Tired, Foggy, and Not Yourself Anymore?
It Might Be Low Testosterone.
Medically supervised Testosterone Replacement Therapy (TRT) in Leesburg, VA to restore your energy, drive, and confidence—without risky “bro clinics” or one-size-fits-all hormone mills.
Double Board-Certified Physician
Holistic & Evidence-Based
Best of Loudoun 2025
Personalized Care
You’re Doing Everything “Right”… But You Still Feel Drained.
If you’re a man in your late 30s to 60s, you might have noticed a slow, frustrating slide: less energy, less drive, less interest in sex, and a body that doesn’t respond to workouts like it used to. You may not talk about it—but you feel it every day.
Low testosterone can look like:
You’re always tired, even after a full night’s sleep
Your sex drive is low or missing—and it bothers you (and possibly your partner)
You’re struggling to build or keep muscle, even when you lift
You’re gaining more fat around your belly and midsection
You feel more irritable, moody, or “flat” than you used to
You notice brain fog, poor focus, or forgetfulness
Your workouts feel harder, and your recovery is slower
You feel less motivated, confident, and driven at work and at home
This isn’t about being lazy, weak, or “past your prime.”
For many men, these changes are tied to a real, measurable shift in hormones, especially testosterone.
At My Wellness Physicians, we take your symptoms seriously. We listen, we test properly, and we treat you as a whole person—not just a lab number.
What Is Testosterone Replacement Therapy (TRT)?
Testosterone Replacement Therapy (TRT) is a medically supervised treatment that restores your testosterone to healthy, optimal levels when your body is no longer making enough on its own.
Instead of guessing, we use comprehensive labs and your symptoms to determine if low testosterone is contributing to how you feel—and whether TRT is appropriate and safe for you.
How testosterone affects your body (breakdown)
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Healthy testosterone levels help support steady energy, motivation, and emotional resilience. Low levels can leave you feeling tired, flat, or “not yourself.”
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Testosterone plays a key role in sex drive and performance. Low T can reduce desire and contribute to erectile difficulties or less satisfying intimacy.
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Testosterone helps build and maintain lean muscle. When levels drop, it becomes much harder to gain strength and much easier to lose muscle.
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Low testosterone is often linked with increased belly fat, weight gain, and slower metabolism—especially around the midsection.
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Many men report that low T feels like losing their “edge”—they’re less driven at work, less focused, and less confident.
Our approach to TRT
At My Wellness Physicians, TRT is never a one-size-fits-all protocol. We base your treatment on:
Detailed labs
Your symptoms and history
Your lifestyle and goals
Your overall heart, metabolic, and prostate health
You’re monitored regularly and adjusted over time with the goal of optimal levels—not extremes.
What You Get With Our TRT Program
TRT with My Wellness Physicians is more than a prescription. It’s a structured, long-term plan designed to help you feel and function at your best—safely and sustainably.
In-Depth Initial Consultation with Dr. Cruz-Tolentino
We review your symptoms, medical history, medications, lifestyle, and goals. You’ll have the time and space to ask questions and feel heard.
Education on Lifestyle Factors
We walk you through how sleep, nutrition, exercise, stress, and weight all interact with your hormones—so your treatment works better and lasts longer.
Comprehensive Hormone & Lab Panel
We order a full panel that may include testosterone (total and free), related hormones, and key health indicators like blood counts, metabolic markers, and more—so we can treat you, not just a number.
Regular Follow-Up Visits & Repeat Labs
We don’t “set it and forget it.” We monitor your response, adjust your dose as needed, and keep an eye on safety markers over time.
Personalized TRT Treatment Plan
Together, we decide on the most appropriate form of testosterone (for example, injections or other delivery methods), dosing schedule, and supportive care tailored to your body and lifestyle.
Direct Access to a Responsive Care Team
Questions or concerns between visits? Our team is here to support you so you’re never left wondering what’s going on.
Our TRT program is designed around continuity and safety, not lock-in contracts. We’ll review program options and investment with you so you can make an informed decision.
We make the process simple, clear, and efficient—so you can start feeling like yourself again without confusion or overwhelm.
How it works:
Step 1:
Deep-dive Labs & Consult
Comprehensive history, labs, and symptom mapping.
Step 2:
Personalized Plan
Estrogen/progesterone modalities, lifestyle support (sleep, stress, protein, resistance training).
Step 3:
Ongoing Optimization
Dose adjustments, follow-ups, refill management, and side-effect monitoring.
Frequently Asked Questions
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When done correctly, under physician supervision with appropriate lab testing and monitoring, TRT can be a safe and effective treatment for men with documented low testosterone. At My Wellness Physicians, we evaluate your overall health, review your risks and benefits, and monitor labs regularly to help keep you safe.
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There are several ways to deliver testosterone, including injections and other forms. Each has pros and cons. During your visit, we’ll discuss which delivery method fits best with your health, lifestyle, and preferences, and we’ll decide together.
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Yes. We’re happy to coordinate care with your primary care physician or specialist. With your permission, we can share relevant notes and labs so everyone on your team is informed and aligned.
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Not necessarily. Many men in their late 30s and 40s experience low testosterone due to stress, weight changes, sleep issues, or other health factors. Age is just one piece of the puzzle. The key is a proper evaluation—not a number on your birthday cake.