Testosterone Optimization

Testosterone therapy, done safely

Confirm whether your levels are truly low, find out why, and protect your fertility while getting back to your regular self.

Total testosteroneNeeds review

8.2 nmol/L

AM blood draw, borderline low

Testosterone replacement therapy at Circle

Safe and supervised TRT has long-term benefits for sexual function, bone density, and muscle mass—especially with consistent monitoring to protect your fertility and prostate.

The markers we monitor

We look at all the markers that influence your testosterone levels. You review your results with a Circle physician so you know exactly what they mean, what you need to work on, and why.

Total testosterone

Confirmed on 2 morning draws

Why we test it

One low test means nothing because levels swing daily. Two morning draws tell us what's really happening.

LH + FSH

The 'why' signals

Why we test it

By understanding the root of the problem, we can effectively tailor treatment.

Free testosterone

The usable fraction

Why we test it

This confirms if the shortage is real and not a lab error.

Estradiol

Hormone balance

Why we test it

Healthy Estradiol levels should be maintained, not eliminated like the forums suggest.

Hematocrit

Blood health · safety

Why we test it

Treatment can raise this. We get a baseline and re-check on schedule to ensure optimal levels.

PSA

Prostate safety

Why we test it

We always get a baseline and monitor throughout treatment to keep the prostate safe.

Low energy or low T?

Take a 60-second quiz and find out if this treatment make sense for you.

A plan, not a prescription

Treatments are tailored to your real life and come with the support you need to follow through.

What's included:

1:1 consult · physician or NP
Testosterone therapy (if confirmed)
Fertility-preserving options
Strength + sleep plan
Level + safety recheck
Body composition scan (optional $69–$99 add-on)
Take the quiz

The Circle treatment loop

We understand, measure, treat, and retest until your numbers move towards optimal.

Start with your story

Before we test, treat, or prescribe, a Circle physician reviews your symptoms—because plenty of "low T" resolves without a prescription.

Built on the pillars of longevity

Sleep

Prioritize the hours you need for optimal health

Nutrition

Tied to your labs, not food trends

Supplements

Matched to your biomarker data

Medication

Only when the evidence says so

Exercise

Actionable next steps, not advice

Great on its own.
Better with membership.

Your monthly treatment fee includes quarterly prescription renewals and clinical check-ins—no fresh consult fee at each refill. Or get this whole treatment for free when you become a Circle member.

Testosterone replacement therapy

$89 to start + $29/mo*

Focused testing, treatment, and coaching for this concern


  • Targeted testing + 1:1 consult
  • Personalized 360° treatment plan
  • Tailored prescriptions + supplements
  • Quarterly coaching + renewals
  • $89 waived on annual · 3-month minimum

Circle membership

From $149/month*

Everything in this treatment, plus care for your whole health


  • Free focused treatments
  • Unlimited primary care: doctor visits, prescriptions, referrals
  • Foundations Visit + 6-month review: 68+ biomarkers, physical, body composition, biological age
  • Personalized care plan with ongoing physician coaching
  • The Circle app, Clara AI assistant, credits for wellness therapies + more

Discreet delivery

Your medications and supplements ship to your home in plain packaging. Get one-tap refills in the app and next-day delivery in Toronto.

Get your levels back to normal

Get started with a 60-second quiz.

Testosterone Replacement Therapy FAQ

*Fees are strictly for the uninsured components of care. Any publicly insured services will be billed to the provincial health insurance plan. Payment of membership fees or subscription to a program are not a precondition to access insured physician services nor will it provide preferential access to such services.