Bioidentical Hormone Therapy for Men

Testosterone Replacement Therapy & Men's Hormone Optimization in North Carolina

Restore your vitality with expert bioidentical hormone therapy for men. TRT clinics in Asheville, Hendersonville, Greensboro, Clemmons, & Charlotte.

4.8 OUT OF 4k+ REVIEWS

✓ INSURANCE ACCEPTED

$ AFFORDABLE SELF-PAY OPTIONS

After major frustrations with online providers I am grateful to have a clinic I can visit and talk to staff live about hormone treatment. All staff I have met with are very helpful and have a great demeanor. You owe it to yourself to avoid the online side hustles and go to a real clinic.

Blue Sky MD is up to date on hormone therapy. They use bio-identical products which are safe and effective. I feel great and the people are very professional. I give them 5 stars!

Diann is great. She’s very knowledgeable. She gave me many different options for TRT and explained each one. But ultimately let me decide which to go with which I liked. The whole process from labs to the appointment with her and first dose for treatment was pretty seamless. They also have a relationship with an online pharmacy and for what I thought was a very reasonable price will ship everything you need right to your doorstep. Highly recommend Blue Sky for HRT or any of the other services they offer.

Do You Have Low Testosterone?
Recognize the Signs

Low testosterone affects 1 in 4 men over 30. Early treatment can dramatically improve your quality of life.

Testosterone plays an important role in the growth and development of certain male organs and the maintenance of traits such as muscle and hair growth. It also contributes to your overall energy levels. Testosterone levels begin to decline in men in their early 30’s. Other factors that may cause a decrease in testosterone include chronic health issues, certain medications or trauma.

While the symptoms of low T are different for everyone, the most common signs of low testosterone include:

Physical Symptoms

Unexplained fatigue, loss of strength, increased body fat, erectile dysfunction, low libido.

Mental & Emotional Symptoms

Brain fog, difficulty concentrating, depression, irritability, mood swings, lack of motivation.

Sleep & Recovery

Poor sleep quality, insomnia, slow recovery from exercise, decreased stamina

Metabolic Changes

Weight gain, especially belly fat, muscle loss, high cholesterol, insulin resistance, low bone density

The Life-Changing Benefits of TRT

Experience the transformation that thousands of our patients have achieved.

Physical Performance

Mental Clarity & Mood

Sexual Health & Vitality

Energy & Well-being

Metabolic Health

Long-term Health

Personalized Hormone Therapy Options for Men

We offer multiple FDA-approved testosterone delivery methods tailored to your lifestyle

Testosterone Injections
BioIdentical Pellets
Topical Testosterone Creams & Gels
Comprehensive Hormone Optimization

Testosterone Injections – Most Popular Choice

Injectable testosterone therapy is the gold standard for TRT, offering precise dosing and consistent results. Our medical team teaches you self-administration for convenience, or you can receive injections at our clinics.

We use bioidentical testosterone cypionate or enanthate, customized to your optimal dosage based on regular blood work monitoring.

Frequency	Weekly or bi-weekly
Onset of benefits	2-4 weeks
Cost per month	$150-250
Insurance coverage	Often covered
Convenience	Self-administered

Bioidentical Hormone Pellets – Set It & Forget It

Testosterone pellets provide steady hormone levels for 4-6 months with a single procedure. These rice-sized pellets are inserted under the skin, releasing consistent doses of bioidentical testosterone.

Perfect for busy professionals who want effective treatment without daily or weekly administration.

Frequency	Every 4-6 months
Procedure time	15 minutes
Cost per insertion	$650-850
Steady levels	No peaks/valleys
Convenience	Most convenient

Topical Testosterone Creams & Gels

Daily application of testosterone cream or gel provides flexibility and easy dose adjustments. Our compounded bioidentical formulations are more effective than standard prescriptions.

Applied to the skin each morning, topical testosterone is absorbed gradually throughout the day for natural hormone patterns.

Frequency	Daily, morning
Absorption time	2-4 hours
Cost per month	$100-200
Dose adjustment	Easy to modify
Transfer risk	Minimal with care

Comprehensive Hormone Optimization

Beyond testosterone, we optimize your entire hormonal system including thyroid, growth hormone, DHEA, and cortisol. This integrative approach maximizes results and overall health.

Includes peptide therapy, nutritional optimization, and lifestyle medicine for complete men’s health transformation.

Daily application of testosterone cream or gel provides flexibility and easy dose adjustments. Our compounded bioidentical formulations are more effective than standard prescriptions.

Applied to the skin each morning, topical testosterone is absorbed gradually throughout the day for natural hormone patterns.

Hormones treated	5-7 types
Monitoring	Quarterly labs
Support	Monthly check-ins
Results timeline	3-6 months

Your Journey to Optimal Hormone Health

a simple, straightforward process with support every step of the way

STEP 1

COMPREHENSIVE TESTING

The first step in the hormone therapy process is to get some blood work done so we may analyze your current hormone levels.

This helps us understand your symptoms and formulate your hormone prescription dosage.

STEP 2

BEGIN TREATMENTS

Once we’ve established your baseline hormone levels, we can begin treatments with the appropriate delivery method.

If pellets are your delivery method, your Blue Sky MD providers will perform a quick procedure to insert the pellet under the skin.

STEP 3

MAINTENANCE PHASE

You’ll meet with your Blue Sky MD provider periodically to get more bloodwork done, assess hormone levels, and verify symptoms are improving.

Patients receiving pellet therapy will need a new pellet inserted every 3-6 months.

Ready to Reclaim Your Vitality?

Join thousands of men who have transformed their lives with Blue Sky MD hormone therapy.

FREQUENTLY ASKED QUESTIONS

How quickly will I see results from testosterone therapy?

Most men notice improved energy and mood within 2-3 weeks. Sexual function improvements typically occur by week 6. Maximum benefits for muscle mass and body composition are usually seen at 3-6 months.

Is testosterone replacement therapy safe?

When properly monitored by experienced physicians and hormone specialists like ours at Blue Sky MD, TRT is very safe. We conduct regular blood work to ensure optimal levels and monitor for any side effects. Bioidentical hormones have an excellent safety profile.

What's the difference between bioidentical and synthetic testosterone?

Bioidentical testosterone is molecularly identical to what your body produces naturally, leading to better results and fewer side effects. The bio-identical pellet therapy we use at Blue Sky MD is sourced from plants. Synthetic versions have modified structures that can cause unwanted effects.

Will TRT affect my fertility?

Traditional TRT can temporarily reduce sperm production. If fertility is a concern, we offer protocols using HCG or clomiphene that maintain fertility while treating low testosterone.

Do I need TRT for life once I start?

While many men choose to continue TRT long-term due to the benefits, you can stop anytime. We can help restart natural production if you decide to discontinue treatment.

How much does testosterone therapy cost per month?

Costs vary from $100-300/month depending on treatment type and insurance coverage. Many insurance plans cover TRT with proper diagnosis.

What are the symptoms of low testosterone in men?

Low testosterone symptoms include decreased energy and motivation, reduced muscle mass, increased belly fat, low sex drive, erectile dysfunction, mood changes or depression, brain fog, poor sleep quality, and reduced strength during workouts. Many men notice these changes gradually starting in their 30s or 40s, often attributing them to “getting older.” However, these symptoms may indicate clinically low testosterone levels that can be effectively treated with hormone replacement therapy.

How do I know if I need testosterone replacement therapy?

The only way to definitively determine if you need testosterone therapy is through comprehensive blood testing. We measure total testosterone, free testosterone, and other hormone markers to get a complete picture. Normal testosterone ranges are broad, but optimal levels for symptom relief are typically higher than the minimum “normal” range. If you’re experiencing low-T symptoms and your levels are suboptimal, testosterone replacement therapy may significantly improve your quality of life.

What are the different methods of testosterone replacement therapy?

Testosterone can be delivered through injections, pellets, gels, or patches. Testosterone injections are given weekly or bi-weekly and provide reliable hormone levels. Pellet therapy involves tiny pellets inserted under the skin that release steady testosterone for 4-6 months. Topical gels are applied daily but may transfer to family members through skin contact. We help determine the best delivery method based on your lifestyle, preferences, and how your body responds to treatment.

Will testosterone therapy help me lose weight and build muscle?

Yes, optimized testosterone levels significantly improve body composition. Testosterone increases lean muscle mass, reduces belly fat, and boosts metabolism. Many men find it easier to lose weight and see better results from their workouts once their testosterone levels are optimized. Combined with proper nutrition and exercise, testosterone therapy can help you achieve the physique and energy levels you had in your younger years.

Is testosterone replacement therapy safe for men?

When properly prescribed and monitored by experienced physicians, testosterone replacement therapy is safe for most healthy men. We conduct thorough medical evaluations, including heart health assessments, before starting treatment. Regular monitoring of testosterone levels, blood counts, and prostate health ensures safe treatment. Modern testosterone therapy uses physiologic doses that restore normal levels rather than supraphysiologic doses that can cause problems.

North Carolina’s #1 TRT CLINIC

Since 2008, we’ve been at the forefront of TRT in North Carolina. Learn more about our life-changing testosterone therapy program for men.

Aren’t able to make it in for an appointment in person? We get it. Life happens! Schedule a telehealth visit and meet with your provider virtually.

Your unique biology determines your path to success for both weight loss and hormone balance. Start today with our short online Health Assessment that helps us understand your needs.

BIOIDENTICAL HORMONE THERAPY FOR MEN

Testosterone Replacement Therapy & Men's Hormone Optimization in North Carolina