Testosterone Replacement · Provider-guided
Testosterone replacement, by the numbers
Testosterone cypionate, prescribed only when two early-morning blood tests confirm your level is low and your symptoms fit. Dosed to your labs, re-checked on a schedule, by the same provider every time.
How it works
What TRT is, in plain terms
Testosterone replacement gives your body testosterone from outside. Your brain notices and turns down its own signal to the testicles, so they make less testosterone and less sperm. Your level is now set by your dose, which is why the labs matter.
- Replaces, doesn’t stimulateYour blood level comes from the medication. Enclomiphene does the opposite: it turns up your own production.
- Fertility dropsSperm counts fall on TRT, sometimes for a long time after stopping. If you may want children, enclomiphene is usually the better place to start, and we’ll say so.
- A controlled substanceTestosterone is Schedule III. That means a DEA-registered prescriber, a check of Florida’s E-FORCSE database before every prescription, and no early refills.
Who it’s for
Men with symptoms of low testosterone whose level is low on two separate early-morning blood tests. Low energy alone has many causes, and testosterone is only one of them.
The FDA has not established that testosterone is safe and effective for low levels caused by aging alone. When your numbers are low, we look for the reason before we treat it. If your levels are normal, we’ll tell you, and we won’t sell you a prescription.
What's included
What $129 a month covers
Your testosterone
Testosterone cypionate from a state-licensed pharmacy, with syringes and needles, shipped discreetly.
Lab review
Your provider reads every result and acts on it, before you start and at every re-check.
Dose adjustment
Your dose is set and tuned to your levels, your blood count and how you feel, not a fixed protocol.
Unlimited messaging
Questions about your treatment answered by the same provider who prescribes it.
Bloodwork
Dosed to your labs, not a protocol
TRT starts with bloodwork and stays on it. We order what’s needed before you start and on a schedule after, and your provider reads every result before anything is prescribed or adjusted. Our at-home lab panels are one way to get it done without a trip to a draw site.
Before you start: two early-morning total testosterone levels on separate days, LH, a blood count with hematocrit, and PSA if you’re over 40. Prolactin as well if your LH is low.
On treatment: testosterone and hematocrit re-checked about three to six months in, then at least once a year, more often if a number moves the wrong way.
If your results are normal: we tell you, look at what else could explain how you feel, and you don’t pay for a prescription you don’t need.
Care that remembers you
Because the same provider guides your plan each time, it builds on what’s working for you, not a new questionnaire with a new stranger every visit.
What to expect
Measured, then adjusted
Getting started: complete an evaluation and your baseline labs. Your provider reviews both before anything is prescribed.
The first months: your provider sets a starting dose and shows you how to inject it. Levels settle over weeks, so the first follow-up labs decide whether the dose changes.
Over time: periodic labs keep the plan honest. If your blood count climbs, your blood pressure rises or your numbers point to something else, such as sleep apnea or thyroid disease, we act on it rather than refill and move on.
Important safety information
What to know before starting
This is a summary, not a substitute for the guidance your provider and pharmacy will give you. Read all materials that come with your medication.
⚠ Safety & who should talk to a provider first
Not FDA-approved when compounded: compounded testosterone cypionate is prepared by a state-licensed pharmacy for one patient at a time and is not reviewed by the FDA for safety and effectiveness.
Who it isn’t for: men with prostate or breast cancer, men trying to conceive, and men whose testosterone is normal. Untreated severe sleep apnea, a high hematocrit, or heart failure that isn’t stable need to be addressed first.
Blood pressure: testosterone can raise blood pressure, which can raise the risk of heart attack and stroke. We ask you to check it.
Thicker blood: testosterone raises red blood cell counts. A hematocrit that climbs too high raises clot risk, which is why it’s re-checked. Get care right away for chest pain, shortness of breath, or pain and swelling in one leg.
Fertility: TRT lowers sperm count and can cause infertility that lasts after stopping.
Misuse: testosterone is a controlled substance with abuse potential. Taking more than prescribed can cause serious heart, liver and mood problems.
Common side effects: injection-site soreness, acne, oily skin, fluid retention, breast tenderness, and mood changes. Persistent or severe symptoms are a message-your-provider situation.
Questions
TRT FAQ
How much does TRT cost at DonoMed?
$129 a month. That covers your testosterone cypionate, injection supplies, provider evaluation, dose adjustment, unlimited messaging about your treatment, and discreet shipping.
Do I need labs?
Yes, before you start and while you're on it. Low testosterone is diagnosed from two early-morning blood tests on separate days together with symptoms, not from symptoms alone and not from one test. Follow-up labs check your level and your blood count.
How is TRT different from enclomiphene?
TRT replaces testosterone from outside, which shuts down your own production and lowers sperm count. Enclomiphene raises your own production instead, keeps fertility intact, and isn't a controlled substance. If you may want children, enclomiphene is usually the better first step.
Can testosterone be prescribed by telehealth in Florida?
Yes. Testosterone is a Schedule III controlled substance, and Florida law allows Schedule III medications to be prescribed through telehealth. We check Florida's E-FORCSE prescription database before every prescription, as state law requires.
How is it taken?
As an injection you give yourself, on the schedule your provider sets. We show you how and send the syringes and needles with your medication.
Will it help with energy, libido, or body composition?
Those are the reasons men usually seek treatment, and correcting a low level can support them, but results vary and depend on where your levels started and what else is going on. Your provider sets expectations from your labs, not from marketing.
What happens if I stop?
Your level falls back toward where it started, and your own production can take months to recover. Tell your provider before you stop so the plan can be adjusted.
Can I use insurance?
No. We don't bill insurance for our care or for the medication. Many patients use an HSA or FSA, and we provide an itemized receipt.
Available to adults 18 or older who are physically located in Florida. Lab work is billed separately from the $129 monthly price. DonoMed TRT patients receive 20% off any DonoMed at-home lab panel with code TRT20 at checkout.