
Frequently asked questions
Answers, so youcan decide withyour eyes open.
The questions men ask us most about TRT and about our virtual clinic, including the ones that might change your mind.
Questions men ask us most
Click a question to read the answer.
What is TRT?
Testosterone replacement therapy is a prescription treatment that may be considered for men with clinically low testosterone, confirmed on blood work and assessed alongside their symptoms and medical history. It is a medical therapy, not a supplement or a performance enhancer.
Who is a good candidate?
Generally, men with consistent symptoms, low testosterone confirmed on repeat blood tests, no medical contraindications, and an assessment by a licensed Canadian prescriber. Every one of those is a judgement your provider makes, not a box you tick.
Is TRT right for everyone?
No. Certain medical conditions can make it unsafe, and some men with low results do not need treatment at all. Your provider reviews your history, current medications and test results to decide whether it is a safe and appropriate option for you.
How do I get started?
Complete the online assessment. A licensed provider reviews it, arranges a virtual appointment, and orders blood work if it is indicated. Nothing is prescribed before that sequence is finished.
Can a single blood test tell me if I need it?
No. Levels vary day to day and by time of day, so a single result does not diagnose low testosterone. Your prescriber looks at repeat results together with your symptoms, history and other markers.
What gets tested?
Typically total and free testosterone, related hormones such as LH, FSH, SHBG, estradiol and prolactin where relevant, plus blood count and metabolic markers. The exact panel depends on your age, history and symptoms.
How long until I notice anything?
It varies, and some men notice nothing. Where treatment helps, changes usually build over weeks to months rather than days. Your provider reviews progress at each follow-up and adjusts the plan if it is not doing what it should.
What are the potential side effects?
TRT is a prescription therapy with real risks. These can include changes to red blood cell count, effects on fertility, acne, fluid retention and mood changes, among others. Your provider reviews the ones relevant to you before anything is prescribed, and monitoring is how they are caught.
Will TRT affect fertility?
It can. Testosterone therapy can reduce sperm production. If fertility matters to you now or later, tell your provider before starting, because it changes what they recommend and whether adjunct therapy is considered.
Do I need ongoing blood work?
Yes, if you start treatment. Repeat labs are part of monitoring: they are how your prescriber checks the therapy is both safe and working, and adjusts it when it is not.
How is the medication delivered?
Prescriptions are dispensed by our licensed Canadian pharmacy partner and shipped to your door in discreet packaging. A pharmacist is available for counselling on how to use it.
Can I stop if I decide to?
Yes, and you should talk to your provider before you do. Stopping generally means symptoms return, and your provider can explain what to expect and whether anything needs tapering or monitoring.
Still have a question?
Our care team can answer questions about the process, the pricing and what to expect. They cannot give medical advice, and they will tell you so rather than guess.
Questions about how the assessment works.
Questions about delivery, pharmacy and coverage.
Anything clinical goes to a licensed provider instead.
Reach the team through the contact page and someone will come back to you.
Who you are dealing with
Three licensed bodies, each doing the part it is licensed to do.
Border Medical
Virtual MD and NP consults, lab testing and prescribing decisions.
Border Pharmacy
Prescription fulfilment, medication counselling and home delivery.
LivBTR
Lifestyle coaching, nutrition and training, and ongoing support.
Ready to find out where you actually stand?
Start the confidential assessment. A licensed Canadian provider reviews it, and you get a clear answer either way.