Testosterone therapy, led by your doctor
Low energy, low drive and lost strength can have more than one cause. Your Trio doctor confirms low testosterone with morning lab work and checks for anything else that could explain how you feel. If testosterone is right for you, your doctor prescribes it and monitors how it is working. Your first visit is by secure video, and we send you to a lab near you for blood work.
Questions? Call (737) 363-3226, answered 24 hours a day.
● Board-certified Emergency Medicine physicians
● Lab work before any decision
● Monitored with repeat labs
● No membership fee. HSA and FSA accepted
What men tell us they want back
Energy and drive
In men with confirmed low testosterone, treatment can help with energy, mood and vitality.
Sexual desire and function
Treatment can improve sexual desire and function when low testosterone is the cause.
Strength and body composition
Treatment can increase lean muscle mass and bone density in men with confirmed low testosterone.
A clear answer, either way
Lab work and a full review tell you what is behind how you feel, so you are never guessing.
Results vary from person to person. Your doctor will tell you what to expect for you.
From a blood test to a plan you can trust
Consult
Your doctor takes your full history: symptoms, sleep, mood, medications, past conditions, and whether you want to have children.
Morning labs
We send you to a lab near you for a morning blood test, since testosterone runs highest early in the day, along with other labs that matter. If a result is borderline, your doctor may repeat it before deciding.
The decision
Your doctor tells you whether your results and symptoms fit, and what else could be behind how you feel. Sometimes the answer is sleep apnea, thyroid, medication or stress, and you will hear that too.
Starting treatment
If treatment fits, your doctor chooses between a topical form and injections, sets the dose and explains how to use it. Testosterone is a controlled substance, so every prescription follows the rules in force on the day of your visit.
Monitoring
Repeat labs and check-ins, including red blood cell count and blood pressure, with adjustments as you go. The same physician throughout.
What the evidence and the FDA say
In February 2025 the FDA removed the cardiovascular risk language from the boxed warning on testosterone products and added a warning that testosterone can raise blood pressure. The FDA also kept its limit on use: approved testosterone products are for men with low testosterone caused by a medical condition, and the label says safety and effectiveness have not been established for low testosterone due only to aging. That is why testing, a clear diagnosis and monitoring come first. Full safety information is below.1
A good fit, and when we talk first
A good fit
- Men with symptoms of low testosterone and low levels on morning lab work
- Men who want an honest answer, including when testosterone is not the cause
- Men who are ready for repeat labs and follow-up visits
- Men who do not plan to father children in the near term
What your doctor reviews with you
- Whether you plan to have children, since testosterone affects sperm production
- Your prostate and breast health history
- Sleep apnea and your red blood cell count
- Your heart history, including any recent heart attack or stroke
Monitored from start to finish
Your doctor checks your labs and how you feel, and adjusts your treatment when needed.
Repeat testosterone and blood count labs, and blood pressure checks.
Prostate screening when it is appropriate for your age and history.
Questions between visits? Call any time, day or night.
A doctor, not a testosterone storefront
Testosterone is easy to find online and easy to use incorrectly. Using it correctly is a medical job: confirming the diagnosis, ruling out the other causes, monitoring your labs and knowing when to stop. Every Trio physician is board certified in Emergency Medicine, and your care is directed by your doctor, not delegated.
Your cost, confirmed up front
You pay for your visits with your doctor, and any prescription is filled separately by a pharmacy or lab. We confirm your expected cost before you start. There is no membership fee, and we do not bill insurance. HSA and FSA cards are accepted, and we provide a receipt you can submit to your insurer.
Serving Austin and Dallas-Fort Worth
Austin
Ann Czarnik, M.D., FACEP, and Nora Demchur, M.D. In your home or by video across Austin, Downtown Austin, East Austin, Rosedale, Tarrytown, Northwest Hills, Balcones Park, Zilker, Bouldin Creek, Travis Heights, West Lake Hills and Rollingwood.
Dallas-Fort Worth
Kelsey English, M.D., with Trio founder Ann Czarnik, M.D., FACEP. In your home or by video across Dallas, Downtown Dallas, Deep Ellum, Uptown Dallas, Highland Park, University Park, Preston Hollow, Fort Worth, Downtown Fort Worth, Cultural District, Southlake, Westlake and Mansfield.
Testosterone therapy questions, answered
Symptoms alone cannot tell you. Your doctor confirms it with a morning blood test, repeated when a result is borderline, and looks for other causes that can feel the same, such as poor sleep, thyroid problems or certain medications.
In February 2025 the FDA removed the cardiovascular risk language from the boxed warning on testosterone products and added a warning that testosterone can raise blood pressure. Your doctor reviews your own heart history first and tracks your blood pressure after you start.
Yes. Testosterone therapy lowers sperm production, sometimes for a long time. If you want children now or soon, tell your doctor before starting, because there may be better options.
Yes. Testosterone is a Schedule III controlled substance, so special rules apply. Your first visit is by secure video. The federal rules that allow this are temporary and can change, and your doctor follows the rules in force on the day of your visit.
Often it is long-term when the cause is a medical condition, but your doctor reviews the plan regularly, and you can stop at any time with your doctor’s guidance.
Testosterone therapy can raise red blood cell count and blood pressure, lowers sperm production, can shrink the testicles and can worsen sleep apnea. Acne, breast tenderness and ankle swelling can occur. The FDA label limits use to men with low testosterone from a medical condition and says safety and effectiveness are not established for low testosterone due only to aging. It is not a fit for men planning to have children soon, men with prostate or breast cancer, untreated severe sleep apnea, a very high red blood cell count, or a recent heart attack or stroke. Your doctor reviews all of this with you before you start and monitors you at every follow-up.
No. Trio has no waiting room. Your doctor sees you at home or by secure video where the rules allow, and you can call (737) 363-3226 any time.
This page is general information, not medical advice for your situation. A Trio physician decides whether testosterone therapy is right for you after a consult and lab testing.