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Testosterone Replacement Therapy (TRT)

Medically supervised testosterone replacement therapy in Rahway & Fair Lawn, NJ. Real labs, real monitoring, real physician oversight. Dr. Haroon Arshad, MD, MBA.

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About This Treatment

What Is Testosterone Replacement Therapy (TRT)?

If you’ve felt like your energy, drive, and edge have faded over the past few years, and no amount of sleep, caffeine, or willpower seems to fix it, there’s a good chance your testosterone is part of the story. Testosterone Replacement Therapy (TRT) is a medically supervised hormone treatment that restores testosterone levels in men whose bodies have stopped producing enough of it. Doctors call this condition hypogonadism, or Low T. When it happens gradually with age, it’s often called andropause, the male version of the hormonal shift women go through in menopause.

Testosterone isn’t just about libido. It’s the hormone that drives muscle mass, fat metabolism, red blood cell production, bone density, mood regulation, sleep quality, and mental sharpness. After about age 30, levels drop roughly 1 percent per year, and by the mid-40s and 50s, a lot of men fall below the clinical threshold (typically under 300 ng/dL on a morning blood test). That’s when symptoms start stacking up.

TRT isn’t about chasing a number. It’s about restoring you to your own healthy baseline so you feel like yourself again. At RevivalMD, Dr. Haroon Arshad, MD, MBA personally oversees every TRT patient. Real physician. Real lab work. Real titration. Real follow-ups. Not a rubber-stamp prescription from a telehealth mill.

Why Choose This Treatment

The Benefits

Energy and Vitality

Most men notice their daytime energy and stamina return within the first 3 to 6 weeks. Usually the first change they feel.

Libido and Sexual Function

Sex drive, erectile quality, and morning erections typically improve within the first 3 to 6 weeks of treatment.

More Muscle, Less Fat

Optimized testosterone helps you build lean muscle and lose visceral belly fat. Changes are most visible at 3 to 6 months.

Mental Clarity and Focus

Brain fog lifts. Most patients report improved concentration, memory, and decision-making within the first 1 to 2 months.

Mood and Confidence

Irritability drops. Confidence and motivation return. Mood improvements often show up within the first 3 to 6 weeks.

Deeper, Restorative Sleep

Sleep quality improves for most men, which compounds every other benefit. Energy, mood, recovery, cognition.

The Process

How It Works

Consultation and Symptom Assessment

You'll sit down with Dr. Arshad to walk through your symptoms, medical history, medications, family history, and goals. He'll do a physical exam and order the right lab panel based on your specific picture.

Comprehensive Lab Work

Blood drawn in the morning (before 10 a.m., when testosterone peaks). A proper TRT workup includes total and free testosterone, SHBG, estradiol, LH, FSH, prolactin, PSA, a complete blood count, and a metabolic panel.

Personalized Treatment Plan

If your labs confirm low testosterone and you're a safe candidate, Dr. Arshad designs a protocol tailored to you: the delivery method, starting dose, and any supporting medications (for example, an aromatase inhibitor or hCG if fertility matters to you).

Starting Therapy

Most patients begin with weekly self-administered injections. We teach you exactly how to do it safely at home. If you've chosen gels or pellets, we handle application and pellet insertion in the clinic.

Follow-Up Labs and Ongoing Adjustment

Blood work is repeated at 3 months, 6 months, and then every 6 to 12 months ongoing. We watch testosterone, hematocrit, PSA, and estradiol carefully and fine-tune your dose to keep you in the optimal range.

Recovery & Outcomes

What to Expect

Weeks 2-4

Energy, mood, and sleep shift

Most men feel the first changes here. Daytime energy picks up, sleep deepens, and mood stabilizes.

Weeks 3-6

Libido and function return

Sex drive and sexual function typically come back online. Mental clarity and focus follow in the same window.

Months 3-6

Body composition changes

Leaner waist, more muscle, better strength in the gym. Visible changes that keep improving through year one.

Ongoing

Monitoring and adjustments

Bloodwork at 3 months, 6 months, then every 6-12 months. Dose adjustments are normal. Bodies change, so does the protocol.

TRT isn’t a procedure. There’s no downtime, no recovery, no “off” period. If you’re doing injections or gels, you walk out of your first visit and get back to normal life the same day. Pellet insertion takes about 15 minutes in the office, with a small bandage for a day or two. That’s it.

Follow-up is the non-negotiable part. We watch your testosterone, hematocrit, PSA, and estradiol to make sure your numbers stay in the healthy range. One honest note: TRT is typically a long-term commitment. As long as you feel great and your labs look clean, there’s no rush to stop. If you choose to come off, we taper you off thoughtfully.

Is This Right for You?

Ideal Candidates

Most men don’t walk in asking for TRT. They walk in because something feels off and they can’t quite name it. If several of these symptoms sound familiar, it’s worth getting your levels checked.

Common Symptoms of Low Testosterone

Persistent fatigue, even after a full night's sleep

Low libido or reduced interest in sex

Erectile issues or weaker morning erections

Loss of muscle mass or strength despite training

Stubborn belly fat that won't budge

Brain fog, poor concentration, or memory slips

Irritability, low mood, or mild depression

Poor sleep quality or waking up unrefreshed

Reduced motivation, drive, or competitive edge

Decreased bone density or unexplained aches

Hot flashes or night sweats

Reduced body and facial hair

Who's a Good Candidate

Men 30 and older (most of our patients are 40+) with consistent symptoms of Low T and lab-confirmed low testosterone on two separate morning blood draws.

Who Isn't a Candidate

Men actively trying to conceive, men with untreated prostate or breast cancer, men with untreated severe sleep apnea, or men with a hematocrit above 50 percent. Dr. Arshad screens for all of this first.

You don’t need every symptom. Even three or four, combined with a testosterone level below roughly 300 ng/dL, is enough to start the conversation. Dr. Haroon Arshad, MD, MBA will walk you through the screening at your first visit and decide together whether TRT makes sense for where you are.

Frequently Asked Questions

Generally, men 30 and older with symptoms of low testosterone (fatigue, low libido, brain fog, muscle loss, mood changes) and a morning blood test showing total testosterone below about 300 ng/dL on two separate draws. Dr. Arshad also screens for prostate health, sleep apnea, blood counts, and fertility goals before starting anyone on therapy. If you're actively trying to conceive, we can discuss alternatives like hCG or clomiphene that preserve fertility.

Most men feel the first shift (more energy, better mood, deeper sleep) within 2 to 4 weeks. Libido and sexual function usually improve by week 3 to 6. Body composition changes (more muscle, less fat) take longer, typically 3 to 6 months to become visible and keep improving past the one-year mark.

When it's prescribed and monitored by a physician for men with genuinely low testosterone, TRT has a strong safety record. The landmark TRAVERSE trial, published in 2023 and involving over 5,200 middle-aged and older men with cardiovascular risk, found no increased risk of heart attacks, strokes, or cardiovascular death compared to placebo. Based on those findings, in February 2025 the FDA removed the long-standing boxed warning about cardiovascular risk from testosterone product labels. That said, TRT is a prescription therapy that requires ongoing lab monitoring, which is exactly how we run it here.

The most common side effects are manageable and usually respond to a dose adjustment. They include elevated red blood cell count (hematocrit), acne or oily skin, mild fluid retention, breast tenderness if estradiol runs high, and reduced sperm production (which matters if you're trying to conceive). Less common: worsening sleep apnea, mood swings in men who overshoot the dose, and mild hair shedding in genetically predisposed men. Regular lab monitoring catches these early and lets us adjust before they become a problem.

A full panel at baseline, then a follow-up at 3 months and 6 months after starting therapy. After that, every 6 to 12 months for as long as you're on TRT. We track testosterone, hematocrit, PSA, estradiol, lipids, and a few other markers to keep everything in a healthy range.

This was the biggest question hanging over TRT for years, and we finally have a clear answer. The TRAVERSE study, the largest randomized TRT safety trial ever conducted, followed men at elevated cardiovascular risk for an average of 33 months and found no increase in major cardiovascular events on testosterone compared to placebo. The FDA officially removed the cardiovascular boxed warning from all testosterone products in February 2025 based on those findings. TRT can raise blood pressure modestly and can raise red blood cell count, both of which we monitor closely, but the old fear of testosterone causing heart attacks is no longer supported by the evidence.

For most men, TRT is a long-term therapy. Your body won't suddenly start making more testosterone on its own once you start replacing it. As long as you feel great and your labs look clean, there's no set stop date. If life circumstances change or you want to come off, we can taper you down gradually. Some men choose to pause for fertility reasons, and we have protocols to help the body restart its natural production.

Sometimes. If your labs show a clear clinical low testosterone level and your insurance covers endocrine care, portions of TRT (the medication, labs, office visits) may be covered. Many patients choose to self-pay because it gives them faster access, broader treatment options, and more face time with Dr. Arshad than a rushed insurance-based visit typically allows. We're happy to walk you through both paths during your consultation.

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Book a consultation with our team in Rahway or Fair Lawn and discover how Testosterone Replacement Therapy (TRT) can help you look and feel your best.

Book Consultation Call Rahway · (848) 304-3063