— MIAMI PHYSICIAN LED
Testosterone Replacement Therapy (TRT), Miami
— WHO IT IS FOR

Is this you?

Men with symptoms that may point to low testosterone, such as low sex drive, fatigue, mood changes, or loss of muscle and strength, who want a physician-led evaluation and confirmed lab results before any treatment is discussed.
— WHAT IT IS

How the treatment works

TRT at First Class Health isn’t a prescription handed out from a symptom checklist. Labs come first, then a real conversation about what they show. Treatment moves forward only when the evidence points there.

Once you start, your levels are rechecked and your plan is adjusted over time, so it follows how your body is actually responding. If your numbers improve but you don’t feel a difference, we’ll tell you, and stopping becomes part of the conversation. Because TRT sits inside your broader longevity plan, it’s coordinated with your metabolic health, weight management, and the rest of your care.

— CANDIDACY & WHAT TO EXPECT

Is this treatment right for you?

TRT isn’t the right fit for everyone. It’s generally not recommended if you:

  • are trying to conceive, or plan to soon
  • have prostate or breast cancer
    have an elevated PSA or a prostate nodule that hasn’t been evaluated
  • have a high red blood cell level (hematocrit)
  • have untreated severe sleep apnea or severe urinary symptoms
  • have uncontrolled heart failure
  • have had a heart attack or stroke in the last six months
  • have a blood clotting disorder

Your evaluation screens for all of these before treatment is discussed.

If TRT is right for you, you’ll have follow-up labs and a check-in 3 to 6 months after starting, then at least once a year. Testosterone can raise blood pressure, so your blood pressure is tracked throughout your plan.

Results build in stages. Changes in sex drive often come first, typically starting around three weeks and leveling off around six. Changes in muscle, strength, and body fat usually take 12 to 16 weeks to show and keep developing over 6 to 12 months. Everyone responds differently.

— FAQ’s

Frequently Asked Questions

Do I need labs before starting TRT?
Yes. Diagnosis requires at least two early-morning testosterone tests on separate days, plus a review of your symptoms and health history.
How often will my levels be monitored?
Your labs are rechecked 3 to 6 months after you start, then at 12 months and yearly after that. Along with testosterone, we track your red blood cell levels, your blood pressure, and prostate health where appropriate.
How soon will I notice a difference?
Sex drive is often the first change, around three to six weeks. Body composition changes take longer, usually 12 to 16 weeks to start and 6 to 12 months to fully develop.
Does TRT affect fertility?
Yes. TRT suppresses your body’s own sperm production and can lower sperm count significantly, in some men to zero. It isn’t recommended for men trying to conceive. Recovery after stopping varies and can take many months, sometimes longer. If you want children now or in the future, tell us at your first visit, because that changes the plan.
Is TRT safe for my heart?
In 2025, the FDA updated labeling for testosterone products after a large clinical trial. The update removed the boxed warning about increased cardiovascular risk. It also added a warning that testosterone can raise blood pressure, which is one reason we monitor it throughout treatment. Your cardiovascular history is part of every TRT evaluation.
Is TRT the same as peptide therapy?
No. TRT replaces a hormone your body isn’t producing enough of. Peptide therapy uses different compounds for different goals. Some patients are evaluated for both, but they are separate treatments with separate evaluations.
Is TRT a long-term commitment?
TRT continues only as long as it’s working for you and your monitoring stays on track. If it isn’t improving your symptoms, stopping is part of the conversation. If you decide to stop, we’ll plan it with you.
— GET STARTED

Ready to Start?