Testosterone is the primary male sex hormone, produced mainly in the testes. Levels peak in early adulthood and decline gradually with age, a process sometimes called andropause. For some men the decline is mild; for others it drops far enough to cause real symptoms that affect daily life. Stress, sleep problems, certain medications, and underlying health conditions can accelerate or compound the decline.
Testosterone Replacement Therapy
Testosterone Replacement Therapy (TRT) in Dallas
Testosterone does more than most men realize. It influences energy, muscle, mood, focus, sleep, metabolism, and sexual health. When levels decline with age or fall out of range, the effects can show up gradually as fatigue, weight gain, low drive, and a sense that your body is not performing the way it used to. Testosterone Replacement Therapy (TRT) restores testosterone to an optimal range under medic.al supervision so those systems can work the way they should again.
At Resurrect Skin MD in Dallas, TRT is physician-guided and grounded in lab testing. We use multiple approaches to testosterone delivery but primarily use pellet-based delivery for steady, consistent hormone levels, the same evidence-based approach we take with hormone replacement therapy for women, tailored to men’s physiology and goals. However we individualize every patient to determine which delivery system is right for you
Administration
Subcutaneous pellet
Initial results
Often within the first week or two as levels rise
Full results
Around 3 months once levels stabilize
Frequency
Every 4 to 6 months for most men
Downtime
Minimal; brief activity restrictions after insertion
What Is Low Testosterone (Low-T)?
Low testosterone, or low-T, is diagnosed with a blood test interpreted alongside your symptoms. It is not about chasing a number on a lab report. The goal of TRT is to relieve symptoms and restore function by bringing testosterone back into a healthy, stable range, then monitoring to keep it there safely.
Signs and Symptoms of Low Testosterone
Low testosterone can affect the body and mind in ways that are easy to attribute to age or stress. Common signs include:
- Persistent fatigue and low energy
- Reduced muscle mass, strength, and endurance
- Increased body fat, especially around the midsection
- Low libido and reduced sexual satisfaction
- Difficulty achieving or maintaining erections
- Brain fog, poor concentration, and reduced motivation
- Irritability, low mood, or anxiety
- Disrupted sleep and daytime sleepiness
Many men have several of these at once and assume it is just getting older. When symptoms cluster like this and lab work confirms low testosterone, TRT is often an effective treatment.
How TRT Works at Resurrect Skin MD
Your treatment starts with a consultation and comprehensive lab work. We review your symptoms, medical history, and goals, and test testosterone along with the related markers needed to treat you safely. Those results establish your baseline and guide your personalized dose.
We deliver testosterone through pellets placed just beneath the skin during a brief in-office procedure under local anesthesia. The pellet releases bioidentical testosterone gradually over several months, which avoids the peaks and troughs that can come with frequent dosing and supports steadier energy, mood, and results. Follow-up labs and visits let us confirm your levels are in range and adjust as needed. Pellets are our primary method, but not the only one. For some patients, other delivery options such as injections may be a better fit, and your provider will recommend the approach that suits your physiology and goals.
Am I a Candidate for TRT?
Good candidates are men with symptoms of low testosterone confirmed by lab testing who want a consistent, medically supervised solution. Many men notice changes in their 40s or 50s, though low-T can occur earlier. Candidacy is determined through your consultation, history, and bloodwork, not symptoms alone.
TRT is not right for everyone. Men who are trying to conceive should know that testosterone therapy can reduce sperm production, so fertility goals are an important part of the conversation. Certain medical conditions also affect whether TRT is appropriate. Your provider will review your history and labs and discuss any risks before recommending treatment.
Benefits of Testosterone Replacement Therapy
When low testosterone is the underlying issue, restoring it to a healthy range can help many men feel and function better. Reported benefits include:
- More energy and reduced fatigue
- Improved strength, lean muscle, and exercise results
- Better libido and sexual function
- Sharper focus, steadier mood, and improved motivation
- Support for healthy metabolism and body composition
Results vary based on your physiology, lifestyle, and how consistently you maintain therapy. The aim is sustainable improvement, not a quick fix.
TRT, Metabolism, and Body Composition
Testosterone influences how the body builds muscle and stores fat, so optimizing it can make healthy habits more effective. For men whose primary goal is weight loss, TRT is often paired with our medical weight loss program for a more complete approach to metabolism and body composition. Some men also explore peptide therapy as part of a broader wellness plan.
What to Expect: Before, During, and After
Before: you meet with a provider for a consultation and comprehensive lab work to confirm low testosterone and design your plan.
During: pellet insertion is a brief in-office procedure done under local anesthesia through a very small incision. It typically takes only a few minutes and does not require stitches.
After: most men return to normal activities right away, with short-term exercise restrictions to support healing. Levels rise over the following weeks, and follow-up labs let us fine-tune your dose for long-term results.
"Many men are told their testosterone is normal but still have the classic symptoms of low T. The normal range is really just an average of American men, many of whom are not healthy, so the low end is often too low. We are not trying to push levels too high. The goal is to relieve symptoms, which usually means getting above average and ideally into the upper range, guided by how you actually feel and by careful monitoring"
— Dr. A. Jay Burns, board-certified plastic surgeon and founder of Resurrect Skin MD.
Frequently Asked Questions
You have questions? We have answers.
How is low testosterone diagnosed?
With a blood test interpreted alongside your symptoms. Testosterone is usually measured in the morning, and your provider may repeat it and check related markers before confirming a diagnosis and starting treatment.
How soon will I notice results from TRT?
Some men notice improvements in energy and well-being within the first week or two as levels rise. Fuller benefits, including changes in body composition and libido, typically develop over the first few months as levels stabilize.
How often do I need treatment?
With pellet therapy, most men are treated every 4 to 6 months. The exact timing depends on your metabolism, activity level, and how your symptoms respond, which we track with follow-up labs.
Is TRT safe?
Under medical supervision with regular monitoring, TRT is a well-established treatment. Your provider reviews your history and labs, watches relevant markers over time, and adjusts your plan to keep therapy safe and effective.
Will TRT affect my fertility?
Testosterone therapy can reduce sperm production. If you are planning to have children, tell your provider so your plan can account for that, since alternative approaches may be more appropriate.
Do I have to stay on TRT long term?
Testosterone does not naturally return to optimal levels once it declines, so the benefits generally continue while therapy is maintained. Many men choose to continue long term, and your plan can be adjusted over time.
What is the difference between TRT and HRT?
TRT focuses on restoring testosterone in men. Hormone replacement therapy more broadly addresses the estrogen and progesterone shifts many women experience, along with testosterone where appropriate. Both use the same physician-guided, lab-based, pellet approach here.
Schedule a TRT consultation in Dallas
If low energy, low drive, or changes in your body and mood sound familiar, a simple lab panel can tell you whether low testosterone is the cause. Call us at 469-249-3980 or request a consultation to get started.
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