Testosterone replacement therapy (TRT) helps men with clinically low testosterone get back to healthy levels, which can improve energy, mood, sex drive, strength and body composition. At Cosmetica Med Spa in Boca Raton, TRT is a medically supervised membership with lab work before you start and regular monitoring after, overseen by our medical director, Dr. Andrei Gherghina. We see men from Boca Raton, Delray Beach, Highland Beach, Deerfield Beach and Parkland.
Signs of low testosterone
- Low energy and fatigue
- Reduced sex drive or weaker erections
- Loss of muscle and strength
- More body fat, especially around the belly
- Low mood, irritability or brain fog
- Poor sleep or slow recovery
These signs overlap with stress, poor sleep and other conditions, which is why only blood work can confirm low testosterone.
How low testosterone is diagnosed
Low testosterone is diagnosed with blood tests, not symptoms alone. Testosterone runs highest in the morning, so we test early in the day and confirm with a second test. Under American Urological Association guidelines, a total testosterone below about 300 ng/dL, along with symptoms, points to low testosterone. Your labs also check other markers, such as red blood cell count and PSA, so your provider can rule out other causes and make sure TRT is safe for you.
How the program works
Consultation and labs. We go over your symptoms, health history and goals, then order your blood work.
Your plan. If you're a candidate, your provider prescribes testosterone at a dose tailored to your labs and explains every cost before you begin.
Starting treatment. You'll learn exactly how and when to take your testosterone.
Monitoring. Follow-up labs come more often in the first months, then about twice a year, to keep your levels in a healthy range and track safety markers.
Your treatment options
Injections. Testosterone is injected on a set schedule, usually weekly or every other week. We'll show you how and where to inject.
Cream. A testosterone cream is applied to the skin once a day. Keep the area covered and wash your hands afterward, so it doesn't transfer to a partner or children.
Pellets. Small pellets are placed under the skin of the hip or buttock in a quick in-office procedure, and they release testosterone steadily for about 3 to 6 months.
Your provider will help you choose the option that fits your labs, schedule and preferences.
What to expect, and when
Results build gradually. Many men notice better energy, mood and sex drive within 3 to 6 weeks. Changes in muscle, strength and body fat usually take 3 to 6 months, and they're much bigger when TRT is paired with strength training and good nutrition. TRT works best as part of a healthier routine, not a replacement for one.
The client in our before-and-after on this page combined TRT with diet and exercise. Results vary from person to person.
Is TRT safe?
With proper testing and monitoring, TRT is a well-established treatment for men with low testosterone. A large 2023 study, the TRAVERSE trial, found that TRT didn't raise the rate of major heart events in men with low testosterone and higher heart risk.
Possible side effects include a higher red blood cell count, acne, fluid retention and worsened sleep apnea, which is why we monitor your labs. TRT also lowers sperm production, so it isn't the right choice if you're trying to have children. It may also not be right for men with certain cancers, untreated severe sleep apnea or uncontrolled heart failure.
Membership pricing
The TRT membership is $100 a month and covers medical supervision and check-ins. Testosterone and blood work are billed separately. TRT is self-pay, and your provider goes over every cost before you start.
Why men choose Cosmetica for TRT
- Physician oversight from our medical director, Dr. Andrei Gherghina
- Real lab monitoring, not a one-time prescription
- Injections, cream or pellets, matched to you
- Appointments 7 days a week, 8am to 8pm
- Related care in one place, including medical weight loss with tirzepatide (Zepbound), peptide therapy and PRP for men
Related treatments
Hormone therapy for women is covered on our hormone replacement therapy page. Men also ask about peptide therapy, PRP for men and medical weight loss. Coming from the north? See hormone therapy near Delray Beach.
When can you work out, drink alcohol or wear makeup? Our aftercare guide covers exactly what to do and avoid.
See the aftercare guide →Frequently asked questions
How much does TRT cost in Boca Raton?
Our TRT membership is $100 a month for medical supervision and check-ins. Testosterone and lab work are billed separately, and your provider reviews every cost with you before you start.
Does insurance cover TRT?
TRT at Cosmetica is self-pay, so we don't bill insurance. Your provider goes over the full cost of your plan before you begin, with no surprises.
How do I get prescribed testosterone?
You need symptoms plus blood tests that confirm low testosterone. Book a consultation, and we'll order your labs and go over the results with you.
Should I take TRT at 30?
Age alone doesn't decide it. Men in their 30s can have clinically low testosterone. If your labs confirm it and you aren't planning to have children soon, TRT may be an option.
How long does TRT take to work?
Energy, mood and sex drive often improve within 3 to 6 weeks. Changes in muscle, strength and body fat usually take 3 to 6 months.
What are the signs of low testosterone?
Common signs include low energy, reduced sex drive, loss of muscle, weight gain, low mood and trouble concentrating. Only a blood test can confirm low testosterone.
How is low testosterone diagnosed?
Diagnosis requires blood tests, usually taken in the morning, along with a review of your symptoms and health history.
Does TRT affect fertility?
Yes. Testosterone therapy can reduce sperm production. If you plan to have children, discuss this with your provider before starting.
What does the membership include?
The $100 monthly membership covers medical supervision. Testosterone and bloodwork are billed separately.
How is TRT monitored?
Regular bloodwork tracks your testosterone levels and other markers, like red blood cell count, so your dose stays safe and effective.
Can I stop TRT?
Yes, but your body makes less of its own testosterone while you're on TRT, so symptoms can return when you stop. Only stop with your provider's guidance.
Medically reviewed by Dr. Andrei Gherghina, DO, board-certified dermatologist.
See prices for every treatment · Booking and first-visit FAQ
