Testosterone Replacement & Hormone Therapy in Charleston, SC
take Control of Your Health: Get Started with TRT & Hormone Therapy Today!
Typical Body Composition Changes on TRT: Increasing Muscle Mass and Decreasing Body Fat Percent.
Testosterone Replacement Therapy (TRT)/Testosterone Optimization Therapy (TOT)
What Is TRT/TOT?
Testosterone levels slowly decline around 1% a year after age 30 and more rapidly after age 40. This decline can significantly affect your muscle mass, sex drive, fat distribution, and energy levels.
Testosterone is a vital hormone in men that maintains muscle mass, bone density, and sex drive. If you have been suffering from a decline in testosterone levels, our testosterone replacement therapy can help restore hormonal balance and bring back your energy and drive. Maximize your male performance today!
Who Can Benefit from TRT/TOT?
It’s no secret that men want to maintain their vitality, and maximize their male performance. Our TRT/TOT therapy is an excellent way to do just that. Men may have low testosterone levels due to many different reasons including; Primary, secondary, or acquired hypogonadism, natural decline with age, chronic illness and metabolic disease, diabetes, obesity, chronic stress and medications. Who can benefit from this therapy? If you have low testosterone levels you can benefit from TRT/TOT today!
Do you have any of the following symptoms?
- Decreased libido (sex drive)?
- Softer or decreased frequency of erections?
- Lack of Energy?
- Decreased strength or endurance?
- Decreased interest in activities or relationships?
- Low mood/depression?
- Decreased athletic performance?
- Do you ever feel irritable or anxious?
- Decreased work performance or enthusiasm?
- Decreased concentration/brain fog?
- Decreased Nightly or Morning erections?
- Difficulty gaining or maintaining muscle mass?
- Difficulty losing body fat?
- Have you lost height?
How Is TRT Administered
TRT therapy can be administered in many ways, depending on your treatment needs, medical condition, and expert recommendations. The most common options include:
Injections: This is a short-acting TRT/TOT, where the patient receives testosterone injections in the comfort of their own home or weekly in the office. Dosing and frequency varies based on your customized plan. This is the most physiologic and preferred way to replace/optimize Testosterone levels.
Gels and Creams: These can be applied on clean, dry skin, preferably after a shower. This TRT therapy provides a steady release of testosterone but requires consistency.
Patches: Topical patches can stick to your skin for 24 hours, while buccal patches can work 12 hours straight, releasing testosterone gradually in your body.
Oral preparations: Troches and or tablets, these bypass first pass metabolism and are absorbed through the oral mucosa or directly into the lymphatic system
Pellets: Inserted under your skin in the hip or buttock by a healthcare expert, these pellets dissolve slowly and release testosterone for 3-6 months.
Types of Testosterone Replacement Therapy (TRT)
When you opt for testosterone replacement therapy/TOT, you may be presented with one of the following options:
- Injectables: A commonly prescribed form of TRT/TOT therapy, injections provide direct delivery of testosterone into your bloodstream. They are usually administered every 1 to 2 weeks.
- Transdermals: Applied to the skin, these include gels, patches, and creams. This testosterone replacement therapy offers steady hormone absorption but requires daily application.
- Implants: An expert implants these small, dissolvable pellets under the skin, in your buttocks or hip. They release testosterone steadily over several months.
- Buccal Patches: This TRT therapy slowly releases hormones throughout the day. Buccal patches go inside your mouth and need to be replaced every 12 hours.
- Nasals: Applied to the inside of your nose, nasal testosterone gel provides a convenient and non-invasive method of TRT/TOT with a consistent dosage.
- Orals: TRT tablets are less commonly prescribed due to liver metabolism concerns. This form of therapy is often a last resort and requires careful monitoring.
- Combination TRT/TOT: This TRT/TOT therapy combines different forms to create a customized treatment, depending on your needs. It requires expert advice and monitoring.
Benefits of TRT
Testosterone replacement therapy/TOT offers several benefits, but it can be several weeks or months before you start experiencing the changes in your body.
- Increases energy levels and vitality
- Improves mood and motivation
- Boosts strength and confidence
- Enhances sexual performance and libido
- Promotes muscle mass and bone density
- Helps in fat loss
- Supports restful sleep
Side Effects of TRT
While testosterone replacement therapy/TOT is generally deemed safe, and we prioritize your safety throughout the treatment, some patients may experience side effects, such as:
Concierge membership includes all routine labs and follow up to monitor for any possible side effects.
Add Your Heading Text Here
Hormonal balance is critical for maintaining your overall health as it regulates your metabolism, energy levels, mood, and sexual function. Ignoring this balance can cause health issues such as fatigue, weight gain, depression, and decreased libido.
Totality Men offers Testosterone Replacement Therapy (TRT) and other hormone therapies to help you restore this balance. Your overall health and well-being matter to us, so we develop personalized treatment plans for all our patients. We will help you achieve your Health and Wellness goals while limiting risks and possible side effects.
What is Hormonal Imbalance?
Hormonal imbalance occurs when there is too much or too little of a hormone in your body. The human body needs the right balance of hormones to regulate various functions. If your body lacks this balance, you may face several health issues.
Do you have any of the following symptoms?
- Chronic Fatigue
- Unexplained weight loss or gain
- Muscle loss and weakness
- Decreased sex drive (Libido)
- Decreased mood, or enjoyment in life
- Decreased performance at work or in the gym
- Softer or decreased frequency of erections
- Joint pain or stiffness
- Changes in heart rate
- Increased sensitivity to cold or heat
- Constipation or more frequent bowel movements
- Dry skin
- Puffy face
- Increased thirst and frequent urination
- Mood swings, anxiety, or depression
- Blurred vision
- Erectile dysfunction and infertility
- Changes in appetite
Causes of Hormonal Imbalance
Most men have to face hormonal imbalance at some stage in their life, which may be caused by:
Natural Decline: All hormones, including testosterone, are produced naturally in your body. With age, these levels of hormones typically start to decline. Growth Hormone levels usually decline after age 30 by 50% every 10 years and Testosterone levels slowly decline around 1% a year after age 30. Both of these hormones decline more rapidly after age 40. This decline can significantly affect your muscle mass, sex drive, fat distribution, and energy levels.
Lifestyle and Medical Factors: Unhealthy lifestyle choices including poor diet, lack of exercise, and stress, as well as certain medications, may lower your hormonal levels. Likewise, medical conditions such as thyroid disorders, metabolic disease or diabetes may also affect this balance.
If you notice any of these symptoms, you should get your hormone levels checked. Totality Men can provide you with hormone replacement therapy to restore this balance.
Our Hormone Replacement Therapy
What is Hormone Therapy?
Hormone therapy focuses on restoring normal hormone levels and improving your overall health and well-being. It supplements or replaces the hormone levels in your body gradually, under expert monitoring. Our hormone therapies are tailored to your needs and specific health issues, offering the best possible outcomes.
Types of Hormone Therapies Offered
Totality Men is a state-of-the-art facility where we provide different hormone replacement therapies specifically designed for men. Your health matters to us, and we provide a customized plan to address your concerns and help you achieve your health and wellness goals.
Testosterone replacement therapy/Testosterone optimization therapy (TRT/TOT): We use a customized approach tailored to each patient in order to maximize your benefits while mitigating any possible risk or side effects of treatment. We offer many options for individualized treatment.
Growth Hormone Therapy: Growth hormone therapy is a consideration for men struggling with loss of muscle mass, low energy levels, poor sleep, and reduced overall stamina. It can Improve overall physical and emotional well-being, augmented restful sleep leading to better cognitive functions, refined skin tone with stronger hair and nails, Improvement in fat loss and lean mass gains.
Thyroid Hormone Therapy: Hypothyroidism can affect metabolism, energy levels, and your overall health. Initial laboratory work up includes a comprehensive approach with thyroid function tests included.
The Benefits of Hormone Therapy
Our hormone therapy can help you lead a healthier, energetic lifestyle. We thoroughly analyze your current hormone levels and create a treatment plan that precisely fits your needs. This helps achieve the best possible results.
- Boosts energy levels
- Improves mood and mental clarity
- Helps grow muscle mass and strength
- Better sex drive
- Supports restful sleep
- Enhances overall well-being
Side Effects of Hormone Therapy
Our hormone therapies have been developed with your safety in mind. We tailor the dosage and frequency to restore your energy levels and health as safely as possible. But you should be aware of the following possible side effects.
- Weight Gain or Loss: Hormone therapy often affects your metabolism and appetite, which may lead to weight gain or loss in some men.
- Mood Swings: Certain hormones, particularly testosterone, can result in aggressive behavior, anger, or mood swings in general.
- Fatigue: When hormonal balance changes, it may sometimes cause temporary or prolonged tiredness in a few patients.
- Nausea: Some patients may experience nausea during or after the hormone therapy, which might lead to stomach discomfort.
- Headaches: Headaches are another common side effect, which is often temporary and may go away as your hormone levels are restored.
- Skin Reactions: Hormone therapy may cause skin reactions in some patients, such as acne, irritation, rashes, oily skin, and itching.
Why Choose Us?
Totality Men is your reliable partner who can help you achieve your health goals with customized, proven TRT and other hormone therapies. Our vetted, experienced, and skilled staff ensures you are comfortable and receive the highest standard of care.
- Premier TRT Clinic: We are a state-of-the-art TRT clinic with the latest equipment and a welcoming atmosphere that puts you at ease during treatment.
- No Synthetic Hormones: Totality Men uses bioidentical hormones to treat low testosterone levels or other hormonal imbalances.
- Quick and Reliable Labs: With quick and reliable labs, your testosterone replacement therapy can start the same day.
- Advanced Treatments: All our treatments and wellness programs are designed with the latest industry innovations in mind.
- Personalized Care: We know every patient is unique, which is why our experts use a personalized approach that focuses on addressing your individual needs.
- Discreet and Safe: Discretion and safety are the two core values at Totality Men, ensuring all our patients get the care they deserve stress-free.
- Ongoing Support: Testosterone replacement therapy is a long-term process, and we are with you every step of the way.
OUR PROCESS
CONSULTATION
Our hormone therapy starts with a consultation, where our experts discuss your medical history, health goals, and treatment options, setting the foundation of your treatment
LABS
To offer you the best possible care, we draw your labs before the treatment begins. A detalled blood work and body analysis help us design a result-driven and safe
freatment plan
PERSONALIZED THERAPY
We will work with you to develop a plan tailored to your individual treatment goals
MONITORING AND SUPPORT
We follow your clinical progress carefully and provide personalized ongoing support, making this journey as comfortable as possible
Frequently
Asked Questions
TRT therapy is generally considered safe when administered and monitored by a board-certified healthcare professional. Also, we closely monitor your progress to reduce the risk of side effects.
We use different techniques to administer TRT, depending on the patient. These options include gels, creams, patches, pellets, oral preparations, nasal gels, and injections.
If you are experiencing prolonged fatigue, low libido, muscle loss, or mood changes, you should evaluate your hormone levels. A detailed blood work can help identify if you need TRT therapy.
We do not accept insurance. Insurance companies can limit your treatment options and dictate your care. This model allows us to provide cost-effective care directly to our members.
You may notice the changes within a few weeks of starting TRT, with full benefits usually becoming apparent after three to six months.
We use a combination of patient history, symptom assessment, and laboratory testing to diagnose whether or not you have hormonal imbalance.
During your initial consultation, we will discuss your symptoms, concerns, medical history, and treatment goals, followed by a physical examination, body composition analysis and lab work.
What Our
Clients Say
Hear from those who have experienced the Totality Men difference
Very professional and relaxing experience so far. I have used other TRT clinics in the past, but Totality has been the best. Only a few weeks in, and I am already seeing and feeling differences in my physique and overall health. Very happy with the service Dr. Silbiger has provided thus far, and can't wait to continue to see progress.
Dr Silbiger and Totality Men’s Clinic is awesome! He takes the time to listen and come up with a tailored regimen for guy-specific health needs. He is very thorough in obtaining a complete medical history and lifestyle background prior to making a treatment plan. I highly recommend Totality for Men!
Staff is very friendly and accommodating... definitely knowledgeable! I jus joined and signed up for the membership!
They are Incredible! They have helped me lose weight and body fat. I have so much more energy throughout the day! I sleep so much better and back to lifting and running like I was in my 20's & 30's...I cannot say enough for what Adam and his team have done, and continue to do for me! If you don't give them a call and work with them, then you are doing yourself a major injustice!!!!
Complete game changer. Knowledgeable staff, great facilities and overall a complete package. They make it easy so I don't have to worry.
I had an exceptional experience at Totality Men’s Health and Wellness. From the moment I walked in, I felt welcomed and cared for. The team is incredibly professional, knowledgeable, and truly dedicated to improving their patients' health and well-being. The comprehensive approach they take towards men's health is impressive, offering tailored treatments that address a wide range of needs. They really took the time to understand my concerns and provided clear explanations for all the options available to me. I’ve noticed significant improvements in both my physical and mental well-being since starting treatment, and I couldn’t be happier with the results. I highly recommend Totality Men’s Health and Wellness to any man looking to prioritize his health. The staff, the atmosphere, and the personalized care make it a top-notch facility.
Dr. Silbiger is one of a kind. Extremely informational, answered every possible question that I could think of. I myself have signed up for the testosterone management and couldn't be happier with my service provided by the clinic. Great blood draw, comfortable setting and great atmosphere! Highly recommend would leave 6 stars if it would let me A+++ experience!
If you’re reading this review then you’re probably like me and check one if not a few these boxes: middle aged, overweight, tired most days, lack drive in general, rarely sleep well, and you don’t move around the tennis court or drive that golf ball like you once did! That means it is time to make a change by investing in your health! And if you’re like me, you want to make a smart investment! Going to a “Doc-in-a-box” won’t cut it guys! You need professional, personal, tailored care. You will find this at Totality Men’s Health and Wellness with Dr. Adam Silbiger and his staff. Your appointments won’t be a rushed 7-15 minute in-and-out type of a deal. This type of care is a different animal altogether. You actually create a relationship with your doctor, and he is Totality dedicated to you! The interests of insurance companies and corporate medicine are out the window! Oh, and the pricing is straight forward, which I just love! None of the that crazy billing mess that we are all accustomed to with big corporate medicine. What is also cool is that Dr. Silbiger talks the talk and walks the walk. Read his bio to see for yourself. Make the decision today to optimize your health by setting up a consult with Dr. Silbiger. You won’t regret it!
Excellent men's health facility. Dr. Silbiger is extremely knowledgeable in longevity and fitness. TRT program and peptides are top notch.
I recently had the pleasure of being treated by Dr. Adam Silbiger at Totality Medical Spa, and I cannot recommend him highly enough. From the moment I walked in, Dr. Silbiger's professionalism and deep knowledge were evident. He took the time to thoroughly review my previous medical records, ensuring he had a complete understanding of my health history. What stood out to me the most was the personalized approach Dr. Silbiger took in developing my treatment plan. He didn't just prescribe a one-size-fits-all solution; instead, he collaborated with me to create a plan that was perfectly aligned with my health and lifestyle goals. His commitment to customizing my care and making sure it was tailored to my needs was truly impressive. If you're looking for a medical professional who is both professional and genuinely invested in your well-being, Dr. Silbiger is the one to see. He has set a new standard for what healthcare should look like.
Great addition to the area! Dr. Silbiger is personable and knowledgeable He offers a nice selection of services and will help a ton of men improve their quality of life! The facility is welcoming and well designed. The beverage station should be great option for patients in the future. It is also in an excellent location.
I can't say enough about my experience at my appointment with Dr. Silbiger. As a fellow healthcare provider, I appreciated how smoothly the entire process was. Dr. Silbiger tailored the appointment to my needs and we developed a plan to be preventative in nature over the years in order to meet the demands of my active lifestyle. As someone who works out and pushes their physical capacity often, I am confident that this style of medicine is what I need going forward. This type of care is only available in private pay models and is not something that insurance would cover. Dr. Silbiger understands that I want my health to continue to be an investment over the years in order to promote longevity. The appointment was very informal, which is exactly where I think medicine is trending. We were able to just simply have a conversation about my health and what I wanted. It is obvious that Dr. Silbiger cares about his patients, and is eager to continue to promote change in the current healthcare models. I would recommend every male who wants to be forward thinking in their healthcare to have a consultation with Dr. Silbiger.
Dr. Silbiger, MD is Board Certified in Internal Medicine. He has been practicing as an Internal Medicine Hospitalist in the Charleston area since completing his Residency at the University of South Carolina in 2009. He has led physicians as a Medical Director and Chief of staff and advocates for healthy lifestyle modification and prevention throughout his many roles.
Stanley moved to Charleston from New York City with his wife, Dr. Nadel and their two kids. Prior to opening Totality Medispa with his wife, he worked in various financial roles at JPMorgan Chase, Citigroup, Morgan Stanley, Barclays, and Sequence Financial Specialists.
Dr. Nicole Nadel, DO, is a distinguished and board-certified FACEP (Fellow of the American College of Emergency Physicians). She holds the position of co-founder and Chief Medical Officer (CMO) at Totality Medispa, an esteemed medical spa with two locations in Charleston, SC. Dr. Nadel’s expertise lies in non-surgical aesthetic medicine, and she is renowned for her exceptional skills as a master injector and educator, excelling in achieving remarkably natural results without resorting to surgery.