Testosterone replacement therapy done in the right order: total testosterone measured twice, free testosterone, SHBG, LH and FSH, estradiol, a full thyroid panel, cortisol, insulin, inflammation, and the safety markers, read by a clinician before any decision. TRT when it is the right tool, in formulations that can be adjusted, with monitoring built in.
Book a Free Consultation How it works ↓
100+ five-star reviewsClinician-ledTelehealthHSA/FSA acceptedAt HFW Longevity, we evaluate testosterone, free testosterone, SHBG, thyroid, cortisol, insulin, inflammation, metabolism, and safety markers before building a clinician-guided TRT plan when clinically appropriate.
Clinician-Led
100% Telehealth
Nationwide
HSA/FSA Accepted
24 pages on advanced testing, clinician-led protocols, and why strategy comes before any single compound.
Trusted by 1000+ patients across USA
Stella Blanch Apo
It’s been a blessing working with Dr. Landi and his entire team! After getting my test results, Dr. Landi walked me through a number of helpful steps to restore my health. He is very knowledgeable and uses an in-depth functional medicine approach in addressing health concerns. Bernadette is also very kind and thoughtful and I enjoy the interpersonal connection I have built with all of them.
Chase Natale
Fatimah Fahmy
Lauren Griffith
Kevin Heckman
Testosterone affects more than libido.
Too many men are either dismissed or overprescribed.
Testosterone therapy should answer:
Testosterone affects more than libido. Let's find out what is actually going on.
Too many men are either dismissed or overprescribed. Good testosterone care starts with better questions: Are your levels truly low, measured properly and more than once? Is free testosterone being affected by SHBG? Is the issue hormonal, metabolic, inflammatory, or stress-related? Is thyroid, insulin resistance, sleep, or cortisol suppressing the picture? Do fertility goals need to be protected? Are blood counts, estrogen, and prostate markers safe to monitor?
A low result can reflect a production problem, or it can reflect signaling, timing, or something correctable upstream. Those lead to different conversations. If something correctable is contributing, correcting it may be the better first step. The goal is not to put every man on testosterone. It is to identify who actually needs it, who can use it safely, and what should be fixed first.
Evaluation first, then a decision, then monitoring.
A free telehealth call with an advanced care clinician to review your symptoms, health history, reproductive goals, medications, and what you have already had tested, and to decide what evaluation would actually change the decision.
Total testosterone, ideally in the morning and on separate occasions, free testosterone and SHBG, LH and FSH to distinguish production from signaling, estradiol, blood counts and hematocrit, PSA when appropriate, liver and kidney markers, lipids, glucose, insulin, and HbA1c, alongside thyroid, cortisol, and inflammation. HFW reviews recent usable results before ordering duplicates, and TruHealth adds a whole-body baseline when it is useful. See the testing →
Where sleep apnea risk, insulin resistance, weight, thyroid patterns, a medication effect, or cortisol rhythm are affecting the picture, those are addressed first or alongside. Sometimes that is the more useful step, and sometimes it changes whether replacement is needed at all.
If evaluation supports it, your clinician talks through route, benefits, risks, fertility considerations, and monitoring with you. HFW offers injectable and topical cream formulations, which can be adjusted or stopped as your response and safety markers change. HFW does not use pellets.
Symptoms, response, and safety markers are reviewed on a schedule, and your clinician continues, adjusts, pauses, stops, or refers based on what they show. Every refill and continuation decision requires clinician review. Members retest with TruHealth each quarter. See membership →
The same panel that decides whether TRT is right for you is the one that keeps it safe once you start.
Bloodwork is ordered through a local lab and billed by the laboratory. TruHealth ($450, with a 60 to 90 minute clinician review) adds a whole-body baseline when it is useful. What TRT may support once deficiency is confirmed, libido, energy, muscle, body composition, mood, and bone, depends on the individual, and HFW does not promise a timeline.
24 pages on advanced testing, clinician-led protocols, and why strategy comes before any single compound.
We do not just raise testosterone. We optimize the system around it.
| Typical HRT Care | HFW Longevity | |
|---|---|---|
What they look at |
Total testosterone and symptoms
|
Total T, free T, SHBG, LH/FSH, estradiol, thyroid, cortisol, insulin, inflammation, metabolism, safety markers, and body composition
|
What you hear |
“Your T is low. Here’s testosterone.”
|
“Let’s find out why it’s low and whether TRT is the right tool.”
|
Testing |
Basic testosterone lab
|
Comprehensive hormone and safety bloodwork, metabolic markers, thyroid, inflammation, and advanced testing when appropriate
|
Treatment |
Generic injections or cream
|
Personalized testosterone strategy with route, dose, monitoring, and adjustments
|
Support |
Minimal follow-up
|
Quarterly labs, symptom review, biomarker tracking, and protocol adjustment
|
Goal |
Increase the number
|
Improve energy, libido, mood, recovery, strength, body composition, and long-term health
|
Access |
Office visits or quick online prescription
|
100% telehealth with local labs, at-home testing options, and pharmacy coordination
|
What you hear
When testosterone deficiency is confirmed and therapy is appropriate.
| Area | Why It Matters |
|---|---|
|
Libido + Sexual Function
|
Testosterone can influence sex drive, erectile function, confidence, and sexual vitality.
|
|
Energy + Drive
|
Low testosterone may contribute to reduced motivation, low stamina, and diminished performance.
|
|
Muscle + Strength
|
Testosterone influences lean mass, strength, training response, and recovery capacity.
|
|
Body Composition
|
Testosterone interacts with insulin, cortisol, thyroid, inflammation, and lifestyle to affect fat and muscle balance.
|
|
Mood + Resilience
|
Low testosterone may overlap with irritability, low mood, reduced confidence, and stress intolerance.
|
|
Bone Health
|
Testosterone plays a role in bone density and long-term skeletal health.
|
|
Metabolic Health
|
Testosterone does not work alone. Blood sugar, insulin, weight, sleep, inflammation, and nutrition all shape outcomes.
|
Testosterone can influence sex drive, erectile function, confidence, and sexual vitality.
Low testosterone may contribute to reduced motivation, low stamina, and diminished performance.
Testosterone influences lean mass, strength, training response, and recovery capacity.
Testosterone interacts with insulin, cortisol, thyroid, inflammation, and lifestyle to affect fat and muscle balance.
Low testosterone may overlap with irritability, low mood, reduced confidence, and stress intolerance.
Testosterone plays a role in bone density and long-term skeletal health.
Testosterone does not work alone. Blood sugar, insulin, weight, sleep, inflammation, and nutrition all shape outcomes.
Good testosterone care includes knowing when not to prescribe.
Before TRT is considered, HFW reviews:
The goal is not to put every man on testosterone. The goal is to identify who actually needs it, who can use it safely, and what should be fixed first.
We test before we treat.
| Test | What It Can Reveal |
|---|---|
|
Total Testosterone x2
|
Helps confirm whether testosterone is consistently low, ideally measured in the morning on separate occasions.
|
|
Free Testosterone
|
Shows how much testosterone is biologically available.
|
|
SHBG
|
Helps explain why total testosterone may not match symptoms.
|
|
LH + FSH
|
Helps distinguish primary testicular patterns from pituitary or signaling-related patterns.
|
|
Estradiol
|
Helps track estrogen conversion, mood, libido, water retention, and breast-related symptoms.
|
|
CBC + Hematocrit
|
Tracks red blood cell changes and polycythemia risk during therapy.
|
|
PSA When Appropriate
|
Used as part of prostate safety review, especially in men over 40.
|
|
CMP
|
Reviews liver, kidney, electrolytes, and general safety markers.
|
|
Glucose + Insulin + HbA1c
|
Reveals metabolic patterns that may affect testosterone and body composition.
|
|
Lipids + Cardiovascular Markers
|
Helps assess long-term risk and monitor changes during care.
|
|
Full Thyroid Panel
|
Evaluates thyroid-related fatigue, weight resistance, low mood, and metabolic slowdown.
|
|
Cortisol / Adrenal Testing
|
Helps explain stress-driven fatigue, poor sleep, belly fat, cravings, and low resilience.
|
|
Inflammatory Markers
|
Shows whether inflammation may be affecting hormones, metabolism, pain, or recovery.
|
Helps confirm whether testosterone is consistently low, ideally measured in the morning on separate occasions.
Shows how much testosterone is biologically available.
Helps explain why total testosterone may not match symptoms.
Helps distinguish primary testicular patterns from pituitary or signaling-related patterns.
Helps track estrogen conversion, mood, libido, water retention, and breast-related symptoms.
Tracks red blood cell changes and polycythemia risk during therapy.
Used as part of prostate safety review, especially in men over 40.
Reviews liver, kidney, electrolytes, and general safety markers.
Reveals metabolic patterns that may affect testosterone and body composition.
Helps assess long-term risk and monitor changes during care.
Evaluates thyroid-related fatigue, weight resistance, low mood, and metabolic slowdown.
Helps explain stress-driven fatigue, poor sleep, belly fat, cravings, and low resilience.
Shows whether inflammation may be affecting hormones, metabolism, pain, or recovery.
TRT at HFW is a managed plan, not a prescription you are left to run on your own. When it is clinically appropriate, the monthly price covers the medication, your clinician's oversight, scheduled bloodwork reviews, and the adjustments your results call for. Because the plan is personalized, what it includes and what it costs follow your evaluation. Laboratory charges are separate, and HFW does not bill insurance.
Nonmember pricing shown; see member pricing →. Your exact monthly price depends on the formulation your evaluation supports. A listed price does not guarantee that TRT is appropriate for you. Testing is generally available nationwide; the exact treatment service depends on your state, clinician authorization, laboratory rules, pharmacy requirements, and the therapy involved. HFW is self-pay; HSA and FSA cards are accepted.
Book a Free ConsultationA prescription on its own is not a plan. Membership is for people ready to make a commitment to healthy aging, or to longer-term corrective care and health optimization: quarterly TruHealth retesting, scheduled clinician review, coaching, and preferred pricing on TRT all year. Not every plan has to be a membership; focused care visits are available too.
Begins after a separate $450 initial TruHealth assessment, which includes a 60 to 90 minute clinician review. Bloodwork, medications, and treatments are purchased separately.
Book a Free ConsultationBuilt around your numbers, symptoms, safety markers, and goals.
1
A clinician-guided injectable testosterone option may be considered when clinically appropriate, with dosing, frequency, monitoring, and adjustments based on symptoms and labs.
2
A topical testosterone option may be considered for patients who prefer a non-injectable route or where the provider determines it is a better clinical fit.
3
Metabolic Optimization
Blood sugar, insulin, belly fat, inflammation, sleep, and body composition can all affect testosterone. HFW addresses the system, not just the hormone.
4
Thyroid dysfunction and cortisol dysregulation can mimic or worsen low-testosterone symptoms like fatigue, weight gain, poor sleep, low mood, and low drive.
Estrogen is not “bad.” Men need appropriate estradiol for libido, mood, bone, and cardiovascular health. The issue is balance and symptoms.
Fertility-Aware Strategy
For men who want future fertility, HFW reviews alternatives, risks, timing, and whether TRT is appropriate at all.
Peptide or Bioregulator Support
When clinically appropriate, peptides or bioregulators may support recovery, body composition, mitochondrial function, inflammation regulation, tissue repair, or longevity.
Nutrition + Lifestyle Strategy
A realistic plan built around protein, resistance training, sleep, alcohol, blood sugar, inflammation, stress, and recovery.
Nothing random.
Nothing guessed.
Nothing copied from another patient.
We review your symptoms, goals, sleep, libido, fertility plans, and medical history, then talk through whether HFW is the right fit.
Testing and safety review look past a single testosterone number to map free T, SHBG, estradiol, thyroid, cortisol, and metabolism. Bloodwork ships to your door or gets coordinated locally.
Your provider reviews the data and decides whether TRT, metabolic correction, thyroid support, or lifestyle change makes sense, with clear reasoning.
We address why testosterone is low in the first place, treating the metabolic, thyroid, cortisol, and inflammation patterns around it, not just the hormone.
Your protocol begins with the right route and dose when appropriate, pharmacy coordination, nutrition strategy, and ongoing monitoring.
Quarterly labs, safety monitoring, and symptom reviews help you protect your progress and adjust dosing as your body responds.
| We Track | Why It Matters |
|---|---|
|
Total Testosterone
|
Shows whether levels are moving into the intended clinical range.
|
|
Free Testosterone
|
Helps evaluate how much testosterone is available to tissues.
|
|
SHBG
|
Helps explain symptoms when total and free testosterone do not align.
|
|
Estradiol
|
Helps monitor conversion, libido, mood, water retention, and breast symptoms.
|
|
LH + FSH
|
Helps evaluate baseline cause and fertility-related considerations.
|
|
CBC + Hematocrit
|
Helps monitor red blood cell elevation and polycythemia risk.
|
|
PSA When Appropriate
|
Supports prostate safety monitoring.
|
|
Lipids
|
Tracks cardiovascular risk patterns.
|
|
Glucose + Insulin
|
Shows how metabolic health is changing.
|
|
Liver + Kidney Markers
|
Supports general safety monitoring.
|
|
Blood Pressure
|
Helps track cardiovascular response and overall risk.
|
|
Sleep Quality
|
Poor sleep and sleep apnea risk can affect testosterone and safety.
|
|
Body Composition
|
Tracks lean mass, fat mass, visceral fat, and strength-related progress.
|
|
Symptoms
|
Libido, erections, energy, mood, motivation, focus, recovery, sleep, and performance.
|
Helps confirm whether testosterone is consistently low, ideally measured in the morning on separate occasions.
Shows how much testosterone is biologically available.
Helps explain why total testosterone may not match symptoms.
Helps distinguish primary testicular patterns from pituitary or signaling-related patterns.
Helps track estrogen conversion, mood, libido, water retention, and breast-related symptoms.
Tracks red blood cell changes and polycythemia risk during therapy.
Used as part of prostate safety review, especially in men over 40.
Reviews liver, kidney, electrolytes, and general safety markers.
Reveals metabolic patterns that may affect testosterone and body composition.
Helps assess long-term risk and monitor changes during care.
Evaluates thyroid-related fatigue, weight resistance, low mood, and metabolic slowdown.
Helps explain stress-driven fatigue, poor sleep, belly fat, cravings, and low resilience.
Shows whether inflammation may be affecting hormones, metabolism, pain, or recovery.
You should not have to wonder whether your TRT plan is working.
You should be able to see it.
Clinician-led care. Root-cause strategy. Long-term optimization
Christina Warner, APN-C
Board-Certified Nurse Practitioner
25 years of clinical experience with a focus on hormones, gut health, chronic inflammation, womenu2019s health, and root-cause care.n
Dr. Eric Landi, KICP, DC
Longevity and Functional Medicine
Over a decade of clinical experience with advanced functional testing, peptide therapy, metabolic optimization, and data-driven longevity protocols.
Medical Director
We appreciated his candor, knowledge and engaging personality. He exuded caring and interest in me and my situation. I feel he had repeatedly gone the extra mile for me so our collaboration is successful.
Kevin HeckmanBefore I met with him, I had no idea what was going on, but now I have the answers I need. He truly cares about each patient he works with and will work as hard as he can to be communicative and professional throughout every step of the process.
Chase NataleClinician-led care with physician medical direction.
Christina Warner, APN-CBoard-Certified Women's Health Nurse Practitioner · Advanced care clinician
Dr. Eric Landi, KICP, DCCo-Founder · Longevity and Functional MedicineMedical direction: Dr. Saul Maslavi, MD, Board-Certified Family Medicine Physician
Meet the team →Book a free telehealth consultation to talk through your symptoms, what is worth testing, and whether TRT, or something upstream of it, is the right next step.
Book a Free ConsultationBased in Hillsdale, New Jersey. Care by telehealth.
Book a free virtual consultation to review your symptoms, health history, prior labs, goals, and whether TRT or a broader testosterone optimization plan makes sense for you.
Short answers to what people ask before booking.
TRT stands for testosterone replacement therapy. It is the clinical use of testosterone in a person whose evaluation supports it. It is not a performance supplement and it is not appropriate for everyone. Whether TRT is right for you depends on symptoms, appropriately timed and repeated testing, your health history, fertility goals, correctable contributors, risk, and alternatives.
You do not know from symptoms alone, and you do not know from a single blood draw either. Testosterone varies through the day and can be affected by sleep, illness, stress, medications, body composition, and metabolic health. A proper evaluation involves symptoms, appropriately timed and usually repeated testing, and a broader picture including the markers that show whether the issue is production, signaling, or something correctable upstream.
No. HFW considers symptoms, appropriately timed or repeated testing, hormone production and signaling, potentially correctable contributors, fertility and reproductive goals, health risks, alternatives, and your preference before deciding whether replacement is appropriate. Sometimes the more useful first step is addressing sleep, metabolic health, body composition, or a medication effect.
Not necessarily, and the distinction matters because it changes what should be done. A low result can reflect a production problem, or it can reflect signaling, timing, or other factors upstream that are affecting the picture, including sleep, metabolic health, medications, illness, body composition, and stress-related patterns such as cortisol rhythm. Those lead to different conversations. HFW evaluates which situation you are in before deciding whether replacement is the right answer, because if something correctable is contributing, correcting it may be the better first step. This is general education, not advice about your situation.
A clinician selects the panel based on your presentation. It generally includes testosterone measured appropriately, the markers that help distinguish production from signaling issues, relevant safety markers, and a broader metabolic and health picture. HFW does not use one universal panel for everyone, and it reviews recent usable results before ordering duplicates.
Men’s TRT is $150 per month for nonmembers, and active Longevity Membership members and Functional Medicine Corrective Program patients are entitled to additional discounts. Medication is included in that price. Laboratory charges are separate. For nonmembers, a quarterly clinician consultation to review bloodwork and adjust the plan is generally $150 to $200, and additional provider consultations are $200. A listed price does not guarantee that TRT is appropriate for you.
No. HFW is self-pay and does not bill insurance for consultations, membership, programs, or therapies. Laboratory charges are separate and the laboratory may have its own insurance or self-pay process.
Testosterone therapy can affect fertility, and there are different approaches depending on whether preserving fertility is a priority for you. Fertility is one of the most important things to discuss before starting, which is why HFW asks about reproductive goals during the evaluation rather than after. This is an individual clinical conversation, not something to decide from a website.
Those are among the symptoms that prompt an evaluation, but symptoms have more than one possible explanation. Fatigue and brain fog can involve sleep, thyroid, metabolic health, nutrient status, mood, medications, or other factors, and treating testosterone will not address those. HFW evaluates the broader picture first so that if testosterone is part of the answer, it is the right part.
It varies by individual and by symptom, and HFW will not give you a promised timeline. What HFW will do is define what is being measured, schedule the follow-up bloodwork and clinician review, and adjust based on your actual response and safety markers rather than an expected script.
HFW offers injectable and topical cream formulations. Which one suits you depends on your evaluation, your goals, how you respond, and practical factors such as convenience and consistency of use. HFW does not use pellets. Your clinician will discuss the tradeoffs and can change the approach if your response or preference changes.
Testing is generally available nationwide. The exact treatment service depends on the patient’s state, clinician authorization, laboratory rules, pharmacy requirements, and the therapy involved. HFW confirms availability for your specific service during the introductory process, before you purchase anything.
Through ongoing bloodwork and scheduled clinician review of symptoms, response, safety markers, and goals. Based on that review your clinician may continue, adjust, pause, stop, or refer. Every refill and continuation decision requires clinician review, and required monitoring must be completed before continuation when applicable.
Have more questions? Ask Healie →
