Anti Aging & Functional Medicine


Testosterone Therapy Clinic in Raleigh, NC

Testosterone is an important male hormone that strongly influences many physical and mental health aspects. It enhances a man’s sexual function, reproductive capabilities, mood stability, energy levels, confidence, motivation, and overall well-being. This hormone is present in both males and females, albeit at different levels, with males typically exhibiting levels 10-20 times higher than females. Dr. Arthur Zacco emphasizes pellet hormonal replacement therapy (HRT) as the “Cadillac of HRT,” emphasizing its efficacy in restoring hormonal balance. Typically, pellets are replaced every four months, with Dr. Arthur Zacco administering them just beneath the skin during a brief office visit lasting 15-20 minutes. It’s noteworthy that low testosterone levels in females can also significantly impact libido, confidence, motivation, and drive, underscoring the importance of hormonal balance for both genders.

How Aging Impacts Men's Health

As men age, they undergo physiological changes that can significantly impact their health and well-being. One significant change is the gradual decrease in testosterone levels, a phenomenon often referred to as andropause or male menopause. Similar to menopause in women, andropause is characterized by hormonal shifts that can lead to various adverse health conditions if testosterone levels become too low. These changes can profoundly affect multiple aspects of men’s lives, including sexual function, mood stability, energy levels, sleep integrity, and overall quality of life. While the decline in hormonal levels typically occurs gradually with age, it can have significant implications for men’s health and longevity.

Contrary to popular belief, andropause is not solely a consequence of aging but a complex interplay of physiological, environmental, and lifestyle factors. Therefore, addressing hormonal imbalances and adopting healthy lifestyles are essential for promoting optimal health and well-being in aging men. It’s important to note that while hormonal changes play a significant role in andropause, other factors such as lifestyle choices, environmental influences, and underlying health conditions contribute to the overall health outcomes in aging men. Hence, a comprehensive approach that addresses all aspects of health is crucial for managing andropause effectively.

Symptoms of Low Testosterone in Men

Low testosterone, also known as Low T, may present with a range of symptoms affecting physical, emotional well-being, and mental well-being. Identifying these symptoms early is essential for prompt detection and intervention. Here are some common indicators of low testosterone in men:

  1. Decreased Libido: Low testosterone often presents with a significant decrease in libido, or sex drive, as one of its primary symptoms. Men may notice a reduced interest in sexual activity and may experience difficulties in achieving or maintaining erections.
  2. Erectile Dysfunction: Low levels of testosterone may contribute to erectile dysfunction, which can make it challenging for men to achieve or maintain erections during sexual activity. This can lead to frustration, embarrassment, and diminished self-esteem.
  3. Fatigue and Low Energy: Men with low testosterone often experience fatigue, low energy levels, and reduced motivation. Even with sufficient rest, individuals may experience feelings of fatigue and lethargy, affecting their capacity to participate in daily activities.
  4. Mood Changes: Testosterone is vital for regulating mood, and insufficient levels can result in mood swings, irritability, and depression. Men may experience heightened feelings of sadness, anxiety, or irritability.
  5. Decreased Muscle Mass: Testosterone is crucial for preserving muscle mass and strength. Individuals with low testosterone levels may experience a decrease in muscle mass, resulting in weakness, diminished physical performance, and challenges in tasks requiring strength.
  6. Increased Body Fat: Low testosterone levels can contribute to increased body fat, particularly around the abdomen. Men may notice a decrease in muscle definition and an accumulation of belly fat, which can increase the risk of obesity-related health problems.
  7. Decreased Bone Density: Testosterone is essential for maintaining bone health, and reduced levels of testosterone can result in decreased bone density. This heightens the risk of osteoporosis and fractures.
  8. Sleep Disturbances: Low levels of testosterone can disturb sleep patterns, causing difficulties in falling asleep, staying asleep, or achieving restful sleep. Men may experience insomnia, restless sleep, or other sleep disturbances.
  9. Cognitive Changes: Testosterone influences cognitive function, including memory, concentration, and mental clarity. Men with low testosterone may experience cognitive changes such as difficulty concentrating, memory problems, and reduced mental sharpness.
  10. Decreased Motivation and Drive: Testosterone is associated with motivation, drive, and assertiveness. Men with low testosterone may experience a decrease in motivation, ambition, and competitiveness, affecting their performance at work, school, or in other areas of life.

Recognizing these symptoms and seeking medical advice for accurate diagnosis and treatment is vital for effectively managing low testosterone and enhancing overall quality of life.

Benefits of Testosterone Replacement Therapy in Men

Testosterone Replacement Therapy (TRT) offers a plethora of benefits for men grappling with low testosterone levels, revitalizing various aspects of physical and mental well-being. Testosterone levels should be optimal, not too high and not too low. Here’s a breakdown of the key advantages:


1. Improved Sexual Function: TRT can enhance libido, improve erectile function, and increase sexual satisfaction, restoring intimacy and confidence in sexual relationships.

2. Enhanced Mood Stability: Low testosterone levels are often associated with mood swings, irritability, and depression. TRT can stabilize mood, promote emotional well-being, and reduce symptoms of anxiety and depression.

3. Increased Energy and Vitality: Testosterone is vital in regulating energy levels and overall vitality. TRT can boost energy levels, reduce fatigue, and enhance motivation, allowing men to engage more actively in daily activities and pursuits.

4. Preservation of Muscle Mass and Strength: Testosterone is crucial for muscle development and maintenance. TRT can help preserve lean muscle mass, prevent muscle loss, and improve muscle strength and endurance, facilitating an active and healthy lifestyle.

5. Enhanced Cognitive Function: Testosterone influences cognitive function, including memory, concentration, and mental clarity. TRT can improve cognitive function, sharpen mental focus, and promote overall cognitive well-being.

6. Increased Bone Density: Low levels of testosterone are linked with decreased bone density and increased risk of osteoporosis. TRT can help improve bone density, reduce the risk of fractures, and promote skeletal health and integrity.

7. Weight Management: Testosterone regulates metabolism and fat distribution. TRT can assist in managing weight by promoting fat loss, particularly in the abdominal region, and supporting a healthy body composition.

8. Cardiovascular Health: Testosterone has a beneficial effect on cardiovascular health, including regulating cholesterol levels and improving blood vessel function. TRT can help reduce the risk of cardiovascular disease and promote heart health.

9. Enhanced Quality of Life: By addressing the symptoms of low testosterone and improving overall well-being, TRT can significantly enhance the quality of life, allowing men to enjoy a more fulfilling and active lifestyle.

10. Individualized Treatment: TRT is tailored to each individual’s needs and medical history, ensuring personalized care and optimal outcomes. With careful monitoring and management, TRT can provide lasting benefits and empower men to reclaim vitality and well-being.

How Aging Impacts Women's Health

As women age, they undergo a natural decrease in hormone levels, including testosterone, which can profoundly impact their overall health and well-being. While testosterone is often linked to male traits, it also holds significant importance in women’s health, albeit at considerably lower levels. The gradual decrease in testosterone levels as women enter their 30s can lead to various symptoms and health concerns. Unlike menopause, where estrogen decline is the primary focus, the decline in testosterone levels can affect women’s libido, bone density, muscle mass, mood, energy levels, menstrual cycle, and fertility. Factors such as oophorectomy, genetic conditions like Turner syndrome, tumors, chemotherapy, radiation, adrenal insufficiency, and certain medications can further exacerbate testosterone deficiency in women. Recognizing the symptoms of low testosterone and addressing underlying causes is essential for promoting optimal health and well-being in aging women.

Symptoms of Low Testosterone in Women

Low testosterone levels in women can manifest in a variety of symptoms that impact physical, emotional, and mental well-being. While a blood test is necessary to confirm testosterone levels, common signs of low testosterone in women include:

  1. Low sex drive (hypogonadism)
  2. Lack of energy and feeling tired
  3. Loss of strength and muscle tone
  4. Infertility or trouble conceiving
  5. Irregular menstrual cycle
  6. Vaginal dryness
  7. Depression or anxiety
  8. Thinning hair
  9. Dry, brittle skin
  10. Trouble sleeping

Understanding the underlying causes of low testosterone in women, such as age-related hormonal changes, medical conditions, surgical interventions, and medication use, is crucial for proper diagnosis and treatment.


How to Diagnose Low Testosterone

Diagnosing low testosterone, or Low T, involves a thorough evaluation by a healthcare provider to assess symptoms, perform laboratory tests, and identify contributing factors. Men should prioritize regular appointments with their family doctor to monitor hormone levels and address any signs or symptoms indicative of testosterone deficiency. Laboratory tests, including blood tests, are essential for determining testosterone serum levels and assessing associated symptoms. Dr. Arthur Zacco and other healthcare professionals can conduct these evaluations and provide personalized treatment recommendations.

In addition to laboratory tests, it’s crucial for men to maintain open communication with all healthcare providers, including specialists and pharmacists, to ensure an accurate assessment of medication use and potential side effects. Many medications can impact testosterone levels and contribute to symptoms resembling low testosterone, such as sexual dysfunction and fatigue. Keeping an updated medication list can facilitate comprehensive care and enable healthcare providers to make informed decisions about treatment options.

For individuals considering testosterone therapy or hormone optimization, seeking guidance from healthcare professionals specialized in anti-aging and functional medicine is essential. Anti Aging & Functional Medicine offers informative consultation appointments to discuss treatment options tailored to individual needs. Services such as Testosterone Pellets are available to address testosterone deficiency and promote overall well-being. Care must be taken to NOT over-treat women with testosterone. Testosterone level should be optimal, not too high and not too low.

Elevate Your Quality of Life with Testosterone Replacement Therapy in Raleigh, NC

Testosterone Therapy holds the key to optimizing testosterone levels and unlocking a world of enhanced well-being and vitality. As the primary hormone predominantly found in males, testosterone plays a pivotal role in shaping various male attributes and functions, including sexual drive, fertility, mood stability, and overall energy levels. By addressing hormonal imbalances and restoring testosterone to optimal levels, Testosterone Therapy fosters emotional equilibrium, boosts motivation, and instills confidence necessary for leading an active and fulfilling life.

Dr. Arthur Zacco has specialized in hormone replacement therapy in Wake County since 1996. We offer state-of-the-art TRT in the form of Testosterone pellets designed to provide a steady release of testosterone. Our treatment aims to enhance sexual drive, stabilize mood swings, and improve energy levels and confidence, allowing you to reclaim your vitality and live life to the fullest.

Whether you’re experiencing the effects of aging or simply seeking to boost your quality of life, our personalized testosterone replacement therapy is tailored to meet your individual needs. Don’t let hormonal imbalances hold you back any longer. Contact our office, Anti Aging & Functional Medicine, to schedule a consultation and discover how Testosterone Therapy can transform your life. Rediscover your vitality and embark on a journey towards optimal health and well-being with our expert care.

Frequently Asked Questions about TRT

Low testosterone, commonly known as Low T, denotes a medical condition characterized by inadequate production of testosterone, a hormone crucial for numerous bodily functions such as sexual health, mood regulation, and energy levels.

Optimal testosterone levels vary depending on age, sex, and individual health factors. Typically, normal testosterone levels in men range from 300 to 1,000 nanograms per deciliter (ng/dL), while levels in women are significantly lower, typically between 15 to 70 ng/dL.

TRT is a medical intervention designed to restore testosterone levels to optimal ranges in individuals experiencing low testosterone. By alleviating symptoms associated with low testosterone, TRT aims to enhance overall well-being and quality of life.

Testosterone can be administered in various forms, including injections, pellets, patches, creams, and gels. The most common methods of administration are intramuscular injections and testosterone pellets implanted under the skin.

No, we offer Testosterone Replacement Therapy in the form of pellets. Dr. Arthur Zacco feels that pellet insertions are the most effective treatment method for Low Testosterone. It allows for more control over the amount of testosterone administered and a slow, stable release of testosterone over time.

The timeline for experiencing the effects of TRT can vary depending on individual factors such as metabolism, dosage, and method of administration. While some individuals may notice improvements in symptoms within a few weeks, others may require more time to achieve optimal results.

TRT is generally considered safe when administered under the supervision of a qualified physician. However, like any medical treatment, TRT may carry potential risks and side effects. Regular monitoring and follow-up appointments are crucial to ensure both safety and efficacy.

Common side effects of TRT may include fluid retention, acne, increased count of red blood cells, and breast enlargement. Rare but serious side effects may include sleep apnea, infertility, and cardiovascular complications.

Low testosterone levels have been associated with hair loss in both men and women. Testosterone regulates hair growth, and imbalances in testosterone levels can contribute to hair thinning and male pattern baldness.

The cost of TRT may vary depending on factors such as the method of administration, dosage, and insurance coverage. Our healthcare providers can provide detailed information about the cost of TRT during your consultation.

Insurance coverage for Testosterone Replacement Therapy may vary depending on individual insurance plans and policy provisions. We do not take insurance for treatment, but some insurance plans may cover Lab work from places like Lab Corp.

Coverage for Testosterone Replacement Therapy under Medicaid may vary depending on state regulations and eligibility criteria. We do not take Medicaid for treatment, but Medicaid may cover Lab work from places like Lab Corp.

Testosterone Therapy may increase blood pressure in some individuals, particularly those with pre-existing cardiovascular conditions. It is essential to monitor blood pressure regularly during TRT and consult with a healthcare provider if any concerns arise.

Limited evidence suggests a potential link between Testosterone Therapy and a slight increase in the risk of prostate cancer in some men. However, this risk is generally low, and the decision to undergo TRT should be made in consultation with your physician, considering both the potential benefits and risks.