Testosterone
Bioidentical testosterone replacement — with HCG to preserve fertility and anastrozole when estradiol needs control. Labs first, always.
- Doctor-reviewed in 24 hours
- Free 2-day shipping
- Pause or cancel anytime
Prescriptions require an online visit reviewed by a U.S.-licensed provider. Compounded medications are prepared by licensed U.S. pharmacies and are not FDA-approved. Individual results vary.
Who it’s for
- Persistent fatigue, low libido, or brain fog despite sleep + diet basics
- Want bloodwork-based prescribing, not symptom-guessing
- Comfortable with monthly self-administered protocols
Most men call it stress for years before they call it anything else.
how it works
The primary male androgen — bioidentical testosterone replacement (TRT) restores levels in hypogonadal men, supporting energy, libido, mood, body composition, and bone density.
What we can and can't tell you
TRT treats confirmed hypogonadism, not tiredness with normal labs — consistently low morning readings plus real symptoms is the bar. Benefits shown in trials were in men who actually met it.
- Who makes it A LegitScript-verified 503A compounding pharmacy, from your prescription — never a gray-market or overseas supplier
- To what standard USP <797> sterile compounding and USP <800> hazardous-drug handling, where applicable
Compounded medications are not FDA-approved, are not reviewed by the FDA for safety or effectiveness, and are not generic equivalents of any brand-name drug.
what the first months look like
Bloodwork: total and free testosterone, estradiol, hematocrit. No labs, no prescription.
Weekly injections begin. Libido, energy, and mood tend to respond before body composition — give strength and physique changes longer.
Levels, estradiol, and hematocrit rechecked on treatment. Dose moves on numbers plus symptoms, not either alone.
This is replacement, not a course — levels return to baseline if you stop. Anastrozole added only if estradiol trends high; HCG continues if fertility matters.
Dosing, step by step
| Testosterone cypionate | 100–200 mg weekly — intramuscular or subcutaneous — often split into two weekly doses for steadier levels |
|---|---|
| HCG (optional) | 250–500 IU twice weekly — preserves testicular function and fertility |
| Anastrozole (selective) | Only if estradiol elevates — added on E2 trends, not by default |
Your clinician sets the dose from your labs and adjusts on follow-up bloodwork — the range is a starting frame, not a menu.
And when it gets rough
- Acne Usually early and manageable — basic skincare first; your clinician can treat it or adjust dose if it persists.
- Hematocrit rise Expected and monitored on labs. Significant rises may mean a dose change or phlebotomy — this is why bloodwork continues on treatment.
- Elevated estradiol Shows up as water retention or breast tenderness. Caught on labs; anastrozole is added only when trends warrant it.
- Suppressed sperm production TRT suppresses spermatogenesis — if fertility matters now or later, tell your clinician before starting; HCG is the mitigation.
We won't prescribe testosterone off a symptom checklist — low energy, low drive, and brain fog have a dozen causes, and we want the bloodwork to confirm it's actually the hormone before we touch it. When it is, we start conservative and watch two things: how your estradiol tracks as levels come up, and your red-cell count, since testosterone can thicken the blood over time. For younger men who still want the option of kids, we build HCG in from the start rather than as an afterthought — that's far easier than trying to recover fertility later. The goal was never the highest number on the panel; it's you feeling like yourself again, with labs that stay boring.
Three steps, no insurance hoops
Take the quiz
Two minutes. Tell us your symptoms, history, and goals.
Clinician reviews
A U.S.-licensed clinician reviews and writes your plan within 24 hours.
Care ships free
Your medication arrives in days. Refills auto. Check-ins included.
see it in real life
What members say
4.5Absolutely love Zappy Health. Very professional, customer service is amazing. Fast shipping and everything is certified. Zappy Health has transformed my life. I am in the best shape with my health! Thank you Zappy Health for helping me achieve my goals on a wellness journey.
Zappy Health is extremely easy to enroll in. They were helpful every step of the way & I knew within the hour of submitting my application that I was a candidate. As soon as I made my decision to start my journey the communication from them has been impressive.
The initial process of ordering the medication was extremely easy. The app is very helpful and I cannot wait to receive my medication and start my journey. Thank you so much!!
Verified Trustpilot reviews, published as written. Individual results vary and are not typical.
Questions, answered.
Do I need labs first?
Are side effects common?
Can I pause anytime?
Read before you start
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