Restore Vitality Naturally with Testosterone Replacement Therapy in Phoenix, AZ

At Centra Internal Medicine, we understand that testosterone replacement therapy (TRT) is a valuable option for individuals diagnosed with clinically low testosterone levels. Our approach to hormone management is rooted in a clear distinction between simply replacing hormones and actively working to restore your body’s natural hormone balance.
 
Traditional TRT protocols involve supplementing the body with external (exogenous) testosterone, which can often suppress your own natural testosterone production. This occurs because TRT signals the brain to reduce the secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the pituitary gland. These hormones are essential for stimulating the testes to produce testosterone naturally. As a result, while TRT is effective in raising testosterone levels, it does not directly encourage your body to produce its own testosterone—and may even temporarily inhibit natural production.
 
At Centra Internal Medicine, we take a comprehensive approach to hormone health. When appropriate, our providers may consider protocols and adjunct therapies designed to preserve or restore your natural testosterone production. For example, medications such as human chorionic gonadotropin (hCG) or selective estrogen receptor modulators (SERMs) may be used alongside or after TRT to stimulate the hypothalamic-pituitary-gonadal axis and encourage the testes to resume natural testosterone production.

At Centra Internal Medicine, we understand that low testosterone levels—a condition known as hypogonadism—can significantly impact your quality of life. Many men with low testosterone experience a decrease in stamina, energy, and motivation. Testosterone replacement therapy (TRT) is one treatment option that may help restore testosterone to healthy levels and alleviate these symptoms.
 
Personalized Evaluation and Treatment
Our experienced providers begin with a thorough evaluation to confirm testosterone deficiency. We recognize that symptoms like low energy and motivation can result from various causes—including other health conditions, lifestyle factors, sleep disorders, or mental health concerns. Our comprehensive approach ensures that we address all potential contributors before recommending TRT or any other therapy.
 
Restoring Vitality and Well-being
For men diagnosed with low testosterone, TRT aims to restore hormone levels to a normal range. Many patients report improvements in stamina, physical energy, and overall vitality, making exercise and daily tasks feel less taxing. TRT may also enhance mood, mental clarity, and motivation—helping you feel more engaged at work and in your personal life.
 
Individualized Care and Ongoing Monitoring
TRT outcomes vary from person to person, and not every patient will experience the same level of benefit. That’s why the Centra Internal Medicine team closely monitors your progress, adjusting your treatment plan as needed to ensure safety and effectiveness. We also provide education about potential risks and side effects, such as increased red blood cell count, acne, or cardiovascular considerations.
 
A Comprehensive Approach to Men’s Health
At Centra Internal Medicine, we believe in treating the whole patient, not just symptoms. Our providers will work with you to identify and address other factors that may contribute to low energy and motivation, ensuring you receive the most effective, individualized care possible.

At Centra Internal Medicine, patient safety and treatment effectiveness are our top priorities—especially when it comes to hormone therapies like testosterone replacement therapy (TRT). If you are considering or have started TRT, ongoing medical care is essential to ensure you achieve the best results while minimizing risks.
 
Regular Follow-Ups and Monitoring
Our providers will schedule regular follow-up visits, particularly during your first year of treatment. We typically recommend blood tests within three to six months after beginning therapy and then every six to twelve months. These tests help us confirm your testosterone levels are in the optimal range and screen for any unwanted side effects.
 
Comprehensive Health Monitoring
Beyond testosterone levels, our team will monitor your red blood cell count (hematocrit), as TRT can increase the risk of polycythemia—a condition where your blood becomes too thick. We may also order liver function tests, though serious liver issues are rare with modern TRT. Prostate health is another important focus at Centra Internal Medicine. For men over 40 or with a family history of prostate disease, we regularly check prostate-specific antigen (PSA) levels.
 
Additionally, our providers keep a close eye on your blood pressure, cholesterol, and signs of sleep apnea, since TRT can sometimes impact these conditions. It’s important to let your physician know about any new symptoms, such as mood changes, acne, leg swelling, difficulty breathing during sleep, or changes in urination.
 
Personalized Care and Fertility Considerations
Your care at Centra Internal Medicine is always individualized. If you have concerns about fertility, we encourage you to discuss them with your provider, as TRT can suppress sperm production. Based on your response to treatment and any side effects, we may adjust your dosage or recommend a different method of testosterone administration.
 
The Centra Internal Medicine Commitment
By adhering to your scheduled appointments and lab tests, you help us ensure that your TRT is both safe and effective. Our team at Centra Internal Medicine is committed to supporting you every step of the way, so you can get the most benefit from your therapy while minimizing potential risks.

At Centra Internal Medicine, Dr. Manish Sahni, MD, provides safe and effective testosterone replacement therapy (TRT) through a comprehensive, evidence-based approach tailored to each patient’s unique health profile. Our process begins with a thorough medical evaluation, including a detailed review of your symptoms, medical history, and risk factors. Dr. Sahni orders precise laboratory tests to confirm low testosterone levels and to rule out other causes for your symptoms, ensuring an accurate diagnosis.
 
If TRT is appropriate, Dr. Sahni carefully discusses the potential benefits and risks with you, fostering informed consent and shared decision-making. At Centra Internal Medicine, we offer a range of TRT options—including topical gels, injections, and patches—allowing you and Dr. Sahni to select the method that best fits your lifestyle and medical needs.
 
Throughout your treatment, Dr. Sahni emphasizes regular follow-up visits and ongoing monitoring. He routinely checks testosterone levels to ensure they remain within a healthy range, and conducts additional lab tests to monitor your blood counts, liver function, lipid profile, and prostate health.
 
If you have questions about testosterone replacement therapy or want to schedule a consultation, please contact Centra Internal Medicine today. We are conveniently located at 6036 North 19th Avenue, Suite 502, Phoenix, AZ 85015. We serve patients from Phoenix AZ, Glendale AZ, Scottsdale AZ, Peoria AZ, Tempe AZ, and surrounding areas.