Testosterone therapy for men, done right.
Low testosterone addressed at the root—optimized thoughtfully, with your metabolic and cardiovascular health in view, not just a single number on a lab.

The “normal” range for testosterone is enormous—and it has quietly drifted downward as the population has. Being told you’re “in range” says almost nothing about whether you feel like yourself. We start with your symptoms—energy, drive, mood, recovery, focus, body composition—and optimize from there.
Testosterone optimization isn’t about chasing one lab value. It’s about restoring how you function, while keeping your metabolic and cardiovascular health squarely in view. That’s the difference between a number on a page and a plan built around you.
Optimized at the root—not by a single number.
Beyond one number
Two men with the same testosterone level can feel completely different. Symptoms, not a single lab, lead the way—then comprehensive testing fills in the picture.
Bioidentical & individualized
We use bioidentical testosterone, often individually compounded, so the delivery and dose fit you—rather than a one-size-fits-all product dosed down for the “average” man.
Metabolic & cardiovascular first
Low testosterone rarely travels alone. We look at insulin resistance, inflammation, and cardiovascular risk as part of the same plan—because optimizing one system shouldn’t neglect another.
Monitored over time
Real time with the same clinician, and follow-up labs that let us fine-tune as you improve—not a prescription handed off and forgotten.
Andropause is real—and treatable.
The gradual decline men experience with age isn’t something you simply have to accept. When symptoms and testing line up, thoughtful optimization can bring back energy, drive, focus, and recovery.
We do it carefully and transparently: real evaluation, honest conversation about benefits and trade-offs, and monitoring throughout—delivered by secure telehealth, on your schedule.
Getting started
Your initial consultation is $350—and it’s really two appointments in one. First is an in-depth visit (about 90 minutes) where Luke Swift, DNP, reviews your full history, symptoms, and goals. He then orders comprehensive labs, and you return for a second visit to review those results together and map a plan. Both visits are included in the single fee.
Testosterone therapy, answered plainly.
Do I need testosterone therapy if my labs are “normal”?
Maybe. The reference range is wide and has trended downward over the years, so being technically in range does not mean you are optimized. We lead with your symptoms, then use comprehensive testing to decide together whether optimization makes sense for you.
Is testosterone therapy safe for the heart and prostate?
When testosterone is optimized and monitored appropriately, recent large trials have been reassuring about cardiovascular safety, and modern evidence does not support the old fear that testosterone causes prostate cancer. Safety always depends on your individual history and careful monitoring, which is exactly how we practice.
Injections, creams, or another option?
There are several ways to deliver testosterone, each with trade-offs. We match the approach to your body, your goals, and your preferences, often using individually compounded bioidentical testosterone, rather than defaulting to a single product for everyone. Specific dosing is decided one-on-one during your care.
Will testosterone therapy affect my fertility?
It can. Exogenous testosterone can lower sperm production, so if fertility is a current or future priority, tell us up front. There are strategies to keep that in mind, and we will factor it into your plan from the start.
Related care
BHRT for Women
Bioidentical estrogen, progesterone, testosterone, and thyroid for perimenopause and menopause—optimized to how you feel.
Learn more →ServicesRegenerative Medicine
NAD+, low-dose naltrexone, methylene blue, peptides, and more—tools that work at the cellular level.
Learn more →ServicesGender-Affirming Care
Compassionate, evidence-based gender-affirming hormone therapy with careful monitoring throughout.
Learn more →ServicesMetabolic Psychiatry
Mental health is metabolic health—we target the energy, inflammation, and hormones underneath mood and focus.
Learn more →Ready to feel like yourself again?
Book a virtual consultation and we’ll build the plan around you—your symptoms, your labs, your goals.