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Get Answers to SynergenX’s Most Frequently Asked Questions

Have a question? Check here for answers to the questions we’re asked most frequently. If you have a question you don’t see here, please don’t hesitate to give us a call at 888.219.7259.


What do I need to bring for my first appointment?

Please bring your picture identification and your most current insurance card to your first visit. We also ask that you download our new patient forms, print them out, complete them and bring them with you to your appointment. If relevant, also bring in a list of the medications you currently take.

How early do I need to arrive for my appointment?

If you are a new patient, and you haven’t completed the new-patient paperwork, please arrive 30 minutes early to complete it. If you have printed out your new-patient paperwork from this website and have it completed, or if you’re a returning patient, please arrive 15 minutes prior to your appointment.

How often will I need to be seen?

How frequently you need to come to SynergenX depends on the details of your care. For men with Low T, weekly visits are needed to maintain adequate hormone levels, but they’re usually very quick—much faster than the first visit. Remember, stopping treatment for Low T will mean testosterone levels will drop, and you’ll go back to where you started. For hormone replacement for women, the frequency of visits may vary, though SynergenX will need regular visits to monitor hormone levels. For weight loss and aesthetic care, frequency of visits depends on the particulars of your program, which is tailored to your needs.

What is hormone replacement therapy?

Hormone replacement therapy is a treatment to restore hormonal balance and hormone levels for men and women experiencing symptoms. SynergenX’s approach is highly individualized and involves continual monitoring and variable dosing. Hormone doses are provided based on the needs of each person and varied as those needs change. Along with monitoring blood thickness and responding with treatments to thin the blood, these practices reduce the risks associated with the typical approaches to hormone therapy. Testosterone (men) is typically injected. Estrogen and progesterone (women) can be administered via a number of different methods.

How does SynergenX minimize the risks associated with hormone replacement therapy?

Dosing is varied depending on each person’s needs. Also, because blood thickening is a central aspect in the risks of typical hormone replacement, SynergenX continually monitors patients with bloodwork. If thickening results from hormone replacement, SynergenX takes action to reverse this effect.

Can I do my own injections?

If you’re a woman getting hormone replacement therapy, you won’t get injections, as women do much better with hormone creams and pellets, in our experience. If you’re a man, injections are likely to be your method of testosterone delivery and are currently being administered in our centers.


What can I expect from TRT? And when?

The benefits of testosterone replacement therapy—and when and how much they affect you—differ from one individual to the next. However, the first benefits men tend to see are improved sleep quality and increased libido, usually noticeable as soon as week 4 of treatment. In subsequent weeks, most men report improved focus and clarity, increased energy levels, better mood and even improved muscle mass. It has, however, taken six weeks or more for some men to start noticing the benefits of treatment, so it’s important to not get discouraged.

How long will I need testosterone replacement therapy?

Treatment for Low T is long-term, for as long as you want to feel great. Testosterone replacement therapy gives you the testosterone you need, but it doesn’t cause your body to produce its own testosterone. Treatment for Low Testosterone only provides benefit while you’re receiving replacement testosterone.

What will happen if I stop testosterone replacement therapy?

While nothing adverse will happen if you cease therapy, you will be returning your testosterone levels to where they were before beginning treatment. Or they could drop even lower. This means your symptoms will return. However, if you do cease treatment, you can always resume it later to restore your levels back to where you’re feeling great.

Am I going to have any side effects?

It’s impossible to know what side effects you’re likely to experience. But acne, bloating and temporary weight gain are common. We monitor hormone levels and symptoms continually throughout treatment to watch for and minimize, through adjustment of dose and other actions, any side effects.

I’ve been told that I will need an estrogen blocker as part of my testosterone replacement therapy. Will I need that when I start therapy?

No, you won’t need that as a matter of course. Throughout treatment, we will monitor your estrogen/estradiol levels and your symptoms and direct you if a supplement or blocker is needed to decrease estradiol levels.

Does testosterone cause prostate cancer?

No, testosterone does not cause prostate cancer. However, pre-existing cancer could be exacerbated by testosterone replacement therapy, causing it to grow and worsen. That’s why we conduct a baseline PSA (prostate-specific antigen) test prior to treatment to evaluate your risk. We repeat this test every 6 months—and ask a series of urinary questions—to monitor for changes.

Will TRT help me lose weight?

Ideally, yes. Increased testosterone levels will help to build muscle mass if you are putting in the work. Building muscle will help you burn fat. Keep in mind, though, that muscle weighs more than fat. This is why we like to complete a body composition analysis to see if you are gaining muscle mass or fat.

Will I get “man boobs”?

The purpose of coming in to SynergenX for injections is so we can closely monitor the benefits and side effects of treatment, such as gynecomastia (“man boobs”). We monitor labs and side effects closely to ensure that we can lessen the effects or prevent them, and as a result, it is extremely rare for men in our care to get gynecomastia.

Will testosterone affect my blood pressure?

Testosterone can indirectly affect your blood pressure by increasing your red blood cell count. We monitor this very closely. Should this happen, blood donation will usually correct this.


Why can’t I take birth control and be on hormones if it suppresses my hormones?

Synthetic hormones are not the same molecular make up as what your body naturally produces; therefore, they bind to the receptor sites but work on negative feedback to shut off production of your natural hormones. It is not safe to take bio-identicals while on synthetic as it can put you at further risk for an adverse event. Also hormone levels can build up in the blood to unsafe levels and cause a worse hormone imbalance.

What side effects am I likely to experience on estrogen replacement therapy?

Weight gain (temporary) and bloating are extremely common in the first several weeks of treatment. As your body gets used to hormone changes and balancing, it is common to experience water retention and bloating initially. But don’t be discouraged—you’ll start to lean out over time. Other side effects can include mood changes and nipple sensitivity. Remember, too, that we run blood tests at specific treatment intervals to evaluate levels in the contest of symptoms in order to minimize side effects.

WilI I get facial hair?

Testosterone can cause male characteristics in females. However, proper dosing and close follow-up significantly reduce your risk.


Can I work out on HCG injections?

Working out on HCG injections will potentially lead to excess muscle loss because of the reduced caloric and protein intake, which are important to rebuild muscle. Sweating excessively can cause an imbalance of electrolytes, which is a problem when these are not adequately being replaced.

Will I lose more weight if I exercise on the HCG diet?

No. Actually, your body can hold onto fat, “believing” that it’s being starved. Due to the restriction of calories, it’s important that you do not engage in intense exercise.

Can I decrease the intensity of my workouts instead of not working out at all?

Some people do decide to do lighter forms of exercise, such as a brisk walk, slow jog or stretching/yoga. People feel a benefit of still staying slightly active. But be reminded that the weight may not come off as quick.

How do I transition off of the HCG diet?

You will need to introduce more calories into your diet slowly while still following the diet’s principles of healthy food choices. Start with a low-carbohydrate, high-protein diet with no refined sugars for the first few weeks. It is important to slowly reintroduce cardiovascular exercise into your daily regimen as your body gets adjusted to all the changes, including a new metabolism.

Why do I need an EKG before starting on phentermine?

An EKG is a screening test to make sure your heart is in a normal rhythm and no irregularities are found. The extra stimulation from the effects of phentermine makes the cells in the heart more susceptible to changes in electrical impulses. It is important to make sure there is no underlying cardiovascular problem that can be exacerbated. If your heart rate or rhythm is abnormal, you will be referred to cardiology for clearance before starting phentermine.

Have a question not answered on this page or wish to schedule an appointment? Call 888.219.7259. You can also schedule an appointment using our easy online form.

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