Care Path
Overview
Men usually come in because something has changed. These are the concerns most often described at a first visit.
Each of these has many possible causes — sleep, medications, thyroid and metabolic conditions, mental health, alcohol, stress and other medical problems among them. None of them, on its own, establishes a diagnosis of low testosterone, and none of them is automatically resolved by treating it. That is what an evaluation is for.
Testosterone and age
In longitudinal research, total testosterone declined about 1.6% per year on average. Free or bioavailable testosterone declined faster, about 2–3% per year. Health, weight, medications and individual biology can change the pattern.
| Age | Relative testosterone level |
|---|---|
| 40 | 100 |
| 50 | 85 |
| 60 | 72 |
| 70 | 62 |
| 80 | 52 |
New to TRT or transferring your care
Limited-time TRT offer
$70 first month
New to TRT or transferring your care
Then $140 per month
Laboratory testing is separate. Treatment requires physician evaluation.
Claim OfferMen new to TRT and men transferring their care to MMI receive 50% off the first month. Beginning with month two, MMI’s flat testosterone therapy price is $140 per month.
$70 for your first month at MMI, then $140 per month for your ongoing testosterone care, with no surprise increases.
Reach your physician by phone or in person upon request as questions come up between visits.
Your plan is individualized and adjusted over time based on how you feel and what your follow-up labs show.
Less corporate overhead. More focus on how you feel and function.
Complete five laboratory tests for $50 through MMI’s lab partner connected with the office, or use the laboratory you prefer, including Labcorp or Quest.
Laboratory testing is separate from the monthly cost of care. The physician may order additional testing when it is clinically appropriate for your situation.
Two ways to begin
Starting TRT
Your first visit covers your symptoms, health history, goals and any lab information you already have. Same-day lab testing is available at the office. Treatment can sometimes begin that same day when the physician has the necessary recent laboratory information and determines that testosterone therapy is medically appropriate.
New to TRT? We're making it easy to start and save.
Transferring care
Bring your recent lab results and details of your current protocol. The physician reviews how you have responded, your safety findings and your goals. When it is medically appropriate, a transition can begin as soon as the first visit.
We’re confident you’ll love us, so we’re making it easy to transfer your care and save.
Meet directly with the physician.
Complete labs the same day or use your preferred lab.
Start or transition when the physician determines it is appropriate.
Men come to MMI at different points in adult life, and they describe different things. What does not change is how the evaluation is done. Personal goals — including how you want to feel, function and train — are part of the conversation, but they are not the measure of men's health, and they are not by themselves a reason to prescribe.
Younger adult men often describe low energy, reduced motivation, difficulty focusing, changes in sexual desire or a general sense of being off. Some also ask about recovery and body composition. All of it is reasonable to raise with a physician, and all of it is taken seriously.
Training or body-composition goals are not, on their own, a medical indication for testosterone therapy. Plans to father children in the near term are a central part of this conversation, because testosterone can suppress sperm production.
Later in life, the questions tend to involve energy, sexual health, mental clarity, everyday function, confidence and independence. The goal is to understand what is behind the change rather than to assume a single cause.
Aging on its own does not establish a testosterone deficiency, and FDA-approved testosterone is not approved for low testosterone due to aging alone.
Evaluation
A testosterone evaluation looks at the whole picture before anything is prescribed. Depending on your situation, Dr. Mimlitz may review:
Options
If therapy is medically appropriate, several routes exist. They differ in how they are given, how steady levels tend to be and how quickly a plan can be adjusted. None is presented here as better than another — that decision belongs in the exam room.
Administered on a schedule
Given at set intervals. Levels and symptom patterns can vary between doses, which is one reason follow-up matters. Follow-up findings help guide any adjustment.
Applied regularly
Applied on a regular basis. Absorption varies from person to person. Precautions to avoid skin transfer to a partner or child are part of the instructions.
Placed during a minor procedure
Placed under the skin during a minor in-office procedure, with a longer interval between administrations. Once placed, a plan cannot be adjusted as quickly as with other routes.
Safety
Testosterone therapy is a medical treatment with real limits and real monitoring requirements. These are the points that matter most.
What to expect
Dr. Mimlitz personally conducts every initial evaluation and follow-up visit.
MMI is independent and physician-owned, so the MMI care team coordinating your care knows your plan, communicates clearly and supports consistent follow-through without corporate layers in between. Decisions are individual rather than a standard protocol passed between rotating providers.
Tell us what you are noticing. We schedule a focused visit rather than a rushed one.
Dr. Mimlitz reviews your history, symptoms and lab work with you and explains what they mean.
If treatment is appropriate, you leave understanding the options, the tradeoffs and the next step.
Care is adjusted over time based on how you feel and what your follow-up labs show.
Erectile changes and testosterone concerns often come up in the same visit, and they are evaluated together.
Weight, metabolic health and hormone findings are frequently related.
A candid look at what is established in that area and what is not.
Call the office to schedule a focused visit with Dr. Mimlitz.
This page is general education, not medical advice, and it is not a substitute for an evaluation. The information here draws on the primary sources below.