No AI gatekeepers. No drive-thru prescriptions. Every clinical decision is made by a Massachusetts-licensed physician based on your labs and your history. Here's what that looks like, step by step.
From eligibility to ongoing monitoring, the same MA-licensed physician sees you through. The whole process — first contact to first dose — typically takes 7–14 days.
A short, private screen confirms you're a Massachusetts resident, 21 or older, and a likely candidate. We ask about symptoms, medical history, contraindications, and your goals around fertility.
We send a requisition to a Quest or Labcorp Patient Service Center near you. Two morning fasting draws (per Endocrine Society 2018 guidance) plus the full hormone, metabolic, and prostate panel.
A 30-minute video consult with a MA-licensed physician — not a sales call. We review your labs and history, discuss benefits and risks (including fertility and the TRAVERSE cardiovascular data), and decide together whether treatment is right for you.
If you're a candidate, we e-prescribe to a MA-licensed compounding pharmacy that ships to your home. Follow-up labs at 3 and 6 months, then every 6–12 months, keep care safe and dialed in.
No screenshots from another clinic. Below is an anonymized example of the lab panel a Tier 1 patient receives — and the physician's interpretation that turns numbers into a treatment decision.
Example panel for illustration. Reference ranges follow Endocrine Society 2018 / AUA 2018 guidance. Actual numbers, interpretation, and treatment decisions vary per patient and are made only after a video visit with your MA‑licensed physician.
A "low T" reading in isolation isn't a diagnosis. We run the full HPG-axis panel plus the safety labs you need before starting therapy.
Testosterone follows a circadian rhythm and varies day to day. The Endocrine Society requires two confirmatory morning fasting draws before any diagnosis — we don't shortcut this.
Why it matters: a single afternoon reading regularly mis-labels healthy men as hypogonadal — and healthy men as fine when they're not.
If that's you, we'll explain why — and discuss alternatives. Sleep, body composition, alcohol, medication side effects, and undiagnosed sleep apnea all suppress testosterone. We'll point you to the right workup, not write a prescription you don't need.
Most patients are evaluated, diagnosed (or ruled out), and — if appropriate — started on therapy within two weeks. Here's what each week looks like.
Three minutes. No card on file. We confirm you're a MA resident, 21+, and a likely candidate. You get a lab requisition emailed the same day.
You walk into a Quest or Labcorp Patient Service Center near you — no appointment required for most. Two mornings, ideally a week apart. Results return to us within 3–5 business days.
Your MA-licensed physician reviews the panel against the clinical picture you submitted. You get a 30-minute video visit on the calendar. No upsells, no "concierge" tier.
If you're a candidate, we e-prescribe to a MA-licensed compounding pharmacy that ships discreetly to your home. If you're not, we tell you why and what to do instead.
Repeat panel checks safety (hematocrit, PSA, lipids) and treatment response (free T, estradiol). Dose adjustments only when the labs and how you feel agree.