Increase
Energy
Improve
Libido
Build
Muscle
Serving Charleston and Throughout West Virginia
Starting at $129/month
Call (304) 337-5230 to speak to a specialist
Men’s health challenges can be discouraging and overwhelming. Low energy, reduced sex drive, and loss of muscle mass can all interfere with living the active, healthy life you want.
With testosterone replacement therapy (TRT) and other men’s health solutions, you can work toward your goals and reach your full potential.
Start by filling out our quick intake form. Once submitted, you’ll receive a lab order for blood work, which your provider will review before your first visit. Wondering if you have low testosterone? Take our quiz to learn more.
300 Capitol St Suite 407
Charleston, WV 25301
Phone: (304) 337-5230
Monday | 9:00 AM – 5:00 PM |
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Tuesday | 9:00 AM – 5:00 PM |
Wednesday | 9:00 AM – 5:00 PM |
Thursday | 9:00 AM – 5:00 PM |
Friday | 9:00 AM – 5:00 PM |
Saturday | 10:00 AM – 2:00 PM |
Sunday | Closed |
Head southeast on I-79 S 2.0 mi Use the right lane to merge onto I-77 S 1.5 mi Use the right lane to take exit 101 for I-64 W/US-119 S toward Huntington 0.2 mi Take the 58c exit toward US 60/Washington St/Civic Ctr 0.2 mi Merge onto US-119 S 0.1 mi Slight left onto US-119 S/Pennsylvania S 0.2 mi Turn left onto US-60 E/Lee St Destination will be on the left
Head southeast on MacCorkle Ave SE toward 47th St SE 82 ft Turn right at the 1st cross street onto 47th St SE 174 ft Turn right toward 46th St SE 459 ft Turn right onto 46th St SE 174 ft Turn left onto MacCorkle Ave SE/McCorkle Ave 0.9 mi Turn right onto 36th St SE Pass by Subway (on the left) 0.2 mi Continue onto 36th St Southeast Bridge 0.2 mi Use the right lane to take the ramp onto I-64 W/I-77 N 1.9 mi Take exit 100 to merge onto Leon Sullivan Way 0.6 mi Turn right onto Washington St E 0.3 mi Turn left onto Summers St 358 ft Turn left at the 1st cross street onto Lee St Destination will be on the left 446 ft
Take E St to US-60 E/MacCorkle Ave SW 24 sec (341 ft) Head northeast toward E St 161 ft Turn right at the 1st cross street onto E St 180 ft Turn left at the 1st cross street onto US-60 E/MacCorkle Ave SW 2 min (0.7 mi) Get on I-64 E 2 min (0.6 mi) Turn right onto A St/Montrose Dr 0.2 mi Use the left lane to continue on Montrose Dr 0.1 mi Turn left to merge onto I-64 E toward Charleston 0.3 mi Continue on I-64 E. Drive to US-60 E/Lee St W in Charleston 5 min (3.1 mi) Merge onto I-64 E 2.2 mi Take exit 58C for US-60 toward Lee St 0.3 mi Turn right onto US-60 E/Lee St W Parts of this road may be closed at certain times or days Destination will be on the left 0.7 mi
Ordering is Easy and Convenient
Begin by completing a brief intake form. Our physician will review your details and arrange the necessary blood work.
Join our TRT physician for a quick telehealth visit to go over your lab results and customize your treatment plan. During this session, the doctor will discuss possible side effects, address your concerns, and explain what you can expect from TRT.
Your TRT prescription will be delivered straight to your doorstep, along with easy-to-follow self-administration instructions. Our medical team will be available to provide guidance and answer questions throughout your treatment journey.
Testosterone Replacement Therapy (TRT) is a type of hormone replacement therapy (HRT) designed to raise testosterone levels in men whose bodies produce insufficient amounts of this essential hormone. Treatment options include injections, transdermal patches, topical gels, and subdermal pellets, giving patients multiple choices to suit their preferences and lifestyles.
The main goal of TRT is to reduce or eliminate the symptoms linked to low testosterone, such as low energy, reduced sex drive, and mood disturbances. Restoring healthy testosterone levels can lead to greater vitality, improved mood, and increased muscle mass.
Testosterone is a vital hormone that influences many bodily functions. It is key to developing male sexual traits, preserving muscle strength, maintaining bone health, and supporting emotional well-being. As men get older, testosterone production naturally declines, which can contribute to various health concerns.
Research shows that TRT is being used more frequently, reflecting a growing understanding of how crucial hormone balance is to overall wellness.
Low testosterone can cause a variety of symptoms, including:
Our healthcare team can assess whether TRT is the right option for you and design a personalized treatment plan tailored to your unique needs. Identifying and treating low testosterone symptoms is essential for supporting both your physical and mental well-being.
TRT may support cardiovascular health by lowering the risk of conditions such as heart disease, stroke, and hypertension. It can also enhance insulin sensitivity in individuals with diabetes or metabolic syndrome.
In addition, TRT has been linked to improvements in mood, helping to reduce symptoms of depression and anxiety in men with low testosterone. Potential benefits of testosterone replacement therapy include:
Improved Energy Levels
TRT combats fatigue, boosting energy, stamina, and daily productivity.
Increased Sex Drive and Function
Restores libido and improves sexual performance, enhancing desire and intimacy.
Enhanced Muscle Mass and Strength
Supports muscle growth and strength, leading to a leaner physique, especially with exercise.
Weight Loss & Body Composition
Aids in fat loss, particularly around the abdomen, and improves metabolism for a healthier muscle-to-fat ratio.
Improved Bone Density
Strengthens bones and reduces the risk of fractures and osteoporosis.
Better Mood and Cognitive Function
Stabilizes mood and enhances mental clarity, improving focus, memory, and emotional well-being.
Beginning testosterone replacement therapy (TRT) marks the start of a gradual transformation in your health and overall well-being. Here’s an overview of what you can expect during each of the first six months of treatment:
Low testosterone levels differ from person to person, and there isn’t a single cutoff that universally defines “low.” The American Urological Association suggests that men may be diagnosed with low testosterone (“Low T”) if their total testosterone falls below 300 ng/dL. Still, the most reliable way to know is by consulting with a qualified healthcare provider.
When making a diagnosis, doctors often look beyond lab results, taking into account symptoms and overall health. Proper testing and medical evaluation are essential before beginning TRT.
Since diagnostic standards can vary among providers, it’s important to see a doctor who specializes in hormone therapy. They can create a treatment plan tailored to your unique needs and health goals.
Low testosterone can be caused by a range of factors, including aging, certain medications, underlying health conditions such as diabetes or obesity, and lifestyle habits like poor nutrition or lack of exercise. Roughly 1 in 5 men over 60 experience low testosterone, and that percentage rises to about half of men over 80.
Additional contributors include chronic stress, heavy alcohol consumption, and sleep disturbances. Some medical treatments, such as chemotherapy, may also reduce testosterone levels. Testosterone Replacement Therapy (TRT) has become increasingly common, with millions of men receiving treatment. However, TRT should only be started under the supervision of a qualified medical professional after appropriate testing and diagnosis.
Although testosterone replacement therapy can provide substantial benefits, it’s important to understand the potential side effects. Some men may experience mild issues such as fluid retention, acne, or a higher red blood cell count. Others might notice changes in mood or fluctuations in energy levels as their body adapts to the therapy. In uncommon cases, TRT may contribute to more serious problems, including a greater risk of blood clots, sleep apnea, or concerns related to prostate health.
Ongoing monitoring by your TRT provider is essential to reduce risks and maintain safe, effective treatment. During your consultation, your doctor will explain possible side effects and continue to track your health throughout your therapy.
When beginning testosterone replacement therapy, following a customized dosage plan is essential for both safety and effectiveness. Your TRT provider will determine the right dosage for you by evaluating your lab work, overall health, and specific symptoms.
In most cases, TRT is administered through injections. Your doctor will outline the proper dosage and schedule to help maintain healthy testosterone levels. Ongoing blood tests and follow-up appointments are critical to track your progress and make any needed adjustments, ensuring you achieve the best possible results from treatment.
Testosterone is most often delivered through an intramuscular injection, meaning it’s administered directly into a muscle. The preferred injection site is usually the gluteal muscle in the buttocks, as it offers a large, well-supplied area for proper absorption. Other possible sites include the thigh (vastus lateralis) or the shoulder (deltoid muscle).
For testosterone injections, the recommended needle size is generally 1.25 to 1.5 inches in length with a gauge between 19 and 25, depending on your comfort level and the thickness of the solution. It’s important not to refrigerate or freeze your medication, as extreme temperatures can reduce its effectiveness.
Most insurance plans won't cover TRT. Monthly testosterone injections might cost as low as $129 or as much as $400. At The Sanctuary Wellness Institute, our program cost is $129 per month, which includes doctor's appointments, medication, and ongoing care team support.
After your first testosterone injection, the hormone is gradually absorbed into your system, leading to a steady rise in blood testosterone levels. The American Urological Association suggests that an optimal range is usually between 450 and 600 ng/dL, though the ideal level can vary based on your health and treatment goals.
Testosterone levels generally reach their highest point about 24 to 48 hours after the injection. Following this peak, they begin to decline at a rate of roughly 1–2% per day. This slow decrease continues over several days until levels return closer to baseline, just in time for your next scheduled dose.
The most effective form of TRT depends on each person’s health, lifestyle, and preferences. Popular methods include injections, which deliver consistent, long-lasting results, and topical gels or patches, which are easy to use but require daily application. Pellet therapy is another option, providing steady hormone release through tiny pellets placed under the skin. Your healthcare provider will recommend the best approach based on your unique needs and treatment goals.
Discontinuing TRT can cause your testosterone levels to drop, which may result in symptoms like low energy, decreased sex drive, mood swings, and reduced muscle mass. The severity of these effects depends on factors such as how long you were on therapy and how well your body can restart natural testosterone production. It’s important to work with a healthcare provider when stopping TRT to manage the transition safely and reduce potential side effects.
TRT can be prescribed and managed by various types of doctors. Endocrinologists, who specialize in hormone disorders, and urologists, who focus on men’s health, are the most common providers. Some primary care physicians, as well as wellness and anti-aging specialists, may also offer TRT depending on their training and experience. The key is to work with a qualified provider who can accurately diagnose low testosterone and guide you through safe, effective treatment.
Coverage for TRT varies by insurance provider and plan. In many cases, it is covered if the treatment is considered medically necessary, such as for diagnosed hypogonadism. To know for sure, you’ll need to contact your insurance company to verify benefits, pre-authorization requirements, and any potential out-of-pocket expenses.
The Sanctuary Wellness Institute does not accept insurance, any reimbursement would be out of network.
TRT can be safe for many men when prescribed and closely monitored by a qualified doctor. It may help relieve symptoms of low testosterone, like fatigue and low libido. However, it’s not appropriate for everyone and can carry risks, including potential cardiovascular concerns. Consulting a licensed physician is essential to evaluate your health, discuss risks, and determine if TRT is the right treatment for you. Personalized medical guidance ensures safe and effective therapy.
TRT may cause a range of side effects. Common effects can include acne, sleep apnea, and increased body hair. Some men may notice mood changes, irritability, or shifts in libido. In rare cases, more serious complications can occur, such as a higher risk of blood clots, heart problems, or prostate enlargement. Regular check-ins with a healthcare provider are essential to monitor your health and manage any risks. Always consult a doctor before beginning TRT.
Men with low testosterone typically require long-term TRT, as low hormone levels usually persist without treatment. If therapy is discontinued, testosterone levels often drop back to their previous low levels. In some cases, if low testosterone is caused by certain medications, TRT may only be needed while taking those drugs. A healthcare provider can help determine the appropriate duration of treatment based on your individual situation.
Yes, women can have low testosterone, although it’s less common than in men. Testosterone plays a key role in women’s health, affecting energy, mood, bone strength, and sexual function. Symptoms may include fatigue, low libido, fertility issues, irregular periods, and sleep disturbances. Aging, hormonal imbalances, certain medical conditions, and lifestyle factors can all contribute to lower testosterone levels. For adult women, normal testosterone levels typically range from 8–60 ng/dL. A healthcare provider can help determine if hormone therapy is appropriate.
The effects of TRT can differ from person to person. Many men notice higher energy levels and improved mood within a few weeks. Around the three-month mark, improvements in libido, muscle mass, and overall well-being often become more noticeable. Full benefits, including changes in body fat and bone density, may take six months to a year. Regular check-ins with your doctor help monitor progress and adjust treatment for the best results.
The length of time testosterone stays in your system depends on the form of TRT and individual factors. Injectable testosterone usually remains active for several days to weeks, while gels or patches provide more consistent levels with daily use. How long it lasts can vary based on metabolism, dosage, and administration method. If you plan to stop TRT, it’s important to work with your doctor to taper safely, as stopping suddenly may cause fatigue, mood changes, and muscle loss. Recovery of natural testosterone production varies from person to person.
With the help of our men's health doctors you can achieve your goals and unlock your potential. Complete our brief intake form to get started. Afterward, you'll receive a lab order for blood work, which your doctor will review before your first appointment. It's that simple!