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Testosterone replacement therapy (TRT) is a physician-supervised medical treatment that restores testosterone to optimal levels in men with clinically low testosterone. Every Primal Mountain Medical TRT program follows the clinical protocols designed by Founder and Medical Director Dr. Jacob Egbert, D.O. Your personalized plan is built and managed by your licensed medical provider, with baseline and follow-up labs and a functional medicine report included at each lab review.
Start with our $49 comprehensive lab panel — 40+ biomarkers including total and free testosterone, SHBG, thyroid, metabolic panel, CBC, and PSA. Draw at any LabCorp location near you.
Your licensed medical provider reviews your results within one business day — a complete clinical evaluation of your hormonal profile, paired with a functional medicine report that maps each biomarker against optimal physiologic ranges.
Schedule a free consultation to discuss your labs, symptoms, and goals with your licensed medical provider. Your personalized TRT plan is built within the clinical framework Dr. Egbert designed for the clinic. No obligation, no pressure.
Your medication ships directly to your door in discreet packaging. Baseline and follow-up labs are included — each accompanied by a functional medicine report — to optimize dosing and monitor health markers, plus ongoing medical follow-up appointments with your licensed medical provider to keep your protocol dialed in.
Testosterone levels naturally decline approximately 1-2% per year after age 30. An estimated 10-40% of men over 45 have clinically low testosterone. Common symptoms include:
Low testosterone affects men in patterns — fatigue that sleep does not fix, libido that quietly disappears, body composition that shifts despite consistent training. Properly dosed testosterone replacement therapy addresses these patterns at the source: it restores testosterone to optimal physiologic levels, so the systems that depend on it — energy production, sexual function, cognition, body composition, and mood regulation — start operating the way they are designed to.
Persistent fatigue · Low motivation · Afternoon crashes
Testosterone restores HPG-axis signaling and supports red blood cell production, which means oxygen delivery to working tissues — and the sense of usable energy that comes with it — recovers as receptor signaling comes back online.
Most men feel meaningful change in 6-10 weeks.
Low libido · Erectile concerns · Performance issues
Testosterone is the primary driver of sexual desire and supports nitric-oxide-mediated erectile function, which means desire and physiological response start tracking each other again instead of working against you.
Libido often returns within 3-6 weeks; erectile quality continues improving over 12-16 weeks.
Brain fog · Poor concentration · Memory lapses
Androgen receptors in the hippocampus and prefrontal cortex respond to testosterone, which means clearer thinking, sharper recall, and the ability to hold complex tasks return as the underlying signaling is restored.
Typically noticeable within 6-8 weeks.
Muscle loss · Increased body fat · Stubborn midsection weight
Testosterone increases muscle protein synthesis and supports lipolysis of visceral fat, which means consistent training starts producing the body composition response it is supposed to — leaner midsection, more usable muscle, better recovery between sessions.
Visible shifts typically begin 8-12 weeks in with consistent training; full optimization over 3-6 months.
Irritability · Low mood · Poor sleep · Loss of drive
Testosterone supports dopamine signaling and contributes to deep and REM sleep architecture, which means mood stability, sleep quality, and the capacity to handle daily stress without breaking down all improve together rather than in isolation.
Mood and sleep changes typically lead the protocol — many men notice shifts within 3-6 weeks.
Joint pain · Stiffness · Slow recovery from training
Testosterone supports collagen synthesis and exerts anti-inflammatory effects on joint tissues, which means stiffness, soreness, and recovery between sessions tend to improve — particularly for men whose symptoms preceded any specific injury.
Improvement is gradual and follows the body composition timeline.
Individual results vary. TRT is FDA-approved for men with diagnosed hypogonadism. Outcomes depend on starting hormone levels, lifestyle factors, and consistent adherence to the protocol. Your clinical team adjusts dosing based on lab results and how you are feeling at each follow-up appointment.
Patient safety is non-negotiable. Every TRT protocol at Primal Mountain Medical includes comprehensive monitoring:
Step 1
Foundation Lab Panel
40+ biomarkers + functional medicine report. LabCorp draw. Reviewed by your licensed medical provider within 1 business day.
Step 2
TRT Protocol
Medication, syringes, physician oversight, ongoing lab monitoring, and ongoing medical follow-up appointments. HSA/FSA eligible. No contracts.
Prepay 6 months → $206/mo effective rate
Testosterone replacement therapy (TRT) is a physician-supervised medical treatment that restores testosterone to optimal levels in men with clinically low testosterone (hypogonadism). It is delivered via weekly injections, topical creams, or pellets, and is monitored through regular bloodwork.
Men with symptoms of low testosterone — fatigue, low libido, brain fog, muscle loss, weight gain, or mood changes — and confirmed low testosterone on bloodwork (typically below 300 ng/dL total testosterone) are candidates. A clinical evaluation by a licensed medical provider, including comprehensive lab work and a functional medicine report, is required before starting treatment.
Lab panels start at $49. Monthly TRT programs start at $229/month and include physician oversight, testosterone medication, syringes, ongoing bloodwork monitoring, and ongoing medical follow-up appointments with our clinical team. A 6-month prepay option brings the effective rate to $206/month. HSA and FSA eligible. No hidden fees or long-term contracts.
When properly supervised by a licensed medical provider with regular bloodwork monitoring, TRT has a well-established safety profile. Your provider monitors hematocrit, PSA, liver function, and lipids at every lab review — working within the clinical safety protocols Dr. Egbert designed for the clinic.
Exogenous testosterone can suppress sperm production by reducing LH and FSH signaling. For men who want to preserve fertility, Primal Mountain Medical offers fertility-preserving protocols using clomiphene citrate, hCG, or enclomiphene alongside or instead of testosterone.
Most men notice improvements in energy, mood, and libido within 3-6 weeks. Body composition changes (increased muscle, reduced body fat) typically become noticeable after 3-6 months of consistent treatment. Full optimization usually takes 6-12 months.
Primal Mountain Medical provides TRT via telehealth in Utah, Idaho, Montana, Washington, Arizona, and Colorado. We also offer in-person consultations at our clinic in Lehi, Utah.
Take the 2-min hormone & metabolism quiz to see exactly where you stand — or order your $49 lab panel and have your results, paired with a functional medicine report, reviewed by your licensed medical provider within one business day.