How do I know if I have low testosterone?

Common symptoms include low sex drive, erectile difficulty, fatigue, loss of muscle mass, weight gain, mood changes, and brain fog. A simple blood test during your consultation will confirm whether your levels are below optimal range.

Is testosterone replacement therapy safe?

When properly monitored by a qualified physician, TRT has a strong safety profile. Dr. Croland conducts regular lab work and follow-ups to ensure your levels stay within the optimal range and to monitor for any potential side effects.

How soon will I notice results from TRT?

Many men notice improvements in energy, mood, and libido within 2–4 weeks. Full benefits, including improvements in body composition and sexual performance, typically develop over 3–6 months of consistent treatment.

Will I need to stay on TRT permanently?

Treatment duration varies by individual. Some men benefit from ongoing therapy, while others may be able to taper off after achieving optimal levels with lifestyle changes.

Testosterone Replacement Therapy

Hormone Optimization

Low testosterone affects millions of men over 30, reducing libido, energy, and sexual performance. Our personalized TRT program restores optimal hormone levels to help you feel like yourself again — stronger, sharper, and more confident.

Understanding Low Testosterone

Testosterone is the primary male sex hormone, essential for sexual function, muscle development, bone density, mood regulation, and overall energy levels. After age 30, testosterone levels naturally decline by approximately 1–2% per year. Up to 40% of men over 45 have clinically low testosterone levels.

Common symptoms include reduced sex drive, difficulty achieving or maintaining erections, fatigue, loss of muscle mass, increased body fat, brain fog, irritability, and decreased motivation.

Our TRT Approach

At Charlotte Men's Clinic, we take a comprehensive, medically supervised approach to testosterone optimization. Your evaluation includes complete hormone panel, metabolic markers, complete blood count, PSA screening, and lifestyle assessment. Dr. Croland designs a personalized treatment protocol for safe and effective hormonal health.

Benefits of Optimized Testosterone

Increased libido and sexual desire, improved erectile function, greater energy and stamina, enhanced mood and mental clarity, increased lean muscle mass, reduced body fat, better sleep quality, and improved bone density.

TRT and ED: A Powerful Combination

Low testosterone is a significant contributing factor to erectile dysfunction. Many patients achieve their best results through a combination of TRT with shockwave therapy and/or the P-Shot®, addressing ED from every angle — hormonal, vascular, and cellular.

Frequently Asked Questions

How do I know if I have low testosterone?: Common symptoms include low sex drive, erectile difficulty, fatigue, loss of muscle mass, weight gain, mood changes, and brain fog. A blood test during your consultation will confirm your levels.
Is TRT safe?: When properly monitored by a qualified physician, TRT has a strong safety profile. Dr. Croland conducts regular lab work and follow-ups.
How soon will I notice results?: Many men notice improvements in energy, mood, and libido within 2–4 weeks. Full benefits typically develop over 3–6 months.
Will I need to stay on TRT permanently?: Treatment duration varies. Some men benefit from ongoing therapy, while others may taper off after achieving optimal levels with lifestyle changes.

Contact Charlotte Men's Clinic: (704) 850-6030

Could It Be Low T?

Testosterone drops gradually as men get older. For some, it falls far enough to cause real problems: dragging through the day, little interest in sex, weaker erections, losing muscle, gaining fat around the middle, feeling short-tempered or flat, or having trouble focusing. The catch is that plenty of other things cause the same symptoms. That's why we test before we treat.

Low testosterone can also get in the way of erections. Bringing levels back to a healthy range sometimes improves libido and helps other treatments, like shockwave therapy or the P-Shot, work better.

Testing First, Then Monitoring

Every TRT conversation here starts with labs. Dr. David Croland checks total and free testosterone and several related markers. If your numbers and your symptoms don't line up, he won't put you on it.

If you do start, you'll come back for follow-up blood work so he can watch your levels and safety markers and adjust the dose. That ongoing oversight is a big part of what you're getting, and it's something an online prescription service usually can't match.

What About the Prostate and Heart?

Those are the two questions we hear most. The thinking on both has shifted. Dr. Abraham Morgentaler's androgen receptor saturation model helps explain why raising testosterone from low to normal doesn't seem to fuel prostate growth the way older theories predicted. Large studies have also looked at heart safety in men on properly managed therapy.

Dr. Croland goes through this with every patient who asks. If you want the details, read Testosterone Therapy Myths & Facts and our Research & Evidence page.

Is TRT a Good Fit for You?

Not always. Sometimes the better first step is fixing sleep, losing some weight, or changing a medication. Dr. Croland will go over the benefits and the possible side effects honestly and help you choose.

You can come in at the Ballantyne Men's Clinic or the Matthews Men's Clinic. Read more about Dr. David Croland, or call (704) 850-6030 to book.