Testosterone replacement therapy (TRT) at Cosmetica Med Spa in Boca Raton is a $100 monthly membership for men with lab-confirmed low testosterone. Your testosterone is filled at the pharmacy you choose, at the pharmacy's price with no markup from us, and blood work is billed separately. The program is overseen by our medical director, Dr. Andrei Gherghina, and we're open every day, 8am to 8pm.
What TRT costs at Cosmetica
| Part of your plan | Cost | Notes |
|---|---|---|
| Membership | $100 a month ($1,200 a year) | Covers medical supervision and check-ins |
| Testosterone | Your pharmacy's price | Filled at a local pharmacy or our partner pharmacy, your choice. We add no markup |
| Blood work | Billed separately | Needed before you start and at regular check points after |
| Booking deposit | $100 | Credited to your treatment |
Keeping the pieces separate means you see exactly what you pay for each one. TRT at Cosmetica is self-pay, and your provider walks you through every cost before you start.
Signs of low testosterone
- Low energy and fatigue
- Lower 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 from workouts
These signs overlap with stress, poor sleep, thyroid problems and other conditions. That's why a blood test, not a symptom checklist, decides whether TRT makes sense.
How low testosterone is diagnosed
Under the American Urological Association guideline, low testosterone means a total testosterone below 300 ng/dL on two separate early-morning blood tests, together with symptoms. Testosterone runs highest in the morning, so timing matters. Your labs also check markers such as red blood cell count (hematocrit) and, for many men, PSA, so your provider can rule out other causes and confirm TRT is safe for you.
Is TRT right for you?
| Your situation | What it usually means |
|---|---|
| Symptoms plus two low morning tests | A likely candidate. Your provider builds a plan from your labs |
| Planning to have children soon | Talk to us first. TRT lowers sperm production |
| High blood pressure, sleep apnea, a past blood clot or a high red blood cell count | Talk to us first. These need a closer look and closer monitoring |
| Prostate or breast cancer, now or suspected | TRT isn't used |
| Normal testosterone on testing | TRT isn't the answer. We'll talk through what else could be behind your symptoms |
How the program works
- Consultation. We go over your symptoms, health history, medications and goals.
- Labs. Early-morning blood work confirms your testosterone and checks your safety markers.
- Your plan. If you're a candidate, your provider prescribes testosterone at a dose based on your labs and explains every cost.
- Starting treatment. You'll learn exactly how and when to take it, including injection technique if you choose injections.
- Monitoring. Follow-up labs come more often in the first months, then about twice a year, to keep your levels in a healthy range.
What we monitor, and why
| Marker | Why it's checked |
|---|---|
| Total testosterone | Keeps your level in a healthy range, not too low or too high |
| Hematocrit (red blood cells) | Testosterone can raise it, and a high count thickens the blood |
| PSA | Tracks prostate health in men where screening is recommended |
| Blood pressure | The FDA requires testosterone labels to warn that blood pressure can rise |
Your treatment options
| Injections | Cream | Pellets | |
|---|---|---|---|
| How often | Usually weekly or every other week | Once a day | Every 3 to 6 months |
| Who gives it | You, at home, after we show you how | You, on the skin | Placed under the skin of the hip or buttock in a quick office visit |
| Good to know | Steady, easy-to-adjust dosing | Cover the area and wash your hands so it doesn't transfer to a partner or children | No daily or weekly routine |
Your provider will help you choose the option that fits your labs, schedule and preferences.
What to expect, and when
| When | What many men notice |
|---|---|
| 3 to 6 weeks | Better energy, mood and sex drive |
| 3 to 6 months | Changes in muscle, strength and body fat, much bigger with strength training and good nutrition |
| Ongoing | Results hold while treatment continues and labs stay in range |
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.
What the research says about safety
The TRAVERSE trial, published in the New England Journal of Medicine in 2023, followed 5,246 men aged 45 to 80 with low testosterone and existing heart disease or high heart risk. Major heart events were no more common with testosterone than with placebo (7.0% vs. 7.3%). The testosterone group did have more atrial fibrillation, acute kidney injury and blood clots in the lungs, which is one reason monitoring matters.
In February 2025, the FDA removed the heart-risk language from the boxed warning on testosterone products, added the TRAVERSE results, and required a warning that blood pressure can rise.
What to know before your treatment
- Common side effects include a higher red blood cell count, acne, fluid retention and worsened sleep apnea. Your labs and check-ins catch these early.
- TRT lowers sperm production. If children are in your plans, tell us before you start.
- While you're on TRT, your body makes less of its own testosterone, so symptoms can return if you stop. Only stop with your provider's guidance.
- Bring a list of your medications and any recent lab results to your first visit.
TRT and weight loss
Low testosterone is common in men carrying extra weight, and the two can feed each other. Losing weight can help raise testosterone on its own, and TRT can make it easier to build muscle while you lose fat. If weight is part of your goal, ask about tirzepatide (Zepbound) through our medical weight loss program. Your provider will tell you whether one, the other or both fit your labs.
Why men choose Cosmetica for TRT
- Physician oversight from our medical director, Dr. Andrei Gherghina
- Real lab monitoring, not a one-time prescription
- A posted $100 monthly membership, with testosterone at the pharmacy's price and no markup
- In person in Boca Raton, open 7 days a week, 8am to 8pm
- Related men's care in one place, including peptide therapy, PRP for men and Botox
Visiting Cosmetica Med Spa
We're at 4400 N. Federal Hwy, Suite 150, in the Sanctuary Shoppes in Boca Raton, with free parking. Our 8am to 8pm hours, every day, make check-ins easy to fit around work. Men come to us from Delray Beach, Highland Beach, Deerfield Beach, Parkland and Boynton Beach. See hormone therapy near Delray Beach or hormone therapy near Boynton Beach for directions.
Hormone therapy for women
Women's hormone care is covered on our hormone replacement therapy page, with the same $100 monthly membership.
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?
At Cosmetica Med Spa, the TRT membership is $100 a month for medical supervision and check-ins. Testosterone is billed by your pharmacy at its own price, with no markup from us, and lab work is billed separately.
Does insurance cover TRT at Cosmetica?
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.
Where can I get TRT near Boca Raton?
Cosmetica Med Spa is at 4400 N. Federal Hwy, Suite 150, in Boca Raton, open every day from 8am to 8pm. Men also come from Delray Beach, Boynton Beach, Deerfield Beach and Parkland.
How do I get prescribed testosterone?
You need symptoms plus blood tests that confirm low testosterone, usually two early-morning tests below 300 ng/dL. Book a consultation and we'll order your labs and review 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.
Is TRT safe for your heart?
In the TRAVERSE trial of 5,246 men with low testosterone and higher heart risk, testosterone didn't increase major heart events compared with placebo. Blood pressure can rise, so we monitor it along with your labs.
Does TRT help with weight loss?
TRT can help you build muscle and lose fat, especially with training. It isn't a weight loss treatment on its own; for that, see our medical weight loss program with tirzepatide.
Does TRT affect fertility?
Yes. Testosterone therapy lowers sperm production. If you plan to have children, discuss it with your provider before starting.
Injections, cream or pellets: which is best?
Each works. Injections give steady, easy-to-adjust dosing; cream is daily and needle-free; pellets last 3 to 6 months. Your provider helps you choose based on your labs and routine.
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.
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