Book your $79 assessment
Sixty seconds online or one phone call. Choose a morning slot — testosterone is highest in the AM, which is when guidelines recommend drawing labs.
Testosterone Replacement Therapy
Are you tired of feeling tired, Sherman?
Low energy. Brain fog. Workouts that don't move the needle. If you've been told it's "just age," get a real diagnosis — from a board-certified Internal Medicine physician with real labs and a real plan.
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Hormone Assessment
$79 $350
- Total + Free Testosterone
- Cardiometabolic panel
- Physician review
- Personalized treatment plan
By the numbers
Low T is more common than you think.
And it's diagnosable with one blood draw. We do the diagnosis right — and only treat when the evidence supports it.
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How It Works
Getting started is simple.
Three steps. No upselling. No commitment until you've seen your own numbers and talked to a physician.
Comprehensive labs + exam
On-site bloodwork: TT, FT, SHBG, E2, LH, FSH, PSA, CBC, CMP, lipid panel. Plus a thorough history and physical with a board-certified physician — no rushed 7-minute slots.
Personalized protocol
We sit down with your numbers, explain what they mean in plain English, and build a treatment plan around your goals, fertility status, and cardiometabolic risk. No algorithms. No copy-paste.
Patient Outcomes
Real men. Real results.
Texoma men who got their energy, focus, and strength back — through proper diagnosis, not guesswork.
Three weeks in and the brain fog lifted. I'd been telling myself for years it was just age — turns out my total T was 218. Dr. Sani caught it, explained the bloodwork in plain English, and now I actually want to go to the gym after work.
Michael R., 47
I'd looked at the online clinics. They wanted my credit card before they'd even talk to me. Highland did real labs, a real physical, and a real conversation. The protocol they built is dialed in — my E2 is finally where it should be.
James D., 52
What sold me was that they checked PSA and hematocrit every quarter. My buddy at another place hasn't had labs in a year. This is medicine, not a subscription box. Energy is back, sleep is better, my wife noticed before I did.
David P., 41
Pricing
Transparent pricing — no surprises.
Every tier includes physician oversight, prescription medication, all injection supplies, and the lab monitoring that makes TRT safe.
Testosterone Essentials
$199 /mo
- Weekly self-injection at home
- Pharmaceutical testosterone cypionate (IM)
- All injection supplies + injection training
- Monthly check-in with your physician
- Basic labs (TT, FT, E2, CBC, PSA)
- Unlimited messaging through patient portal
Complete Hormone Optimization
$299 /mo
- Weekly in-clinic injection (or home option)
- Testosterone + estradiol management + DHEA
- hCG add-on available for fertility preservation
- Quarterly DEXA body-composition scan
- Full bloodwork every 90 days
- Priority scheduling and same-week labs
- Aromatase inhibitor titration if indicated
Executive Performance
$499 /mo
- Concierge injection timing + dosing strategy
- Advanced labs: TT, FT, SHBG, E2, LH, FSH, PSA
- Thyroid panel + micronutrient (B12, D, ferritin, zinc)
- Quarterly body-composition + VO2 estimate
- Cardiometabolic deep dive (ApoB, Lp(a), hs-CRP)
- Peptide adjuncts available (BPC-157, ipamorelin)
- Direct physician access via secure messaging
Why physician-supervised matters
Care by a board-certified Internal Medicine physician — not an algorithm.
"TRT isn't a vitamin. It's a controlled medication that affects your heart, blood, prostate, and fertility — it deserves a real physician, not a chatbot."
Testosterone therapy raises hematocrit (we monitor for polycythemia every 90 days), can affect prostate-specific antigen (PSA) trajectory, suppresses endogenous LH/FSH and therefore fertility (we counsel on hCG before, not after), and changes cardiovascular risk factors that need to be watched. None of that gets handled by an online intake form. At Highland, every TRT patient is managed by a physician with 25+ years in Internal Medicine — the specialty trained specifically to manage the whole body, not just the prescription.
Evidence-Based Care
Our protocols follow the diagnostic and treatment frameworks published by the American Urological Association (AUA) and The Endocrine Society. We diagnose hypogonadism on the combined basis of validated symptom assessment plus two morning serum testosterone measurements — not on symptoms alone, and never on a single lab. Treatment goals target mid-normal range total testosterone with stable trough levels.
Frequently Asked
Questions men actually ask.
Honest answers — the same ones we'd give a friend at the lab counter.
Am I a candidate for TRT?
Candidates for testosterone replacement therapy are typically men with symptoms of low testosterone (fatigue, low libido, brain fog, loss of muscle mass, depressed mood) combined with two morning serum testosterone measurements below 300 ng/dL — the threshold endorsed by the American Urological Association. Your $79 assessment includes total testosterone (TT), free testosterone (FT), SHBG, estradiol (E2), LH, FSH, PSA, CBC, and a comprehensive metabolic panel so we can confirm a true clinical diagnosis before recommending treatment.
Will TRT make me infertile?
Exogenous testosterone suppresses LH and FSH signaling from the pituitary, which can significantly reduce sperm production while on therapy. If fertility is a current or future priority, we discuss this before starting. We can preserve testicular function and spermatogenesis using concurrent hCG (or, in select cases, alternatives like clomiphene) — and we will refer for sperm banking if appropriate. This is one of many reasons TRT belongs in a physician-supervised setting.
What about cardiovascular risk?
The 2023 TRAVERSE trial — a randomized placebo-controlled study of over 5,200 men — found that TRT in symptomatic, hypogonadal men with elevated cardiovascular risk did not increase major adverse cardiac events compared to placebo. That said, TRT can raise hematocrit (polycythemia), which is why we monitor CBC at baseline, 3 months, 6 months, and annually. We also screen for sleep apnea, manage blood pressure, and adjust dosing or schedule therapeutic phlebotomy if hematocrit exceeds 54%.
How is TRT administered?
Our preferred protocol is intramuscular or subcutaneous testosterone cypionate, dosed weekly (or twice-weekly for steadier serum levels and less estradiol conversion). Weekly dosing produces more stable trough-to-peak levels than the older every-two-weeks regimen and minimizes the mood and energy "roller coaster" many men experience on biweekly schedules. We train you to self-inject at home, or you can come into the clinic.
Are gels, patches, or pellets an option?
Yes — but they are not our first-line recommendation for most men. Topical gels (AndroGel, Testim) carry a transference risk to women and children in the household, and absorption is variable. Patches frequently cause skin irritation. Pellets require a minor in-office procedure every 3–6 months and dosing cannot be adjusted once implanted. Injectable cypionate is the most cost-effective, most adjustable, and most consistently effective route — which is why it remains the standard of care.
Do you check estradiol (E2)?
Yes, every visit. Testosterone aromatizes to estradiol, and both extremes — too high (gynecomastia, water retention, mood swings) or too low (joint pain, low libido, poor lipids, fragile bones) — cause symptoms. Most men do not need an aromatase inhibitor (anastrozole). When E2 is genuinely elevated and symptomatic, we use the lowest effective dose. Crash-low E2 is one of the most common preventable mistakes in TRT, and we work hard to avoid it.
Can I stop TRT without consequences?
Yes, you can discontinue TRT — but your body will return to its pre-treatment hormonal baseline, typically within 4–8 weeks. The symptoms that brought you in (fatigue, low libido, brain fog) will likely return. For men who want to come off therapy and restart their own production, we can run a structured restart protocol using hCG and a selective estrogen receptor modulator (SERM) such as clomiphene or tamoxifen. This is another reason to choose a physician-supervised practice over an online "mens-clinic" subscription.
Get Started
Book your $79 assessment
Pick a morning slot — testosterone peaks in the AM, which is when labs should be drawn.
Start feeling like yourself again.
Book your $79 assessment. Real labs, real diagnosis, real plan.