Men’s hormone care · Fort Worth, Texas
Feeling tired, losing muscle, gaining belly fat, or struggling with low libido? You're not alone—and you're not stuck. Highland Longevity is a physician-led TRT clinic in Fort Worth. Comprehensive labs, individualized dosing, fertility discussions, and ongoing safety monitoring are built into care.
What it is
Testosterone replacement therapy (TRT) is used for men with symptoms or signs of testosterone deficiency and consistently low testosterone concentrations. Evaluation should confirm the diagnosis, look for contributing causes, and discuss benefits, risks, fertility goals, and alternatives before treatment. The goal is an appropriate physiologic range plus meaningful symptom response—not a supraphysiologic “optimization” target.
Symptoms and signs can include fatigue, reduced libido, erectile dysfunction, loss of muscle mass, increased body fat, low bone density, anemia, and mood or concentration changes. These symptoms have many possible causes, so laboratory confirmation and clinical evaluation both matter.
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.
The Highland difference
Not all TRT clinics are created equal. Here's what separates a physician-led longevity practice from the average testosterone clinic in Fort Worth.
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Highland Longevity’s medical director, Dr. Joshua Lindsley, DO, DABOM, is board-certified in Obesity Medicine by the American Board of Obesity Medicine and in Emergency Medicine. Our physician-led team brings diagnostic rigor and safety-focused follow-up to hormone therapy.
Most medical visits are with our nurse practitioner, within our physician-led clinical team.
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We check clinically indicated markers that may include total and free testosterone, SHBG, CBC/hematocrit, metabolic and cardiovascular markers, and PSA when appropriate. The panel and follow-up plan are individualized rather than limited to one testosterone number.
DEXA body composition, VO₂ max, and resting metabolic rate testing happen in our own clinic. Labs can be drawn at our office or a local Quest/Labcorp.
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Your TRT dose, frequency, and delivery method are tailored to your labs, body composition, SHBG, and goals. We adjust based on how you feel and what your labs show — not a one-size-fits-all template.
Re-testing is part of the plan from the start, so every decision is made with your latest results in front of us.
How testosterone testing works04
Our physical therapist and personal trainers work with patients in person or virtually, so building strength can be part of the same plan.
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Costs are reviewed at your consultation, before you start anything. No hidden fees.
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Located at 4801 Golden Triangle Blvd (Alliance area) with easy access from Keller, Southlake, Trophy Club, Roanoke, Haslet, and all of north Fort Worth. Telehealth available for follow-ups.
Treatment options
We offer multiple testosterone delivery options so you can choose what works best for your lifestyle and preferences. All use pharmaceutical-grade testosterone from licensed pharmacies.
Injection
Testosterone cypionate and testosterone enanthate injections are established TRT options. Dosing frequency, cost, convenience, and peak-to-trough variation differ by patient and regimen.
Pellet
Small pellets implanted under the skin every 3-4 months. Set-it-and-forget-it convenience for busy lifestyles.
What to expect
From first consultation to ongoing follow-up, here's what your TRT journey looks like with us. See how this fits into Highland's complete test, interpret, treat, and re-test model.
An in-person visit with a Highland provider to talk through your goals, our services, and next steps. No pressure, and no medical treatment at this visit.
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.
Meet with our team 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.
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.
Monitoring
Response and timing vary. Follow-up is used to review symptoms, function, adherence, blood pressure, adverse effects, and laboratory response rather than promise a fixed result by a fixed week.
Review tolerability, adherence, questions, administration technique, and adverse effects.
Recheck testosterone and safety markers at a formulation-appropriate interval.
Reassess symptoms, sexual function, energy, and body composition without assuming every symptom is testosterone-related.
Continue, adjust, or stop according to benefit, risk, goals, and monitoring.
We don't just check total testosterone. Our panels evaluate clinically relevant hormonal, safety, and metabolic markers so treatment and follow-up can be individualized.
Safety & candidacy
Treatment starts with an honest conversation about safety, monitoring, and your plans for a family.
TRT has potential benefits and risks and is not appropriate for every patient. Before treatment, we review fertility plans, hematocrit, prostate and breast history, sleep apnea, urinary symptoms, cardiovascular history, and other contraindications or precautions. Follow-up assesses symptom response, adverse effects, blood pressure, testosterone, CBC/hematocrit, and prostate monitoring when appropriate. Risks and monitoring vary by patient and formulation.
Exogenous testosterone can substantially suppress sperm production and may cause azoospermia. Testosterone monotherapy should not be used in men pursuing current or near-term fertility. We discuss family-building goals before treatment and, when appropriate, consider alternatives or coordinate fertility-focused care; hCG or other medications do not guarantee preserved fertility.
Questions
Something we didn’t cover? Call (214) 444-9796 — a real person at our Fort Worth clinic will answer.
The AUA uses total testosterone below 300 ng/dL as a reasonable diagnostic cutoff, but a number alone does not establish testosterone deficiency. Diagnosis requires compatible symptoms or signs plus two early-morning total testosterone measurements on separate days. Free testosterone, SHBG, and other testing may help in selected cases, and the cause of low testosterone should be evaluated.
TRT duration is individualized. Some men continue because symptoms and low levels return when treatment stops, while endogenous testosterone and sperm recovery vary by cause, treatment duration, and patient. We reassess benefit, risk, goals, and whether ongoing treatment remains appropriate over time.
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.
Dr. Lindsley is dual board-certified in Obesity Medicine and Emergency Medicine and brings diagnostic rigor and safety-focused follow-up to hormone therapy. We evaluate more than total testosterone, personalize treatment around your labs, symptoms, health history, and goals, and provide ongoing monitoring and support.
Yes. Texas allows testosterone to be prescribed via telehealth when an appropriate physician-patient relationship has been established. At Highland Longevity, we offer telehealth follow-up appointments for TRT patients who prefer the convenience of virtual visits. Your initial evaluation and lab work are typically done in person, with ongoing monitoring available via telehealth. This is ideal for patients in Southlake, Keller, Trophy Club, Roanoke, and other DFW communities.
When comparing TRT clinics, ask who diagnoses and manages care, how low testosterone is confirmed, whether causes and fertility are discussed, which safety markers are followed, and how treatment is reassessed. Highland Longevity combines physician-led evaluation, individualized dosing, broader metabolic and body-composition care, and ongoing monitoring.
Absolutely. While our clinic is in Fort Worth (Alliance area, near Golden Triangle Blvd), we treat men from across the DFW Metroplex — including Dallas, Southlake, Keller, Trophy Club, Colleyville, Westlake, Roanoke, Haslet, Grapevine, North Richland Hills, and Flower Mound. Many patients drive 30-45 minutes for their initial visit, then use telehealth for follow-ups. We also see patients from across Texas via our virtual clinic. If you're searching for a TRT or testosterone clinic near you, our Fort Worth practice is a short drive for most North Texas men.
Highland Longevity · Fort Worth, Texas
Start with a free, 30-minute, in-person consultation with a Highland provider to discuss your goals, available services and next steps. This introductory visit is separate from medical evaluation and treatment.
Book a free introductory consultationMonday–Friday, 8 a.m.–5 p.m.
First and second Saturdays, 10 a.m.–2 p.m.; other Saturdays closed.
Start with a conversation
Book a free TRT consultation and find out if testosterone replacement therapy is right for you. No pressure, no obligation—just answers.
Medical disclaimer. The information on this page is for educational purposes and is not medical advice. It does not establish a physician-patient relationship and is not intended to diagnose, treat, cure, or prevent any disease. All treatments at Highland Longevity are provided under the supervision of a licensed physician. Individual results vary. Please consult a qualified healthcare provider to determine whether a given therapy is appropriate for your individual health status.