Men's hormones
Testosterone replacement therapy in Lafayette, Indiana — diagnosed on symptoms and full laboratory testing, monitored by a physician.
The complaint is consistent: energy gone, motivation gone, strength and muscle harder to hold, libido down, sleep worse, mood flat. Men are frequently told this is simply age.
Sometimes it is. Often it is a measurable hormone deficiency that responds to treatment.
The distinction matters, and it is only made with proper testing — total and free testosterone, SHBG, LH, FSH, estradiol, prolactin, thyroid and a metabolic panel. A single total testosterone drawn in the afternoon tells you very little.
Dr. Turner has written about each of these — his own pages, restored from the practice's earlier site.
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Learn moreWhy it is done this way
A single total testosterone drawn in the afternoon tells you very little.
Total and free testosterone, SHBG, LH, FSH, estradiol and prolactin, alongside thyroid and metabolic markers, is what separates a genuine deficiency from a number near the bottom of a wide reference range.
Once treatment starts, hematocrit, PSA and estradiol are tracked on a schedule. Replacement without monitoring is not therapy.
Total and free testosterone, SHBG, LH, FSH, estradiol, prolactin — plus thyroid and metabolic markers, because they overlap.
Learn moreSometimes low testosterone is secondary to sleep apnea, obesity, or a medication. Fixing that is better than replacing the hormone.
Hematocrit, PSA and estradiol tracked on a schedule. Testosterone therapy without monitoring is not therapy.
Testosterone converts to estradiol. Left unmanaged, that produces its own set of symptoms.
Replacement suppresses sperm production. If fertility matters to you, say so at the first visit — there are other approaches.
What improves, roughly when, and what testosterone will not fix.
How it works
Functional medicine is not a different set of drugs. It is a different order of operations: measure first, then treat what the measurements actually show.
Step 1
We take a full history — symptoms, timeline, diet, sleep, stress, medications, family history. Most patients have never been asked these questions in one sitting. This is where the pattern usually shows up.
Step 2
A normal thyroid panel is often just TSH. A normal hormone panel is often nothing at all. We test the full picture — thyroid antibodies, free hormones, nutrient status, inflammatory and metabolic markers — so the treatment plan has something real underneath it.
Step 3
You get your results explained, not filed. What is out of range, what it means, what we are going to do about it, and what should change and by when.
Step 4
We re-measure. If the numbers moved and you feel better, we hold. If they did not, we change the plan. Treating on symptoms alone is how people end up on therapy they do not need.
If none of that sounds like you, call anyway — we will tell you honestly whether this is the right service.
The office is open Monday to Thursday. Send this and someone will call you back — a sentence about what is going on is enough.
One afternoon testosterone reading is not a diagnosis. Call the office and get the full panel.
