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mens testosterone replacement Perfected for You

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There is no one size fits all here, there is only one size that fits you! We create individualized and customized treatment plans to fit your needs.

Find out what your Perfect Prescription looks like.

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ADAM Questionnaire Androgen Deficiency in the Aging Male

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Low Testosterone Questionnaire

The Androgen Deficiency in the Aging Male (ADAM) questionnaire is a fast way to find out if you have symptoms or signs that may be related to low testosterone. If you are concerned that your testosterone level is low, this set of ten simple questions is a good place to start.

What is Testosterone?

 Testosterone is the primary male hormone responsible for regulating sex differentiation, producing male sex characteristics, spermatogenesis, and fertility. Testosterone affects almost every tissue in the body. It is vitally important to a man’s health and well-being. It increases metabolism. It produces insulin sensitivity. Testosterone is responsible for the development of primary sexual development, which includes testicular. Testosterone is also involved in regulating secondary male characteristics, which are those responsible for masculinity. These secondary sex characteristics include male hair patterns, vocal changes, and voice deepening, anabolic effects, which include growth spurts in puberty (testosterone increases tissue growth at the epiphyseal plate early on and eventual closure of plate later in puberty) and skeletal muscle growth (testosterone stimulates protein synthesis). Testosterone also stimulates erythropoiesis, which results in a higher hematocrit in males versus females.



Testosterone Replacement

Testosterone levels tend to drop with increasing age; because of this, men tend to experience a decrease in testicular size, a drop in libido, lower bone density, muscle mass decline, increased fat production and decreased erythropoiesis, which leads to possible anemia. It is the replacing of endogenous testosterone with exogenous testosterone or stimulating endogenous testosterone production. In other words - It is like birth control, we are manipulating hormones. The Goal- is to increase a male’s testosterone level to the “optimal range” which is 700-1400 ng/dl total testosterone range.

Our Approach

& Getting Started 

From the convenience of your home to our discreet clinic we have everything you need to get back to feeling like YOU. Created and approved by specialty providers. Perfected just for you. 

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Men's Wellness Health Assessment

Book your first appointment on our calendar. Choose between in office visit or  have our mobile staffer visit your home or office, record your vitals and draw a blood sample. *Currently ONLY Virtual Appts

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Individualized Treatment Plan

Within 10 business days, our lab will issue a hormone report on your patient portal  app. The blood analysis includes: Total Testosterone, SHBG, PSA, CBC, TSH, Progesterone, Prolactin, Estradiol, HGB, FSH, LH, and B12. Complete our personal assessment that will help y0ur provider create your personalized plan.



Optimization and Prevention

Your PPrX practitioner will give you a call, review your report with you and decides the best protocol of prescriptions for you. A mobile practitioner is also available for in clinic, tele-visit and home visits to give you a physical and demonstrate medication administration.


Individualized Plans

Now that you have started, you will have a personal concierge and A+ customer service by your side. You will also receive a list of recommended add-0ns and mental health and wellness screening. Continuous Monitoring and Follow up is included in your plan.

Our Services

We pride ourselves on our one-of-a-kind One Stop Shop approach to medicine. We treat a multitude of disorders. Let us help you find a solution to your problem. 

Testosterone affects almost every tissue in the body. It is vitally important to a man’s health and well-being. It increases metabolism. It produces insulin sensitivity. Testosterone is responsible for the development of primary sexual development, which includes testicular. Testosterone is also involved in regulating secondary male characteristics, which are those responsible for masculinity.

The Goal- increase a male’s testosterone level to the “optimal range” which is 700-1400 ng/dl total testosterone range.

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ED is clinically defined as the inability to attain or maintain a penile erection sufficient for sexual intercourse. During a normal penile erection, parasympathetic stimulation leads to nitric oxide (NO) release from endothelial cells within the penis.

Causes of ED

  • Neurological

    • Epilepsy, Neurological disease, Spinal Cord Injury

  • Vascular

    • Atherosclerosis, Peripheral Vascular Disease

  • Hormonal

    • Hypogonadism, Diabetes, Thyroid Disease

  • Psychological

    • Depression, Performance Anxiety

  • Systemic Disease

    • Diabetes, Hypertension, Hyperlipidemia, Chronic Disease

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Erectile Dysfunction

Hypothyroidism's deficiency of thyroid hormones can disrupt such things as heart rate, body temperature, and all aspects of metabolism. 


Hypothyroidism can lower the levels of free testosterone in the blood. Additionally, hypothyroidism had been associated with lower levels of sex hormone-binding globulin, which is a protein that carries testosterone throughout the body. Both of these changes can contribute to symptoms of low testosterone in men.

Symptoms of Hypothyroidism in Men

  • Feeling cold.

  • Tiring easily.

  • Dry skin and brittle nails.

  • Constipation.

  • Depression.

  • Trouble concentrating.

  • Sore muscles.

  • Weight gain.


Erectile dysfunction (ED) is a common complaint in hypertensive men and can represent a systemic vascular disease, an adverse effect of antihypertensive medication or a frequent concern that may impair drug compliance. ED has been considered an early marker of cardiovascular disease. The connection between both conditions seems to be located in the endothelium, which may become unable to generate the necessary dilatation in penile vascular bed in response to sexual excitement, producing persistent impairment in erection.

Javaroni, V., & Neves, M. F. (2012). Erectile dysfunction and hypertension: impact on cardiovascular risk and treatment. International journal of hypertension, 2012, 627278.

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Hyperlipidemia is one of the risk factors leading to erectile dysfunction (ED), a common disorder in men, especially in old men. Epidemiological studies have found that the decrease in high density lipoprotein (HDL) and elevation of total cholesterol/high density lipoprotein (TC/HDL) are correlated with ED.  

Hyperlipidemia may damage man's erectile function at an early stage by affecting the endothelial cells and smooth muscles of the penis and the peripheral nerves for penile erection.

Kim, S. C. (2000). Hyperlipidemia and erectile dysfunction. Asian journal of andrology, 2(3), 161-166.

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Diabetes mellitus is categorized as a metabolic disease characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. As a result, the amount of glucose in the blood increases while the cells are starved of energy.

ED has been reported to occur in ≥50% of men with DM worldwide. It is usually present within 10 years of diagnosis of DM. The incidence of ED was reported to be higher in men with DM than for men without DM and up to 12% of men who present with ED were found to have previously undiagnosed DM

Thorve, V. S., Kshirsagar, A. D., Vyawahare, N. S., Joshi, V. S., Ingale, K. G., & Mohite, R. J. (2011). Diabetes-induced erectile dysfunction: epidemiology, pathophysiology and management. Journal of Diabetes and its Complications, 25(2), 129-136.

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Testosterone therapy increases lean body mass and reduces total body fat mass in men with testosterone deficiency. Testosterone therapy in men with testosterone deficiency (hypogonadism) has profound effects on body composition, resulting in reduced fat mass, increased lean body mass (LBM) and significant reduction in anthropometric parameters, such as weight, waist circumference and BMI.

testosterone therapy in obese men with testosterone deficiency offers a well tolerated and effective therapy and produces sustained and significant weight loss.

Traish, A. M. (2014). Testosterone and weight loss: the evidence. Current opinion in endocrinology, diabetes, and obesity, 21(5), 313.

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Weight Loss

One side effect of testosterone treatment is infertility. Testosterone treatment decreases sperm production by decreasing levels of another hormone, follicle stimulating hormone (FSH), which is important for stimulating sperm production. Human chorionic gonadotropin (hCG) therapy can help re-establish or maintain spermatogenesis in hypogonadal men.

hCG is a safe and efficacious alternative or adjunct to TRT in men desiring to preserve fertility while treating their hypogonadism. hCG can also be used help restore spermatogenesis in men hypogonadal hypogonadism or steroid induced impairment of spermatogenesis.

Lee, J. A., & Ramasamy, R. (2018). Indications for the use of human chorionic gonadotropic hormone for the management of infertility in hypogonadal men. Translational andrology and urology, 7(Suppl 3), S348–S352.

Young Couple Expecting

Benign prostatic hyperplasia (BPH) refers to the nonmalignant growth of the prostate observed very commonly in aging men.

Testosterone is not detrimental for the prostate, and treating hypogonadism could even produce relief from lower urinary tract symptom (LUTS) and limit prostatic inflammation, which generates and maintains the process leading to BPH.

Rastrelli G, Vignozzi L, Corona G, et al. Testosterone and Benign Prostatic Hyperplasia. Sex Med Rev 2019;7:259–271.

Active Senior Man
Benign Prostate Hyperplasia

Continuous Monitoring

The Prefect Prescription offers the nation’s most comprehensive & convenient hormone balancing. Subscriptions include optimization of HGH, estrogen, progesterone, testosterone, adrenals & thyroid. We offer A+ concierge and customer service starting on the first day. We monitor you throughout your entire course of treatment. As you evolve, we will evolve with you making the changes you need to your treatment plan. 


Doctors estimate that about 1 in about every 50 men have low testosterone, according to the American Urological Association.2


 Your testosterone begins to decline after the age of 30 years old.


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The Kings' Tribe

Become part of our Mens Membership and receive instant discounts on your first month plan.


Only $150 per month
When you sign up today!

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**Bundle Membership plans are available when using the PPrX for Mental Health Medication Management and/or Ketamine Treatment.

Call and Ask Us How !

  • Prescription Medication

  • Blood Testing Analysis

  • Consult Visit & Monitoring

  • Concierge Care

  • Monthly Workout & Nutritional Plans upon request

  • Discount on The PPrX

  • **Labs are not included in the price. Your insurance may be billed or Self Pay. 

  • Add-ons are not included in the price


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