Low-T in Men: What Are My Options?

low-tLow testosterone has a multitude of effects. Most common symptoms include low energy and fatigue, low libido, and depressed mood. However, low-T is also associated with decreased muscle mass, lower bone density, and anemia. Testosterone levels begin to decline in men starting in their early 30’s. The majority of men maintain adequate levels into their 50’s. However, testing should occur when signs of low testosterone arise. Benefits of increasing testosterone to therapeutic levels include: improved sense of vitality, increased libido, decreased erectile dysfunction, improved energy level, decreased irritability, improved concentration, and an increase in lean muscle mass and bone density. Testosterone also effects body composition to help with a trimmer waistline.
At Blue Sky MD, we offer a number of testosterone medication options for men: • Testosterone pellets • Testosterone injections • Clomid (Clomiphene)

Testosterone Pellets

Testosterone Pellets are a bioidentical, compounded medication that is inserted subcutaneously. The pellets slowly dissolve, releasing a steady amount of testosterone lasting 4 to 6 months, making the pellets the preferred treatment method. This treatment for low testosterone method allows for individual dosing and more consistent testosterone levels, without increased clotting factors or liver functions seen with oral testosterone products.

Testosterone Injections

Testosterone Injections are an effective treatment option for low-T that bypasses the liver metabolism associated with oral medications. To minimize peaks and troughs in testosterone levels, a weekly dose will be given to achieve as stable a level as possible.


Clomid is a selective estrogen receptor modulator. It blocks estrogen which has a feedback loop to increase LH (luteinizing hormone), which leads to increased testosterone production by Leydig cells in the testes. It is a daily pill, which can double the baseline testosterone level, however, it does not work for everyone.
For more information on options for low testosterone, please contact Blue Sky MD today. You can also download this handout:
Photo courtesy of Everyday Health

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