Real testosterone cypionate. Comprehensive lab panels. Physician-supervised dosing. $199/mo all-inclusive. Energy, mood, and libido commonly stabilize within 3–6 weeks of starting. Individual results vary.
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Slide to compare your current total testosterone to optimal ranges.
350ng/dL total T
1001200 ng/dL
Your Range
Low (Candidate for TRT)
Typical symptoms: fatigue, low libido, brain fog.
Reference ranges vary by lab. Always confirm with bloodwork before treatment.
Quick Answer
Testosterone Replacement Therapy (TRT) uses pharmaceutical-grade testosterone, most commonly testosterone cypionate 200 mg/mL, to restore total T to optimal range in men with biochemically confirmed low T. Typical dosing: 80-200 mg weekly via subcutaneous or intramuscular injection, calibrated to total T, free T, SHBG, and estradiol labs. Standard symptoms screened: low energy, low libido, brain fog, poor sleep, and reduced morning erections.
Step 1 of 4 · Choose your path
TRT or enclomiphene? It depends on fertility.
OPTML offers both. Your provider helps you choose based on labs, age, and whether you want to preserve fertility now or later.
Injection
Boosts testosterone directly.
Exogenous testosterone delivered via injection to raise total T levels quickly and predictably.
Direct hormone replacement
Fastest path to optimal range
Suppresses natural T production
Not for men planning pregnancy
Oral pill
Stimulates your body's natural T.
Encourages your body to produce its own testosterone while helping preserve fertility.
Endogenous T production
Fertility-preserving
Once-daily oral capsule
Best for men under 40 or planning to conceive
OR
Option 1 · Most popular
TRT · Direct replacement
Testosterone cypionate
Pharmaceutical-grade testosterone, weekly subcutaneous injection. Fastest, most predictable T elevation.
Total T rises within 24-72 hours of first dose
Suppresses fertility — best for men done with childbearing
Standard maintenance: 80-200 mg/wk calibrated to labs
From intake to first injection in 2-3 days. No in-person visits. No insurance needed.
Step 1 of 5
What are you trying to optimize?
Energy & drive
Strength & recovery
Body composition
Mood & focus
Continue →
1
Start your online visit
Answer a few questions about your symptoms, history, and goals, all online—no in-person doctor's office visit necessary.
2
Provider evaluation
A U.S.-licensed physician reviews your intake and labs (Total T, free T, estradiol, SHBG, PSA, CBC, metabolic), then prescribes the right protocol, if appropriate.
3
Personalized plan
Testosterone cypionate, syringes, alcohol pads, and sharps bin arrive in 2–3 days. Dose tailored to your range and tolerance.
4
Ongoing support
Message your provider anytime. Re-checks at week 6 & 12 keep dose dialed for optimal range and safe hematocrit.
Your numbers guide this protocol. Not a subscription timer.
A recommended monitoring schedule across your first 12 weeks, with every lab reviewed by a U.S. licensed physician. The difference between hormone therapy and a vial in the mail.
This describes the OPTML monitoring and care schedule. It is not a description or prediction of treatment results, which vary by individual and are evaluated by your physician. Compounded medications are not FDA-approved.
Step 4 of 4 · Start treatment
Transparent pricing. No surprises.
Physician consult, medication, syringes, and ongoing monitoring included. Labs available as a separate add-on.
Physician-directed care
A U.S.-licensed physician personally reviews every order before anything is prescribed.
Yes, TRT requires confirmed low testosterone (typically two morning labs below 300 ng/dL, or symptomatic men with free T in the low quartile). We order a comprehensive panel including total T, free T, estradiol, SHBG, PSA, CBC, and a metabolic panel.
TRT therapy requires ongoing safety monitoring. Your OPTML physician orders baseline labs, reviews them, redraws at week 6 and week 12, and monitors hematocrit, estradiol, lipids, and PSA on an ongoing schedule. Compounded medications are not FDA-approved. Individual results vary.
TRT suppresses the HPG axis and typically reduces sperm production. If fertility preservation is a priority, we offer Enclomiphene, which raises natural testosterone without suppressing fertility, or combination protocols with hCG.
We primarily prescribe testosterone cypionate as a subcutaneous or intramuscular injection, typically weekly or twice-weekly. Some patients prefer creams or pellets; speak with your physician about alternatives.
Common (>10%): acne or oily skin (especially the first month), mild fluid retention, increased red blood cell count (monitored with quarterly labs), injection-site discomfort. Most are mild and resolve as your hormones reach steady-state.
Less common (1-10%): mood changes (rare with proper dosing), headache or sleep disturbance, mild breast tenderness (managed with anastrozole if needed), reduced sperm count / fertility (consider enclomiphene if planning kids). Dose adjustment or estradiol management usually resolves these.
Rare but serious (<1%): polycythemia (high hematocrit, managed with blood donation if needed), worsening sleep apnea, edema in patients with heart or kidney disease, gynecomastia with poor estradiol control.
Not appropriate if you have: active prostate cancer or untreated severe BPH, active breast cancer (in men), hematocrit > 54%, untreated severe sleep apnea, or you are trying to conceive (consider enclomiphene).
Call your provider right away for chest pain, severe headache, sudden vision changes, or trouble breathing. We recommend quarterly hematocrit, PSA, and estradiol monitoring.
OPTML currently services all 50 states with licensed telehealth physicians. Some states require additional documentation, we'll let you know during intake.
Indication
OPTML prescribes testosterone replacement therapy only for adult men with clinically confirmed hypogonadism, evidenced by lab-confirmed low testosterone and clinical symptoms. We do not prescribe testosterone for athletic performance, bodybuilding, or aesthetic purposes.
Important safety information
Testosterone is a controlled substance with real contraindications. Read the full eligibility, side effects, and warnings before starting. Not appropriate for men with prostate cancer, untreated severe sleep apnea, uncontrolled heart failure, or hematocrit above the upper reference range.
Stop feeling like a shell of yourself.
Labs ordered same-day. Physician reviews your intake before approval. First shipment in under a week from approval.
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