Are low testosterone levels affecting your quality of life?
Testosterone Replacement Therapy (TRT) is one of the most studied and effective treatments for hypogonadism and age-related testosterone decline. Our physicians in Novi, MI can help you determine if TRT is right for you.
| ✓ Low energy & fatigue | ✓ Reduced sex drive |
| ✓ Mood changes & depression | ✓ Brain fog & poor concentration |
| ✓ Loss of muscle mass | ✓ Increased body fat |
| Schedule a consultation | 📞 (248) 426-7200 |
Serving Novi, West Bloomfield, Commerce Township, Wixom, Northville and surrounding Oakland County communities
SYMPTOM ASSESSMENT
The Aging Male Scale — how are your symptoms?
Rate each symptom from 1 (none) to 5 (extremely severe). Your score totals automatically and may help determine whether testosterone testing is appropriate.
| Symptom | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| Psychological symptoms | |||||
| Decline in general wellbeing | |||||
| Joint pain or muscle aches | |||||
| Excessive sweating | |||||
| Somatic symptoms | |||||
| Sleep problems | |||||
| Increased need for sleep / fatigue | |||||
| Irritability | |||||
| Anxiety | |||||
| Sexual symptoms | |||||
| Decrease in sexual desire | |||||
| Decrease in frequency of morning erections | |||||
| Decrease in sexual potency | |||||
Score interpretation:
17–26: No or little symptom burden
27–36: Moderate — worth a conversation
37–49: Severe — strongly recommended
50+: Very severe — consult immediately
UNDERSTANDING TRT
What is testosterone replacement therapy — and what does the latest research say?
Testosterone Replacement Therapy (TRT) restores testosterone to normal physiological levels in men whose bodies no longer produce sufficient amounts — a condition called hypogonadism or late-onset hypogonadism. Testosterone declines naturally at approximately 1–2% per year after age 30. For men with symptoms and confirmed low levels (below 300 ng/dL), TRT is now backed by robust clinical evidence.
🔬 The TRAVERSE Trial — NEJM 2023
The landmark TRAVERSE trial — published in the New England Journal of Medicine — was the largest randomized controlled trial of testosterone therapy in men with hypogonadism and cardiovascular risk factors. It confirmed that testosterone therapy did not increase the risk of major cardiovascular events compared to placebo, resolving decades of controversy. As a result, the FDA updated testosterone product labeling in 2025 — removing prior language suggesting increased cardiovascular risk.
+ Sexual function Consistent improvement in sexual desire and erectile function in men with testosterone below 300 ng/dL | ↑ Lean mass Significant gains in lean body mass and reductions in fat mass reported across multiple randomized trials | ↑ Bone density NEJM fracture trial found TRT significantly improved bone mineral density and reduced fracture risk in hypogonadal men | ↑ Metabolic health Improved insulin sensitivity, reduced waist circumference, and better metabolic markers — particularly with lifestyle changes |
⏱ The threshold that matters — 300 ng/dL
Current Endocrine Society and American College of Physicians guidelines recommend considering TRT in men with confirmed testosterone below 300 ng/dL on two separate early morning measurements, combined with symptoms of hypogonadism. Symptoms alone are not sufficient — lab confirmation is essential. If you have symptoms and have not been tested, now is the time to find out.
* Clinical outcomes cited from peer-reviewed sources including the TRAVERSE trial (NEJM 2023), NEJM Fractures in Men with Hypogonadism (2024), and a 2025 narrative review of TRT in men aged 50+ (Cureus, Canal de Velasco et al.). This information is for educational purposes only. Individual risk-benefit assessment with your physician is essential.
IS TRT RIGHT FOR ME?
Understanding your candidacy
✅ You may be a good candidate if: ✓ You have confirmed testosterone below 300 ng/dL on two early morning blood tests ✓ You score 27 or more on the Aging Male Scale ✓ You have significant fatigue, reduced libido, or erectile dysfunction ✓ You have lost significant muscle mass or gained unexplained body fat ✓ You have mood changes, depression, or brain fog not explained by other causes ✓ You have osteoporosis or low bone density ✓ You have metabolic syndrome, insulin resistance, or type 2 diabetes with low T | ⚠️ TRT may not be appropriate if: ! You have prostate cancer or are being evaluated for prostate cancer ! You have breast cancer ! You are actively trying to conceive — TRT suppresses sperm production ! You have severe untreated sleep apnea ! You have a hematocrit above 50% — risk of erythrocytosis ! You have uncontrolled heart failure These are general guidelines. Only a physician consultation with full bloodwork can determine whether TRT is appropriate for your specific situation. |
DELIVERY OPTIONS WE DISCUSS
TRT formulations — finding what works for your lifestyle
Transdermal gel or cream Daily application to skin. Maintains stable levels. Most commonly prescribed. Must avoid skin contact transfer to partners. | Intramuscular injection Every 1–2 weeks. Cost effective. Can cause peaks and troughs in levels. Self-injectable at home after instruction. | Subcutaneous pellets Inserted under skin every 3–6 months. Very consistent levels. Minor in-office procedure. Long acting. | Oral testosterone Newer formulations (Jatenzo, Tlando, Kyzatrex) avoid liver metabolism. Convenient but requires twice daily dosing. |
Frequently Asked Questions About Testosterone Therapy
TAKE THE NEXT STEP
You deserve to feel like yourself again
If your symptoms are affecting your energy, mood, or quality of life — don’t accept them as inevitable. Schedule a testosterone evaluation at PrimeCare of Novi and let’s find out if TRT is right for you.
| Schedule a testosterone evaluation | 📞 (248) 426-7200 |
📍 39555 W. Ten Mile Rd, Suite 302 Novi, MI 48375 | Mon–Fri 8AM–5PM Same-week appointments often available | Serving Oakland County Novi · West Bloomfield · Northville · Wixom |
This page is for informational and educational purposes only and does not constitute medical advice. Individual treatment decisions should be made in consultation with a qualified physician who can review your complete medical history and bloodwork.