Treatments, starting with labs
Testosterone therapy is the main service. Licensed providers also treat menopause symptoms, weight and erectile dysfunction, and order hormone and metabolic lab panels. Every plan starts with your history and blood work, and a licensed provider decides whether treatment is appropriate.
Prescription treatment requires an evaluation by a licensed healthcare provider, who decides whether treatment is appropriate for you. Not everyone qualifies. Completing an assessment, booking a visit, or paying a fee does not guarantee a prescription.
Rules for testosterone and weight-loss medication differ by state.
All treatments
Choose the treatment you came for. Each page explains how it starts, what is monitored, the main risks and how costs are explained before you pay.

Testosterone replacement therapy
For testosterone deficiency diagnosed from your symptoms and morning blood work. If treatment fits, your provider chooses the medication and form that fit your labs and history, and follow-up labs and provider reviews are scheduled while you're on treatment.
Testosterone is FDA-approved for men with low testosterone caused by certain medical conditions. Its safety and effectiveness for low testosterone due to aging alone have not been established. Testosterone can raise blood pressure and red blood cell count, reduce sperm production and fertility, and requires monitoring of the prostate and blood levels. Your provider will review the benefits and risks and monitor you with regular labs. Important Safety Information: testosterone
For perimenopause and menopause symptoms such as hot flashes, night sweats and sleep problems. A licensed provider reviews your symptoms, history and labs and, where treatment is appropriate, explains the options and their risks. Testosterone is not FDA-approved for women, and any testosterone treatment follows the same rules as testosterone therapy for men.
Medical weight management with a licensed provider: labs, a review of your health history and, where appropriate, a prescription medication alongside changes to eating and activity, with regular follow-up. Some states require a physical exam before weight-loss medication is prescribed.
Important Safety Information for GLP-1 weight-loss medications
An evaluation that starts with your heart health, the medicines you take and your history, then prescription treatment where appropriate. ED medicines can interact with some heart medicines, including nitrates.
Morning testosterone and hormone and metabolic panels, ordered for you at a lab near you, before your first visit and periodically during treatment.
How every treatment starts
Every treatment starts the same way: a call with your coordinator, labs, then a visit with a licensed provider who decides, with your input, whether treatment fits. How it works
- Your local office135 offices in 33 states. Find an office
- By videoWhere your state allows. Testosterone is a Schedule III controlled substance with stricter rules, and some states require an in-person exam first.
- LabsAt a lab near you, ordered for you.
- Who you seeA physician, nurse practitioner or physician assistant licensed in your state.
- CostExplained before you pay. A medication supply, if prescribed, is paid in full up front for a set period. No long-term contract and no automatic billing. How pricing works
Questions about treatment
Prescription treatment requires an evaluation by a licensed healthcare provider, who decides whether treatment is appropriate for you. Not everyone qualifies. Completing an assessment, booking a visit, or paying a fee does not guarantee a prescription.
Which treatment is right for me?
That is your provider's decision, made with you after a review of your symptoms, history and labs. Prescription treatment requires an evaluation by a licensed healthcare provider, who decides whether treatment is appropriate for you. Not everyone qualifies. Completing an assessment, booking a visit, or paying a fee does not guarantee a prescription.
Do all treatments start with labs?
Yes. Each one starts with blood work that fits the question: morning testosterone tests for men, and hormone or metabolic panels for the other services. Your coordinator arranges the labs your provider orders at a lab near you.
Can I be seen in person?
Yes. There are 135 local offices in 33 states. Visits are at the office or by secure video, and your coordinator tells you which options apply where you live.
Can I use video instead?
Where your state allows. Rules differ by service and by state. Testosterone is a controlled substance with stricter federal and state rules, and some states require an exam before weight-loss medication is prescribed.
Who will I talk to?
A care coordinator with a direct line schedules your labs and visits and explains each cost before you pay. Medical decisions are made by a physician, nurse practitioner or physician assistant licensed in your state.
Do I have to join a plan?
No. There is no long-term contract, no membership and no automatic billing. You pay for each step as you reach it, and each medication supply needs your provider's prescription and your OK.
Medical services are provided by independently licensed physicians, nurse practitioners and physician assistants of affiliated professional corporations and their affiliated professional entities. Vitality Testosterone Replacement Therapy provides administrative and technology support and does not practice medicine. All treatment decisions are made at the sole discretion of the treating provider. Medications are dispensed by licensed pharmacies. This website is an advertisement for medical services and is not medical advice. If you have a medical emergency, call 911.