Frequently Asked Questions

TRT is treatment to bring testosterone back toward a healthy range when your body is no longer producing enough. Treatment is prescribed from your lab results and symptoms — not from a template — and is monitored with follow-up lab work. Delivery options include injections and topical preparations, discussed at your visit.

Common signs of low T include persistent fatigue, low sex drive, trouble building or keeping muscle, weight gain around the midsection, irritability or low mood, poor sleep, and slower recovery from workouts. Symptoms alone aren't a diagnosis — lab work confirms it. We test total and free testosterone along with related markers, because a single total-T number doesn't tell the whole story.

TRT is an established, FDA-approved treatment for men with clinically low testosterone, prescribed after proper lab work and monitored throughout treatment. Like any prescription medication it carries real risks as well as benefits, and it is not appropriate for everyone — your provider will review your health history, discuss the risks and benefits specific to you, and monitor your labs throughout treatment.

Yes. Texas law allows a nurse practitioner to prescribe testosterone under a prescriptive authority agreement with a delegating physician that specifically covers Schedule III controlled substances — testosterone is a Schedule III medication. That is the structure this practice operates under. Texas also limits every testosterone prescription and refill to a maximum 90-day supply, which is one reason ongoing TRT includes regular follow-up visits rather than a year of refills up front.

Under the federal telemedicine rules currently in effect, an initial in-person exam is not required — testosterone can be prescribed after a real-time video evaluation. Testosterone is a controlled substance, and the federal rules in this area are updated periodically; we follow whatever requirements are in effect at the time of your visit and will tell you if anything changes. You will need lab work before any prescription is written — that's a blood draw at a lab location near you, which we coordinate — but the visits themselves are fully virtual. You must be physically located in Texas at the time of your appointment.

Most labs and the American Urological Association use a total testosterone below 300 ng/dL as the cutoff for low testosterone, measured on a morning blood draw. But a single total-T number doesn't tell the whole story: free testosterone, SHBG, LH, and estradiol — along with your symptoms — determine what that number actually means for you. Two men at the same level can feel completely different, which is why we run a comprehensive panel rather than treating one number.

Injections are the most common and most adjustable option — typically self-administered at home once or twice a week. Topical creams and gels are a daily, needle-free alternative. Pellets are implanted under the skin in a brief in-office procedure two to four times a year — which means pellet therapy can't be done through telehealth. We prescribe injections and topical preparations, and we'll help you choose the route that fits your labs, lifestyle, and preferences at your visit.

It depends on the peptide. The FDA is currently reconsidering which peptides compounding pharmacies may legally prepare, and the list is in flux — availability depends on what your pharmacy can compound at the time of your visit. At your consultation we'll review which therapeutic peptides are currently available and appropriate for your goals, and we only recommend options that can be legally and safely dispensed.

It can. Testosterone therapy suppresses the signals that drive sperm production, so if having children is in your plans, tell your provider — that changes the treatment approach. This is exactly the kind of thing a one-size-fits-all clinic misses and an individualized evaluation catches.

No. You do not need labs before your first visit. We'll go through your symptoms and health history during the consultation and order the right panel from there. If you have recent lab results from another provider, bring them and we'll review them together.

All appointments are conducted via secure video telehealth. You'll receive a link before your appointment. You can join from any private location in Texas using a computer, tablet, or phone with a camera and microphone. Lab draws happen at a location near you — we coordinate that.

Holly Mansur, FNP-C holds active nurse practitioner licenses in Texas and Arizona and sees patients in both states by telehealth. This site, testosteronetx.com, serves men in Texas. She also practices as MenopauseTX (menopausetx.com) for women in Texas, and HRT & Peptide Care (hrtandpeptide.com) for men and women in Arizona. You must be physically located in the State of Texas at the time of your appointment.

Holly is licensed in Texas and Arizona, so she can treat patients in either state by telehealth — but each practice has its own site and booking calendar. This site is for men in Texas. Texas patients (women) are seen through MenopauseTX at menopausetx.com, and Arizona patients (men and women) are seen through HRT & Peptide Care at hrtandpeptide.com. She is not currently licensed outside Texas and Arizona.

Initial testosterone consultations are $129 for up to a full hour. Follow-up visits are $100 for 30 minutes. Weight loss consultations are $99 for 30 minutes. Peptide consultations are $99 for 30 minutes. No hidden fees, no membership required.

We are a cash-pay practice and do not bill insurance directly. This allows us to spend more time with each patient and avoid the limitations insurance companies place on treatment options. Visits are typically HSA/FSA-eligible, and we can provide a superbill for you to submit to your insurance for potential reimbursement.

It varies by person and by symptom. Some men notice changes in energy and mood within a few weeks; body composition changes generally take longer. Your provider monitors your labs and adjusts your protocol as treatment progresses. Individual results vary.

Yes. We prescribe GLP-1 receptor agonists including tirzepatide and semaglutide for qualifying patients. Your provider will evaluate whether these medications are appropriate during your weight loss consultation.

We treat symptoms of low testosterone and hormonal decline in men, including fatigue, low libido, brain fog, mood changes, poor recovery, sleep disruption, muscle loss, and weight gain. We also offer GLP-1 medical weight loss and therapeutic peptides.

Have a list of your current medications and supplements ready. Note your symptoms and when they started. If you have recent lab results from another provider, have them accessible. Find a private, quiet space with a good internet connection for your video visit.