short chains of amino acids that act as signals in the body. Some are long-established medicines, such as insulin and the GLP-1 drugs used for diabetes and weight. Many products sold online as “peptides” are not approved for any use.
Which peptides are FDA-approved?
Insulin, GLP-1 medicines like semaglutide and tirzepatide, and a few others are approved for specific conditions. Products such as BPC-157, ipamorelin and CJC-1295 are not approved for any use, and the FDA has raised safety concerns about compounding them.
Do you sell or prescribe peptides?
We start with a consultation. If a prescription product is appropriate for you and legally available from a licensed pharmacy, Dr. Ewals will explain it. We don't sell research chemicals or products labelled “not for human use.”
No match on this page. Try all FAQs or call us.
Guides
Read Before You Visit
Patient guides with sources you can check. All guides
Men's health & testosterone · 5 min
Low Testosterone Symptoms: What an Evaluation Can and Cannot Tell You
Symptoms like low energy and low libido have many causes. Here is what a testosterone evaluation involves, what it can show, and what it cannot.
Men's health & testosterone · 4 min
What Monitoring May Be Discussed During Testosterone Treatment?
Testosterone treatment comes with regular follow-up. Here are the labs, check-ins, and symptoms your clinician may discuss, and why they matter.
Peptides & evidence · 5 min
Peptide Therapy Claims: What Patients Should Ask About Evidence and Safety
Some peptides are FDA-approved medicines. Many sold online for wellness are not. Here are the questions to ask before trying any peptide.
Ready when you are
Start with the Facts
Request a consultation or call for a lab order. Dr. Ewals will review your results and explain your options.