FAQ


1. XSculpt TRT uses BioTe testosterone pellets for hormone optimization. Why?

*Testosterone replacement therapy can be expensive, require daily consumption, and, in many cases, need to be carefully timed with their partner’s needs for normal sexual activities and pleasure. Bio-identical hormone pellet therapy is the only method of testosterone therapy that gives sustained and consistent testosterone levels throughout the day for four to six months without any “roller coaster” blood levels of testosterone seen with other therapies, which can result in mood and energy fluctuations for the patient. The pellets are pure hormone that is not metabolized into byproducts by going through the liver, stomach or skin. This delivery system allows your body to use the right amount of hormone from the pellet as the blood flow surrounding the pellets picks up what is needed. There is no need for daily patches or creams which can cause skin irritation, rashes, itching, and most importantly, dangers to family and friends due to inadvertent exposure during physical contact. There is also no need for frequent, painful, inconvenient testosterone injections which classically cause a fluctuation in T levels. There are oral tablets that fit in between your gums and upper lip, but these can be difficult to keep in place, bitter tasting, can cause irritation to the gums, and an incidence of an increase in liver cancer has been reported. Because the pellets are pure hormone without fillers or synthetic ingredients, they completely dissolve.  Testosterone pellets by the BioTe company (https://www.biotemedical.com/) are the highest quality pellets on the market, ensuring a consistent delivery of testosterone.

*At X-Sculpt the pellets are inserted by a surgeon or health care practicioner who is directly trained and/or supervised by a surgeon.  Surgeons are experts at incisions, implantations, and suturing thereby minimizing the uncommon complications of pellet extrusion, bleeding, bruising, and superficial incision infections.

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2. Once I start TRT, how long will it take before I can see positive changes in my physique?

*Although testosterone decreases body fat, increases lean muscle mass, and improves your energy levels, stamina, and ability to focus, an important part of the equation is your diet and resistance training program. Your results will definitely occur more rapidly as well as enhanced if your testosterone levels are optimized compared to not when your diet and exercise are on point.   Results can be seen as early as 2 weeks with the proper nutrition and training regimen.


3. How long before I start to “look great, feel great”?

*The speed in which your body optimizes your T levels varies from person to person depending on several variables such as age, amount of body fat, and level of activity. In general, most people notice a difference between 2 to 4 weeks, most notably first in the levels of libido, quality of erections in men, and energy levels.   Peak testosterone levels usually occur at 4 to 6 weeks which is when the majority of the effects are appreciated.  Other benefits such as lowering of cholesterol, decreasing blood sugar levels, and bone strength takes a longer time as the body adjusts which can take up to one year on consistent therapy.


4. Does testosterone replacement therapy cause prostate cancer?

*There has been no evidence to date that TRT causes prostate cancer. It is mainly the derivatives of testosterone that cause prostate enlargement and contribute to prostate cancer. However, any man who has active prostate cancer are not candidates for TRT. Men with a history of treated prostate cancer are strongly advised against TRT as a possibility for recurrence cancer is always a concern. Your safety is always the priority at X-Sculpt and in this circumstance the risks for exacerbating prostate cancer outweighs the benefits for TRT.


5. What if I have prostate enlargement but not cancer?

*Testosterone pellets may make it better, however you would have to be monitored closely to see if you convert your testosterone to it’s metabolites (DHT and estrone). If your tests show that you are converting, then we would start a supplemental medication (an “aromatase inhibitor”) to prevent it’s conversion. If after regular examinations you are not improving or even worsening, then TRT therapy would have to be decreased or stopped.


6. Who are not candidates for testosterone replacement therapy?

  • People with moderate to severe sleep apnea as TRT can worsen the condition.
  • Couples who are trying to have children: Men may experience a decrease in sperm count causing infertility, and therefore will not be able to conceive children. Women may pass testosterone to the baby during pregnancy, leading to a condition known as “masculinization” where the baby will be born with advanced development in male features (which can occur in girls as well).  Testosterone can still be optimized in men who wish to continue to have children through oral medications, although not as effective as pellet therapy.
  • People with active prostate and breast cancer as TRT can accelerate its progression.

7. Can men use TRT as a form of birth control?

Although TRT can cause infertility in men, is not currently recommend for it’s use in birth control however studies for using TRT as a type of contraception is currently being done as 90 percent of men on TRT can have a sperm count close to or at zero.


8. What are the side and adverse effects of TRT?

  • Please note that all current research regarding testosterone replacement therapy side and adverse effects are based on analyzing non-bio-identical hormones which have been shown to have more side/adverse effects compared to bio-identical which has been shown to be safer.  However, as research focusing on bio-identical hormones continue to develop, the medical community has generalized all hormone replacement under one category.
  • Blood clots can possibly develop (particularly in the veins of the legs) due to the increase in red blood cell production. However, one study done by the British Journal of Medicine showed that a blood clot develops in about 16 people out of 10,000. The most common time being in within the first 6 months of starting TRT. After 6 months, the the risk decreases dramatically. A similar study done in Chest (a U.S. medical journal) found that there was no association between blood clot formation and TRT. Regardless, blood clot formation is one reason why regular blood testing is important to ensure that your levels aren't too high. If a blood clot forms, then TRT has to be stopped and treatment for the blood clot has to be started. One recommendation by the medical journals to reduce the development in blood clots is to donate blood, particularly within the first 6 months after starting treatment. X-Sculpt can help make arrangements for blood donation should you choose this option.
  • As mentioned previously, TRT can cause acceleration of benign prostatic hyperplasia, an age related enlargement of the prostate. Routine check-ups will be essential to monitor, treat BPH, or modify/discontinue TRT therapy.
  • Breast development (gynecomastia) can occur in men when the testosterone levels are too high as the excess testosterone will be converted to estrogen. This can be treated by either decreasing the levels of testosterone or with the use of an estrogen blocking medication.
  • In women, unwanted hair growth can occur although less with natural testosterone pellets versus synthetic hormones. Facial hair appearance will be similar to the amount that was present at the age of 30-40 years old. Decreasing the amount of testosterone can help minimize this if it occurs.
  • Acne can develop after starting TRT therapy, more notably in those who have a history of acne in the past. Use of anti-acne medication or decreasing testosterone levels can help minimize this problem.
  • Testicular shrinkage of varying degrees can occur because the testicles are no longer producing their own testosterone and because they do not have to work as much, they undergo a decrease in size and volume (“testicular atr

10. What is the cost for TRT?

After the initial consultation, the cost for testosterone replacement therapy can vary from individual to individual. The amount and frequency a person may require can differ due to the initial testosterone levels, gender, and his or her physical characteristics.

X-Sculpt has several discount programs going on throughout the year! Keep an eye out in your inbox for the most recent promotions!


11. Does my health insurance current cover the cost of TRT?

At this time, X-Sculpt does not take insurance plans and does not communicate directly to insurance companies. However, we can provide you guidance and documentation you may need to obtain reimbursement from your health care insurance provider.

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*Disclaimer

Results will vary from person to person. For a better idea of what you can achieve, please come into the office for a consultation.