Chronic Fatigue? Low Testosterone Could Be the Culprit

Reclaim steady energy and focus with physician‑guided TRT—transparent pricing, at‑cost meds, and zero long‑term contracts.
For: Ages 18+ (Under 18 with parental consent)
Estimated wait time: 25 minutes or less
TRT Overview
Man finishing virtual testosterone replacement therapy

HOW LOWT CAUSES FATIGUE

Testosterone supports cellular energy production by enhancing mitochondrial function and red‑blood‑cell formation.

When levels dip below 350 ng/dL, oxygen delivery falls, dopamine drops, and cortisol rises—leaving you wiped out even after 8 hours of sleep.

Less Mitochondrial Output: Fewer ATP molecules → afternoon crashes.
Lower Hemoglobin: Reduced oxygen transport → brain fog.
Higher Cortisol: Catabolic stress hormone saps motivation.

EXPECTED ENERGY GAINS

With HLTHi’s tailored TRT program, you’ll start to feel the difference in your energy almost immediately.

In the first 2–3 weeks, midday crashes become shorter and you’ll lean on caffeine less often.

By weeks 4–6, mornings get easier—waking up feels natural, and your focus carries you well past 3 pm.

And by weeks 8–12, you’ll enjoy sustained, all‑day vitality that powers both your workday and evening workouts.

Week 2–4

Mid‑day crashes shorten; less need for caffeine

Week 4–6

Morning wake‑ups easier; focus extends past 3 pm

Week 8–12

Sustained all‑day energy; resume evening workouts

SIGNS IT’S LOW‑T (NOT JUST STRESS)

These key markers help you and your clinician distinguish true hormonal deficiency from other factors. Fewer than three spontaneous morning erections per week is a strong sign of androgen deficiency, while a combination of reduced libido and increasing belly‑fat often points to low testosterone compounded by insulin resistance.

If your intimate relationships remain healthy but your interest wanes, psychological causes may be at play. Finally, definitive lab values—total T under 350 ng/dL or free T below 9 ng/dL—provide the objective confirmation needed to guide an effective treatment plan.

Morning erections <3 per week

Androgen deficiency

Libido drop + belly‑fat gain

Normal relationship but disinterest

Hormonal vs. psychological

TotalT < 350 ng/dL or FreeT< 9 ng/dL

Lab confirmation

TRT TREATMENT OPTIONS

HLTHi offers a range of testosterone replacement therapies to fit every lifestyle and treatment goal, all at our transparent, wholesale cost. Whether you prefer the precision of weekly injections or the convenience of a daily topical gel, we’ve got you covered.

For men focused on fertility, oral therapies like enclomiphene or clomiphene help boost your body’s own testosterone production, while hCG injections preserve testicular function. And when estrogen control is needed, low‑dose aromatase inhibitors can be added to fine‑tune your hormone balance.

Whatever your priorities—ease of use, dosing accuracy, or fertility support—HLTHi delivers medical‑grade treatments delivered right to your door.

*Prices fluctuate with pharmacy supply; we always pass through wholesale cost.

Dose: 100–200 mg IM/SC weekly
Best For: Most patients; precise dosing
Our Cost: $65 per 10‑week vial
Topical Gel(AndroGel®, Testim®)
Dose: 50–100 mg daily
Best For: Needle‑averse
Our Cost: Copay / ~$90 cash
Enclomiphene / Clomiphene
Dose: 12.5–25 mg daily (oral)
Best For: Secondary hypogonadism, fertility preservation
Our Cost: $85–$110 per 30 tabs
hCG (chorionic gonadotropin)
Dose: 500–1000 IU 2×/week
Best For: Testicular atrophy prevention, fertility
Our Cost: $70/month
Aromatase Inhibitors (as needed)
Dose: 0.25–0.5 mg weekly
Best For: High E2 symptoms
Our Cost: $15–$25 / 30 tabs

HOW HLTHi TREATS LOW‑T LIBIDO ISSUES

From your first click to ongoing follow‑ups, the entire process is handled through our HIPAA‑secure platform. No waiting rooms, no unnecessary appointments just evidence‑based care delivered to your schedule.

Step 1.
15‑Min Video Consult: Discuss libido timeline, sleep, meds and relationship context.
Step 2.
Comprehensive Labs: Total/Free T, SHBG, estradiol, prolactin, thyroid panel.
Step 3.
Labs: Total & Free T, SHBG, CBC, PSA;

Already have labs?
Securely upload them during the visit.

Need new labs? We e‑order a panel through Quest Diagnostics; average turnaround is 24‑48 hours.
Step 4.
Personalized TRT Plan: Choose weekly injections, daily gel, enclomiphene based on lifestyle.
Step 5.
90‑Day Follow‑Up: Goal range 600–900 ng/dL; libido often rebounds in 4–6 wks.
Adjuncts If Needed: PDE5 inhibitors or counseling referral for multifactor cases.

PRICING PREVIEW

HLTHi makes getting started simple and budget‑friendly: for just $49/month you unlock the platform, a $0 video visit connects you with a provider, and you pick the therapy that suits you—either a 10‑week vial of testosterone cypionate ($65) or a 30‑day supply of enclomiphene ($95)—plus essential labs at Quest’s cash rate ($65–$95).

All told, your first‑month outlay lands between $190 and $260, with no hidden fees and everything transparently priced up front.

Membership / Platform

Our Cost: $49/ mo

Competitors: $99–$150 mo

Provider Visit (every3 mo)

Our Cost: $0
Competitors: $150 - $250 every 4 weeks

Testosterone Cypionate (10 wk)

Our Cost: ~$90

Competitors: $150-$200

OR Enclomiphene (30 days)

Our Cost: ~$95

Competitors: $150-$200

Supplies (needles, wipes)

Our Cost: ~$60

Competitors: $120+

3-Month Total

Our Cost: $190 - $260

Competitors: $700+

Common questions you may have about fatigue

How fast will my energy improve after starting TRT?

Many patients report feeling “less fog” and needing one fewer coffee by week 3 as mitochondrial ATP production ramps up.

Objective gains—like shaving 30 seconds off a 1‑mile walk test—appear by week 6–8 once hemoglobin rises. If fatigue persists past 10 weeks, we re‑check ferritin, sleep‑study data, and thyroid to rule out secondary fatigue drivers.

Can I treat fatigue with enclomiphene instead of injections?

Yes—enclomiphene boosts endogenous testosterone without injections. Energy gains are similar, but it may take an extra week or two (serum‑T climbs more gradually).

Is constant yawning a sign of lowT?

It can be—especially if belly fat & low libido accompany it.

Do I have to quit caffeine?

No, but most patients naturally cut intake in half after T normalizes.

Will TRT fix brain fog?

Yes in ~70 % of cases; cortisol & sleep quality also matter.

Will insurance cover labs?

Often yes; cash rate is $65–$95 if uninsured.

Are compounding pharmacies safe?

We use FDA‑registered 503B facilities with third‑party potency testing.