Testosterone Replacement Therapy
Common Signs of Low T
– Fatigue and low energy
– Decreased muscle mass and strength
– Increased body fat
– Reduced libido and sexual performance
– Mood changes, irritability, or depression
– Difficulty concentrating or “brain fog”
– Poor sleep quality
Find Out If You Qualify
- 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.
- Once results are received, we will call and schedule your appointment.
- At your appointment, Dr. Ewals will review your labs with you and discuss options for TRT and or Peptide Therapy
Benefits Timeline
WEEK 1-2: Subtle Start
- Mild energy lift, less fatigue, slight mood/ motivation boost.
- Possible early libido hints or better sleep.
WEEK 3-4: Momentum Builds
- Clearer libido increase, morning erections returning.
- Improved mood, focus, and daily energy.
WEEK 6-12: Noticable Gains
- Stronger libido and sexual function.
- Better exercise recovery, early muscle/ strength improvements, modest fat loss.
- Mood and well-being stabilize for many.
- Red blood cell production ramps up
MONTH 3-6: Solid Improvements
- Visible body composition changes (more muscle, less fat) with training.
- Peak mood/libido benefits often emerge.
- Continued strength and energy gains.
MONTH 6-12+: Stabilization
- Muscle/strength and recomposition maximize.
- Long-term benefits: better bone density, sustained vitality.
- Effects plateau; ongoing therapy to maintain results.
Safety First – What You Need To Know
TRT is generally well-tolerated when prescribed appropriately but it carries potential side effects and requires monitoring for the following:
– Acne or oily skin
– Increased red blood cell count (monitored via labs for safety)
– Possible fluid retention or breast tenderness
– Impact on fertility (testicular shrinkage or reduced sperm production)
– Worsening of untreated sleep apnea
Large studies have not shown increased risk of major adverse cardiovascular events or prostate cancer in properly selected men, though individual risks (e.g., blood pressure changes) are discussed during consultation.
We perform thorough screening, regular blood work, and adjust treatment as needed. TRT is not suitable for everyone—men with certain prostate conditions, untreated sleep apnea, or fertility goals may need alternative approaches.
Pricing and Treatment
Causes of Low T
Alarming studies show generational drops near 40% compared to our fathers and grandfathers at the same age. Our modern world is full of culprits suppressing men’s testosterone including:
Endocrine-Disrupting Chemicals, Micro Plastics, Pesticides, Processed Foods, Sugar, Chronic stress, Excessive Alcohol Use, Obesity, Medications and Poor Sleep.
If you suffer from signs of low T, get your T levels checked. A simple blood test could be the start of an incredible journey for you…

