Pillar 02 · Male Hormone Optimization

Testosterone is a protocol, not a product.

Physician-led TRT built around your symptoms, medical history, treatment goals, and relevant laboratory findings — including Total T, Free T, Bioavailable T, and SHBG when clinically appropriate.

TRT is a DEA Schedule III medication. Safe delivery requires baseline labs, ongoing hematocrit and PSA (prostate cancer screening) monitoring, and protocol titration by a physician who actually reads the results. That’s what the $149/month physician care fee pays for. Physician oversight from evaluation through monitoring and dose adjustments. There is no fixed-term contract. Continued prescribing requires active care, required evaluations, laboratory monitoring, follow-up, and applicable controlled-substance and clinical-safety requirements.
Professional man in blazer reviewing lab results on tablet at window, thoughtful confidence, clinical precision
Who this is for

For adults who want individualized physician-directed care.

Male Hormone Optimization is designed for patients who value continuity, appropriate laboratory monitoring, and treatment decisions based on their full clinical picture.

The 40–50-something with declining energy and recovery

Morning energy isn’t what it was. Recovery between workouts takes longer. Libido changes. Your PCP ran a single Total T and said “you’re in range.” You want a physician who orders the full panel and actually reads it.

The patient who values continuity and monitoring

You want a named physician who follows the treatment plan over time, reviews safety monitoring, and adjusts therapy when the clinical picture changes.

The patient on Metabolic who wants to preserve muscle

GLP-1 therapy reduces weight. It can also reduce muscle mass alongside fat. When TRT is independently clinically indicated, body composition and muscle health can be considered alongside metabolic treatment as part of one coordinated care plan.

The patient who wants transparent pricing

Physician fee: $149/month with no fixed-term contract. Labs: $175 initial, $75 annual. Medication is billed separately through the practice with medication management (typically about $50–80/month, depending on format and dose). Three separate line items. Every charge visible. Medication selection is based on clinical appropriateness, lawful availability, and the prescribed formulation.

The clinical approach

Labs first. Protocol second. Monitoring always.

TRT is a DEA Schedule III medication. Safe delivery requires real clinical infrastructure — documented evaluation, baseline labs that actually inform a protocol, ongoing hematocrit and PSA monitoring, estrogen management, and titration across time as your body responds. These decisions require individualized clinical judgment, appropriate monitoring, and ongoing follow-up.

Every TRT patient at Empower Med begins with the full hormone panel — Total T, Free T, Bioavailable T, SHBG (sex hormone-binding globulin) — plus the metabolic and cardiovascular baseline (CBC or complete blood count, HbA1c or 3-month glucose average, Lipid Panel, LH or luteinizing hormone, PSA or prostate cancer screening, TSH or thyroid function). The panel isn’t marketing; it’s the foundation. Your treating physician reviews the results. The protocol follows from what the labs actually say — which format, what dose, what adjunctive therapy fits your specific picture.

“When TRT is independently clinically indicated, metabolic and hormone care can be coordinated as parts of one treatment plan.”

For patients already receiving Metabolic Optimization, TRT may be coordinated in parallel when it is independently clinically indicated, allowing your treating physician to consider both treatment plans together.

Delivery formats

Three formats. No pellets.

Every protocol is matched to the patient — clinical fit, lifestyle, absorption pattern, and patient preference. FDA-approved commercially manufactured testosterone products are considered when clinically appropriate. When a compounded formulation is selected for an individualized clinical need, it is sourced through a licensed compounding pharmacy. Compounded preparations are not commercially manufactured drug products. They are not FDA-approved, and FDA does not review them for safety, effectiveness, or quality before marketing.

FDA-approved or compounded · Injectable

Testosterone cypionate

Commercially manufactured FDA-approved testosterone cypionate and, when an individualized clinical need supports it, compounded injectable formulations may be considered. Any compounded injectable is identified as compounded and is not a commercially manufactured drug product.

Topical

Compounded cream

Daily application to absorption site. Good option for patients who prefer a daily routine over weekly injection. Custom-compounded concentration in a 30 mL tube. Skin-transfer precautions required.

Sublingual

Compounded SR troche

Dissolves under the tongue once daily. No injection, no skin-transfer risk. This compounded, customizable formulation is not a commercially manufactured drug product and is not FDA-approved.

Adjunctive therapy (as indicated)

Managed as part of the protocol, not as add-ons.

Adjunctive medications are selected based on your labs and clinical picture — not added as upsells. TRT physician care includes appropriate adjunctive management.

  • Anastrozole Estrogen control when E2 trends high
  • Enclomiphene LH/FSH support (stimulates luteinizing and follicle-stimulating hormones to preserve natural testosterone production)
  • Gonadorelin Testicular function preservation
Required labs

The panel the protocol depends on.

Labs are ordered through Empower Med and billed at the published patient price, itemized separately from physician care.

  • Initial panel$175 patient price
  • Testosterone FBT,MS Total T, Free T, Bioavailable T, SHBG
  • CBC · HbA1c · LH Baseline + metabolic + HPG axis
  • PSA · TSH · Lipid Panel Age-appropriate safety + monitoring
  • Annual monitoring$75 · LH, PSA, Lipid Panel, Testosterone Total MS
Pricing transparency

What TRT actually costs at Empower Med.

Physician fee. Labs. Medication. Three separate line items. You see all of them.

Begin care
$149 physician feeInitial labs are $175; an eligible $165 credit may apply
Continue care
$149/monthOngoing physician-directed care
Billed separately
Labs + medicationAnnual labs $75; medication typically about $50–80/month
Commitment
No fixed termContinued prescribing requires active care and required monitoring
Available credit
Up to $165Eligible Male Hormone lab purchase applies toward TRT

Empower Med itemizes physician services, laboratory charges, and medication costs. Here’s the full breakdown:

Physician care feeInitial evaluation, protocol design, dose titration, ongoing async messaging, adjunctive therapy management, all ongoing clinical care. $149/ month
Initial lab panelTestosterone FBT,MS (Total T, Free T, Bioavailable T, SHBG), CBC, HbA1c, LH, PSA, TSH, Lipid Panel — with written physician interpretation. $175one-time
Annual monitoring labsLH, PSA, Lipid Panel, Testosterone Total MS. $75/ year
Testosterone cypionateMedication is billed separately through the applicable dispensing pathway. A compounded formulation is used only when clinically appropriate and lawful. ~$50–80/ month

All-in: approximately $215–235/month in year one. Approximately $215/month after that.

Started with a Male Hormone lab panel? Your first TRT month is on us.

Patients who previously purchased the Open-Access Male Hormone Lab panel and are now beginning TRT care receive a $165 credit against their first month of physician care. Your first $149 month is covered in full; the remaining $16 rolls to your next billing cycle. The lab purchase serves as your clinical entry point — your prior investment in understanding your testosterone picture is credited directly toward treatment.

What the $149 covers

The physician care fee covers individualized evaluation, laboratory review, treatment planning, and ongoing clinical adjustments. Your treating physician maintains the licensure and registrations required for the care provided. The clinical team helps connect you with the appropriate physician and next step.

What the $165 covers

The most comprehensive testosterone panel available — Total T, Free T, Bioavailable T, SHBG — plus the full metabolic and cardiovascular picture a responsible protocol requires. Written physician interpretation is included. This isn’t a self-serve lab order. A physician reviews and explains every result.

What the medication cost covers

The medication selected for you is based on clinical appropriateness, route, dose, safety, and patient preference. FDA-approved products are considered when appropriate. If a compounded formulation is used for an individualized clinical need, it is sourced through a licensed compounding pharmacy and billed separately from physician services. Line items are separate on your statement so you see exactly what you pay for clinical oversight versus medication.

“Personalized care, with physician oversight as your needs evolve.”

Ongoing physician oversight, appropriate safety monitoring, and treatment adjustments based on your clinical response.

Request a Consultation

Or reach out directly — info@empowermed.us · (571) 293-6244