Testosterone Replacement Therapy (TRT) in Fort Worth
Feeling tired, losing muscle, gaining belly fat, or struggling with low libido? You're not alone—and you're not stuck. Our physician-led TRT program restores your testosterone to optimal levels with personalized protocols, comprehensive lab monitoring, and the kind of care you deserve.
What is Testosterone Replacement Therapy?
Testosterone replacement therapy (TRT) is a medical treatment that restores testosterone levels in men whose bodies no longer produce enough on their own. It's not about getting "more than normal"—it's about getting back to optimal.
Testosterone naturally declines about 1-2% per year after age 30. By the time many men hit their 40s and 50s, they're experiencing real symptoms: fatigue that coffee can't fix, muscle loss despite working out, stubborn belly fat, decreased libido, brain fog, and mood changes.
At Highland Longevity, we don't just check your total testosterone and hand you a prescription. We run comprehensive panels that include free testosterone, SHBG, estradiol, and metabolic markers. We look at the full picture, then create a protocol tailored to your body, your symptoms, and your goals.
Our dual board-certified physician (Obesity Medicine + Emergency Medicine) brings the same diagnostic rigor to hormone optimization that he applies to every patient. Because TRT isn't one-size-fits-all—and you deserve better than a hormone mill.
Signs You May Have Low Testosterone
Low testosterone doesn't just affect your gym performance—it impacts every aspect of your life. If you're experiencing several of these symptoms, it's time to check your levels.
Chronic Fatigue
Exhaustion that doesn't improve with sleep. The kind of tiredness that makes everything feel harder.
Muscle Loss
Losing strength and muscle mass despite regular workouts. Gains you used to make easily are now impossible.
Stubborn Belly Fat
Increased body fat, especially around the midsection, that doesn't respond to diet or exercise.
Low Libido
Decreased interest in sex and difficulty maintaining erections. It affects relationships and confidence.
Brain Fog
Difficulty concentrating, poor memory, and mental sluggishness that wasn't there before.
Mood Changes
Irritability, anxiety, or depression that seems to have no clear cause. Feeling like you've lost your edge.
Poor Recovery
Taking much longer to recover from workouts. Soreness that lasts for days instead of hours.
Sleep Problems
Difficulty falling asleep, staying asleep, or waking up feeling unrefreshed despite adequate rest.
Comprehensive TRT Lab Panels
We don't just check total testosterone. Our panels evaluate the complete hormonal and metabolic picture so we can optimize your protocol—not just prescribe blindly.
🧪 Testosterone Markers
- Total Testosterone
- Free Testosterone
- SHBG (Sex Hormone Binding Globulin)
- Albumin
- Bioavailable Testosterone
⚖️ Estrogen & Related
- Estradiol (E2) - Sensitive
- LH (Luteinizing Hormone)
- FSH (Follicle Stimulating Hormone)
🛡️ Safety Monitoring
- PSA (Prostate Specific Antigen)
- Hematocrit & Hemoglobin
- Complete Blood Count (CBC)
- Comprehensive Metabolic Panel
- Lipid Panel
🦴 Thyroid & Metabolic
- TSH
- Free T3 & Free T4
- Fasting Insulin
- HbA1c
- Vitamin D
💪 Additional Markers
- Ferritin
- B12
- hs-CRP (inflammation)
- ApoB (cardiovascular risk)
🔄 Follow-Up Labs
- 6-week check: Testosterone, E2, Hematocrit
- Quarterly: Full panel + safety markers
- Annual: Comprehensive review
- As-needed: Symptom-based adjustments
- PSA monitoring per guidelines
How TRT Works at Highland Longevity
From first consultation to optimized protocol, here's what your TRT journey looks like with us.
Free Discovery Call
A complimentary 15-minute phone or video consultation to discuss your symptoms, health history, and goals. We'll determine if you're a good candidate for TRT and answer your questions.
Comprehensive Lab Work
We order a complete hormone panel plus metabolic and safety markers. Labs can be drawn at our office or a local Quest/Labcorp. We check everything—not just total testosterone.
Results Review & Protocol Design
Meet with Dr. Lindsley to review your results in detail. We'll discuss your options, explain what we're seeing, and design a personalized TRT protocol based on your labs, symptoms, and preferences.
Start Treatment & Ongoing Optimization
Begin your TRT protocol with proper instruction and support. We check labs at 6 weeks to fine-tune your dose, then quarterly to ensure optimal levels and safety. Monthly check-ins keep you on track.
What to Expect: TRT Results Timeline
TRT isn't an overnight fix, but most men notice improvements within weeks. Here's a realistic timeline of what to expect.
Energy & Mood
Improved energy levels, better mood, and increased sense of well-being. Many men report feeling "like themselves again."
Libido & Sexual Function
Return of sex drive and improved erectile function. Morning erections typically return in this window.
Body Composition
Visible changes in muscle mass and fat distribution—measurable via DEXA scan. Workouts become more productive. Clothes fit differently.
Full Optimization
Maximum benefits realized. Sustained energy, optimal body composition, peak mental clarity, and stable mood.
TRT Frequently Asked Questions
Common questions about testosterone replacement therapy at Highland Longevity.
What testosterone level is considered low?
Total testosterone below 300 ng/dL is generally considered low by most lab standards. However, we focus on optimizing your levels—not just getting you to "normal." Many men with levels of 400-500 ng/dL still experience significant symptoms. We also evaluate free testosterone, SHBG, and other markers because total testosterone alone doesn't tell the whole story.
Is TRT safe? What are the risks?
When properly monitored by a qualified physician, TRT is safe for most men. We monitor hematocrit, PSA, lipids, and other markers to catch any issues early. Potential side effects include increased red blood cell count (polycythemia), acne, and testicular atrophy—all of which can be managed with proper protocols. We use HCG when appropriate to maintain testicular function. Contraindications include active prostate cancer, severe sleep apnea, and certain heart conditions.
Will TRT affect my fertility?
Exogenous testosterone can suppress sperm production because it signals your body to reduce natural testosterone production (and with it, sperm). If fertility is a concern, we can include HCG (human chorionic gonadotropin) in your protocol to maintain testicular function and sperm production. We always discuss fertility goals during your initial consultation—it's an important part of protocol design.
How long does TRT treatment last?
For most men with true hypogonadism or age-related testosterone decline, TRT is a long-term treatment. Once you start, your body's natural production decreases further, making ongoing therapy necessary to maintain optimal levels. Some younger men may be able to restart natural production with HCG or clomiphene, but this isn't the case for everyone. We'll discuss realistic expectations during your consultation.
How much does TRT cost at Highland Longevity?
Our TRT programs include comprehensive lab work, physician consultations, protocol design, and ongoing monitoring. We offer transparent pricing with no hidden fees—you'll know exactly what to expect before you start. Testosterone medication costs vary by delivery method (injections are most cost-effective). Contact us for a free consultation to discuss your specific needs and receive a personalized quote.
Why choose Highland Longevity over a "TRT clinic"?
We're not a hormone mill. Dr. Lindsley is dual board-certified in Obesity Medicine and Emergency Medicine—he brings diagnostic rigor and safety-first protocols to hormone optimization. We run comprehensive panels (not just total T), we actually examine you, and we treat you as an individual. Our protocols are personalized based on your labs, symptoms, and goals—not copied from a template. And we're here for the long haul with quarterly monitoring and ongoing support.
Ready to Reclaim Your Energy?
Book a free TRT consultation and find out if testosterone replacement therapy is right for you. No pressure, no obligation—just answers.