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Important Safety Information

This medication is only prescribed if deemed medically necessary after a licensed clinician’s evaluation. It is not prescribed for performance enhancement purposes. Read More Some treatments may be compounded and are not FDA-approved. The FDA does not review the safety or effectiveness of compounded hormone therapies. Providers may prescribe off-label from its intended use when medically appropriate. Read Less

Important Safety Information

Potential Side Effects:

Testosterone Replacement Therapy may cause:

  • Acne and oily skin
  • Nausea, vomiting or headaches
  • Fluid retention, leading to swelling in your lower legs
  • Mood changes, including irritability or short temper
  • Worsening of sleep apnea
  • Reduced sperm production, which can lead to infertility
  • Breast tissue swelling or tenderness (gynecomastia)
  • Frequent urination or changes in urination pattern
  • Elevated red blood cell count, which can raise your risk of high blood pressure, joint/muscle pain or trouble with eyesight
  • Abnormal spike in blood sugar, raising risk of Type 2 diabetes
  • Higher cholesterol levels
  • Injection site irritation, including redness, pain, or firmness under the skin

Enclomiphene may cause:

  • Acne or oily skin
  • Headaches or dizziness
  • Nausea or bloating
  • Mood swings, irritability, or depression
  • Anxiety
  • Diarrhea
  • Hot flushes
  • Joint pain
  • Common cold–like symptoms
  • Libido issues
  • Gynecomastia

Anastrazol may cause:

  • Blurred vision
  • Bone pain
  • Chest pain or discomfort
  • Dizziness
  • Headache
  • Nervousness
  • Pounding in the ears
  • Slow or fast heartbeat
  • Swelling of the feet or lower legs

These side effects are not experienced by everyone, but they are possible. This is not an exhaustive list of side effects - routine follow-ups with your doctor are important for monitoring your health during treatment.

Treatment Options

Explore Our TRT Options

Injections

Injections

Testosterone Replacement Therapy (TRT) injections deliver synthetic testosterone into the body to treat low testosterone levels, typically in men with hypogonadism, aging-related decline, or other deficiencies. They work by directly introducing testosterone into the bloodstream via muscle or fatty tissue, bypassing the digestive system and liver, to restore normal levels (300-1000 ng/dL) and alleviate symptoms like fatigue, low libido, and muscle loss.

Troches

Troches

A troche (pronounced "troh-key" or "trosh") is a small, medicated lozenge or tablet designed to dissolve slowly in the mouth, typically between the cheek and gum or under the tongue. It’s a delivery method for medications that allows the active ingredients to be absorbed directly through the mucous membranes in the oral cavity, bypassing the digestive system and liver metabolism (first-pass effect). This can lead to faster onset and higher bioavailability compared to swallowed pills.

Creams

Creams

Cream TRT (Testosterone Replacement Therapy) involves applying a topical testosterone cream to the skin to raise low testosterone levels, typically for men with hypogonadism, age-related decline, or other testosterone deficiencies. Unlike injections, it’s a non-invasive method where the hormone is absorbed through the skin into the bloodstream, offering a steady release over time to address symptoms like fatigue, low libido, or muscle loss.

Choose the TRT option that fits your lifestyle and preferences.

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Steps
Lab + doctor consult required

Feel Stronger, Sharper, and Revitalized with a Few Simple Steps

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01
Eligibility Check
01
Eligibility Check

Answer a few quick questions so our medical team can understand your symptoms, goals, and hormone history.

02
Blood Test
02
Blood Test

We check your testosterone levels and key health markers, free of cost. Your lab results help determine if you have low testosterone related to an underlying medical condition and is used to assess eligibility for treatment.

03
Physician Consult
03
Physician Consult

Review your lab results with a Brightmeds-affiliated doctor to determine if testosterone replacement therapy is right for you. TRT is only prescribed if medically necessary and appropriate for your condition.

04
Product Delivery
04
Product Delivery

If a licensed provider determines that testosterone therapy is medically appropriate, your prescription will be filled and shipped directly to your door — fast, secure, and in discreet packaging.

Delivered in discreet, unbranded packaging for your privacy; IMAGE IS FOR ILLUSTRATION ONLY
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Faq

Frequently Asked Questions

Quick answers below.

Need more help? Just ask!

What is TRT and who is it for?

Testosterone Replacement Therapy (TRT) is prescribed to men with clinically low testosterone due to an underlying medical condition. Symptoms of low testosterone may include low energy, reduced muscle tone, decreased libido, and changes in mood or focus. When medically appropriate, TRT can help restore healthy hormone levels and support improvements in overall well-being.

When will I see results?

Every man responds differently, but here’s a general timeline:

Within a few weeks: Energy lifts, mood improves, and your sex drive kicks back in.
By 3–6 months: Increased muscle mass, and noticeable improvements in strength and overall vitality.

Your plan is monitored and adjusted through regular check-ins - so you don’t just start strong, you stay strong.

How often will I need lab work?

You’ll start with baseline labs before treatment, then follow-ups at 3 and 6 months to track progress. If your levels are stable by month 6, lab work drops to once a year. If not, we’ll continue quarterly until everything’s locked in.

It’s a clear, results-driven plan to keep your progress on point and your body optimized.

How long will I need to be on TRT?

TRT is typically long-term - because when you stop, symptoms can return.

But this isn’t a one-size-fits-all plan. With regular labs and physician check-ins, your treatment evolves as you do. You stay in control, and we make sure the benefits keep showing up: more strength, more drive, more life.

What is a compounded medication?

Brightmeds-affiliated physicians may prescribe compounded medications, these treatments are custom-made by licensed U.S. pharmacies for individual patients. While compounded medications aren’t FDA-approved in the same way as commercial drugs, they are tested for potency, sterility, and purity - and offer personalized dosing, delivery, and treatment flexibility that standard medications may not.

How do I get started with TRT?

It’s fast, private, and built around your schedule:
• Online assessment : Answer a few health questions.
• Lab test : We check your testosterone and key health markers.
• Physician consult : Review your results with a Brightmeds-affiliated doctor.
• Get your prescription : If you qualify, your medication is shipped straight to your door.
• Quarterly check-ins : Meet with your doctor every 3 months to track progress and adjust if needed.

How do I administer testosterone?

You’ve got options, all designed to fit your lifestyle: a quick injection, a daily cream, or a troche (a dissolvable dose placed between your cheek and gum.) You’ll choose the option that fits you best, and your Brightmeds-affiliated physician makes sure it’s the right fit.

us-board-certified-badge

TRT treatment is only available to men with medically confirmed low testosterone levels in accordance with the FDA’s guidelines . Evaluation includes a physician consultation, health history review, and lab testing. TRT is not prescribed for bodybuilding, performance enhancement, or aesthetic purposes.

Brightmeds.com works with sterile compounding pharmacies. These facilities undergo strict inspections, but because the compounded pharmaceuticals they produce are made according to a prescription from a specific practitioner for a particular patient, they are not FDA-approved. All prescriptions are issued at the discretion of a licensed medical provider following a telemedicine evaluation.

*Important Notice: We are not affiliated with or endorsed by the manufacturers of FDA-approved testosterone therapies such as AndroGel® (AbbVie), Depo-Testosterone® (Pfizer), or any other FDA-approved products.

We offer a 100% money-back guarantee if your prescription is not approved. Brightmeds.com does not directly provide medical or pharmacy services. We partner with licensed medical professionals who use HIPAA-compliant telehealth platforms to deliver care.

The information provided on this website is for general informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider with any questions about your health.

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