Testosterone levels in men have been declining for decades. Research shows that average testosterone levels have dropped roughly 1% per year since the 1980s — meaning a 40-year-old man today has significantly lower testosterone than a 40-year-old man in 1990, even after adjusting for age and health factors.
Signs of Low Testosterone
Low testosterone doesn't announce itself with a single dramatic symptom. It creeps in gradually — and most men attribute it to "just getting older." Common signs include:
- Persistent fatigue that sleep doesn't fix
- Brain fog, difficulty concentrating, forgetfulness
- Loss of muscle mass despite regular exercise
- Increased body fat, especially around the midsection
- Decreased motivation, drive, and ambition
- Mood changes — irritability, low mood, withdrawal
- Reduced sex drive and erectile function
- Poor sleep quality
What the Labs Tell You
The only way to confirm low testosterone is through bloodwork. VevaMD coordinates lab work as part of every TRT plan — either through an at-home kit or a local lab visit. Key markers include:
- Total Testosterone: The primary measurement. Normal range is 300-1000 ng/dL, but optimal levels for how you feel are typically 600-900 ng/dL.
- Free Testosterone: The bioavailable portion. Can be low even when total T is "normal."
- SHBG: Sex hormone-binding globulin. High SHBG can make total T look normal while free T is actually low.
- Estradiol: Monitored to ensure testosterone isn't converting to excess estrogen.
- CBC & Metabolic Panel: Baseline health markers monitored throughout treatment.
How TRT Works at VevaMD
After your labs are reviewed, your provider designs a personalized protocol. Treatment is delivered monthly to your door — no clinic visits, no pharmacy lines. Your provider adjusts dosing based on follow-up labs every 3-6 months to keep you in the optimal range.
The His Plan ($249/mo) includes both TRT and ED medication, plus all provider consultations, lab coordination, and monthly delivery. ED medication is included because low testosterone and erectile dysfunction often coexist — treating both together produces better outcomes.
What to Expect
- Week 2-4: Improved energy, mood, and mental clarity
- Month 2-3: Noticeable changes in body composition, strength, and drive
- Month 3-6: Full optimization — labs confirm your levels are where they should be
- Ongoing: Quarterly labs, dose adjustments as needed, continued support
VevaMD is a technology platform, not a medical provider. All prescriptions are written by independent licensed clinicians. Testosterone is a Schedule III controlled substance. Individual results vary.