Low testosterone and hormone health
Low testosterone is real, but it's also over-diagnosed. A single lab result isn't enough. Your physician confirms it with repeat early-morning testing and looks at the whole picture, including sleep, weight, thyroid and metabolism, before recommending treatment.
Common symptoms and concerns
- Low drive or libido
- Losing muscle or strength despite training
- Weight gain, especially around the waist
- Low energy, low mood or irritability
- Slower recovery after exercise
How your physician evaluates it
- Total and free testosterone, measured on two separate early mornings
- Estradiol, SHBG and other hormones as needed
- Blood count, including hematocrit
- PSA when appropriate for your age and history
- Blood sugar, cholesterol and other metabolic markers
Treatment
If your labs and symptoms confirm low testosterone, your physician will explain the options, benefits and risks, including the effect testosterone therapy can have on fertility. Treatment, if you choose it, comes with a fixed schedule of follow-up labs and dose adjustments. If your levels are normal, your physician keeps looking for the real cause.
Every plan starts with your baseline lab panel and a full evaluation with Dr. Chaniotakis. See how care works and what membership costs.
Treatment is always decided by a licensed physician after an evaluation and lab work. Not everyone is a candidate for every treatment, and individual results vary.
Example: how an evaluation works
Illustrative example, not a real patient. It shows how the process works, not a promised result.
A 47-year-old man told his testosterone is low
He has low drive and has gained weight around the waist. One test from another clinic, drawn in the afternoon, came back low.
- Testosterone is re-measured on two separate early mornings, along with SHBG, estradiol and a blood count.
- Sleep, weight, alcohol and medications are reviewed, because each can lower testosterone.
- Snoring is screened for, since untreated sleep apnea is associated with lower testosterone.
- If low testosterone is confirmed, the physician explains the options, benefits and risks, including the effect on fertility. If levels are normal, the physician looks for the real cause.
- Any treatment comes with a schedule of follow-up labs and dose reviews.
Clinical guidelines on this topic
This page draws on published clinical practice guidelines, including:
- Endocrine Society. Testosterone Therapy in Men With Hypogonadism: Clinical Practice Guideline. Journal of Clinical Endocrinology & Metabolism, 2018.
- American Urological Association. Evaluation and Management of Testosterone Deficiency: AUA Guideline. Journal of Urology, 2018.
Other conditions we treat
Is this a testosterone clinic?
No. Testosterone therapy is one treatment we offer, prescribed only when your symptoms and repeat morning labs confirm it's needed. Many members are treated for something else entirely, like sleep, stress, thyroid or sexual health.
Do I ever have to come in?
Visits happen by secure video, from home or the office, and labs are drawn at a lab location near you. Some treatments may require an in-person exam; if yours does, your physician will tell you and we'll arrange it. Care is available to adults in Florida.
What if my labs come back normal?
Then your physician keeps looking for what's actually behind how you feel, and tells you honestly if medication isn't the answer. You're paying for a doctor's judgment, not a prescription.
Schedule your physician evaluation
Appointments are booked through our secure patient portal. Your health information is collected there, never through this website.