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More strength. More energy. Better body composition. Better recovery. Better performance.

Signs of Low Testosterone

Low testosterone may be associated with changes in:

  • Energy and motivation

    You wake up tired even after sleeping, have less motivation, or don’t have the same drive you once had.

  • Muscle mass and strength

    Your strength and muscle feel different, or your body doesn’t respond the way it used to.

  • Body composition

    You notice changes in weight, body fat, or where your body stores it, and losing weight has become a struggle.

  • Sexual desire and function

    Your libido changes, sexual function becomes different, or performance isn’t what it was.

  • Recovery and physical performance

    Recovering from training becomes more difficult, and physical performance doesn’t feel the same.

  • Overall sense of well-being

    Your mood or confidence changes, you feel unfocused, or you don’t feel like yourself anymore.

Why testosterone is important

25.7%
Of U.S. adult men have total testosterone levels below 300 ng/dL.
38.7%
Of men aged 45 and older had testosterone levels below 300 ng/dL in the HIM study.
2.1%
Of men aged 40–79 met strict criteria for symptomatic late-onset hypogonadism.
2.69x
Higher adjusted odds of low testosterone associated with obesity.

Research sources: Goulian et al. (2026); Mulligan et al. (2006); Wu et al. (2010).

Testosterone · Testosterone optimization

One protocol.Two ways to pay.

Pay monthly and keep it flexible, or pay once a quarter and pay less. The medicine, the clinician and the review behind them are identical.

Billing period

From $249per monthplus bloodwork

$699for 3 monthsplus bloodwork

$233/mo · save $48

First Initial Visit Included

Billed every three months

A quarter at a time costs less per month and means one fewer thing to think about. Same medicine, same clinician.

Bloodwork

A clinician needs recent results before prescribing. Pick a panel here, or tell us you already have one. Bloodwork is ordered and billed separately from your medication.

See the protocol

FAQs

Before You Start

  • Getting Started
    • How does the process work?

      Getting started with Stakt Health is simple:

      1. Select your treatment program and complete your purchase.
      2. Complete your blood work through our lab network or upload recent qualifying results.
      3. Meet with a licensed physician to review your lab work, symptoms, medical history, and goals.
      4. If appropriate, your physician will develop a personalized treatment plan.
      5. Receive your prescribed treatment and ongoing care.
    • Do I need blood work before starting?
      Yes. Blood work helps evaluate your testosterone levels and overall health. You can complete testing through our laboratory network or submit recent qualifying lab results for physician review.
    • Can I use blood work I already have?
      Absolutely. You can upload recent blood work for your physician to review. If additional or updated testing is needed, your physician will let you know.
    • Do I have to visit a doctor’s office?
      No. Stakt Health offers a convenient telehealth experience. You can complete your intake, submit laboratory results, and meet with a licensed physician remotely, subject to any additional evaluation requirements.
  • Understanding TRT
    • What is testosterone replacement therapy (TRT)?
      TRT is a medical treatment designed to restore testosterone levels in men with clinically diagnosed testosterone deficiency. Testosterone plays an important role in energy, muscle development, recovery, sex drive, bone health, and overall well-being.
    • What are the signs of low testosterone?

      Common symptoms may include:

      • Persistent fatigue and low energy.
      • Decreased sex drive.
      • Difficulty maintaining muscle mass.
      • Increased body fat.
      • Reduced motivation.
      • Changes in mood.
      • Poor recovery.
      • Difficulty concentrating.

      These symptoms can have multiple causes, making proper evaluation and blood work important.

    • What is considered a normal testosterone level?
      A commonly used reference range for adult men is approximately 300–1,000 ng/dL. However, a number alone does not determine whether treatment is appropriate. Your physician will evaluate your symptoms, laboratory results, and overall health.
  • Results & Expectations
    • How long does it take to see results from TRT?

      Results vary from person to person. Some men notice changes within several weeks, while other improvements may take several months.

      • 2–6 weeks: Potential improvements in energy, mood, and sexual interest.
      • 6–12 weeks: Potential changes in sexual function and overall well-being.
      • 3–6 months: Changes in lean muscle mass and body composition may become more noticeable.

      Individual results vary, and lifestyle factors such as training, nutrition, and sleep play an important role.

    • Will TRT help me build muscle and lose body fat?
      Testosterone plays an important role in maintaining lean muscle mass and regulating body composition. For men with testosterone deficiency, appropriate treatment may support improvements in muscle mass and body composition. Consistent training, nutrition, and recovery remain essential.
    • Will TRT improve my energy and sex drive?
      Men with testosterone deficiency may experience improvements in energy, libido, and overall well-being with appropriate treatment. However, these symptoms can have other underlying causes that your physician may evaluate.
  • Safety & Monitoring
    • Is testosterone replacement therapy safe?
      TRT can be an appropriate treatment for men with clinically confirmed testosterone deficiency when prescribed and monitored by a qualified physician. Like any medical treatment, it carries potential risks. Your physician will evaluate your health history, risk factors, and laboratory results before recommending treatment.
    • What are the potential side effects of TRT?
      Potential side effects include increased red blood cell count, acne, fluid retention, changes in cholesterol, suppression of natural testosterone production, and reduced sperm production. Regular monitoring helps your physician evaluate your response and manage potential risks.
    • Will TRT affect my fertility?
      Yes, it can. Testosterone therapy may suppress natural testosterone production and reduce sperm production. If you are planning to have children or want to preserve fertility, discuss this with your physician before starting treatment.
  • Treatment & Ongoing Care
    • Will I need ongoing blood work and physician visits?
      Yes. Ongoing monitoring is an important part of responsible hormone care. Your physician may monitor testosterone levels, blood counts, estradiol when indicated, PSA when appropriate, and other health markers to evaluate your response and determine whether treatment adjustments are necessary.
    • Do I have to stay on TRT forever?
      Not necessarily. However, testosterone therapy does not always correct the underlying cause of low testosterone. If treatment is discontinued, natural testosterone production may take time to recover and may not return to previous levels. Any decision to stop treatment should be made with your physician.

Optimize your testosterone levels to feel your best.

  • More energy

    Feel consistent throughout the day.

  • Better recovery

    Keep up with training and daily demands.

  • Improved body composition

    Support muscle development and fat loss.

  • Stronger drive

    Improve motivation, focus, and performance.

  • Better consistency

    Feel more like yourself, physically and mentally.

The goal: Feel stronger, sharper, and ready to perform.

Results vary by individual. For men experiencing symptoms related to low testosterone, addressing hormonal imbalances may make a meaningful difference.

At Stakt Health, your care is guided by your symptoms, lab results, and individual goals.

Hair growth

  • Finasteride

    Rx

    Finasteride · Daily oral tablet

    From $35per month

    A 5-alpha-reductase inhibitor. Reviewed with a physician before starting, including its side-effect profile.

    Start your order for Finasteride

  • Compounded topical minoxidil

    Rx

    Minoxidil · Topical solution · Compounded

    Applied to the scalp rather than taken by mouth, and compounded to a prescribed strength.

Compounded medications are prepared by a licensed compounding pharmacy to a physician’s prescription. They are not FDA-approved products, and the FDA does not review compounded preparations for safety or effectiveness before they are dispensed.

Brand names are the trademarks of their respective owners. Reference to a product is not a claim of affiliation with or endorsement by its manufacturer.

Availability depends on your evaluation and on the state you are in. Side effects and risks are discussed with your physician before anything is prescribed.

Sexual wellness

  • Sildenafil

    Rx

    Sildenafil citrate · Oral tablet, taken as needed

    From $60per month

    A PDE5 inhibitor. Reviewed with a physician before starting, including its interaction with nitrates and other cardiac medication.

    Start your order for Sildenafil

  • Tadalafil

    Rx

    Tadalafil · Daily or as-needed oral tablet

    From $45per month

    A longer-acting PDE5 inhibitor, prescribed either at a low daily dose or as needed.

    Start your order for Tadalafil

  • PT-141

    Rx
    PT-141 form

    Bremelanotide · InjectionNasal · Compounded

    From $140per month

    From $141per month

    A melanocortin receptor agonist, compounded to a prescription rather than dispensed as a manufactured product. Reviewed with a physician before starting.

    Start your order for PT-141 injectionStart your order for PT-141 nasal

Compounded medications are prepared by a licensed compounding pharmacy to a physician’s prescription. They are not FDA-approved products, and the FDA does not review compounded preparations for safety or effectiveness before they are dispensed.

Brand names are the trademarks of their respective owners. Reference to a product is not a claim of affiliation with or endorsement by its manufacturer.

Availability depends on your evaluation and on the state you are in. Side effects and risks are discussed with your physician before anything is prescribed.

Stakt Your Life

Whether it’s weight loss, hormones, or both — we build care around you.

Ready when you are.

Book a visit in a couple of minutes. If we are not the right fit for what you need, we will tell you and point you somewhere better.

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Where Stakt Health is available

Everything Stakt Health offers is prescription care, and a prescriber has to be licensed in the state you are physically in when you are evaluated. These are the states and jurisdictions we serve today.

  • Alaska
  • Alabama — some peptide therapies restricted
  • Arkansas
  • Arizona
  • California — some peptide therapies restricted
  • Colorado
  • Connecticut
  • District of Columbia
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Iowa — some peptide therapies restricted
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Kentucky
  • Massachusetts — some peptide therapies restricted
  • Maryland
  • Maine
  • Michigan
  • Minnesota
  • Mississippi
  • Montana
  • North Carolina
  • Nebraska
  • New Hampshire
  • New Mexico
  • Nevada — some peptide therapies restricted
  • Ohio — some peptide therapies restricted
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Virginia
  • Vermont
  • Washington
  • Wisconsin
  • West Virginia
  • Wyoming

Some peptide therapies are restricted in these states under current regulations, and others may still be available. In California, Nevada, and Ohio, weight-loss peptides are the only peptides that can be prescribed today. Whether any treatment is appropriate for you is decided by the licensed provider who evaluates you.