Testosterone replacement therapy for men, prescribed and monitored by a licensed Family Nurse Practitioner. Lab-guided. FDA-approved testosterone cypionate injections. No pellets. No compounded preparations.
Real medicine, with the time and labs that real medicine takes.
Who this is for
Men experiencing symptoms that may be associated with low testosterone, including:- Persistent fatigue or low energy that does not improve with rest
- Decreased libido, decreased number and quality of erections
- Loss of muscle mass or strength despite training
- Increased difficulty maintaining a healthy body composition
- Mood changes, irritability, or low motivation
- Disrupted sleep, brain fog, or reduced focus
If you want to preserve fertility, please read this first
Please see your endocrinologist if you desire TRT replacement, and want to preserve fertility at the same time. If preserving fertility is a goal for you now or in the future, the right approach will be seeing a reproductive specialist before considering TRT. Brief discussion of your fertility preserving treatments will be offered to you at Wellness & Longevity during your initial consultation at no extra charge.How treatment works
- Provider exam, first visit ($100). Symptom intake, medical history, physical exam, and review of your lab results. The $100 fee covers the visit and the lab interpretation. Laboratory testing is a separate cost you arrange directly, which keeps your total down. You are welcome to bring relevant previous lab work you already have for comparison.
- Laboratory testing (you choose your lab). Bloodwork is required before any prescription, and patients must have indications and lab results confirming the clinical need for testosterone replacement. You obtain your labs through a low-cost direct-access lab such as JustLabs or DirectLabs, or a lab of your choice. We provide the lab order and review the results with you. Direct-access labs are usually far less expensive than insurance-billed testing.
- Lab review and treatment plan. We review your lab results together at the follow up visit. If the clinical picture supports replacement therapy, we prescribe and give FDA-approved testosterone cypionate injections.
- Weekly injections ($45 each). Injections are administered in the office, with limited doses available for self-administration while away from the office if needed. The skill of self-injecting will be taught to you free of charge. Any take-home doses are strictly monitored for any diversion in compliance with DEA and drug vendor guidance.
- Follow-up labs and visits. Recheck labs at three to four months after starting therapy, then annually. If therapy continues without gaps, no separate annual exam fee is charged.
Pricing
Provider exam, first visit
$100
Weekly testosterone cypionate injection
$45/ week
Laboratory testing is a separate cost you arrange through a direct-access lab such as JustLabs or DirectLabs, usually far less than insurance-billed labs.
Discounts and waivers are listed on the Current Promotion page.
What we prescribe
This practice prescribes FDA-approved testosterone cypionate injections only. We do not offer pellets. We do not offer compounded preparations. The reason is straightforward: FDA-approved testosterone cypionate has decades of clinical use, established dosing data, and a manufacturing standard that compounded products are not held to. For most men with confirmed low testosterone, it is the appropriate and effective choice.What ongoing care looks like
TRT is an ongoing medical relationship, not a one-time prescription. After starting therapy:- Initial follow-up labs at three to four months to assess response and adjust dose if needed
- Annual labs thereafter
- Visits to discuss how you are feeling, side effects if any, and whether the current dose still fits
- Monitoring for known TRT considerations including hematocrit, PSA where appropriate, and other clinical markers
Important considerations
TRT is not appropriate for every man. Reasons we may not prescribe include:- Active or untreated prostate cancer or breast cancer
- Severe untreated sleep apnea
- Uncontrolled congestive heart failure
- Elevated hematocrit or polycythemia
- Plans for fertility (see fertility note above; speak with an endocrinologist before TRT)
- Other medical conditions identified during evaluation
Why choose Wellness & Longevity in Roseville
Our Old Roseville clinic at 805 Douglas Blvd is led by Olga Bealessio, a licensed Family Nurse Practitioner, who partners with Medical Director Dr. Victor Nava, MD. Hormone optimization here is treated as the medical care it is. Time, attention, and labs come before prescriptions. We serve patients from Roseville, Rocklin, Granite Bay, Lincoln, Loomis, Citrus Heights, and the surrounding Placer and Sacramento County communities. Learn more about our team.Frequently Asked Questions
Tap any question to expand. If you do not see your question, give us a call at (916) 839-7740.
How much does TRT cost in Roseville?
The provider fee for your initial evaluation, which covers the exam and lab interpretation, is $100. Weekly testosterone cypionate injections are $45 each. Laboratory testing is a separate cost you arrange through a direct-access lab such as JustLabs or DirectLabs, usually far less than insurance-billed labs. There is no separate annual exam fee for patients who continue therapy without gaps.
Why are the labs separate now?
Unbundling the labs lets you use a low-cost direct-access lab such as JustLabs or DirectLabs and pay only for the testing you need, which is usually far less than insurance-billed bloodwork. You pay the $100 provider fee for the exam and the interpretation, and you pay the lab directly for the panel. We provide the order and review every result with you.
How long until I feel a difference?
Most men begin to notice changes in energy, mood, and libido within four to six weeks of starting therapy. Changes in body composition and muscle response take longer, typically three to six months, and depend on training and nutrition alongside the therapy.
Will TRT affect my fertility?
Yes. Exogenous testosterone replacement therapy will impact fertility. If preserving fertility is a current or future goal, please see an endocrinologist before considering TRT. The fertility-preserving care path is different from standard TRT and is appropriately managed by a specialist.
How is treatment monitored?
Through follow-up labs at three to four months and annually, plus visits to assess response, side effects, and whether the current dose still fits. Monitoring includes the standard markers tracked for TRT, including hematocrit and other clinical labs as appropriate.
Do you offer pellet therapy or compounded testosterone preparations?
No. This practice prescribes FDA-approved testosterone cypionate injections only. The FDA-approved formulation has decades of clinical evidence and a manufacturing standard that pharmacy-compounded products are not held to, which is why it is the appropriate first-line choice for most men with confirmed low testosterone.
Am I a candidate?
That is a clinical question that requires a full evaluation. Symptoms, history, exam, and lab values all factor in. The $100 initial evaluation is the right way to find out.
Is this covered by insurance?
This practice operates as a cash-pay practice for hormone services. Some patients use HSA or FSA funds toward the fees. Laboratory testing is arranged directly through a low-cost direct-access lab such as JustLabs or DirectLabs and paid to the lab, not billed to insurance. The provider fee for the evaluation is $100.
Ready to start?
Call us. We will answer questions, confirm whether evaluation is the right next step, and book your initial visit.Continue your care with us
Many of our hormone optimization patients explore other services as part of their overall plan:
- Hormone Optimization for Women Menopause and perimenopause care with FDA-approved hormone therapy.
- Weight Management Medical guidance with FDA-approved injectable therapies.
- Microneedling Skin rejuvenation that pairs well with broader wellness goals.
- PRP Therapy Your own growth factors, applied for skin and tissue support.
The content on this page is provided for general educational purposes and is not a substitute for medical evaluation by a licensed provider. Testosterone replacement therapy is prescribed only after evaluation including symptom assessment and laboratory testing that confirms clinical indications. Individual results vary. By scheduling an appointment, you agree to our Practice Policies. References: The Endocrine Society: Clinical Practice Guidelines, FDA: Testosterone Information.