Testosterone care that takes your symptoms seriously.
Most TRT clinics start with a prescription. We start with why your levels dropped in the first place — and build a plan around that, whether the answer is hormones, lifestyle, or both.
Symptoms
We Address
- Persistent fatigue and low energy
- Reduced libido and erectile function
- Loss of muscle mass and strength
- Increased body fat — especially abdominal
- Brain fog and difficulty concentrating
- Mood changes — irritability, low motivation
- Poor sleep and waking unrested
- Reduced bone density
- "Normal" labs that don't match how you feel
Why your symptoms got dismissed.
For most men we see, the pattern is the same: things felt off, but the annual physical came back "normal." Total T was in range, so the conversation ended there. The fix was a bottle of antidepressants, a generic "lose some weight," or — increasingly — a telehealth prescription with no real labs behind it.
A responsible TRT clinic is not the same as an online testosterone replacement therapy subscription. The subscription model ships you the medication. The clinic model decides whether you should be on it, at what dose, monitors what happens once you are, and stops when it's no longer the right answer.
- ✓Reference ranges are statistical, not optimal — and they have been moving down for decades.
- ✓Standard panels usually skip free testosterone, SHBG, LH, FSH, and estradiol — the markers that actually matter.
- ✓"In-range" labs in a symptomatic man are a signal to look harder, not a reason to stop.
- ✓Sleep, body composition, ApoB, and metabolic health all interact with testosterone — they should be in the same conversation.
Pricing — for everyone.
Testosterone therapy at Mt. Baker Medical is available to anyone — no membership required. Members save through better pricing on hormones, included primary care, and integrated longevity testing.
| Retail | Member | |
|---|---|---|
| Topical creamDaily application · most patients start here · Dr. Scribner's preferred route | $299 / mo | $239 / mo |
| Weekly injectionFirst dose in-office · self-administered at home thereafter | $249 / mo | $199 / mo |
| PelletsInserted in-office every 3–4 months · once protocol is dialed in | $1,495 / insertion | $1,345 / insertion |
How we approach it.
Same protocol every patient gets. Same physician every visit. No protocol-by-text, no rotating provider, no template prescription.
Full panel.
Total and free testosterone, SHBG, estradiol, LH, FSH, PSA, CBC, lipids with ApoB, full metabolic. Not just total T.
60-minute review.
We talk through symptoms, goals, family history, sleep, training, and what the panel actually says — before any prescription.
Protocol that fits you.
Topical cream (often preferred), weekly injection, or pellets once dialed in. Adjuncts as indicated: HCG, clomiphene, anastrozole.
Follow up, adjust, repeat.
First follow-up labs at 6–8 weeks, then quarterly. Hematocrit, estradiol, symptom response drive dose changes — not guesses.
What we offer.
Three primary routes, plus adjuncts when the clinical picture calls for them. All hormones compounded through Empower Pharmacy.
Topical cream.
Daily application, applied at home. Most men start here because the pharmacokinetics are smoother than weekly injections — fewer peaks and troughs, more even mood and energy through the week.
Weekly injection.
Testosterone cypionate, subcutaneous or intramuscular, once a week. First dose performed in-office; from there you self-administer at home. The standard-of-care option for men who prefer fewer touches per week.
Pellets.
Subcutaneous testosterone pellets inserted in-office, providing 3–4 months of steady release per insertion. Offered to men who have stabilized on cream or injection and want the longer-cadence convenience.
Adjuncts when indicated.
What the evidence actually says.
TRT got dragged through the same bad-headline cycle that HRT did. A 2014 observational study suggested cardiovascular harm; later analyses largely refuted it. The TRAVERSE trial, published in 2023, randomized 5,200+ men with low testosterone and cardiovascular risk factors and found no significant increase in major adverse cardiac events on testosterone therapy.
That doesn't mean TRT is right for every man — it isn't. It does mean the conversation should be a real risk-benefit discussion grounded in current evidence, not a reflexive no based on a 2014 headline.
The TRAVERSE trial settled the cardiovascular question that had hung over testosterone therapy for a decade. For men with genuine hypogonadism, properly monitored, the modern evidence base is more favorable than the public narrative suggests.Dr. James Scribner · Founding Physician, Mt. Baker Medical
Common questions.
The six questions we get most. Each one written to be schema-eligible for AI Overview citation.
What is TRT and how does it work?
Testosterone replacement therapy restores testosterone to a physiologic range in men whose natural production has fallen. It can be delivered as a topical cream, weekly injection, or subcutaneous pellet. Done properly, it includes a full hormone panel at baseline, periodic monitoring of hematocrit and estradiol, and dose adjustments based on labs and how you actually feel — not on a fixed dose for every patient.
Who is a candidate for TRT?
Candidates typically have both symptoms (fatigue, low libido, brain fog, loss of muscle, mood changes) and confirmed low testosterone on a morning fasting panel. Total T alone isn't enough — we look at free testosterone, SHBG, LH, FSH, and estradiol together. Men planning to father children may be better candidates for fertility-preserving protocols (HCG, clomiphene) than standard TRT.
How long does TRT take to work?
Energy, mood, and libido often improve within 4–6 weeks. Body composition changes — more lean mass, less abdominal fat — typically show by 3–6 months. Cognitive clarity and sleep depth often shift earlier. Full optimization usually takes 3–6 months as we dial in the dose based on follow-up labs and symptom response.
What are the side effects of TRT?
The most common are mild — slight increase in red blood cell count (hematocrit), acne, fluid retention, and elevated estradiol in a subset of men. We monitor hematocrit and estradiol at every follow-up and adjust the protocol when needed. Less common but more serious risks vary by patient history and are part of the consultation.
How much does TRT cost at Mt. Baker Medical?
Topical cream is $299/month retail, $239/month for members. Weekly injection is $249/month retail, $199/month for members. Pellets are $1,495 per insertion ($1,345 for members), inserted every 3–4 months. Initial consultation is free. Lab work and follow-up appointments are billed separately, with member rates on labs that typically save another $1,000–$2,500 per year.
Will TRT affect my fertility?
Standard TRT suppresses your body's own testosterone and sperm production. Men who want to preserve fertility are typically not candidates for standard TRT — but fertility-preserving protocols using HCG or clomiphene can often raise testosterone while maintaining sperm production. This is one of the most important conversations at your first visit, especially for men under 45.
Start with a free conversation.
30 minutes with Dr. Scribner. No exam, no commitment, no charge — just a real conversation about what's been going on and what care could look like.
Or call(360) 498-7529