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Hormone Replacement Therapy

Hormone Replacement Therapy services offered in San Antonio, TX

Hormone Replacement Therapy

Upfront, Transparent Pricing!
NO Long-Term Commitments. NO Subscription Model.

Men’s Annual Testosterone Replacement Therapy (TRT): $2,400
Includes all medications, supplies, labs, and all office visits.

Women's Annual Testosterone Replacement Therapy (TRT): $~1740
Includes all medications, follow up labs, and all office visits.

Women's Annual Complete Hormone Replacement Therapy (HRT): $2,800-3,900
Includes all medications (Testosterone, Estrogen, Estriol, Progesterone) labs, and all office visits.

 

One-Time Initial Lab Investment: $350
This comprehensive panel allows Dr. Cash and PA Hamm to evaluate your full metabolic and hormonal health. The lab fee also includes your initial consultation.

Labs Included:

  • CBC

  • CMP

  • Cortisol

  • FSH / LH

  • TSH

  • Free T3 & Free T4

  • Reverse T3

  • DHEA

  • Hemoglobin A1c

  • Prolactin

  • PSA (males)

  • Progesterone (females)

  • Total & Free Testosterone

  • Sex Hormone Binding Globulin (SHBG)

  • Lipid Panel

Payment Options:
We accept debit, credit, HSA, and FSA.

Please Note:
We do not accept insurance. Most insurance providers do not cover in-depth lab analysis, telehealth visits, medication, or shipping. That’s why we keep our pricing simple, transparent, and all-inclusive—with no surprises.

Testosterone Replacement Therapy at HRT

At HRT, we believe that optimal hormone health is the foundation of a fulfilling, energetic, and resilient life. If you’ve been feeling off, disconnected, or simply not yourself, low testosterone may be at the root. We are here to help you reclaim your vitality, your clarity, and your well-being—on your terms.


Symptoms of Low Testosterone

Low testosterone, also known as hypogonadism, can affect far more than muscle mass. It impacts every aspect of your health, from mood to metabolism. Common symptoms include:

  • Low energy and persistent fatigue

  • Depression or low mood

  • Irritability or anxiety

  • Difficulty concentrating or "brain fog"

  • Decreased motivation and drive

  • Loss of libido or sexual dysfunction

  • Poor sleep or insomnia

  • Weight gain, especially around the midsection

  • Loss of muscle tone and increased body fat

  • Decreased bone density

  • Insulin resistance or prediabetes

  • Elevated cholesterol or triglycerides


The Benefits of Testosterone Optimization

When your testosterone levels are restored to their optimal range, the transformation can be powerful:

  • Sharper mental focus and improved memory

  • Elevated mood, reduced anxiety and depression

  • Increased motivation and mental clarity

  • Improved sleep quality and energy throughout the day

  • Healthy metabolism and improved blood sugar regulation

  • Better cardiovascular and bone health

  • Enhanced sense of well-being and self-confidence

This is about more than looking better. It’s about feeling better, thinking clearer, and showing up fully in your life, your relationships, and your work.

The BONUS of Testosterone therapy is that you more than likely will lose weight, look sharper, put on more muscle with less effort, increase aerobic capacity and have effort feel good again!


Our Treatment Approach

We specialize in injectable testosterone cypionate, administered safely and effectively through a guided, telehealth-based program. If needed, we prescribe aromatase inhibitors to help manage estrogen levels and prevent unwanted side effects.

Every patient receives:

  • Personalized dosing based on your lab values and goals

  • Ongoing support and education

  • Convenient home delivery of medications, supplies, and instructions


Transparent Pricing with No Strings Attached

We value honesty, simplicity, and flexibility. Here's what you can expect:

  • $2400 (Male) per year, which includes:

    • All necessary lab work at 6 weeks, 6 months, and 1 year

    • Your post consultation treatment plan, and follow-ups at 6 weeks, 6 months and 1 year

    • All medications, shipping, and supplies

  • Medications are shipped quarterly after payment of $600 per quarter via PayPal request.

  • After one year, you're welcome to switch to monthly payments of $200 (or the current rate).

We do not lock you into long-term contracts. We do not use a subscription model. You pay only for what you receive. If you decide to pause therapy for any reason, whether personal or financial, we fully support you. We will even provide medication to restart your natural testosterone production if you choose to stop.

Women's Annual Testosterone Replacement Therapy (TRT): $~1740
Includes all medications, follow up labs, and all office visits.

  • Medications are shipped quarterly after payment of $435 per quarter via PayPal request.

  • After one year, you're welcome to switch to monthly payments of $145 (or the current rate).

Women's Annual Complete Hormone Replacement Therapy (HRT): $2,800-3,900
Includes all medications (Testosterone, Estrogen, Estriol, Progesterone) labs, and all office visits.

  • Medications are shipped quarterly after payment of 700-975 per quarter via PayPal request.

  • After one year, you're welcome to switch to monthly payments of $ 233-325 (or the current rate).


Home Injection Support

All medications are shipped directly to your home with detailed instructions. You can also refer to our website for easy-to-follow videos on injection techniques and safe practices.


Safe Needle Disposal

In San Antonio, used needles may be placed inside resealable plastic containers (such as laundry detergent bottles) and disposed of in the regular trash. However, please check with your local municipality for specific regulations in your area.


Your Health, Your Choice

This is your body, your life, and your future. We are here to help you feel whole again—mentally, emotionally, and physically. At HRT, you're never just a number. You're a partner in your own care, and our mission is to guide you back to the healthiest, strongest version of yourself.

Let’s get started when you’re ready.