Energy, strength, and drive—restored.
Low testosterone can quietly drain your energy, focus, libido, and motivation. AregoMD’s physician-guided programs restore healthy hormone levels so you can perform and feel like yourself again.
View TreatmentsLow testosterone is common — and treatable.
Testosterone is the hormone behind energy, drive, strength, and focus. It declines slowly with age, and the symptoms can creep up so gradually that many men never connect the dots — or get their levels checked.
Signs of low testosterone
If several of these sound familiar, your hormones may be the cause—and it’s treatable.
The hormones behind how you feel
Low energy, weak workouts, and a flat mood aren't just "getting older." They often trace back to a few connected hormones. Understanding how they work together is the first step to feeling like yourself again.
Energy, muscle & drive
The primary male hormone fuels energy, lean muscle, libido, mood, and motivation. When levels drop below your healthy range, nearly every one of those areas can take a hit — often slowly enough that it feels normal.
Keeping things in check
Men need a little estradiol too, but some testosterone naturally converts into it. When that conversion runs high, it can drive side effects like fluid retention or moodiness — which is why balance, not just raw numbers, matters.
Your body's own signal
The brain sends luteinizing hormone (LH) to tell the testes to produce testosterone. Some therapies replace testosterone directly, while others work upstream to stimulate your own production and help preserve fertility.
Why strength and drive fade
You're training the same, eating the same, and getting less back. Recovery is slower, motivation dips, and the mirror doesn't match the effort. For many men, that's a hormonal signal — not a character flaw.
As testosterone declines, the body holds less lean muscle, stores more fat, and produces less of the drive that powers workouts, work, and intimacy. Left unaddressed, the cycle tends to compound.
Restoring testosterone into a healthy range, under medical supervision, can help rebuild that foundation — so your effort starts showing up again.
Make Your Planweeks is a common window in which many men notice improvements in energy, mood, and libido, with strength and body composition building over the following months.
Timelines vary by individual and protocol. Your provider monitors your response and adjusts over time.
Physician-prescribed options
Every option below is prescription-only and dispensed through certified U.S. pharmacies after a provider reviews your intake and labs. Start the intake for any treatment you’re interested in.
Testosterone
Cream · 0.5–200 mg/mL
Bioidentical testosterone, delivered by injection or cream, that restores levels into a healthy range. It is the foundation of therapy — rebuilding energy, lean muscle, libido, mood, and focus by replacing what the body no longer makes in sufficient amounts.
- Low energy & fatigue
- Low libido
- Loss of muscle & strength
- Brain fog
- Low mood
- Low motivation
Testosterone
Capsule · 1 mg
Bioidentical testosterone, delivered by injection or cream, that restores levels into a healthy range. It is the foundation of therapy — rebuilding energy, lean muscle, libido, mood, and focus by replacing what the body no longer makes in sufficient amounts.
- Low energy & fatigue
- Low libido
- Loss of muscle & strength
- Brain fog
- Low mood
- Low motivation
Testosterone
Troche · 1–2 mg
Bioidentical testosterone, delivered by injection or cream, that restores levels into a healthy range. It is the foundation of therapy — rebuilding energy, lean muscle, libido, mood, and focus by replacing what the body no longer makes in sufficient amounts.
- Low energy & fatigue
- Low libido
- Loss of muscle & strength
- Brain fog
- Low mood
- Low motivation
Testosterone
Injection · Cypionate 200 mg/mL
Bioidentical testosterone, delivered by injection or cream, that restores levels into a healthy range. It is the foundation of therapy — rebuilding energy, lean muscle, libido, mood, and focus by replacing what the body no longer makes in sufficient amounts.
- Low energy & fatigue
- Low libido
- Loss of muscle & strength
- Brain fog
- Low mood
- Low motivation
Enclomiphene
Capsule · 12.5–25 mg
Rather than replacing testosterone directly, enclomiphene signals the brain to ramp up your own production. That makes it a popular choice for men who want higher levels while preserving fertility and testicular function.
- Low testosterone
- Low energy
- Low libido
- Fertility preservation
- Natural production support
Anastrozole
Capsule · 0.25–0.5 mg
An aromatase inhibitor that keeps estrogen in check. As testosterone rises, some converts to estradiol; for men who convert heavily, managing that balance helps limit side effects like fluid retention and breast tenderness.
- Estrogen control
- Fluid retention
- Breast tenderness
- Mood swings on therapy
Anastrozole
Tablet · 1 mg
An aromatase inhibitor that keeps estrogen in check. As testosterone rises, some converts to estradiol; for men who convert heavily, managing that balance helps limit side effects like fluid retention and breast tenderness.
- Estrogen control
- Fluid retention
- Breast tenderness
- Mood swings on therapy
Pregnyl (HCG)
Injection · 10,000 IU
HCG mimics the brain’s luteinizing hormone signal, prompting the testes to keep working. It supports natural testosterone production, helps maintain testicular size, and preserves fertility — often used alongside testosterone therapy.
- Natural production support
- Testicular function & size
- Fertility preservation
- Energy & libido
From intake to your front door
A straightforward, physician-guided process built around your symptoms and labs.
Share your story
Complete a focused online intake about your symptoms, history, and goals — in about 10 minutes.
Labs & provider review
Bloodwork including testosterone gives your provider the full picture to confirm whether therapy is appropriate.
Your personalized protocol
If prescribed, your protocol is tailored to your labs and goals and prepared by a certified U.S. pharmacy.
Ongoing care
Treatment ships discreetly to your door, and your provider monitors your labs and adjusts as you progress.
Care built around results
Frequently asked questions
What is testosterone therapy, and how does it help?
Testosterone therapy (often called TRT) restores testosterone toward a healthy range when your body no longer produces enough. Because testosterone influences energy, libido, mood, focus, and the ability to build and keep muscle, bringing levels back into range can improve how you feel and perform across all of those areas.
Am I a candidate?
Good candidates typically have both low-testosterone symptoms and bloodwork confirming low levels. A licensed provider reviews your symptoms, history, and labs to decide whether therapy is appropriate and which option fits your goals.
Do I need lab work before starting?
Yes. Unlike some treatments, testosterone therapy is guided by bloodwork. A baseline panel (including testosterone, and often estradiol and red blood cell levels) confirms the diagnosis and gives your provider a safe starting point. Labs are also rechecked over time.
Will therapy affect my fertility?
It can. Standard testosterone therapy can lower sperm production by signaling the body to slow its own output. If fertility is a priority, options like enclomiphene or HCG work differently — supporting or stimulating your natural production. Tell your provider if you are planning to have children.
What is the difference between testosterone, enclomiphene, and HCG?
Testosterone replaces the hormone directly. Enclomiphene signals your brain to boost your own production, often preserving fertility. HCG mimics the LH signal from the brain to keep the testes active. Your provider recommends the approach — or combination — that best fits your goals.
How soon will I notice results?
Many men notice better energy, mood, and libido within the first several weeks. Gains in strength, body composition, and stamina typically build over the following months as your protocol is fine-tuned.
What about estrogen and side effects?
As testosterone rises, some converts to estradiol. For men who convert heavily, that can cause fluid retention, moodiness, or breast tenderness. When needed, an aromatase inhibitor like anastrozole helps keep that balance in check. Your provider monitors this through labs.
Is testosterone therapy safe?
Used appropriately and monitored with regular labs, testosterone therapy is well established. Like any therapy it has potential risks and side effects, which your provider reviews with you and watches for over time. Ongoing monitoring is a core part of safe treatment.
Should I tell my primary care doctor?
Yes. Even though a licensed provider reviews and prescribes your therapy, your primary care physician knows your full medical history and can help keep your overall care coordinated and safe.
Effective when done right — and monitored
Therapy may not be right for everyone
Testosterone therapy is not appropriate for some men. Tell your provider if any of the following apply, as they may affect eligibility:
- A current or past prostate or male breast cancer
- A high red blood cell count (hematocrit)
- Untreated severe sleep apnea
- Severe, uncontrolled heart failure
- Plans to conceive in the near term (without a fertility-preserving option)
What to expect & monitor
Side effects are usually manageable and tracked with regular labs. Contact a medical professional with any concerns. Possible effects include:
- Acne or oily skin
- Fluid retention
- Increased red blood cell count
- Testicular shrinkage or reduced fertility
- Breast tenderness or mood changes
This page is for general education and is not medical advice. The lists above are not comprehensive. Treatment eligibility and prescriptions are determined solely by licensed medical providers based on clinical appropriateness and lab work, and not everyone will qualify. Prescription products are dispensed through certified U.S. pharmacies. Compounded medications are prepared by a licensed pharmacy and are not FDA-approved. Individual results vary. Always consult a licensed healthcare professional before starting any treatment, and call your local emergency number if you have a medical emergency.
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