Houston-based support · Texas video visits
Testosterone replacement therapy: start with an evaluation
1836 Wellness offers Texas telehealth consultations for men seeking evaluation for low testosterone and discussion of testosterone replacement therapy (TRT). Your clinician reviews your concerns, medical history and appropriate testing before recommending next steps.
Treatment decisions follow a clinical evaluation. Prescription medication is offered only when clinically appropriate and is not guaranteed.
Symptoms, testing and your overall health
Symptoms alone do not establish testosterone deficiency, and a single low result does not automatically mean treatment is appropriate. Your clinician considers your symptoms, appropriately timed blood tests, health history and possible underlying causes. Additional testing may be needed to clarify the diagnosis. Bring an accurate list of medicines and supplements, and discuss sleep, other health concerns and your fertility plans.
Benefits, risks and alternatives deserve a conversation
TRT is not an athletic-performance or anti-aging service. If treatment is appropriate, your clinician explains the formulation, expected benefits, alternatives, potential risks and monitoring. Possible concerns include increased red blood cell counts, acne, testicular shrinkage and reduced sperm production. This is not a complete safety list, and some health conditions can make testosterone unsuitable.
Testosterone can suppress the signals that support sperm production. If preserving fertility is important, discuss that before treatment and ask about appropriate alternatives or specialist care. Do not assume fertility is preserved while using TRT. Follow-up includes symptoms, tolerability and safety monitoring, with the timing of repeat testing set by your clinician.
Endocrine Society: hypogonadism in men. This educational resource is not an endorsement of 1836 Wellness.
Your next steps, one at a time
- 1
Before booking: ask the care team about the diagnostic price, included services and blood-draw arrangements. Home collection requires ZIP-code verification against Getlabs service areas.
- 2
Reserve your diagnostic and complete the requested intake. Share a complete and accurate health history, current medicines and questions for the clinician.
- 3
Complete the initial laboratory testing arranged for your evaluation. Confirm any preparation instructions with the team. An office blood draw must be arranged before travel.
- 4
Meet with Stacy Pleasant, FNP-C, by video to discuss your concerns, results and next steps. This is a clinical evaluation, not an automatic prescription.
- 5
If a care plan is recommended, review benefits, risks, alternatives, costs and follow-up before deciding. Ask your clinician how to raise treatment questions between visits.
Before paying, review the current diagnostic price and terms and confirm whether treatment, medication or later testing would cost extra. A reservation is not a prescription.
Local collection planning, online clinical care
Clinical appointments with Stacy are by video, not in person at the Houston office. Home blood draws depend on your ZIP code being within Getlabs service areas. Confirm availability before booking; office collection must be arranged before travel.
Find local planning information for Houston, Dallas–Fort Worth, Austin and San Antonio. Collection availability is not guaranteed citywide.
Questions about booking, collection or costs? Contact our care team. Bring medical and medication questions to your clinician. This service is not emergency care; call 911 for a medical emergency.
Frequently asked questions
Does a low testosterone result mean I will receive TRT?
No. Your clinician evaluates the clinical picture and whether additional or repeat testing is needed. Payment and test results alone do not establish eligibility for a prescription.
Can TRT affect fertility?
Yes. Testosterone treatment can reduce sperm production. Tell your clinician if you want children now or in the future, and discuss alternatives before starting treatment.
Which treatment format will I receive?
The clinician discusses appropriate options after evaluation. This page does not promise a particular formulation, product or prescription.
Can I receive care outside Houston?
Eligible patients in Texas can have video clinical appointments with Stacy Pleasant, FNP-C. Patients in Houston, Dallas–Fort Worth, Austin and San Antonio should confirm local blood-draw options before booking. Home collection depends on ZIP-code coverage in Getlabs service areas. An arranged office blood draw is a collection appointment, not an in-person clinical visit with Stacy.
What does the diagnostic reservation include?
Review the current diagnostic price and terms on the reservation page. Before paying, ask our team to confirm what testing and visits are included and whether treatment, medication or later testing would cost extra. A reservation does not guarantee medication.
Educational service information, not a diagnosis or individualized medical advice. Treatment decisions follow a clinical evaluation. Prescription medication is offered only when clinically appropriate and is not guaranteed.