Condition
Low Testosterone
Low T can look like aging, depression, or a willpower problem. It is none of those until we measure. We evaluate total and free testosterone in context: sleep, iron, prolactin, estradiol, thyroid, and body composition.
How CIHW approaches low testosterone
Low Testosterone in this institute
If TRT is appropriate, it is prescribed and monitored. If what is holding you back is sleep apnea, alcohol, or metabolic disease, we say so - so the plan matches the real problem.
First visit for low testosterone
- 01Symptoms and training week first - energy, drive, sleep, and whether a kit already printed a number.
- 02Labs we run here: total and free T, SHBG, estradiol, hematocrit, prolactin, thyroid, and iron when the story needs it.
- 03A yes or no on TRT, or a plan for sleep, alcohol, and body composition if those are the real leak.
What low T actually looks like in men 35-65
The Endocrine Society’s adult-male guideline still treats low testosterone as a lab plus a symptom cluster, not a screenshot from a mailer kit. Men driving from Elgin and Barrington often arrive with one total-T number and a year of fatigue, stalled lifting, and a mood they do not recognize.
We measure in the morning, repeat when the first draw is borderline, and we do not start TRT because a podcast said to. Sleep apnea, iron, prolactin, and estradiol change the next step. That is the workup, not a refill portal.
TRT in the same building as the rest of the plan
If we prescribe, Eve Brar, ANP-BC monitors hematocrit, estradiol, symptoms, and training load. Dr. Mitchell still owns the sports-medicine side so the protocol does not sit next to a frozen hip or a GLP-1 with no protein target.
West Dundee is 12-18 minutes from Elgin. We would rather you drive that than run an unmonitored protocol from a kit company.
Questions people actually ask
Questions about Low Testosterone
Still deciding? Start Here or call (224) 535-8707.
- 01
Can I start TRT from a kit number alone?
No. A kit is a starting note. We still need a full workup before prescribing.
- 02
Do you treat men who already feel “fine”?
If labs and symptoms do not match, we say so. Optimization is not a second prescription for a normal morning draw.
Ready to begin?
Not sure where to start? Call the office.
If something is keeping you from feeling your best, this is a clear place to begin.
West Dundee clinic for hormones, metabolism, movement, recovery, and performance.
Visit us
999 W. Main St. Suite 100
West Dundee, IL 60118