Treatment that doesn't go off the rails.
We built our own program around ADAM testing at every visit, structured symptom ranking, and close follow-up — so dosing decisions are based on data, not guesswork, and treatment stays on track over the long run.
Why testosterone therapy needs real oversight
Testosterone treatment that isn't monitored closely tends to drift — doses creep up, symptoms plateau, and nobody notices until levels are out of range or side effects show up. We built our own comprehensive program specifically to prevent that: ADAM testing at every single visit, structured symptom ranking that tracks change over time, and close follow-up that catches problems before they become problems.
How our testosterone program actually works
ADAM Testing, Every Visit
The Androgen Deficiency in Aging Males questionnaire isn't a one-time intake form here — we run it at every follow-up, so we can see whether your symptoms are genuinely improving, not just assume they are.
Structured Symptom Ranking
Energy, mood, libido, sleep, and physical symptoms are scored and tracked visit over visit, giving us objective data to guide dosing instead of relying on memory or a general "how do you feel" check-in.
Close Follow-Up on Dosing
Labs and symptom scores are reviewed together at each visit, so adjustments are made deliberately and early — keeping levels in a safe, effective range instead of drifting unmonitored.
Prostate & Cardiovascular Screening
PSA testing, blood pressure, and cardiovascular risk assessment are built into the same visits, since testosterone therapy should never be managed in isolation from the rest of your health.
Sexual Health
Erectile dysfunction, low libido, and related concerns are addressed directly and without the awkwardness — often connected to the same hormonal picture we're already tracking.
Whole-Person Preventive Care
Diabetes and metabolic screening, cholesterol management, and cancer screening (colorectal, skin) round out a program built for long-term health, not just a single symptom.
Comprehensive, not just reactive
Testosterone care here isn't only about fixing what's broken. It's about catching problems early and maintaining the energy and strength that actually matter to you, whether you're 35 or 65. We know men tend to put off doctor visits — busy schedules, reluctance to bring things up, not knowing what to expect. Same-day appointments and a provider who takes real time with you are built to remove those excuses.
Dr. Boguslavsky's dual board certification in Family Medicine and Medical Acupuncture means your care plan can combine conventional treatment with integrative approaches — nutrition, lifestyle changes, and acupuncture for stress or chronic pain — addressing root causes rather than managing symptoms in isolation.
Stop guessing about your own health.
Most new patients are seen within a week, in person or via telemedicine.
What we monitor while you're on treatment
Testosterone therapy isn't a prescription you renew and forget. These are the things that get checked on a schedule, because each of them is a real, documented way treatment goes wrong when nobody's watching.
Testosterone Levels
Total and free testosterone, drawn at a consistent time of day since levels swing considerably from morning to afternoon. A diagnosis is never made on a single number taken at a random hour.
Blood Count
Testosterone can thicken the blood by raising red cell production. A rising hematocrit is the most common reason a dose gets reduced — and it's silent until it's checked.
Prostate Markers
PSA checked before starting and monitored on treatment. Testosterone doesn't cause prostate cancer, but it can accelerate one that's already there, so prostate screening runs alongside therapy rather than after it.
Cardiometabolic Markers
Blood pressure, lipids, and blood sugar, since low testosterone travels with metabolic problems often enough that treating one without checking the others misses the real picture.
Two conversations happen before anyone starts: fertility — testosterone therapy suppresses your body's own production and can substantially reduce sperm count, which matters enormously if you may want children, and there are alternatives that don't do this — and what low T isn't. Fatigue, low mood, and low libido are also caused by thyroid disease, sleep apnea, anemia, depression, and poorly controlled diabetes. We rule those out first, because treating the wrong thing wastes a year of your life.
Care that goes with it
Men's Health Overview
The wider lifelong-care picture testosterone therapy fits inside — screening, sexual health, and chronic disease at every stage.
Learn morePreventive Screening
The wider age-based screening plan — cardiovascular, metabolic, and cancer — that testosterone care should sit inside, not replace.
Learn moreProstate Health
PSA testing, what an elevated result actually means, and when a urology referral is genuinely warranted.
Learn moreWeight Management
Body fat converts testosterone to estrogen, so weight is part of the hormonal picture — frequently a faster lever than a dose increase.
Learn moreTestosterone therapy questions
What is ADAM testing, and why do you use it at every visit?
ADAM (Androgen Deficiency in Aging Males) is a structured symptom questionnaire that screens for signs of low testosterone — low energy, mood changes, reduced libido, and more. We run it at every visit, not just at intake, so we can see whether your symptoms are actually improving over time instead of guessing.
How do you keep testosterone therapy from "going off the rails"?
Through structured symptom ranking and close follow-up. Every visit, we re-score your symptoms with ADAM testing and check your labs, so dosing gets adjusted based on real data rather than how you happened to feel that one day. That's how we catch levels drifting too high or a dose stalling out before it becomes a bigger problem.
Do you treat low testosterone even if I haven't been diagnosed yet?
Yes. If ADAM testing and your symptom history suggest low testosterone is contributing to low energy, mood changes, or other concerns, we'll run labs and discuss treatment options as part of a standard visit — no separate referral needed.
Is testosterone therapy covered by insurance?
Most insurance plans are accepted, and Medicare patients are welcome. Testosterone testing and treatment are typically covered when medically indicated; we'll help verify your specific coverage before your visit.
Will testosterone therapy affect my fertility?
Yes, and this is the conversation to have before you start rather than after. Taking testosterone signals your body to stop making its own, which suppresses sperm production — sometimes substantially, and it doesn't always fully recover after stopping. If you may want children, tell us. There are approaches that raise your own testosterone rather than replacing it, and they preserve fertility in a way standard therapy doesn't. Nobody should find this out a year into treatment.
What if my symptoms aren't actually low testosterone?
That's a real possibility we check for rather than assume away. Fatigue, low mood, weight gain, and low libido are also the classic picture of thyroid disease, untreated sleep apnea, anemia, depression, and poorly controlled diabetes — and men get put on testosterone for all of them every day. We run the full workup first. If low T isn't the answer, we'd rather find the thing that is than sell you a treatment that won't help.
Contact MyPremierMD Today
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