Weekly Injections
Given by a nurse in our office, once a week.
Low energy, reduced drive, or losing muscle? Avinity provides physician-supervised TRT in Scottsdale, with testing before treatment and weekly injections administered in our clinic.
$199 first month$249/month thereafter
Labs, medication and weekly injections included
Testosterone levels decline naturally after age 30, roughly 1% per year. But for many men, the decline is faster or more pronounced, producing symptoms that are easy to attribute to stress, aging, or lifestyle. Symptoms alone cannot diagnose low testosterone. Blood testing is needed to determine whether low testosterone may be contributing.
Persistent Fatigue
Not just tiredness. A bone-deep exhaustion that doesn't improve with sleep.
Low Sex Drive
Reduced interest in sex that feels out of character or has changed over time.
Difficulty Building Muscle
Workouts feel less effective. Strength gains stall despite consistent effort.
Increased Body Fat
Particularly around the abdomen, even without major changes in diet.
Brain Fog
Difficulty concentrating, slower recall, or a general sense of mental cloudiness.
Mood Changes
Irritability, low motivation, or a flattened sense of wellbeing.
These symptoms overlap with many conditions. The Avinity approach is to test first and treat based on your actual numbers, not assumptions.
Testosterone replacement therapy (TRT) is used to restore testosterone toward an appropriate clinical range in men with confirmed low levels. It is a medical treatment for a real hormone problem, much like thyroid medication for someone whose thyroid runs low. It is not a bodybuilding or performance program.
At Avinity, it starts with a blood test in our Scottsdale clinic. Our clinical team looks at your results together with how you have been feeling and your health history, and a physician oversees every plan. If TRT is right for you, your plan is built around your own numbers, and regular follow-up blood tests make sure your levels stay where they should and check for side effects.
Given by a nurse in our office, once a week.
An optional add-on, if prescribed, for men concerned about fertility.
Follow-up blood work on a regular schedule recommended by your provider.
Before anything else, we draw blood in our Scottsdale clinic to check your testosterone and related hormones, thyroid, blood count, metabolism, and prostate health (PSA).
We go through your results with you, along with your symptoms and goals, and talk through your health history, any risks, whether TRT is right for you, and whether hCG belongs in your plan.
If TRT is right for you, we build your plan around your own lab results: your dose, your weekly injections, and when you will be retested, with a physician overseeing it.
Follow-up blood work on a regular schedule recommended by your provider. Your dose is adjusted by your clinician based on how your body responds, not by an algorithm.
| Compared | Online TRT Services | Avinity Health |
|---|---|---|
| Who gives your injection | You, at home | A nurse in our office, every week |
| Consultation | Questionnaire | Visit with a named nurse practitioner |
| Lab draw | Mail-order kit, self-administered | In-clinic draw, reviewed by your clinician |
| Clinical oversight | Varies, often no named physician | Protocol overseen by Dr. Lakshmipathy, MD |
| Follow-up | App check-in or async message | Scheduled visit with labs |
| Dose adjustment | Algorithm-driven or delayed | Clinician decision based on your labs |
| TRT with hCG | Rarely offered | Available as part of your protocol |
| Pricing | Varies, medication often billed separately | $199 first month, then $249 per month, injections and monitoring included. See full TRT pricing |
| Location | Nationwide telehealth | Scottsdale, AZ |
Online TRT services fill a genuine gap in access, and for some men they work well. For a therapy that affects red blood cell count, prostate markers, and long-term hormonal balance, Avinity's view is that a clinician who knows you should be reviewing your labs and making dosing decisions.
Your visits are with Virginia Henry, a nurse practitioner with a background in nephrology and hospital-based therapies. Dr. Arun Lakshmipathy, Avinity's Medical Director and a board-certified internist, provides physician oversight of every TRT protocol. Meet the full Avinity care team.
Virginia Henry, MSN, FNP‑C, RN
Nurse Practitioner, Avinity Health
Dr. Arun Lakshmipathy, MD
Medical Director, Avinity Health
When testosterone is added from outside the body, the brain reduces the signals that tell the testicles to keep producing their own. Over time that can mean smaller testicular size, lower natural production, and reduced sperm count. For some men these effects are acceptable. For others, especially men who may want children or who simply want to keep their own production intact, they are not.
hCG (human chorionic gonadotropin) mimics one of those signals. Prescribed alongside testosterone, it may help preserve testicular function and fertility potential while you are on TRT. It is not a guarantee. It is a small injection taken on a schedule set by your clinician and monitored with labs.
Whether hCG belongs in your plan is decided at your Avinity consultation, based on your labs, goals, and health history. It is not automatic, and it is not right for everyone.
Read more: TRT with hCG, why we pair them and who it is for.
Scottsdale has no shortage of TRT options. Whichever clinic you choose, these five questions separate careful programs from convenient ones.
Will you meet a named clinician, with a physician overseeing your care?
Are labs drawn before the first prescription?
Is hCG offered if you want to preserve fertility?
Are red blood cell count and PSA checked on a set schedule?
Is the full price shared before you start?
Avinity was built to answer yes to all five.
Testosterone therapy with care that stays personal.
Start with a consultation and lab testing. If treatment is appropriate, Avinity's clinical team will create your plan and provide medication, ongoing monitoring, and weekly injections at our clinic. Avinity is direct-pay: you see the full price before you begin, and there is no insurance billing.
New Patient Offer
$199first month
Then $249 per month for months 2 to 4
Four-month initial commitment: $946 total
After month four, TRT continues at $249 per month.
Your TRT price includes:
Optional Add-On
hCG: $80per month
If prescribed. Not included in the TRT price.
For men who want to preserve natural production or fertility while on TRT. Whether hCG is appropriate is decided at your consultation.
TRT with hCG from the start: $279 for month one, then $329 per month. Four-month total: $1,266.
New patient pricing requires a four-month initial commitment. Treatment is prescribed only if clinically appropriate after consultation and lab testing. Avinity does not bill insurance. HSA/FSA eligibility depends on your plan; check with your administrator. For what is included and what drives the price, see full TRT pricing.
Testosterone replacement therapy is a physician-supervised treatment that restores testosterone to healthy physiological levels in men whose labs confirm a deficiency. It is a clinically indicated medical therapy, in the same category as thyroid hormone replacement or insulin therapy. At Avinity, every TRT patient completes initial in-clinic lab testing and a consultation with Virginia Henry, NP before any prescription is written, with physician oversight from Dr. Lakshmipathy.
The most common cause is age-related decline. Testosterone drops roughly 1% per year after age 30. Other contributors include obesity, sleep apnea, chronic stress, certain medications, pituitary disorders, testicular injury, and genetic conditions. A lab panel identifies whether low T is the cause of symptoms and helps rule out secondary causes that may need separate treatment.
The most common symptoms are persistent fatigue, reduced libido, difficulty building or maintaining muscle, increased body fat (especially abdominal), brain fog, mood changes or irritability, poor sleep, and reduced bone density. Many men attribute these symptoms to stress or aging. Symptoms alone cannot diagnose low testosterone; blood testing is needed to determine whether it may be contributing.
Avinity's initial hormone panel includes total testosterone, free testosterone, estradiol, LH (luteinizing hormone), FSH (follicle-stimulating hormone), SHBG (sex hormone binding globulin), TSH and free thyroid hormones, CBC (complete blood count), comprehensive metabolic panel, and PSA (prostate-specific antigen). Labs are drawn in our Scottsdale clinic so your clinician has a complete picture before any treatment decision is made.
Avinity administers testosterone by injection only, given weekly in our Scottsdale clinic by our clinical team. We do not offer gels, creams, or pellets. hCG, if prescribed, can be added to your injection protocol. Your dosing and schedule are set at your consultation based on your lab values and clinical response.
hCG (human chorionic gonadotropin) is a hormone that mimics the signal the body normally sends to the testicles to produce testosterone and sperm. Testosterone therapy on its own suppresses that signal. Adding hCG may help preserve testicular function and fertility potential while you are on TRT, though it is not a guarantee. It is prescribed as a small injection on a schedule set by your clinician and monitored with labs.
Many men who want to preserve fertility choose TRT with hCG for that reason. It is not a guarantee, and your clinician may recommend additional testing or a different approach depending on your labs and timeline. Raise this at your consultation before starting any protocol.
Testosterone from outside the body suppresses the natural signals that drive sperm production, which can reduce fertility significantly. Men who wish to maintain fertility should discuss this with Virginia Henry, NP before starting TRT. Adding hCG to your protocol, or in some cases using an alternative such as clomiphene, may be appropriate.
Most men notice improvements in energy and mood within 3 to 6 weeks. Libido typically improves within 4 to 6 weeks. Body composition changes, increased muscle and reduced fat, become apparent at 3 to 6 months with consistent therapy. Results vary based on baseline testosterone levels, dosing protocol, and individual physiology.
When properly prescribed and monitored, TRT has a well-documented safety profile. Potential risks include elevated hematocrit (increased red blood cell count), changes in PSA levels, worsening of sleep apnea, testicular atrophy, and reduced sperm production. These risks are the reason clinical oversight and regular lab monitoring are essential. Your clinician tracks key markers at every follow-up and adjusts your protocol accordingly, with physician oversight from Dr. Lakshmipathy.
Your visits are with Virginia Henry, NP, a nurse practitioner with a nephrology background and extensive hospital experience. Dr. Arun Lakshmipathy, MD, Avinity's Medical Director, provides physician oversight of every TRT protocol.
Online services ship testosterone based on a questionnaire and a remote review, often without a named clinician you will meet. Avinity requires in-clinic lab testing before any prescription, a consultation with Virginia Henry, NP, physician oversight of your protocol, and scheduled follow-ups with labs. hCG is available as part of your protocol. For a therapy that affects your cardiovascular health and long-term hormonal balance, that distinction is clinically meaningful.
New patients pay $199 for the first month of TRT, then $249 per month for months two through four, a total initial commitment of $946. After month four, TRT continues at $249 per month. The price includes your initial consultation, initial lab testing, testosterone medication if prescribed, weekly in-office injections, and follow-up care and lab monitoring. hCG is an optional add-on at $80 per month if prescribed. Avinity is direct-pay and shares full pricing before treatment begins.
Avinity Health is a concierge medical clinic and does not bill insurance for testosterone therapy. HSA/FSA eligibility depends on your plan; check with your plan administrator before enrolling.
Initial consultation, then a follow-up lab draw and clinician review at 6 to 8 weeks after starting therapy. Once your levels are stable and your protocol is optimized, monitoring visits are typically scheduled every 3 to 6 months. Your specific schedule is set by your clinician based on your response to treatment.
Yes. Testosterone therapy pairs naturally with Avinity's IV therapy, injectable vitamin protocols, and longevity services. Many patients combine hormone optimization with our broader health optimization offerings. Your clinician will discuss any interactions or sequencing considerations during your consultation.
Yes. Women produce testosterone naturally and low levels can cause fatigue, reduced libido, and low motivation, particularly during perimenopause and menopause. Avinity will offer low-dose testosterone therapy for women as part of our hormone optimization program. See our hormone therapy for women page for details.
Avinity Health is located in Scottsdale, Arizona, serving patients throughout the greater Phoenix metropolitan area including Paradise Valley, Tempe, Chandler, Gilbert, and the North Scottsdale communities of DC Ranch and Gainey Ranch.
Book a TRT consultation online or call 480-264-6175. Your first visit includes initial in-clinic lab testing. Once results are back, you'll meet with Virginia Henry, NP to review them and decide on a protocol.
Have a question we didn't cover, or ready to talk to our team about another service?Book a consultation and we'll help you find the right next step.
Avinity Health is at 11000 N. Scottsdale Rd, Suite 100, minutes from Gainey Ranch, Paradise Valley, Kierland, and McCormick Ranch.
Men across North Scottsdale choose Avinity for TRT that starts with blood testing, is priced transparently, and is overseen by a physician.
Whether you're searching for TRT near Gainey Ranch, Paradise Valley, Kierland, or McCormick Ranch, the process is the same: lab testing before any prescription, a clear monthly price, and weekly injections given by a nurse in our clinic.
Your first step is initial lab testing drawn in our Scottsdale clinic, followed by a consultation with Virginia Henry, NP to review your results, your symptoms, and whether TRT, hCG, or another approach is right for you.
Book a TRT Consultation