Hormone Therapy / Testosterone

Testosterone Therapy in San Diego, CA

Bioidentical testosterone therapy for men in San Diego — comprehensive labs, personalized dosing, and concierge follow-up. TRT done right by Dr. Joseph Dubroff, N.D.

Book Free Consultation Call 949-444-0583
Testosterone therapy TRT San Diego men
A Different Standard

What "Low T Clinics" Get Wrong — and Why It Matters.

Walk into a typical Low T clinic and you'll get an injection prescription before they've meaningfully looked at you. They check total testosterone, declare you "low" if you're below a population average, and start you on a fixed weekly dose. Six months later you might feel better — or you might feel worse, with elevated estrogen, suppressed natural production, abnormal red blood cell counts, and no real plan for adjustment.

That's not testosterone replacement. That's testosterone administration.

Real testosterone therapy starts with a comprehensive endocrine workup — total testosterone, free testosterone, SHBG, estradiol, LH, FSH, prolactin, full thyroid, full adrenal, lipids, hematocrit, PSA. It accounts for the things that influence T (stress, sleep, body composition, sex hormone-binding globulin) and addresses them where appropriate. It includes ancillary medications (an aromatase inhibitor when needed, hCG to preserve testicular function in patients who want to maintain fertility, sometimes enclomiphene as a first-line alternative). It's monitored. It's adjusted. It's done by a doctor who is paying attention.

"Most men I see have already been on TRT somewhere else and weren't getting the result they expected. Either the dose was wrong, the labs weren't comprehensive enough, or no one was tracking the things that actually matter. We fix that."— Dr. Joseph Dubroff, N.D.

If you're going to put a hormone into your body for the rest of your life, the prescribing physician should be doing more than printing scripts. They should know your full lab panel, understand the pattern, adjust based on how your body is responding, and be reachable when something changes. That's what concierge testosterone therapy looks like.

Recognize the Pattern

Low Testosterone Symptoms in Men.

It's rarely just one thing. Low T affects energy, mood, body composition, sex drive, and cognitive function — typically all at once.

Persistent Fatigue & Low DriveYou wake tired. You're tired in the afternoon. Coffee doesn't fix it. Motivation is gone.
Decreased Libido & Erectile FunctionSex drive is reduced. Quality of erections is reduced. Frequency of morning erections has dropped.
Loss of Muscle & Stubborn Belly FatDespite training and eating reasonably, muscle is harder to build, fat is harder to lose, especially abdominally.
Mood, Irritability & AnxietyShorter fuse than you used to have. Lower-grade depression. Mental flatness.
Brain Fog & Reduced SharpnessWord recall, focus, problem-solving — slower than they used to be.
Sleep DisruptionLess restful sleep, more wake-ups, sometimes night sweats.
Reduced Recovery From TrainingWorkouts that used to be routine now leave you sore for days.
Loss of Confidence & EdgeThe thing you can't quite name — you're just less of yourself than you used to be.
Treatment Approach

Testosterone Therapy Done Right.

Three pillars define how Dr. Dubroff approaches TRT — and why his patients consistently get better outcomes.

— 01

Comprehensive Workup First

Total & free testosterone, SHBG, estradiol, LH/FSH, prolactin, full thyroid panel (with reverse T3), full adrenal panel, lipids, hematocrit, PSA, vitamin D, and iron studies.

Many low-T presentations have a thyroid, adrenal, or sleep apnea component that should be addressed before — or alongside — testosterone replacement.

— 02

Personalized Protocol

Delivery method (injection, cream, pellet) chosen based on your goals, lifestyle, and how your body responds. Dosing personalized to your free T target, not a population average.

Where indicated, ancillary medications: aromatase inhibitor for elevated estradiol, hCG to preserve testicular function and fertility, or enclomiphene as an alternative path.

— 03

Concierge Monitoring

Follow-up labs at 6 weeks, 3 months, and twice yearly thereafter. Doses are adjusted as your body responds. Hematocrit, PSA, and estradiol monitored on every recheck.

Direct access to Dr. Dubroff for questions — not a portal, not a phone tree, not a different doctor each time.

Common Questions

Testosterone Therapy FAQs

What's a normal testosterone level?+
"Normal" reference ranges go from roughly 264 to 916 ng/dL — an enormous range. Symptoms typically start when total T drops below ~500 ng/dL, and most men feel best with free T in the upper third of the reference range. Looking at total alone is incomplete; SHBG often binds up much of your testosterone, so free T is the more meaningful number. Dr. Dubroff treats based on the full picture, not a single threshold.
Is TRT safe long-term?+
When properly monitored, yes. The historical concerns about TRT and cardiovascular events have not held up under more recent randomized trials, including the 2023 TRAVERSE trial. Prostate cancer risk has also been re-evaluated; the data does not show TRT increases risk in men without preexisting cancer. Where TRT does need careful monitoring is hematocrit (red blood cell count) and estradiol — both of which Dr. Dubroff tracks at every follow-up.
Will TRT make me infertile?+
Standard TRT suppresses your body's natural production, which reduces sperm production. For men who want to preserve fertility — current or future — there are options: hCG can be added to maintain testicular function, or enclomiphene can be used as an alternative that stimulates rather than replaces your endogenous testosterone. This is exactly the kind of decision that should be made deliberately, with a doctor who explains the trade-offs.
Injection, cream, or pellet — what's best?+
Each has trade-offs. Injections (typically twice weekly subcutaneous) give the most stable levels and the most flexibility for dose adjustment. Creams are simple but can rub off and have variable absorption. Pellets are convenient (3-6 month duration) but can't be adjusted once placed. Most of Dr. Dubroff's patients do well on twice-weekly subcutaneous injections — but the choice depends on your goals.
When will I feel results?+
Most men notice mood and energy improvements within 2-4 weeks. Libido changes typically follow within 4-8 weeks. Body composition changes (muscle, fat) show up at 3-6 months with consistent training and nutrition. Optimization is iterative — initial improvement is followed by lab-driven dose refinement.
What about enclomiphene instead of testosterone?+
Enclomiphene citrate is an alternative for younger men or men who want to preserve fertility. Instead of replacing testosterone, it stimulates your pituitary to signal more endogenous production. Not appropriate for everyone, but a strong option in the right candidate. Dr. Dubroff has a dedicated enclomiphene page if you want to learn more.
Does insurance cover TRT?+
Sometimes the medication itself is covered (testosterone cypionate is generic and inexpensive). Compounded preparations and ancillary medications often are not. Consultations are fee-for-service; we provide a superbill for possible insurance reimbursement.
Get Started

Get TRT Done the Right Way.

Book a free consultation. Dr. Dubroff will tell you what a comprehensive workup actually reveals — and whether testosterone therapy is the right path for you.

Book Free Consultation Call 949-444-0583