Testosterone Replacement Therapy (TRT)
Reclaim Your Strength, Stamina & Focus
Low testosterone affects how you feel, perform, and recover. Our medically supervised TRT program restores your hormone levels with personalized protocols, a focused hormone lab panel, and ongoing optimization from our clinical team.
- Lab work included (panel personalized to your intake)
- Focused hormone axis testing
- 60 min provider evaluation
- Fully personalized treatment plan
Recognizing the Signs and Symptoms of Low Testosterone
Low T doesn't always look the same. Some men feel it gradually over years. Others notice a sudden shift. If any of these sound familiar, your hormones may be the missing piece.
Your Symptoms Aren't Random
Testosterone declines 1-2% per year after age 30, and that decline is accelerating across generations. A population-level study in JCEM found that today's men have significantly lower testosterone than men the same age 20 years ago, independent of aging. Stress, metabolic dysfunction, poor sleep, and environmental factors are compounding the problem.
Not Just TRT. Root-Cause Hormone Care.
Most clinics test total testosterone, prescribe a standard dose, and move on. We treat the reason your testosterone is low -- not just the number. Your protocol follows Endocrine Society guidelines and is built around your labs, symptoms, and goals. Whether your protocol uses testosterone injections or another delivery method, dosing is guided by your labs and adjusted over time.
Backed by the Testosterone Trials (NEJM) and the TRAVERSE cardiovascular safety trial (NEJM, 2023).
Focused Hormone Evaluation
Your journey starts with a focused hormone evaluation. We test what matters, explain what it means, and build a plan around your goals.
Purchase Your Evaluation
Select the Focused Hormone Evaluation package. Includes an HPG-axis hormone panel personalized to your intake, a 60 minute evaluation with one of our providers, and your personalized optimization plan.
Complete Lab Work
Receive a Labcorp requisition with clear instructions. Walk into any Labcorp location at your convenience. Results typically come back within a few business days.
Review with One of Our Providers
Meet via telehealth or in-clinic. Your clinician reviews every marker, explains what your numbers mean, discusses your goals, and finalizes your personalized TRT protocol.
Begin Treatment
Your evaluation results, labs, and treatment plan are yours to keep. Most patients continue with a membership for ongoing prescriptions, monitoring, and protocol adjustments with the Asymmetric Health team.
Choose Your TRT Evaluation
Pick the eval that fits the depth of your goals. Both include advanced lab work and a personalized treatment plan.
For testosterone, menopause/BHRT, erectile dysfunction, or thyroid concerns.
- Lab work included (panel personalized to your intake)
- Focused hormone axis testing
- 60 min provider evaluation
- Fully personalized treatment plan
A broader endocrine and metabolic assessment for patients with multiple concerns or complex symptoms.
- Lab work included (multi-axis panel personalized to your intake)
- Multi-axis hormone testing (HPA, HPG, thyroid)
- Cardiometabolic and nutrient screening
- 90 min provider evaluation
We Test 40+ Markers.
Not Just Total T.
The Endocrine Society and AUA both recommend a focused hormone work-up before starting TRT, not just a total T draw. Most clinics skip the surrounding markers. We don't.
Plus 30+ additional markers reviewed during your evaluation.
Labs processed through Labcorp. Walk-in at any location. Results typically come back within a few business days.
What Patients Say About Testosterone Replacement Therapy
Appreciate the clear path laid out to get to a more healthy me. I feel confident in reaching my goals.
Dr. Strand does a great job making sure your body is running strong for the long run.
Asymmetric Health is a top-tier practice in health and wellness. Dr. Strand is highly skilled, sharp, empathetic, and a thorough provider.
Dr Strand's straightforward, detailed explanation of the process, lab results and plan were phenomenal.
He explains things clearly and thoroughly, never rushing, and makes sure you understand both the "why" and the "what" behind your care.
I'm 75 years old and have dozens of doctors in my life. Dr Strand has been a life-line for me. I can not overstate this doctor's ability.
I've noticed significant improvements in my energy, mood, and overall well-being. I've referred multiple people to this clinic.
Four months later, I've dropped over 30 lbs and feel like I'm genuinely on the right trajectory.
Dr. Strand makes the process simple and easy to follow. He takes the time to walk you through every step.
Broke down and explained every piece of the process to make sure I had a good understanding and felt comfortable.
This is my fourth TRT provider and the first one where I feel I receive the necessary attention and the medical knowledge to optimize my results.
The detail he goes through with you on your lab work is awesome!
I don't think I have had a health care professional actually listen to me in at least the last 20 years.
Great experience with Asymmetric Health.
The doctor explained everything clearly, discussed my options and answered all my questions.
Doctor is knowledgeable and cares about my health.
Keep Exploring TRT
Guides, articles, and screeners to go deeper on testosterone therapy.
What testosterone does, low-T symptoms, and what to expect.
Evidence-based gains in energy, muscle, focus, and sleep.
What to look for and when it is worth testing.
What to expect from TRT, BHRT, GLP-1, and peptides — and how we monitor it.
A 2-minute symptom check for low T.
Step-by-step intramuscular injection instructions.
Step-by-step subcutaneous injection instructions.
Downloadable PDFs for hormones, peptides, GLP-1s, and more.
Get the free Testosterone Therapy Guide
A plain-English guide to how low testosterone is properly diagnosed, what testosterone therapy involves, and how treatment is monitored over time.
- How low testosterone is actually diagnosed (and the labs that get missed)
- What a structured evaluation looks like
- What to expect once treatment starts, including monitoring
- Questions worth asking before you begin
Enter your email and we'll send the guide straight to your inbox.
Frequently Asked Questions About TRT
How do I know if I have low testosterone?
Symptoms like persistent fatigue, low libido, difficulty building muscle, brain fog, and mood changes are common indicators. But symptoms alone are not enough for a diagnosis.
The Endocrine Society guidelines recommend confirming low testosterone with at least two morning blood draws showing total testosterone below 300 ng/dL, along with evaluation of free testosterone, SHBG, and LH/FSH to determine the underlying cause. Take our free Low T screening quiz as a first step.
Is testosterone replacement therapy safe?
The TRAVERSE trial, published in the New England Journal of Medicine in 2023, was the largest randomized cardiovascular safety study of TRT ever conducted. It found no increased risk of major adverse cardiac events in men with hypogonadism.
That said, TRT does require ongoing monitoring. Your clinician tracks your hematocrit (red blood cell concentration), PSA, estradiol, and metabolic markers at regular intervals to catch and address any changes early.
How soon will I notice results from TRT?
The timeline varies by symptom:
• Energy, mood, motivation - often within 3-4 weeks
• Libido and sexual function - typically within 6 weeks
• Body composition (reduced fat, increased lean muscle) - 12-16 weeks
The Testosterone Trials (NEJM, 2016) documented measurable improvements across all symptom domains within 12 months.
What makes your approach different from online TRT clinics?
Most online TRT clinics prescribe a standard dose of testosterone based on a single lab test. We start with a focused hormone panel covering total and free testosterone, estradiol, SHBG, LH/FSH, PSA, hematocrit, and the supporting markers needed to dose TRT safely.
Low T can also be a downstream signal of insulin resistance, thyroid dysfunction, cortisol dysregulation, or excess aromatase activity. If your symptoms or history point to a wider issue, your clinician can step you up to the Complete Hormone Evaluation, which adds multi-axis hormone, thyroid, adrenal, and cardiometabolic testing on top of the focused panel. Learn more about our root-cause approach.
Will TRT affect my fertility?
Exogenous testosterone suppresses your body's own production through negative feedback on the hypothalamic-pituitary-gonadal (HPG) axis. This can reduce sperm production.
For men who want to preserve fertility, one of our providers may include HCG in your protocol to maintain testicular function and spermatogenesis. This is discussed during your evaluation and factored into your treatment plan from the start.
Do I need to be on TRT for life?
Not necessarily. If your low testosterone is primarily driven by modifiable factors like insulin resistance, poor sleep, chronic stress, or thyroid dysfunction, addressing those root causes can sometimes restore your natural production.
For men with primary hypogonadism (testicular failure) or significant age-related decline, ongoing therapy is typically needed. The Asymmetric Health team reassesses your protocol regularly and adjusts based on your labs and how you feel.
Is TRT covered by insurance, and how much does it cost?
Your cost is transparent. It starts with a one-time Focused Hormone Evaluation ($299 - advanced labs, a 60-minute provider visit, and your plan), then a monthly membership, with testosterone and supporting medications passed through at cost with zero markup.
As a direct primary care practice, Asymmetric Health does not bill insurance for TRT, which means no surprise bills and no prior authorizations. Lab work through Labcorp may be covered by your insurance separately, and many patients use HSA/FSA funds.
Can I do this via telehealth?
Yes. Our providers see patients via telehealth anywhere in Washington state. Your lab work is completed at any Labcorp location, and your evaluation, follow-ups, and protocol adjustments are all conducted remotely. In-clinic visits are available at our Lacey, WA office for patients who prefer face-to-face care.
TRT Near You
In person from our Lacey clinic or via telehealth statewide.
Is TRT right for you?
Answer a few quick questions about your symptoms and goals. asymmetrichealth will match you to the right evaluation.