• 407 Walnut Street Green Cove Springs, Fl 32043

Men’s Health and Testosterone Replacement Therapy

Here at Hutto wellness we believe that strong and healthy men are the foundation that can lift families and communities to their highest potential. The environment that we live in is full of endocrine disruptors and chronic stress that can result in the reduction and disruption of the hormones that allow men to be men.

Call: 904-863-3275

This can affect a man’s relationship with his wife leaving her feeling as though she is undesirable or unattractive and he is left feeling frustrated not know what else he can do. This vicious cycle can lead the loss of intimacy, failed relationships, and broken families. There are simple things that you can do to regain that strong desire and vigor like never before. Don’t ignore your potential. Below are written the steps to take to look and feel your best.

Step 1:

Identify Signs and Symptoms of Low Testosterone and Hormone Imbalance:

  • Low Motivation
  • Fatigue
  • Depression
  • Longer Recovery time needed for strenuous activity
  • Low Libido
  • Soft or limited ability to maintain an erection
  • Weight gain and muscle loss
  • High pitched voice
  • Decreased body hair

Step 2:

Initial Consultation: $45 (Telehealth or in Office)

  • This includes a history and review of systems by telehealth or in the office.
  • Establish your desired treatment goals.
  • Discuss lab values to be tested in relation to your treatment goals.
  • Review of potential treatment options will be discussed.

Step 3:

Check Your Levels

Low testosterone is not always the problem. There are many conditions that can result in the symptoms above. The initial evaluation is essential to guide your journey back to your greatest potential. The best way to start your journey is to test the values below. Not all these values are needed to start treatments however additional values can help to optimize your treatments as you progress.

  • Free Testosterone: the testosterone in your blood that is available for use.
  • Total Testosterone: a measure of the total amount of testosterone in the bloodstream, including both free (unbound) and protein-bound testosterone.
  • SHBG: stands for sex hormone binding globulin, a protein that binds to sex hormones in the blood. It’s produced primarily in the liver. Carries sex hormones, like testosterone and estrogen, to tissues and organs where they are needed.
  • Estradiol (E2): is a form of estrogen that’s produced in men as a byproduct of testosterone breakdown. It’s an important hormone for many bodily functions, including sexual function, bone health, and brain function. Estradiol (E2) levels can rise with Testosterone Therapy. Estradiol (E2) can reduce the benefits of Testosterone Therapy however it can easily be treated once identified.
  • Complete blood count (CBC): is a routine blood test that measures the number and characteristics of various cells in the blood, including red blood cells, white blood cells, and platelets.
  • Complete metabolic panel (CMP): is a group of blood tests that provide an overview of a person’s metabolic function, including liver, kidney, and electrolyte balance. 
  • Lipid panel: is a blood test that measures the levels of various fats (lipids) in the bloodstream. This helps to determine cardiovascular disease risk.
  • Hemoglobin A1c: is a blood test that measures the average blood sugar (glucose) levels over the past 2-3 months. It is a valuable tool for diagnosing and managing diabetes. 
  • Thyroid stimulating hormone (TSH): is a hormone produced by the pituitary gland in the brain. It plays a crucial role in regulating the production of thyroid hormones by the thyroid gland. 
  • Prostate specific antigen (PSA): This blood test is used primarily to screen for prostate cancer.
  • Follicle stimulating hormone (FSH): Promotes the production of sperm in the testes and supports testicular function. 
  • Luteinizing hormone (LH): is a reproductive hormone produced by the pituitary gland that primarily functions to stimulate the testes to produce testosterone, which is crucial for sperm production and development of male secondary sexual characteristics like muscle mass, body hair, and a deep voice; essentially, LH acts as the primary regulator of testosterone levels in men.

Additional Testing for Optimizing Hormones:

  • Pregnenolone: is a hormone naturally produced in the body by the adrenal gland. Pregnenolone is also made from cholesterol and is the starting material in the production of testosterone, progesterone, cortisol, estrogen and other hormones.
  • Dehydroepiandrosterone (DHEA): is a hormone that your body naturally produces I the adrenal gland. DHEA helps produce other hormones, including testosterone and estrogen. Natural DHEA levels peak in early adulthood and slowly fall as you age.

Cost Lab Work

We do accept lab work from other medical providers within 6 months to 1 year to start. We offer discounted lab panels starting at $50 collected in the office or by reporting to any local LabCorp.

Step 4:

INITIAL FOLLOW UP: (Telehealth or in Office)

When your lab results are complete (usually withing 1-3 days from blood draw) we will meet by telehealth or in our office at no additional cost. We will review each of your lab value results and potential treatment options to help optimize your health.

Why Shining Life/Hutto Wellness is the right choice for your Healthcare Needs.

  • We realize that seeking treatment for ED can be embarrassing. The truth is that most men will experience some form of ED at some period in their life. Current DEA regulations allow Testosterone prescriptions using telehealth services through the end of 2025. We can treat you from the privacy and comfort of your own home.
  • You will always meet with the same male medical provider who is familiar with your individual treatment plan.
  • We are a Family Practice and can also take care of your acute and chronic healthcare needs.
  • We have in the clinic testing for acute illness such as flu, strep, urinalysis, urine drug screening, blood glucose levels.
  • We can collect a wide range of send out labs including the basics, hormone levels, heavy metal toxins, candida evaluation, STD testing, and much more through blood, urine, and saliva samples.

  • As a Family Practice provider who has spent many years in emergency, critical care, and urgent care setting we are ready for minor lacerations, toenail removal, abscess drainage, foreign body removal and more in our office for much less that a trip to the emergency room.

  • We also have multiple oral and injectable treatments in our office that can help to get back on track after minor setbacks form pain and illness.

  • We also provide IV hydration formulations which can help with recovery from minor illness, a long night of indulgence, migraine headache relief, immunity support, preparation for athletic events, or preparation and recovery from special occasions such as bachelor parties or vacations.

Step 5:

TREATMENT OPTIONS

Tadalafil

Is from a group of medications known as a long acting PDE5 inhibitor. It works by blocking the action of an enzyme which causes erections to soften. More recently once daily dosing of Tadalafil has been approved for the treatment of Benign Prostatic Hypertrophy (BPH) as well Pulmonary Artery Hypertension. In addition to being ready for spontaneous intimacy, a low daily dose of Tadalafil has be shown to improve urinary flow, improve cardiovascular health, as well as other treat other circulatory disorders such a Raynaud’s Syndrome in the fingers and toes. (Nitroglycerine and other forms Nitrites cannot be given with PDE5 Inhibitors)

Sildenafil

 is a short acting PDE5 inhibitor. Sildenafil is also sometimes used to treat pulmonary hypertension (high blood pressure in the lungs). For erectile dysfunction, it is taken only as needed when intimacy is planned. It increases blood flow to the penis making it easier to obtain and maintain an erection. (Nitroglycerine and other forms Nitrites cannot be given with PDE5 Inhibitors)

Testosterone

Is the primary male sex hormone. It plays a crucial role in the development and maintenance of male characteristics, including Muscle mass and strength, Bone density, Facial and Body Hair, Sex drive, and Sperm production. Although Testosterone is necessary for proper sperm production, taking supplemental Testosterone can reduce your bodies production of both Luteinizing Hormone as well as Follicle Stimulating Hormone which results in decreased sperm production. Men who are trying to conceive children should not take supplemental Testosterone injections. There are a few options.

Enclomiphene

Is a once daily oral medication that selectively blocks estrogen receptors in the hypothalamus and pituitary gland which increases Gonadotropin Releasing Hormone, Luteinizing Hormone as well as Follicle Stimulating Hormone which results in the increase production of both Testosterone and of Sperm.

Anastrozole

Commonly known by its brand name Arimidex, is primarily used to treat breast cancer in women. However, it is also used off label to treat hormone imbalance in men. For men on testosterone replacement therapy, anastrozole can be prescribed to reduce estrogen levels, which can be elevated due to the conversion of testosterone to estrogen via the aromatase enzyme.

Sermorelin

Stimulates the pituitary gland to produce its own natural growth hormone. It does not reduce your body’s own production of Huma Growth Hormone as doe synthetic forms of HGH. Sermorelin injections counteract aging by restoring growth hormone levels and providing many benefits that include, Improvements in Body Composition, Bone Health, Energy and Vitality, Sleep Quality, and Overall Well-Being, including Bolstering Immune Function. An additional lab called an IGF-1 level is required prior to start of Sermorelin. Sermorelin is given in 3-month cycles.

Trimix

Is a penile injection is a combination of three potent ingredients (Papaverine, Phentolamine, & Alprostadil) to increase blood flow and relax vessels for firm, long lasting erections. Trimix quickly increases blood flow to the penis, inducing firm erections within 5-10 minutes that can last 1-2 hours.

Pregnenolone

Is the precursor to all other hormones. In addition to improving your hormone levels pregnenolone can help you improve cognitive and memory faction, improves mood depression and anxiety, improves sleep performance, and aids in weight loss.

Dehydroepiandrosterone (DHEA)

Is a hormone that your body naturally produced in the adrenal glands. DJEA helps to produce other hormones, including testosterone and estrogen. Natural DHEA levels peak in early adulthood and then slowly fall as you age. DHEA can improve sex drive, build muscle, and fight the effects of aging.

L-Arginine

Has two main effects: it turns into nitric oxide, and it helps the body build protein. Nitric oxide is involved in the dilation of blood vessels which can help obtain and maintain erection.

Vitamin B-12

Vitamin B-12 helps maintain good health and has been shown to be beneficial in helping to reduce stress and fatigue, improve memory and cardiovascular health, and maintain a good body weight. It can also assist the body in converting proteins, fats and carbohydrates into energy and is necessary for healthy skin and eyes.

Medication Cost

We can obtain some medications from local retail pharmacies. However, formulations often change, there are often more preservatives and chemical binders, prices tend to fluctuate, and availability is often unpredictable. We work with Local, State, and National compounding pharmacies to find you the highest quality medications at the best possible prices.

  • Tadalafil 5 mg tablet, 1 tablet daily, #90 days’ supply: $60
  • Sildenafil 100 mg tablet, 1/2 to 1 tablet as need, #30: $45
  • Testosterone Cypionate Injections: (Discounts: 5% for 3 months, 7.5% for 6 months, and 15% off for 12 months if paid in full.)
    • $55 for 1-month supply of testosterone with syringes.
    • $155 for 3-month supply of testosterone with supplies.
    • $299 for 6-month supply of testosterone with supplies.
    • $560 for 12-month supply of testosterone with supplies.
  • Enclomiphene: 12.5mg capsules, 1 capsule daily, # 30: $60
    25mg capsules, 1 capsule daily, # 30: $75
  • Anastrozole: 1 mg tablet, take ½ tablet 2 x per week, 3 months’ supply # 12: $30
  • Sermorelin: 300 mcg SQ every night, #3 x 3 ml vials, 30-day supply: $160
  • Trimix: Comes in various strengths, #1 x 5 ml vial, up to 25 doses as needed: $170
  • Pregnenolone: This hormone can be found over the counter in various form and concentrations. The manufacturing oversight can be limited, and quality may be compromised with retail sources. There are also compounded forms available with known quality and consistency. Both 50mg and 100mg capsules are available. 1 capsule daily #30: $75. Monitoring pregnenolone levels is recommended when taking this hormone since it may result in unwanted elevations in estrogen levels.
  • DHEA: This hormone is a controlled substance in Canada however it can be found over the counter in the United States. The manufacturing oversight can be limited, and quality may be compromised with retail sources. There are also compounded forms available with known quality and consistency. The 25mg capsules are available, 1 capsule daily, #30, $70. The 50 mg capsules are also available, 1 capsule daily # 30: $75. Monitoring pregnenolone levels is recommended when taking this hormone since it may result in unwanted elevations in estrogen levels.
  • L-Arginine: This amino acid can be found in over the counter in various forms and concentrations. There are also compounding forms available in the injectable form.
  • B12: This is a water-soluble vitamin can be found in cover the counter forms and concentrations. It has limited absorption in oral forms. It is best taken sublingual, intermuscular, or subcutaneously. Cyanocobalamin is a synthetic form of vitamin B12 that is often used in supplements and fortified foods. However, it is considered the least beneficial form due to it poor bioavailability and the presence of cyanide, which the body must process and remove. Methylcobalamin is the natural form of B12 and easier for you body to utilized. We can obtain Methylcobalamin in a 5 mg/ml concentration. Typical dosing for this form of B12 is 1 ml (5000 mcg) IM or SQ once per week. There is a 10 ml vial, (10 dose) for $89. There is also a 30 ml vial (30 doses) for $169.

Here at Hutto Wellness

We believe that strong and healthy men are the foundation that can lift families and communities to their highest potential. Take that step to experience a strong desire and vigor like never before. Don’t ignore your potential. Do it for the ones you love.