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BIOIDENTICAL HORMONE THERAPY FOR MEN

Testosterone Replacement Therapy & Men's Hormone Optimization in North Carolina

Restore your vitality with expert bioidentical hormone therapy for men. TRT clinics in Asheville, Hendersonville, Greensboro, Clemmons, & Charlotte.

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Do You Have Low Testosterone?
Recognize the Signs

Low testosterone affects 1 in 4 men over 30. Early treatment can dramatically improve your quality of life.

Testosterone plays an important role in the growth and development of certain male organs and the maintenance of traits such as muscle and hair growth. It also contributes to your overall energy levels. Testosterone levels begin to decline in men in their early 30’s. Other factors that may cause a decrease in testosterone include chronic health issues, certain medications or trauma. 

While the symptoms of low T are different for everyone, the most common signs of low testosterone include: 

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Physical Symptoms

Unexplained fatigue, loss of strength, increased body fat, erectile dysfunction, low libido.

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Mental & Emotional

Brain fog, difficulty concentrating, depression, irritability, mood swings, lack of motivation.

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Sleep & Recovery

Poor sleep quality, insomnia, slow recovery from exercise, decreased stamina
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Metabolic Changes

Weight gain, especially belly fat, muscle loss, high cholesterol, insulin resistance, low bone density

Life-Changing Benefits of TRT

Experience the transformation that thousands of our patients have achieved.

Physical Performance

Mental Clarity & Mood

Sexual Health & Vitality

Energy & Well-being

Metabolic Health

Long-term Health

Personalized Hormone Therapy Options for Men

We offer multiple FDA-approved testosterone delivery methods tailored to your lifestyle

Testosterone Injections – Most Popular Choice

Injectable testosterone therapy is the gold standard for TRT, offering precise dosing and consistent results. Our medical team teaches you self-administration for convenience, or you can receive injections at our clinics.

We use bioidentical testosterone cypionate or enanthate, customized to your optimal dosage based on regular blood work monitoring.

FrequencyWeekly or bi-weekly
Onset of benefits2-4 weeks
Cost per month$150-250
Insurance coverageOften covered
ConvenienceSelf-administered

Bioidentical Hormone Pellets – Set It & Forget It

Testosterone pellets provide steady hormone levels for 4-6 months with a single procedure. These rice-sized pellets are inserted under the skin, releasing consistent doses of bioidentical testosterone.

Perfect for busy professionals who want effective treatment without daily or weekly administration.

FrequencyEvery 4-6 months
Procedure time15 minutes
Cost per insertion$650-850
Steady levelsNo peaks/valleys
ConvenienceMost convenient

 

Topical Testosterone Creams & Gels

Daily application of testosterone cream or gel provides flexibility and easy dose adjustments. Our compounded bioidentical formulations are more effective than standard prescriptions.

Applied to the skin each morning, topical testosterone is absorbed gradually throughout the day for natural hormone patterns.

FrequencyDaily, morning
Absorption time2-4 hours
Cost per month$100-200
Dose adjustmentEasy to modify
Transfer riskMinimal with care

Comprehensive Hormone Optimization

Beyond testosterone, we optimize your entire hormonal system including thyroid, growth hormone, DHEA, and cortisol. This integrative approach maximizes results and overall health.

Includes peptide therapy, nutritional optimization, and lifestyle medicine for complete men’s health transformation.

Daily application of testosterone cream or gel provides flexibility and easy dose adjustments. Our compounded bioidentical formulations are more effective than standard prescriptions.

Applied to the skin each morning, topical testosterone is absorbed gradually throughout the day for natural hormone patterns.

Hormones treated5-7 types
MonitoringQuarterly labs
SupportMonthly check-ins
Results timeline3-6 months
  

Your Journey to Optimal Hormone Health

Simple, straightforward process with support every step of the way

STEP 1

COMPREHENSIVE TESTING

The first step in the hormone therapy process is to get some blood work done so we may analyze your current hormone levels.

This helps us understand your symptoms and formulate your hormone prescription dosage.

STEP 2

BEGIN TREATMENTS

Once we’ve established your baseline hormone levels, we can begin treatments with the appropriate delivery method.

If pellets are your delivery method, your Blue Sky MD providers will perform a quick procedure to insert the pellet under the skin.

STEP 3

MAINTENANCE PHASE

You’ll meet with your Blue Sky MD provider periodically to get more bloodwork done, assess hormone levels, and verify symptoms are improving.

Patients receiving pellet therapy will need a new pellet inserted every 3-6 months.

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Ready to Reclaim Your Vitality?

Join thousands of men who have transformed their lives with Blue Sky MD hormone therapy.

FREQUENTLY ASKED QUESTIONS

Most men notice improved energy and mood within 2-3 weeks. Sexual function improvements typically occur by week 6. Maximum benefits for muscle mass and body composition are usually seen at 3-6 months.
 
When properly monitored by experienced physicians and hormone specialists like ours at Blue Sky MD, TRT is very safe. We conduct regular blood work to ensure optimal levels and monitor for any side effects. Bioidentical hormones have an excellent safety profile.
 
Bioidentical testosterone is molecularly identical to what your body produces naturally, leading to better results and fewer side effects. The bio-identical pellet therapy we use at Blue Sky MD is sourced from plants. Synthetic versions have modified structures that can cause unwanted effects.
 
Traditional TRT can temporarily reduce sperm production. If fertility is a concern, we offer protocols using HCG or clomiphene that maintain fertility while treating low testosterone.
 

While many men choose to continue TRT long-term due to the benefits, you can stop anytime. We can help restart natural production if you decide to discontinue treatment.

Costs vary from $100-300/month depending on treatment type and insurance coverage. Many insurance plans cover TRT with proper diagnosis.
 

Hormone therapy increases your chance of successful weight loss by 10% in both men and women.

HRT improves lean muscle mass, which increases metabolism and supports weight loss efforts.

On average, male patients using hormone therapy lose 20-25% more weight with combination hormone therapy and nutrition program. Women lose 10% more weight than just with nutrition programs.

In short, it depends. In some cases hormone replacement therapy is considered an elective procedure and isn’t covered by insurance. 

For other patients hormone therapy is a medical necessity. 

Contact us to find out if we can bill your insurance!

There are several types of hormone therapy available. The type prescribed a physician will depend on a patient’s symptoms and particular needs. Some common types of hormone therapy include:

  1. Estrogen Therapy
    This is the most commonly prescribed type of HT and is used to relieve symptoms of menopause such as hot flashes and vaginal dryness. It can be taken in the form of pills, patches, gels, or creams.

  2. Progestin Therapy
    This type of therapy is often prescribed in combination with estrogen therapy. Progestin is a synthetic form of progesterone, a hormone that helps balance the effects of estrogen.

  3. Testosterone Therapy
    This type of therapy is typically prescribed for men who have low levels of testosterone, a condition known as hypogonadism. Testosterone therapy can be administered in the form of gels, patches, or injections.

  4. Thyroid Hormone Replacement Therapy
    This type of therapy is used to treat low thyroid hormone levels, a condition known as hypothyroidism. Thyroid hormone replacement therapy can be taken in the form of pills.

  5. Bioidentical Hormone Therapy
    This type of therapy uses hormones that are chemically identical to those naturally produced by the body. They are usually customized to the individual patient based on their hormone levels and symptoms.

It depends. If we’re able to bill insurance, out of pocket costs may vary. 

During menopause women may experience insomnia, low energy, anxiety and depression, mood swings, sudden weight gain, and low libido.

As if these frustrating symptoms weren’t bad enough, imbalanced hormones in women may increase the risk of osteoporosis, cancer, heart disease, Alzheimer’s, and many other diseases and conditions.

Hormone therapy helps reduce these symptoms and protect our bodies against the more serious side effects of aging.

Pellets are made up of either estradiol or testosterone. The hormones are pressed or fused into very small solid cylinders. These pellets are larger than a grain of rice and smaller than a ‘Tic Tac’.

In the United States, the majority of pellets are made by compounding pharmacists and delivered in sterile glass vials. There is an ‘FDA approved’ 75 mg testosterone pellet.

Data supports that hormone replacement therapy with pellet implants is the most effective and the most bio-identical method to deliver hormones in both men and women.

Implants, placed under the skin, consistently release small, physiologic doses of hormones providing optimal therapy.

Pellets deliver consistent, healthy levels of hormones for 3-4 months in women and 4-5 months in men. They avoid the fluctuations, or ups and downs, of hormone levels seen with every other method of delivery. In studies, pellets have been shown to be superior for relief of menopausal symptoms, maintenance of bone density, restoration of sleep patterns, and improvement in sex drive, libido, sexual response and performance.

The insertion of pellets is a simple, relatively painless procedure done under local anesthesia. The pellets are usually inserted in the lower abdominal wall or upper buttocks through a small incision, which is then taped, closed.

 

Complications from the insertion of pellets include; minor bleeding or bruising, discoloration of the skin, infection, and the possible extrusion of the pellet. Other than slight bruising, or discoloration of the skin, these complications are very rare. Testosterone may cause a slight increase in facial hair in some women. Testosterone stimulates the bone marrow and increases the production of red blood cells.

 
 

Some patients begin to ‘feel better’ within 24-48 hours while others may take a week or two to notice a difference. Diet and lifestyle, along with hormone balance are critical for optimal health. Stress is a major contributor to hormone imbalance and illness. Weight loss is often helpful to optimize the effectiveness of pellet therapy.

 
 
 
 

The pellets usually last between 3 to 4 months in women and 4-5 months in men. The pellets do not need to be removed. They completely dissolve on their own.

 

If you have insurance, we are happy to file for your office visit and the procedure (which will require a co-pay). Self pay options are available if you do not have insurance or a have a high deductible.

North Carolina’s #1 TRT CLINIC

Since 2008, we’ve been at the forefront of TRT in North Carolina. Learn more about our life-changing testosterone therapy program for men.

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Your unique biology determines your path to success for both weight loss and hormone balance. Start today with our short online Health Assessment that helps us understand your needs.

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