I recently was diagnosed with early-onset osteoporosis as a side-effect of a pharmaceutical drug I have taken for decades, and began a standard-issue therapy to offset it. I was also pretty sure my testosterone levels had taken the bus and asked my primary-care physician if concurrent testosterone replacement therapy might not be a good idea as well to help build lean mass and bone mass. I got maybe a couple seconds of dismissive mumbling about risks before he pretended to be engrossed in something on his computer screen. So, since the mainstream medical profession has apparently accepted decrepitude as a consequence of aging or prescription side-effects, and patient advocacy has become a do-it-yourself affair, I went looking for a suitable testosterone replacement therapy(TRT) clinic. Man, is that a minefield. I had to educate myself about the various kinds of testosterone delivery systems and dodge the semi-ethical faddish come-ons about«Bio-Identical Hormone Replacement.» What I found out is 1) self-injection, once weekly, is the way I wanted to go, delivery-wise, and 2) traditional Testosterone Cypionate is formulated with an ester group(a carbon atom double-bonded to an oxygen atom: C=O) added to the testosterone molecule so that one’s body will absorb it at a gradual rate. The body breaks off the ester group, leaving a testosterone molecule to be absorbed and used that is – TADA! – bio-identical. After diligent searching, I found the Testosterone Medical Center in Richardson. It is part of the larger Accuhealth clinic that deals with pain medicine, physical therapy, rehabilitation, and weight loss, in contrast to a number of testosterone replacement clinics that are affiliated with spas and botox injection, etc. They tested me and found my testosterone levels were in the mid-200s – a decent level for a man of, say, 100 – and began replacement therapy. The atmosphere here is strictly clinical and the staff is composed of medical professionals, with a cost of about $ 100/month(can vary, depending on how fast one uses up the vial of testosterone) that includes all testing, medical monitoring, injection/needle disposal equipment, and testosterone supply. Two doctors and a chiropractor supervised my first self-injection(painless, and I had already pretty much learned the technique from Youtube), gave me my setup, booked my 10-week followup appointment, and bid me adieu. I recommend them.