Benefits
Weeks 3 to 6: desire and mood lift, morning erections return. Weeks 6 to 12: energy, motivation, sleep. Months 3 to 6: muscle, strength, less belly fat, better blood sugar. Most men describe it as feeling like themselves again.
Risks
Thicker blood (checked every few months; donating blood fixes it). Lower sperm count and smaller testicles (your own production shuts off; enclomiphene or HCG protects it). Acne, oily skin. Water retention early. Possible faster hair thinning if you are prone. Breast tenderness if estrogen climbs. Prostate and heart risk are debated; we check PSA and discuss history.
Forms
Weekly or twice-weekly injections at home (most stable), daily gel, or pellets. We teach the injection and a nurse can do the first one.
Monitoring
Labs at 6 weeks, 3 months, then every 6 months: testosterone, estradiol, blood count, PSA, lipids. All drawn at your home.
Cost
TRT and enclomiphene are each $199 a month, with the labs drawn at your home. Every prescription at Zen IV Spa is written by a licensed provider under our medical director after a free video consultation. Medication ships to your door anywhere in New York or New Jersey, and a nurse can come to your home for labs or a first dose.
Common Questions
Is TRT for life?+
Usually, if the cause is age. Fixable causes (weight, sleep apnea) can let some men stop.
Will I lose fertility?+
Sperm count drops on TRT. If you want children, enclomiphene or HCG with TRT is the plan.
Does TRT cause heart attacks?+
Large recent trials did not show an increase in properly monitored men with low T.
All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.