“After my blood work, Dr. Tieche discovered that my levels were off. He started me on testosterone and thyroid treatments, and I’ve been doing great ever since—thanks to Recharge Clinic.”
—Actual Recharge Clinic Patient
Men are often told that low energy, weight gain, decreased strength, brain fog, poor sleep, and a declining sex drive are simply part of getting older.
Aging may change your body, but that does not mean every symptom should automatically be dismissed as “normal.”
Testosterone affects much more than sexual function. It plays an important role in muscle mass, bone health, red blood cell production, mood, motivation, mental clarity, metabolism, energy, and overall well-being.
When testosterone levels are too low, a man may notice changes in nearly every area of his life. He may still be working, taking care of his family, and getting through the day—but he does not feel like himself anymore.
At Recharge Clinic, we listen to how you feel, evaluate the full picture, and create an individualized treatment plan when testosterone therapy is medically appropriate.
Low testosterone, sometimes called testosterone deficiency, hypogonadism, or “low T,” occurs when the body does not produce enough testosterone to support normal function.
Testosterone production can be affected by the testicles, pituitary gland, hypothalamus, certain medications, chronic health conditions, obesity, sleep disorders, previous injury, and other medical factors. Testosterone levels can also change over time.
However, a low number on one laboratory test does not automatically mean a man needs testosterone.
Proper evaluation should consider:
Professional guidelines recommend diagnosing testosterone deficiency only when a man has compatible symptoms or signs along with consistently low testosterone levels.
Low testosterone may affect every man differently. Some experience obvious sexual symptoms, while others primarily notice changes in energy, mood, strength, or body composition.
Possible symptoms include:
These symptoms can also be caused by thyroid disorders, sleep apnea, vitamin deficiencies, medication side effects, depression, stress, diabetes, obesity, and other health conditions. That is why Recharge Clinic does not treat a symptom checklist alone.
We evaluate the man—not just the testosterone number.
Your evaluation begins with a conversation.
We want to know what has changed, how long it has been happening, what treatments you have already tried, and what you hope to improve.
Your provider may evaluate:
Testing recommendations vary by patient. Not every man needs the exact same laboratory panel, medication, dosage, or treatment schedule.
Once your laboratory results are available, a Recharge Clinic provider reviews them with you, explains what they mean, and discusses whether testosterone therapy or another treatment option may be appropriate.
There is no single “best” form of testosterone therapy for every man.
The right method depends on your symptoms, laboratory results, medical history, comfort level, lifestyle, treatment goals, response to therapy, and provider recommendation.
Testosterone injections are one of the most commonly used forms of testosterone replacement therapy.
Depending on the treatment plan, injections may be administered in the muscle or under the skin at an individualized interval. Some patients administer their injections at home after receiving instructions, while others prefer assistance from the clinic.
The goal is not to give every man the same large dose on the same schedule. Treatment should be adjusted carefully to maintain an appropriate, consistent response.
Testosterone pellets are small implants placed beneath the skin, usually in the upper buttock area, during a brief office procedure.
The pellets gradually release testosterone over time and may provide a convenient option for men who do not want to administer regular injections or apply medication every day.
Pellet therapy is not automatically better than injections. It is simply another option. Your provider will help you decide which method fits your health needs and lifestyle.
This is not a typical treatment option at Recharge Clinic due to the risks of transfer and the inconsistent results.
Topical testosterone may be applied to the skin daily as a cream or gel.
This option may appeal to men who want to avoid injections or pellet procedures.
Patients using topical testosterone must closely follow their provider’s instructions to reduce the risk of accidental exposure to others.
Recharge Clinic will recommend only the options available through our practice and appropriate for the individual patient. The exact method matters less than choosing a medically appropriate treatment and monitoring it correctly.
Some men with low testosterone symptoms may not be ready for testosterone replacement, or they may want to preserve fertility.
Clomiphene, commonly known as Clomid, may be considered in certain men to encourage the body to produce more of its own testosterone. It works differently from testosterone replacement and is not appropriate or effective for everyone.
This may be especially important because external testosterone can decrease the body’s signaling to the testicles and reduce sperm production.
Men who currently want children should discuss fertility before beginning testosterone therapy. The AUA guideline specifically addresses fertility goals as part of testosterone-deficiency evaluation and treatment planning.
We have a separate page that explains Clomid for Men in greater detail.
Responses vary, and treatment should never promise a specific outcome. When low testosterone is properly diagnosed and treated, some men may experience improvement in areas such as:
Some changes may be noticed sooner than others. Sexual interest or energy may improve before changes in muscle, body composition, or bone health become apparent.
Testosterone is not a shortcut, bodybuilding program, or substitute for sleep, exercise, nutrition, and management of underlying medical conditions. It works best as one part of a comprehensive health plan.
Testosterone should not be prescribed once and then forgotten.
Your body, symptoms, health history, medications, and laboratory values can change. Follow-up allows your provider to evaluate whether treatment is helping, whether the dose is appropriate, and whether any adjustments are needed.
Monitoring may include:
Treatment plans may need to be adjusted and further evaluation may be necessary while on testosterone therapy. At Recharge our providers are experts in hormone therapy, but this requires patients to be compliant, consistent, and to follow up as required with lab work.
Medical supervision matters.
Testosterone therapy can be appropriate for properly evaluated men, but it is not right for everyone.
Before recommending treatment, a provider must consider the potential benefits, risks, contraindications, and the patient’s personal health history.
Testosterone may not be appropriate for some men with certain prostate or breast cancers, significantly elevated hematocrit, untreated severe sleep apnea, uncontrolled heart failure, recent major cardiovascular events, fertility goals, or other medical concerns. The final decision must be individualized by the treating provider.
Patients should also understand that testosterone is a prescription medication and should never be purchased from unregulated websites, shared with another person, or used without laboratory testing and medical supervision.
Two men may have similar testosterone levels and feel completely different.
One man may respond well to injections. Another may prefer pellets. One may be a candidate for Clomid because fertility is important. Another may discover that sleep apnea, thyroid disease, high blood sugar, medication side effects, or iron deficiency is contributing to his symptoms.
Recharge Clinic does not use a cookie-cutter protocol.
We consider:
Then we create a plan specifically for you.
Recharge Clinic has helped men throughout Central Florida better understand their hormones and take a more active role in their health.
Our approach includes:
We do not want you to leave with a prescription you do not understand.
We want you to understand what your body is doing, why a treatment is being recommended, what to expect, and how we will monitor you moving forward.
Symptoms alone cannot confirm testosterone deficiency. Your provider will review your symptoms, medical history, medications, and appropriately timed laboratory testing. More than one testosterone measurement may be needed before making a diagnosis.
No. Testosterone also plays a role in muscle mass, bone health, mood, red blood cell production, energy, body composition, and other body functions. However, symptoms such as fatigue and brain fog can have many causes, so a full evaluation is important.
Neither option is best for every man. Injections are adjustable and commonly used, while pellets offer longer-lasting convenience without regular injections. Your provider will discuss the advantages and limitations of each.
Many patients do well with once a week injections, however, the dose and schedule may vary. Your provider will create an individualized plan based on the medication used, your laboratory levels, symptoms, response, and side effects.
Many male patients do well with pellet insertions every 6 months, however, pellet duration varies based on the dose, patient, metabolism, activity, and response. Your provider will use follow-up symptoms and laboratory results to determine when reevaluation or another procedure may be appropriate.
External testosterone can reduce sperm production and may impair fertility while on treatment. Men who want to preserve fertility should tell their provider before starting treatment so alternatives and appropriate evaluation can be discussed.
Current clinical guidance does not support treating this as a simple cause-and-effect statement. However, prostate health and individual risk factors must be evaluated before and during therapy when appropriate.
Before and during therapy, a provider may review prostate symptoms, PSA testing, age, family history, previous results, and other individual risk factors. Men with an abnormal PSA, significant urinary symptoms, a known prostate condition, or concerning examination findings may need additional evaluation before treatment.
Prostate monitoring should be based on the patient’s age, health history, risk factors, and current screening recommendations.
Yes. Ongoing laboratory testing helps your provider monitor testosterone levels, blood counts, treatment response, potential side effects, and other health markers.
Your provider may recommend additional treatments. Any blood donation or therapeutic phlebotomy plan should be medically supervised, with attention to iron levels when appropriate.
Some portions of evaluation and follow-up may be available through telehealth for eligible Florida patients. Laboratory testing and certain treatments or procedures still require appropriate in-person care. Lab work can be completed in any of our clinics or an at home lab kit may be mailed to you.
You should not be told that exhaustion, low motivation, sexual changes, loss of strength, and brain fog are automatically something you must live with.
There may be more than one reason you feel this way. The first step is finding out what is actually happening.
Schedule your complimentary hormone screening with Recharge Clinic. We will listen, review your symptoms, evaluate your laboratory results, and help you understand your options.
Monday: 8:00 am - 6:00 pm
Tuesday - Wednesday: 8:00 am - 5:30 pm
Thursday: 8:30 am - 6:30 pm
Friday: 8:00 am - 6:00 pm
Saturday: 7:45 am - 1:00 pm
After-hours appointments can be made.
Walk-ins are welcome.
Monday - Friday: 8:30 am - 5:30 pm
Walk-ins are welcome.
Monday - Friday: 8:30 am - 5:30 pm
Walk-ins are welcome.
Monday - Friday: 8:30 am-5:30 pm
Walk-ins are welcome.
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Monday - Wednesday 8 am - 6 pm
Thursday 8 am - 6:30 pm
Friday 8 am - 6 pm
Saturday 7:45 am - 1 pm
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Thursdays – 11 am - 3 pm
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