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Testosterone Replacement Therapy Los Angeles

Testosterone Replacement Therapy

Testosterone Replacement Therapy

Testosterone is the primary sex hormone in the male body, and our clinic specializes in optimizing testosterone levels and testosterone replacement therapy. The testes (testicles) produce testosterone in conjunction with the pituitary gland and are responsible for keeping our testosterone levels high.


Hypogonadism, or low T syndrome, affects aging males. This is because testosterone plays multiple roles in our bodies. Testosterone deficiency is also associated with an increased risk of heart disease and low bone density, and testosterone therapy can help decrease cardiac risk and avert osteopenia and osteoporosis.


Testosterone levels and replacement therapy can help restore low testosterone levels, increase muscle mass, decrease body fat, improve men’s health, lower sex drive, erectile dysfunction, and sexual function. Book an appointment with Dr. David Nazarian to get the best Testosterone Replacement Therapy in LA.

Signs and Symptoms of Hypogonadism in Men

This is a particularly frustrating time in a man’s life. These changes are often sudden and very uncomfortable. They usually manifest with no warning signs at all.

Causes of Hypogonadism in Men

Hypogonadism in men is usually an age-related phenomenon. But certain conditions can cause hypogonadism earlier in males and are not related to aging males, as seen in meta-analysis studies.


These conditions are related to primary testicular failure or the testicles not producing testosterone. Sometimes varicoceles which are enlargements of the veins inside the testicles, can cause a decrease in blood flow to the testes and, as a result, affect testosterone production and cause worsening symptoms of low T.


Secondary hypogonadism indicates a problem in the brain’s hypothalamus or the pituitary gland. The hypothalamus or the pituitary gland produces hormones such as FSH and LH that signal the testes to produce testosterone.

Examples of secondary hypogonadism

  • Kallmann’s syndrome

  • Pituitary disorders such as pituitary tumors

  • Inflammatory diseases such as sarcoidosis, histiocytosis, and tuberculosis affect the pituitary gland.

  • HIV and AIDS cause low testosterone levels by affecting the hypothalamus, the pituitary gland, and the testes.

  • Medications such as opiates and other drugs decrease testosterone production.

  • Obesity

  • Aging male

Diagnosis of Male Hypogonadism

Diagnosis of Male Hypogonadism

Dr. David Nazarian will first meet with you to diagnose male hypogonadism and review your symptoms, medical conditions, and history. He will then check specific blood tests, including your hematocrit, red blood cell, total testosterone, free testosterone, DHEA levels, FSH, LH, estrogen, total prostate-specific antigen and free prostate-specific antigen levels, cholesterol levels, and any other lab tests that may be helpful in the diagnosis of hypogonadism or the hypogonadal men.


He will then discuss therapy’s risks and potential benefits and decide if this treatment is right for you.

Is male menopause real?

There is a lot of debate in the medical urology community about this topic. It is not a well-defined biological process, but there is a strong correlation between symptoms and decreased testosterone levels and the effects of testosterone replacement therapy on symptoms and the aging process.


To be specific, Andropause is a condition that affects many men. And it begins during middle age for most. Men with Andropause show a distinguished drop in testosterone levels. These hormonal changes are like the ones women experience during menopause.


But men do not have a clear indicator such as the cessation of menstruation. Women do, and it marks the transition in the aging process.

A gradual decline in testosterone levels occurs in all men and is a natural part of aging. Yet, many men will experience these symptoms that affect the quality of their daily lives as they become older men.


Thus, many men seek medical help for treating Andropause by consulting with a doctor specializing in TRT or testosterone replacement. It is difficult for doctors to predict a couple of different variables. First, the timing and extent of a man’s symptoms from low serum testosterone levels. Every person’s propensity for experiencing low t syndrome is different. Knowledge about this deficiency’s causes, symptoms, and treatments can help men learn about the benefits and use of testosterone.

What does testosterone do?

Increased testosterone levels help promote a healthy transition into puberty and are responsible for transitions into manhood. The effects of testosterone include

  • Growth of the penis and testes

  • Growth of facial, pubic, and body hair

  • Deepening of the voice

  • Increase muscle mass and strong bones

  • Getting taller

This hormone continues to be produced throughout a man’s life and slows as men reach their 30s and 40s. The male body releases it gradually as we age and testosterone levels decrease. You might ask, what happens when the body produces less testosterone? Men experience the following as a result of less testosterone production:

Is testosterone replacement therapy a good idea?

Testosterone replacement therapy is an excellent idea if your levels are low and you are currently suffering from symptoms of low testosterone levels. Patients who have low T levels and do not have a contraindication for testosterone therapy will enjoy the effects of testosterone treatment on their overall health and well-being.

Our hormone doctor will caution you if you are high risk or not a candidate for replacement due to a history of cancer or other illness.

Benefits of Testosterone Replacement Therapy

  • Decrease in the aging process

  • Increase stamina

  • Increase sex drive

  • Decrease body fat

  • Increase muscle mass

  • Increase libido

  • Improved mood

  • Improved cognitive function

  • Improved bone mineral density

  • And more

Libido and erectile function

When testosterone levels are lowered enough, all men will experience erectile dysfunction and lower sex drive. Research has shown that bio-available testosterone levels in our bodies are strongly correlated with erections and sex drive.

Bone density and testosterone therapy

In both women and men, decreased bone mineral density (BMD) is one of the main symptoms of hypogonadism. Clinical research and data published in JAMA and other recognized medical literature have shown that hormone replacement therapy with testosterone has increased bone mineral density to a previously age-dependent reference range.

Body composition and muscle strength

There is also a clinical correlation between body fat composition, muscle strength, and TRT in both men and women.

Effects of testosterone on mood and cognitive function

Multiple literatures also show improvement in mood and depression and cognitive function in both males and females who undergo bio-identical hormone replacement with testosterone vs placebo.

Types of testosterone treatments

Different forms of hormone replacement therapy exist in men with low testosterone levels. These include testosterone replacement therapy using weekly intramuscular injections of testosterone cypionate, daily application of testosterone gels, or insertion of pellets. All these treatment modalities aim to replenish low testosterone levels.

What is the best form of testosterone replacement therapy?

Dr. Nazarian recommends intramuscular testosterone injections with testosterone cypionate as it has the best absorption and achieves consistent testosterone levels in the body. Its potential benefits outweigh the risk of therapy.


Testosterone cypionate is injected into the muscle. The most common areas for injection are the thigh, glutes, or deltoid muscles. Testosterone then absorbs into the bloodstream.

How often should you use testosterone replacement therapy?

Usually, once one starts hormone replacement therapy, they continue to do it for the rest of their lives unless there is an indication to stop it for some reason. Some doctors will recommend estrogen inhibitors for patients undergoing TRT. Dr. Nazarian strives to reach optimal levels of your hormones without conversion or the need for such inhibitors.

What are the benefits of testosterone injections?

A significant benefit is that injections are well absorbed and have a better success rate with maintaining stable testosterone concentrations in the body. In addition, there is no transference as seen with gels or creams.


An overall benefit is not living with the side effects of low testosterone levels and the slowing down of the aging male. Also, men express they have a stronger desire for sex. It slows the rate of hair loss. As well as having more energy and sexual stamina. Don’t let the side effects of conventional aging hinder your day-to-day life.

Testosterone Therapy Dosage

Because of the potential risks and side effects of testosterone therapy, your doctor will want to ensure you are safe on testosterone therapy and monitor your testosterone levels and other labs and symptoms. Testosterone therapy dosage depends on your total testosterone levels, free testosterone levels, DHEA levels, and more.


Monitoring and screening may include; checking testosterone levels with periodic blood tests, checking the prostate with PSA levels or digital rectal exams, and testing blood for changes in your blood chemistry and hemoglobin levels.

What are the side effects of testosterone replacement therapy?

Testosterone therapy can increase hemoglobin or red blood cell levels, specifically in patients with sleep apnea. Our program includes more frequent blood draws, specifically every 3 to 6 months, to check your baseline hematocrit, hemoglobin, testosterone levels, prostate-specific antigens, and other labs that may be affected by therapy.


Men can develop prostate cancer as they age and one of the critical labs monitored is prostate-specific antigen levels and the development of severe health issues. Testosterone therapy does not increase the risk of developing cancer. Still, it can feed into growth; thus, having a healthcare provider proficient in TRT can ensure you are safe and avoid adverse effects.

Risks of Testosterone Therapy

Testosterone replacement is overall a safe treatment if adequately treated and monitored. Our doctors will discuss the benefits and risks of testosterone replacement therapy with you during your consult. Some may experience mild side effects associated with the application or injection of testosterone, including itching, rash, or irritation at the injection site or where the testosterone is applied.


Again our doctors will monitor your blood work while receiving testosterone therapy. Certain cancers, such as prostate cancer, can feed on testosterone, and you must discontinue treatment if cancer is found in the body.

Testosterone replacement in men with Andropause

Testosterone replacement therapy in men with Andropause is very effective and beneficial. It alleviates the harmful effects of drops in testosterone levels. The preferred method of treatment is Bioidentical Hormone Replacement Therapy with testosterone cypionate.


BHRT is a hormonal therapy that uses plant-derived hormones. These are identical to the ones produced by the human body. Most research published in the journal of endocrinology, journal of urology, and the lancet look at the potential benefits of testosterone injections


Our hormone specialists perform testosterone treatment specific to each individual’s needs. In other words, hormone doctors create them for the individual patient’s needs based on their age, symptoms, and medical conditions, such as a history of type 2 diabetes, heart failure, cardiovascular events, or a heart attack.


Testosterone replacement therapy is very different from synthetic or anabolic steroids. Each of us has our unique medical condition and medical history. Dr. Nazarian ensures treatment achieves the objectives of optimal health and well-being.

Natural Testosterone Therapy

We only utilize bio-identical hormones in our practice which mimic what is naturally found and produced in our bodies.

Natural Testosterone Boosters

There are several testosterone supplements and therapies, such as Clomid (Clomiphene Citrate), that can increase your testosterone levels without taking endogenous testosterone replacement. Our doctors will also discuss these treatment options with you during your consultation.

Get The Best HRT From Dr. David Nazarian

Our doctors are highly trained in diagnosing and treating many male hormones that may be deficient or need optimization. Male hormones that our clinic treats include:

  • Testosterone
  • Thyroid
  • Pregnenolone
  • Cortisol
  • Aldosterone
  • Growth hormone
  • And more

Are you suffering from low testosterone? Many men have significant, positive outcomes with testosterone and hormone replacement therapy, and you can too!

Maintaining proper dropdown#toggle” data-dropdown-menu-id-param=”menu_term_244586171″ data-dropdown-placement-param=”top” data-term-id=”244586171″>Testosterone replacement therapy is a simple process that can restore vitality and dramatically improve the quality of your life.

For more information, please call us at +1 424-283-4273 to set up an appointment with Dr. Nazarian at our Beverly Hills office. We look forward to meeting you!

Start your hormone replacement program today and become your best self

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