FREQUENTLY ASKED QUESTIONS

HOW DO YOU KNOW IF I GOT THE RIGHT DOSAGE?

Before the procedure, we determine the ideal testosterone dosage for you based on your Age, Symptom Severity, Body Weight, and Lab Values.

After the procedure, we recheck your blood levels in 5 wks to verify that we dosed you properly.  We then recheck your blood levels in 4-6 months to determine when your next pellet insertion should be scheduled.

WHAT ARE THE RESTRICTIONS AFTER THE PROCEDURE?

We recommend that you avoid high-impact activities (ie. running, jogging, step aerobics, etc), lower body weight resistance training (ie. leg squats, leg curls, leg extensions), and hot tubs for one week after the procedure.  Then there are no restrictions.

WHEN WILL I START TO NOTICE A DIFFERENCE?

If your pre-treatment symptoms were truly due to low testosterone levels, you're going to be a very happy man in 2-4 wks.  Some individuals notice improvement of andropausal symptoms sooner, and some a little later. 

IS THIS COVERED BY INSURANCE?

The consultation visit and blood work are typically covered by most insurances.  However, insertion of the Testosterone Pellets is not covered.  The cost of Testosterone Pellet Therapy for men is $600.  If you are like most of our patients, who sustain 6 months, from each insertion, this averages out to a little under $100 per month. 

WHAT ARE THE SIDE EFFECTS OF TESTOSTERONE REPLACEMENT?

Some testosterone can convert into estrogen (more common in over-weight individuals). Higher estrogen levels in men can lead to fatty growth around the breast area (gynecomastia). Dr. Garcia usually prescribes medications to minimize this from occurring..

Some testosterone can convert into DHT (Dihydrotestosterone). Too much DHT can lead to male pattern hair thinning (androgenic alopecia), and swelling of the prostate (benign prostatic hypertrophy). Sensitivity to DHT can also lead to recurrence of acne and oily skin. Dr. Garcia also offers supplements and prescriptions to decrease the production of/block the effects of DHT.

Some physicians use to believe the testosterone replacement therapy could lead to prostate cancer. Well, if this were true, we’d all see a lot of 15-20 yr old men with prostate cancer (because this is when testosterone is the highest in our life). The notion that testosterone replacement therapy can lead to prostate cancer has been dismissed. However, if a patient develops undiagnosed prostate cancer, then testosterone replacement therapy can cause it to grow faster. If you have a history of prostate cancer or an elevated PSA (prostate specific antigen), it is important to let Dr. Garcia know this before treatment.

Testosterone replacement therapy may increase the production of red blood cells from the bone marrow. This can be beneficial is someone has low red blood cells to begin with (anemia). However, it can be harmful if they develop higher than normal red blood cells (secondary Polycythemia). If the red blood cell concentration becomes too high, then blood becomes to thick (viscous) and it can be more difficult for the heart to pump it throughout the body. If this occurs with the circulation in the brain, it can lead to migraines and potentially strokes. If this occurs with the circulation in the heart, it can lead to chest pain and potentially heart attacks. Other effects of polycythemia include flushing and joint pains. Dr. Garcia closely monitors the red blood cell count of his patients, and if the levels get too high, he will offer a phlebotomy to remove unnecessary amounts of blood.

If Testosterone levels become too high, sometimes, irritability and aggression may occur. This is rarely encountered when testosterone is offered under the supervision of a medical professional. If these symptoms occur, we usually recheck the testosterone level to confirm that that high levels may be the cause. All it takes is time to allow the testosterone levels to decrease into a more comfortable therapeutic level.

HOW LONG DO I CONTINUE TESTOSTERONE REPLACEMENT?

You may continue Testosterone Pellet Therapy as long as you feel you are benefiting from it. As long as you are not experiencing any unwanted side effects, then you should be able to benefit from testosterone replacement for years.

READY TO GET STARTED?

Call 517-336-1200 to schedule your consultation visit.  We look forward to seeing you in the near future!

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