Testosterone

Testosterone

Why Low Testosterone Needs a Holistic Approach

Low testosterone, or “Low T,” affects millions of men—yet it’s often overlooked, misdiagnosed, or treated with temporary fixes. At Patients Medical in New York City, we take an integrative approach that looks deeper than testosterone levels alone. We assess the root causes—stress, gut health, nutrient deficiencies, and hormonal imbalances—so we can restore your health naturally, sustainably, and safely.

What Is Low Testosterone?

Testosterone is a vital hormone for men’s physical, mental, and emotional health. It influences muscle mass, energy, libido, cognitive function, mood, and bone density.

Common Symptoms of Low Testosterone:

  • Fatigue and low energy
  • Low libido and erectile dysfunction
  • Weight gain (especially around the midsection)
  • Mood swings or depression
  • Loss of muscle mass
  • Brain fog or memory issues
  • Sleep disturbances

If you’re experiencing these symptoms, testing your testosterone levels is the first step—but understanding why they’re low is the key to long-term recovery.

Root Causes: Why Did Your Testosterone Drop?

Functional medicine aims to identify the underlying contributors to hormonal decline. Common root causes include:

Diagnostic Testing at Patients Medical

We go beyond a simple blood test. Our advanced panels help uncover the true reasons behind low testosterone.

  • Total and Free Testosterone
  • Estradiol (E2), DHEA, SHBG
  • Cortisol (saliva or urine)
  • Thyroid Panel (TSH, Free T3, Free T4, Reverse T3)
  • Comprehensive metabolic panel
  • Micronutrient levels
  • Gut microbiome and leaky gut testing
  • Heavy metal and toxin testing
  • MTHFR and genetic analysis

Integrative Treatments for Low Testosterone

Nutritional Therapy

We personalize anti-inflammatory, hormone-supportive diets. Plans may include:

  • High-quality protein and healthy fats
  • Low-glycemic, nutrient-dense foods
  • Elimination of hormone-disrupting foods (processed meats, alcohol, sugar)
  • Intermittent fasting or metabolic reset plans

 

IV Vitamin Therapy

Tailored IV infusions with B-complex, vitamin D, magnesium, and amino acids support testosterone production and detoxification.

Herbal & Nutraceutical Support

Targeted supplementation may include:

  • Zinc
  • Tongkat Ali
  • Ashwagandha
  • Maca root
  • DHEA (monitored)
  • Omega-3s

All protocols are customized and physician-supervised.

Stress Reduction

Acupuncture, guided meditation, and adaptogenic herbs help balance cortisol and support adrenal recovery.

Bioidentical Hormone Replacement Therapy (BHRT)

If clinically indicated, we offer precise, safe BHRT using natural, bioidentical testosterone via creams, injections, or pellets. Regular monitoring ensures optimal levels and safety.

Functional Thyroid & Adrenal Suppor

Addressing underlying thyroid or adrenal issues is often critical for restoring testosterone balance.

Weight Management & Fitness

We guide you through safe, physician-supervised weight loss and exercise strategies that boost testosterone naturally.

Case Study: James’ Road to Renewal

James, age 47, came to us with fatigue, weight gain, and near-zero libido. His labs showed low free testosterone, elevated cortisol, and poor gut health.

We developed a 12-week customized plan:

  • Gut repair protocol
  • Cortisol-lowering adaptogens
  • Nutrient IVs
  • Hormone-optimizing nutrition plan
  • Low-dose testosterone therapy

After 3 months, James lost 18 pounds, regained his energy and libido, and his testosterone levels normalized—with minimal medication.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

Normal total testosterone levels typically range from 300 to 1,000 ng/dL. However, symptoms matter more than numbers. Some men experience symptoms even at “normal” levels, especially if free testosterone is low.

Yes. Many patients improve through nutrition, stress reduction, gut healing, and targeted supplements. We always explore root causes before considering hormone therapy.

Chronic stress, poor sleep, gut dysfunction, obesity, toxin exposure, nutrient deficiencies, and hormonal imbalances can all suppress testosterone—even in younger men.

When carefully prescribed and monitored by a functional medicine doctor, TRT can be safe and effective. We use bioidentical hormones and prioritize natural balance.

Yes. Exercise, weight loss, better sleep, zinc and vitamin D supplementation, and adaptogenic herbs like ashwagandha and maca can all support testosterone production.

Absolutely. Chronic stress raises cortisol, which directly suppresses testosterone production. Managing stress is critical for hormone balance.

Most patients notice improvement within 4 to 8 weeks of starting treatment, especially when lifestyle and root-cause issues are addressed alongside hormone support.

 In some cases, yes. TRT can suppress sperm production. If fertility is

Yes. It’s associated with heart disease, type 2 diabetes, obesity, osteoporosis, and depression. That’s why we treat it as part of your whole-body health.

We are out-of-network, but we provide superbills for potential reimbursement. Some lab tests may be covered depending on your insurance plan.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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