Testosterone is the primary male sex hormone responsible for muscle mass, bone density, energy levels, mood, and sexual function. While testosterone naturally declines with age, some men experience a deficiency that can impact their overall well-being.

There is no consensus as to what level of testosterone should be considered low. The current guidelines suggest 300 ng/mL is the threshold. This means that, according to guidelines, a symptomatic man with a total T of 301 ng/mL does not have low T, and a man at 299 ng/mL does. One can see the problem with strictly following the guidelines.

With libido (low sex drive) being the most common symptom, low testosterone symptoms can be the following:

- Decreased muscle mass

- Decreased bone density

- Mood swings

- Lack of energy

- Increased body fat

- Fatigue

Testosterone Replacement Therapy (TRT) can help men experiencing low testosterone (Low T) regain vitality. Symptoms of Low T include fatigue, decreased libido, brain fog, weight gain, and loss of muscle mass. TRT can improve energy levels, mood, strength, and overall quality of life.

The first thing to identify is if your hormones are not optimal. At Southern Vitality, after our initial consultation, we require labs to be drawn for specific markers. After looking over labs, your current lifestyle, and other factors, we determine together a personalized treatment plan that not only could include hormone replacement, but also vitality optimization with peptides, supplements, weight loss plans and diet.

If you’re experiencing symptoms of Low T, a simple blood test can determine your levels. At Southern Vitality, we provide expert evaluation and personalized treatment plans to help you feel your best. Because Low T can be so easily and successfully treated, it is imperative that men who have one or more of the characteristic symptoms undergo evaluation and testing.

TRT involves supplementing testosterone through injections, gels, or other forms to restore optimal levels. Regular monitoring and blood work ensures safety and effectiveness while

minimizing side effects.

In many cases, yes. In the real world, men can have the hallmark signs and symptoms of low T at levels well above the low threshold. At Southern Vitality, symptoms and comprehensive labs are considered together to create an optimal treatment plan. Our goal is to optimize your levels which means a range of 600-1200ng/mL for most men. Moreover, free testosterone being at optimal levels (20-30ng/dL) is our main goal and there are several factors that can influence free T.

Like any medical treatment, TRT can come with some potential side effects. Common side effects include acne, breast enlargement, swelling in the ankles or feet, and an increase in red blood cell count. Some men might experience changes in mood or behavior. There can be a decrease in testicular size and sperm production, affecting fertility. It's essential to have regular check-ups and blood tests while undergoing TRT to monitor your health and adjust dosages as needed. Our team at Southern Vitality is committed to providing personalized care to minimize side effects and enhance your overall vitality. If you have any concerns or experience any side effects, please contact your provider immediately.

TRT does involve some risks. Some of the major theoretical risks have recently been disproven. Both major risks and minor side effects can be mitigated or altogether avoided. Symptoms and blood work will be monitored closely to make adjustments where needed.

Major risks:

• Elevated hematocrit could cause a blood clot, but studies are inconclusive. There are ways to lower the hematocrit if needed.

• Theoretical acceleration of prostate cancer (Most recent studies do not show a correlation of increased testosterone and incidence of prostate cancer)

• Possible increase in cardiovascular events (Most recent studies, such as the TRAVERSE trial, do not show a correlation of increased testosterone and cardiovascular events.) You can find a copy of the traverse trial, here.

While erectile dysfunction can be caused by several different reasons, we would require lab testing to rule out low testosterone as one factor. Partnering alongside you, we personalize treatment plans to assist with erectile dysfunction and sexual health.

Low testosterone causes a drop in energy due to its relationship with the red blood cells. Therefore, it's common for men with low testosterone to struggle with motivation, energy and the ability to lose weight. Here at Southern Vitality, we partner with you to optimize not only your hormones, but a weight loss plan that's perfect for you.