Before you book
You don't need anything to book. No referral, no insurance pre-auth. The $79 consult covers a full provider visit and a structured intake. Every TRT patient is required to complete our $199 comprehensive hormone lab panel before starting therapy, which we draw in-clinic the same day as your consult.
Schedule online or by phone at any of our three Mississippi clinics. Telehealth follow-up is available for eligible patients after the first in-person visit.
The consult itself, minute by minute
Symptom intake
We use a validated low-T screen (ADAM, AMS) plus open-ended questions about energy, sleep, libido, recovery, mood, and cognition. We want the lived experience, not just the numbers.
Medical and family history
Cardiovascular, prostate, blood disorders, family history of MTC or pancreatitis. Medications you are on. Lifestyle: sleep, training, alcohol, stress.
Physical exam and lab draw
Vitals, brief targeted exam, and the lab draw in-clinic. We pull total T, free T, SHBG, estradiol sensitive, prolactin, LH, FSH, PSA, CBC, CMP, lipids, thyroid panel, and vitamin D. Results in 24-72 hours.
Plan and next steps
We walk you through what the labs will tell us, what to expect when they come back, and what the dosing options are. You leave with follow-up dates already on the calendar.
The lab panel, decoded
A real TRT workup isn't just total testosterone. We pull a comprehensive panel because low T is usually a symptom of something upstream (insulin resistance, sleep, thyroid). Here is what each marker tells us:
- Total T + Free T: the headline. Free T is the biologically active fraction; many men have normal total T but low free T.
- SHBG: the protein that binds testosterone. High SHBG means less free T even when total is normal.
- Estradiol (sensitive assay): testosterone converts to estradiol via aromatase. Too low or too high causes symptoms.
- LH and FSH: tell us if the issue is primary (testes) or secondary (pituitary).
- PSA: baseline for prostate monitoring on therapy.
- CBC: hematocrit baseline; TRT can raise it and we monitor.
- CMP, lipids, thyroid: metabolic and thyroid context. Often the actual driver of low T.
What we ask before starting any protocol
- Personal or family history of prostate or breast cancer
- Sleep apnea (undiagnosed sleep apnea can drop T significantly and TRT can worsen severe untreated cases)
- Hematocrit history (we won't start at high baseline without addressing it)
- Cardiovascular history
- Fertility considerations (TRT suppresses sperm production; we offer fertility-preserving protocols)
We don't start TRT on patients where the risk outweighs the benefit. We'll tell you that honestly at the consult.
What you walk out with
- A complete lab order placed (results in 24-72 hours)
- A clear timeline: lab review call within a week of results, dosing decision, first dose
- Follow-up appointments scheduled (6 weeks, 12 weeks, 6 months)
- Patient portal access for messaging and labs
- Pricing in writing
Common pre-visit questions
Should I fast before the labs?
Yes, 8-12 hour fast for metabolic and lipid accuracy. Water is fine. Caffeine is not.
Should I work out the day before?
Avoid heavy lifting 24 hours before the draw. It transiently affects testosterone, hematocrit, and CK.
Do I need to bring anything?
ID, a list of any current medications and supplements, and recent labs if you have them.
How quickly can I start TRT after the consult?
Once labs come back (24-72 hours) and we review them together, most patients are dosing within a week.
Forty minutes. One provider. Real numbers.
No upsell scripts. No tier upgrades. The $79 consult gets you a real provider, real labs, and a real plan, in person at any of our three Mississippi clinics.
Three clinics, same standards
This article is educational and does not replace medical advice. Suitability for TRT depends on lab work and individual medical history. Speak with a licensed clinician before starting any treatment.