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Combat low testosterone and reclaim your vitality
Testosterone Replacement Therapy (TRT)
Boost energy and vitality with testosterone therapy
Is low-T affecting your energy, mood, or performance?
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Educational information and further resources
TRT can help men with low testosterone regain sensual function, support overall health and energy levels, as well as mood and mental function.
Testosterone levels generally peak during adolescence and early adulthood. As you get older, your testosterone level gradually declines — typically about 1 percent a year after age 30 or 40. It is important to determine in older men if a low testosterone level is simply due to the decline of normal aging or if it is due to a disease (hypogonadism).
Hypogonadism is a disease in which the body is unable to produce normal amounts of testosterone due to a problem with the testicles or with the pituitary gland that controls the testicles. Testosterone replacement therapy can improve the signs and symptoms of low testosterone in these men.
A low testosterone level by itself doesn’t need treatment. Only men with symptoms of low testosterone and blood levels that confirm this as the cause of symptoms should consider testosterone replacement therapy. Talking with your doctor is the only way to know if testosterone therapy is right for you.
The Precision Sexual Health Clinic Testosterone Replacement Therapy program is an evidence-based, patient-centered program designed to deliver testosterone replacement therapy to men in a safe and effective way.
At Precision Calgary, TRT is 100% Physician Administered and Supervised.
Our scientifically validated micro-dosing strategy means you can get the testosterone you need, minimizing the side effects you worry about.
We take a symptom-focused approach to ensure that each man receives a tailored treatment plan for his unique needs. This approach is based on the latest research and aims to help men improve their drive, from the boardroom to the bedroom.
The ideal outcome from TRT is to regain sexual function, energy and clarity of mind. Some men experience a strong change. Others get limited benefits.
Testosterone therapy at Precision Clinic Calgary is fully administered and overseen by our physician.
We don’t recommend TRT for people with the following conditions:
There is insufficient research to fully understand the long-term effects of TRT. Low level side effects can include rash or itching where a gel or patch is applied. There are some concerns related to heart attack and stroke.
Though not empirically proven, there is concern that TRT might stimulate the growth of prostate cancer cells.
Medical providers agree that monitoring patients is an essential element of a responsible treatment plan.
Typically, men can start to feel a boost in mood, sexual function and energy levels within a month of treatment. Regaining muscle mass and strength may take longer.
No. TRT is a clinical treatment for a medical condition. Individuals receiving TRT should not be taking any steroids or other muscle enhancers. Please make sure Dr. Schoeman is aware of everything you are taking.
Testosterone is classified as an androgen hormone. Declining testosterone levels are sometimes referred to an andropause. Like menopause in women, when men move past middle age, there are undeniable changes in their bodies and minds.
Our preferred protocol delivers testosterone via low-volume subcutaneous injection, typically daily or every other day. This pharmacokinetic approach minimizes peak-to-trough fluctuation compared to traditional depot IM dosing, producing stable serum levels with fewer androgenic side effects. Subcutaneous administration also reduces injection discomfort and supports patient self-administration.
HCG is a core part of our TRT protocol for men concerned about fertility or testicular atrophy, acting like LH to maintain testicular testosterone production and more closely mimic natural physiology. It can also be used alone to raise testosterone while preserving the HPG axis and is the only Health Canada–approved non-testosterone treatment for Testosterone Deficiency Syndrome, as noted in the 2021 CUA Guidelines.
Selective Estrogen Receptor Modulators (SERMs) stimulate endogenous testosterone production by blocking hypothalamic and pituitary estradiol feedback, increasing LH and FSH secretion without exogenous androgen administration. This approach preserves spermatogenesis and is particularly well-suited for younger men, men planning fertility, or those who prefer to avoid exogenous testosterone.
Where excess aromatization leads to elevated estradiol — common in men with higher adiposity — aromatase inhibitors may be incorporated to optimize the testosterone-to-estradiol ratio and mitigate estrogenic side effects.
For men who prefer to avoid injections, daily topical application to the upper arms, shoulders, or abdomen remains an effective alternative. Patients are counselled on the risk of passive transference to partners and children (virilization), and on associations with increased PSA and acne.