Hormone levels naturally decline and change in men as they age. This stage of life is called andropause (aka hypogonadism, “male menopause,” “manpause” and low T) and typically starts in a man’s 40s or 50s, but some men can start experiencing this change in their mid thirties. For many men, this means facing symptoms like chronic fatigue, weight gain (especially around the midsection), low libido, erectile dysfunction (ED), irritability, and mood changes. These symptoms are commonly associated with low testosterone production (low T).
Unfortunately, no man is spared the physical changes of losing testosterone production as they get older, and most men experience one or more symptoms of these hormonal changes. Thus, andropause is a condition affecting millions of men in the United States. Fortunately, there are proven and safe solutions to supplement dwindling testosterone levels: Testosterone Replacement Therapy (TRT) and Hormone Replacement Therapy (HRT) for men. These testosterone supplementation therapies not only help men enjoy life more fully by getting relief from their symptoms, but studies also show TRT can help optimize their health and longevity into their golden years.
At Balanced Medical Solutions, a leading low testosterone clinic in Hayward, CA serving men from Berkeley to San Jose, men are finding life-changing relief through customized treatment options, including naturally-derived alternatives such as bioidentical hormone replacement therapy (BHRT). In this guide, we’ll explore the benefits of TRT, the different types of therapies offered, including BHRT via implant (pellet) and topical cream, and why natural options are preferred over synthetic ones. We’ll also walk you through the qualification process for TRT, causes and symptoms of low testosterone, and what lab level results indicate it’s time to consider hormone optimization.
What Is TRT and Why Is It Important?
Testosterone Replacement Therapy (TRT) is a medical treatment designed to restore testosterone to healthy, optimal levels. Testosterone is a crucial hormone in the male body, affecting everything from muscle mass and mood to libido and cognition.
As men age, testosterone production declines, typically starting around age 30, and may drop by 1% per year. This decline can be accelerated by stress, poor diet, environmental toxins, chronic illness, and certain medications.
The purpose of TRT is not just to “raise numbers,” but to restore hormonal balance, enhance quality of life, and reduce the risk of chronic diseases linked to low testosterone levels.
What chronic diseases are linked to low testosterone levels?
Low testosterone levels in men are associated with a range of chronic diseases. While low testosterone (also called hypogonadism) can be a result of chronic illness, it can also contribute to or worsen certain conditions. Some key chronic diseases and health conditions linked to low testosterone include:
- Cardiovascular Disease: Men with low testosterone levels are at a higher risk of heart disease and stroke. Low testosterone is associated with atherosclerosis, high blood pressure, and increased inflammation. Some studies show low T may correlate with higher mortality from cardiovascular issues.
- Type 2 Diabetes & Insulin Resistance: Testosterone plays a role in glucose metabolism. Low levels are associated with increased insulin resistance, making it harder for the body to regulate blood sugar. Men with Type 2 diabetes are more likely to have low testosterone.
- Obesity & Metabolic Syndrome: Low testosterone contributes to increased body fat, especially visceral fat (around organs). This, in turn, can lead to metabolic syndrome, a cluster of conditions including:
a.High blood pressure
b.High blood sugar
c.Abnormal cholesterol
d.Abdominal obesity - Depression & Cognitive Decline: Low testosterone is linked to:
a.Mood disorders such as depression and anxiety
b.Reduced motivation and energy
c.Cognitive issues including memory problems and brain fog - Osteoporosis & Bone Loss: Testosterone is critical for bone density. Men with low T are at higher risk of osteopenia and osteoporosis, increasing fracture risk.
- Sleep Apnea: There’s a bidirectional relationship:
a.Low testosterone can worsen sleep apnea
b.Sleep apnea can suppress testosterone production - Sarcopenia (Loss of Muscle Mass): Low testosterone accelerates muscle wasting, especially in older men. This can lead to weakness, frailty, and decreased mobility.
- Anemia: Testosterone supports red blood cell production, thus, men with low testosterone are more prone to anemia, leading to fatigue and weakness.
Common Symptoms of Low Testosterone (Low T)
Many men dismiss the early signs of low testosterone as normal aging. However, when multiple symptoms appear together, they may point to a significant hormonal imbalance. Symptoms of Low T include:
- Low libido or reduced sexual desire
- Erectile dysfunction or weaker erections
- Chronic fatigue or lack of energy
- Mood swings, depression, or irritability
- Difficulty concentrating (“brain fog”)
- Loss of muscle mass and increased body fat
- Decreased bone density
- Poor sleep or insomnia
- Reduced motivation or drive
If you’re experiencing several of these symptoms, a simple blood test at Balanced Medical Solutions can determine if testosterone deficiency is the cause. You can also take our FREE online Low T quiz to find out if you may be suffering from this common condition – click here.
What Causes Low Testosterone?
There are many reasons why testosterone levels decline, including:
- Aging: Natural decline after age 30 as part of andropause or “male menopause.”
- Obesity: Excess fat converts testosterone into estrogen
- Chronic stress: Raises cortisol, which suppresses testosterone
- Poor diet: Nutrient deficiencies can impair hormone production
- Alcohol and drug use: Especially opioids and anabolic steroids
- Sleep disorders: Testosterone is produced during deep sleep
- Injury or illness: Testicular trauma or pituitary gland disorders
At Balanced Medical Solutions, our approach helps San Francisco Bay Area men identify and treat the root causes while optimizing hormone levels for long-term wellness.
How to Qualify for Testosterone Replacement Therapy
The process of qualifying for testosterone replacement therapy is simple, fast, and tailored to your individual needs.
Step 1: Medical Evaluation
Your journey starts with a confidential evaluation and consultation with a hormone specialist at Balanced Medical Solutions in Hayward, CA. You’ll discuss symptoms, health history, lifestyle factors, and personal goals.
Step 2: Comprehensive Lab Testing
We conduct comprehensive blood tests to evaluate your total and free testosterone levels, as well as other hormones and biomarkers that may be impacting your health (e.g., estrogen, thyroid, PSA, etc).
Step 3: Personalized Treatment Plan
If your results indicate suboptimal testosterone levels and your symptoms align with hormonal deficiency, our team will design a personalized HRT or TRT plan that suits your body, preferences, and lifestyle.
Step 4: Ongoing Monitoring
Hormone levels are monitored regularly to ensure safe and effective optimization. Adjustments can be made based on your response and goals.
Testosterone Lab Ranges: What’s Normal vs. Optimal?
Understanding testosterone lab values is key to knowing when TRT may be necessary.
Normal Testosterone Ranges (Total Testosterone):
| Age Group | Typical Range (ng/dL) |
| 20–29 | 300–1,000 |
| 30–39 | 280–950 |
| 40–49 | 270–900 |
| 50–59 | 260–850 |
| 60+ | 250–800 |
However, these ranges are broad, and many men experience low T symptoms even when they’re within the “normal” range. That’s where free testosterone comes in.
Optimal Free Testosterone Ranges:
Free testosterone (the active, bioavailable form) is often a more accurate indicator of hormone health.
- Free Testosterone (pg/mL): Ideal range is typically 15–25 pg/mL for symptom relief and optimal function, even if total testosterone is in the normal range.
At Balanced Medical Solutions, we focus on clinical symptoms AND lab values, not just numbers, to determine eligibility for hormone replacement therapy.
Types of TRT Offered at Balanced Medical Solutions
Although we offer safe testosterone cypionate injections (the synthetic version of testosterone), we encourage patients to try bioidentical hormone replacement therapy (BHRT), which uses hormones molecularly identical to those naturally produced by the body. BHRT is considered safer and more effective than synthetic hormone treatments due to better absorption and fewer side effects.
Here are the top TRT delivery options we offer:
1. BHRT Pellets (Testosterone Implants)
What is it?
Tiny, rice-sized pellets are implanted just under the skin (usually in the hip or buttocks area). These pellets slowly release bioidentical testosterone over 3–6 months.
Benefits:
- Long-lasting, hassle-free dosing
- Consistent hormone levels (no roller-coaster effect)
- Great for men with busy lifestyles
- No daily maintenance or injections
Why it’s better:
Pellet therapy mimics the body’s natural release of testosterone and offers the most stable results. It’s a preferred option for long-term hormone optimization.
2. Topical BHRT Cream
What is it?
A customized cream containing bioidentical testosterone is applied to the skin daily, typically on thin-skinned areas like the inner thighs or scrotum.
Benefits:
- Easy, non-invasive application
- Adjustable dosing
- Fast absorption
- No needles
Why it’s better:
Unlike synthetic creams or gels, BHRT creams are compounded specifically for your body using plant-derived, bioidentical hormones, minimizing side effects and maximizing effectiveness.
Real Stories, Real Results
At Balanced Medical Solutions, our patients often say their only regret is not starting sooner.
“These guys know their stuff and have helped me change my life. Since I started seeing them in early May, about 3 months ago, I’ve lost over 30 lbs and feel amazing. I have energy I haven’t experienced since my early 20s. The CEO, Adrienne, calls to personally discuss your blood work results with you. He tells you what the results mean and what lifestyle changes to make to feel even better moving forward. I’m so glad I found this place. I recommend it to anyone in their 30s or older who feels as though they’re in a rut and are not the person he or she once was. They will optimize your hormones; they will change your life.”
— Pat A.
“The service is honestly life changing. I feel like a real person again, with my brain and body working like it should. The staff is great – friendly, professional, and generous. Well worth a visit and definitely worth every penny.”
— Eric B.
These testimonials highlight not only the powerful transformation possible with TRT and BHRT, but also the compassionate in-person care and personalized support you can expect from our team.
Why Choose Balanced Medical Solutions in Hayward, CA?
As a premier low testosterone clinic in Hayward, CA, Balanced Medical Solutions offers expert care, cutting-edge treatments, and a personalized, compassionate approach. Our experienced medical team is dedicated to helping men reclaim their vitality through safe, effective hormone replacement therapy.
We are proud to offer:
- On-site blood draws for lab testing
- Comprehensive medical evaluations with an experienced specialist
- Bioidentical hormone options
- Customized TRT plans
- Flexible treatment options
- Affordable care with financing available
- Free follow-up in person office visits and unlimited calls with no monthly membership fee!
Take the First Step Toward Hormonal Balance
If you’re ready to take control of your health, energy, and confidence, contact Balanced Medical Solutions today. Whether you’re just starting your journey or seeking a more natural and effective TRT approach, we’re here to help.
Book your consultation now and discover how personalized testosterone replacement therapy can change your life.
