Testosterone Therapy

Testosterone is made from cholesterol and is manufactured mainly in the testicles in males and ovaries and adrenal glands in females. And undeniably testosterone has an important function in the body of males and females. Most notably it enhances sex drive, builds muscles and bones, helps maintain self confidence and the immune system, elevates mood and motivation, among many other important properties.

Deficiency in testosterone results in:

  • decreased libido
  • decreased motivation
  • depression
  • increased risk of suicide
  • decreased confidence and feeling of well being
  • decreased muscle mass
  • increased body fat (especially belly fat) leading to obesity
  • difficulty losing weight, decreases exercise performance and tolerance
  • increased incidence of diabetes
  • possibly even increases the risk of prostate cancer and heart attack

Testosterone should NOT be taken by mouth due to numerous detrimental effects, if taken orally.  Administration of testosterone can occur in a variety of ways. Including by daily gels, weekly injections, or testosterone pellets inserted just beneath the skin about every 4 months. Dr. Arthur Zacco inserts these pellets in about 5-10 minutes in the office with no down time.

Dr. Zacco notes that most patients favor testosterone therapy via pellets over injections or gels.  With  testosterone therapy pellets there are no messy gels or frequent injections.  Pellets allow freedom to focus on things other than testosterone therapy.

When patients receive treatment with daily testosterone therapy gel, they must to avoid contact with their loved ones for a couple of hours after applying gels. Also, when patients are using gels or injections, they have to bring these on vacation which can cause hassles at the airport as testosterone is a controlled substance.

In addition pellet testosterone therapy more closely resembles a steady state of testosterone. Because pellets allow consistent delivery of testosterone. Verses the vast fluctuations in testosterone which is common with the use of gels and injections.  Fluctuating testosterone can result in irritability, fatigue, increased fat, and a decreased libido.

When being treated with testosterone pellets, you are only reminded of testosterone treatment every four months when the pellets are inserted during a five to ten minute office procedure in which Dr. Zacco inserts pellets underneath the skin in the alternating upper outer buttocks.

We also offer the following services – Testosterone Injections and Testosterone Pellets.

Anti-Aging Testosterone Injections
When you want to stop the aging process, you need to adjust your chemical or hormonal imbalance. Many men have an issue with low testosterone, but they don’t know how to correct this problem. When you start a new regimen of testosterone injections, you can keep your body youthful, regain your energy, and clear up your skin at the same time. Read more about how testosterone can change your life and make your body that much stronger.

What Do Testosterone Injections Do?

When you are going to the doctor or a medical clinic for assistance, you may be prescribed these injections because they help you clear up your skin, allow your hair to grow, speed up your metabolism, and give you the energy that you need. You may not have realized how much you were slumping over the past few months or years, but the testosterone that you are taking can quite literally change your life.

Weight Loss

You will not automatically lose weight because you started taking testosterone injections, but your body will begin to metabolize in a much more efficient manner. Because of this, you will see your body start to slim down. At the same time, you can begin to exercise and eat right. By doing this, you are giving your body the file it needs to thrive.

You can change your diet and exercise plan at the same time. You will have more energy because your body is metabolizing properly, and you will not feel sluggish like you did in the past.

Renewed Energy

You will have quite a lot of energy when your body has synthesized enough of the testosterone in your program. Your body might not have been able to sleep, and it may have been hard for you to stay awake during the day. Because of this, you did not feel as though you could function normally during the day. Now that you are much more energetic and changing your lifestyle, you can get on a routine that does not require an afternoon nap.

A Reduction In Joint Pain

Your posture will change because you will feel a reduction in joint pain. You will have a much better posture because you feel like you can stand up straight, and you will also notice that you can move a bit more quickly during the day because your joints are a bit stronger. Of course, it will take your body time to heal completely. However, it is nice to know that you can change your daily routine by using these injections.


When you are using a new hormone and chemical regimen to bring your body back to life, you will see the difference in the mirror, feel as though you are more energetic, and will have a nice appearance because your hair and nails are healthier. You can lose weight, and you can even start working out again because you are using a product that makes you feel young again.


ESTROGENS: Estrone (E1), Estradiol (E2), Estriol (E3), 16 OH Estrone, 4 OH Estrone, 2 OH Estrone

Estrogen is responsible for keeping the female and male healthy in too many ways to mention here. However, most notably, it maintains bones and muscle mass, keeps the skin and vaginal mucosa healthy, and minimizes breast sagging.

If a woman or man has a family or personal history of breast cancer, their estrogen metabolism should be evaluated and addressed if needed (16 OH Estrone). If you are having hot flashes and you are over 30 years old, chances are good that you have estrogen deficiency and you could be peri-menopausal (early menopause). Not all women have hot flashes with low estrogen.

For hormone replacement therapy, we prefer bio identical hormones BHRT over non-bio identical hormones. Be careful, plant estrogens, or phytoestrogens, and other hormones derived from plants may be considered “natural” estrogens but are NOT bio-identical. Phytoestrogens are natural but are not the same as human estrogens, so they are NOT bio-identical and should not be used for hormonal replacement.

Estrogen like Testosterone is a hormone made of cholesterol. For women and men taking cholesterol lowering medication, it should be noted that they could have an important impact on lowering estrogen levels. Estrogens should NOT be taken orally as this can result in lowering Growth Hormone (GH) among other problems.

Estrogen can be administered by daily creams and gels or by pellets inserted under the skin that last about 4 months. These pellets are inserted only by Dr. Arthur Zacco in our office in about 15-20 minutes.