General Questions

If you are a new patient, and you haven’t completed the new-patient paperwork, please arrive 30 minutes early to complete it. Please bring your picture identification and your most current insurance card to your first visit.

How frequently you need to come to Key T Wellness depends on how you need to be treated. For men with Low T, weekly visits are needed to maintain adequate hormone levels, but they’re usually very quick—much faster than the first visit. Remember, stopping treatment for Low T will mean testosterone levels will drop, and you’ll go back to where you started.

For hormone replacement for women, the frequency of visits may vary, though Key T Wellness will need regular visits to monitor hormone levels. For weight loss and aesthetic care, frequency of visits depends on the particulars of your program, which is tailored to your needs.


Low T (Testosterone) - Men

The benefits of testosterone replacement therapy (TRT)—and when and how much they affect you—differ from one individual to the next.  However, the first benefits men tend to see are increased energy, motivation and mental clarity which are usually seen around week 4.  Shortly thereafter, improved sleep quality and then increased libido (Sex drive) is usually noticeable by week 6 of treatment.  In subsequent weeks, most men report improved focus, better mood and even improved muscle mass.  It has, however, taken six weeks or more for some men to start noticing the benefits of treatment, so it’s important to not get discouraged and to be patient while your body’s physiology adapts with dosing adjustments.  You didn’t get that way overnight and we certainly can’t return your more youthful feeling overnight either.  Additionally, research supports some individuals seeing benefits far into their treatment program, as far as 1 year out from onset of treatment.

Low levels of testosterone in men can affect a man in the following ways:

– Loss of sexual interest and function
– Erection problems
– Increased breast size
– Hot flashes
– Problems with memory and concentration
– Mood problems such as irritability and depression
– Smaller and softer testicles
– Loss of muscle strength and weakened bones

Research has shown that nearly 40% of men over age 45 have a low toal testosterone (TT) or low calculated FREE T (cFT) blood levels.

Men with very low testosterone (Low T) also are more likely to become obese and more likely to develop other comorbid conditions like Type 2 Diabetes Mellitus, heart disease, dementia, certain types of cancers, etc.  Let’s face it, obesity, as we all know can lead to a plethora of illnesses and other comorbid conditions that shorten lifespans.  Those who are much more active and maintain a higher amount of muscle mass will likely have higher levels of serum Testosterone levels according to several studies.  There is still yet much to learn as we have only scratched the surface on how Testosterone impacts the human body, but we know the benefits FAR outweigh the risks based on our knowledge and the proven science out there thus far.  Get tested today and know your levels (TT and cFT) so that we may return them to OPTIMIZED and THERAPEUTIC levels once again.  You deserve it!

For a reasonably healthy man, having no interest in sex is not normal. As a man ages, it is natural for him to have less interest in sex than when he was younger. A gradual decrease of testosterone is normal as a man ages, but it is not normal for a healthy, older man, to have no interest in sex.  A man of any age who has lost interest in sex should have a frank conversation with a doctor and get his levels checked asap. Key T Wellness can get this done with a quick 20 minute in-house test and determine the possible need for treatment during the same visit.

Research has suggested that there a number of things that can affect our T levels.  Alcoholism can lower testosterone.  Alcohol is directly toxic to the testicles where testosterone is produced, and it seems to affect the release of other hormones related to men’s sexual function and fertility.  Shrunken (Atrophied) testicles are a common sign of low testosterone in alcoholic men with liver disease, as well as lower libido and sexual potency.  Enlarged breasts (Gynecomastia –“Man boobs”) are common in heavy drinkers because alcohol may help convert testosterone into the female hormone estrogen.  TBI (Traumatic Brain Injury) can also cause lower T levels due to the development of higher levels of the enzyme (Aromatase) which converts Testosterone into Estrogen.  Chronic opioid use (Pain medication use/abuse) has also been implicated in causing lower than normal Testosterone levels.  Prior NON-therapeutic use of Testosterone injection (and other androgen steroids or the like) can have a negative impact on the body’s natural ability to supply proper levels of androgenic steroids for normal body maintenance and function.  Almost all of our hormones are tightly regulated naturally by the Hypothalamus and the pituitary gland (there are some exceptions), and if the body senses higher than normal levels of a particular hormone (specifically Testosterone), the body naturally down-regulates its production and can eventually “shut off” its production or significantly “cripple” the pituitary gland from being able to do its job correctly.  If down-regulated long enough, there can be permanent damage that results.  Research continues to suggest other ways that can have a negative and profound affect on healthy T levels in the aging population that we continue to learn about and further investigate.

While nothing adverse will happen if you cease therapy, you will be returning your testosterone levels to where they were before beginning treatment. Or they could drop even lower. This means your symptoms will return. However, if you do cease treatment, you can always resume it later to restore your levels back to where you’re feeling great.

Ideally, yes. Increased testosterone levels will help to build muscle mass if you are putting in the work (eating right and exercising) but there are a number of things that need to happen for optimizing weight loss and building muscle, such as nutritional content and your specific exercise regimen.  Building muscle will help you burn more fat.  Keep in mind, though, that muscle is more dense than fat and although you may lose fat, you might at the same time gain muscle with a net ZERO weight change.  But I’m guessing most would be OK with that.  This is why we like to perform a complete a body composition analysis to see if you are gaining muscle mass or fat.  A total Body Composition analysis will tell the whole story.  A scale does not!  Try our InBody 570 total body composition analysis today.


Hormone Optimization - Women

Synthetic hormones have been studied and shown to increase risk of cancers and blood clots. They are not the same molecular make up as what your body naturally produces; therefore, they bind to the receptor sites but work on negative feedback to shut off production of your natural hormones. It is not safe to take bio-identicals while on synthetic as it can put you at further risk for an adverse event. Also hormone levels can build up in the blood to unsafe levels and cause a worse hormone imbalance.

Weight gain (temporary) and bloating are extremely common in the first several weeks of treatment. As your body gets used to hormone changes and balancing, it is common to experience water retention and bloating initially. But don’t be discouraged—you’ll start to lean out over time. Other side effects can include mood changes and nipple sensitivity. Remember, too, that we run blood tests at specific treatment intervals to evaluate levels in the context of symptoms in order to minimize side effects.


Weight Loss

Working out on HCG injections will potentially lead to excess muscle loss because of the reduced caloric and protein intake, which are important to rebuild muscle. Sweating excessively can cause an imbalance of electrolytes, which is a problem when these are not adequately being replaced.

No. Actually, your body can hold onto fat, “believing” that it’s being starved. Due to the restriction of calories, it’s important that you do not engage in intense exercise.

Some people do decide to do lighter forms of exercise, such as a brisk walk, slow jog or stretching/yoga. People feel a benefit of still staying slightly active. But be reminded that the weight may not come off as quick.

You will need to introduce more calories into your diet slowly while still following the diet’s principles of healthy food choices. Start with a low-carbohydrate, high-protein diet with no refined sugars for the first few weeks. It is important to slowly reintroduce cardiovascular exercise into your daily regimen as your body gets adjusted to all the changes, including a new metabolism.

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