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A smartphone screen displays an appointment scheduling app for ZYP Virtual Medicine. The profile of Josh Peterson, NP with a five-star rating and 70 reviews is shown. The appointment is a men's health consultation scheduled for Saturday, January 4, 2025, with available times listed in morning, afternoon, and evening slots.

How Do You Qualify for Testosterone Injections?

Simple. Sign Up for a Men’s Health Consultation & Lab Evaluation

BOOK Initial Consult + Labs

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Comprehensive Hormone Lab Testing

One Hour Consultation/Follow Up

TRT Medications Shipped to Your Home*

• $50 Consultation Fee (Due when scheduling)
• Labs Completed in Office or lab order can be given. 
(We also accept labs already completed within 3 months)
*Must qualify for treatment by a licensed healthcare provider. 

The lowest prices for Testosterone Replacement Therapy in Nebraska.

Book Your Consult

Testosterone treatment in Omaha can get expensive. ZYP keeps the costs as low as possible for our patients. So you can feel better and not burn a hole in your wallet.

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Man from Gretna, NE on Testosterone wearing a ZYP tank

Need directions to our Men’s Health Clinic in Gretna, Nebraska? We proudly serve Gretna, Omaha, Papillion, Bellevue, Elkhorn & Beyond.

  • What Areas Does ZYP Serve?

    Nebraska Cities & Communities We Proudly Serve

    ZYP Medical provides affordable testosterone replacement therapy (TRT) and men's health services throughout Nebraska, Iowa, and Arizona. Whether you're located near our Gretna clinic or across state lines, we make quality hormone therapy accessible and convenient.

    Greater Omaha Metro Area

    We serve patients throughout the Omaha metropolitan area, including:

    • Omaha - Nebraska's largest city and medical hub

    • Gretna - Home to our main clinic location

    • Bellevue - Just minutes from our office

    • Papillion - Convenient access to our Gretna location

    • Elkhorn - Easy drive to ZYP Medical

    • La Vista - Serving Sarpy County residents

    • Ralston - Quick access to TRT services

    • Council Bluffs, Iowa - Just across the Missouri River

    • Boys Town - Neighboring community welcome

    • Bennington - North Omaha area coverage

    Lincoln & Southeast Nebraska

    We proudly serve Nebraska's capital region and surrounding communities:

    • Lincoln - State capital and second-largest city

    • Beatrice - Southeast Nebraska's healthcare hub

    • Seward - Easy access to our services

    • Crete - Southeast Nebraska coverage

    • Wahoo - Saunders County residents

    • Nebraska City - Southeast border city

    • Falls City - Richardson County access

    • Auburn - Nemaha County

    • Fairbury - Jefferson County

    • Tecumseh - Johnson County

    • York - York County hub

    • Geneva - Fillmore County

    • Friend - Saline County area

    • Hebron - Thayer County

    • Syracuse - Otoe County

    Central Nebraska

    Serving the heartland with convenient TRT care:

    • Grand Island - Central Nebraska's largest city

    • Kearney - Buffalo County hub with major hospital access

    • Hastings - Adams County medical center

    • Columbus - Platte County's largest city

    • Fremont - Dodge County seat

    • Lexington - Dawson County

    • Holdrege - Phelps County

    • McCook - Red Willow County

    • North Platte - Lincoln County hub

    • Central City - Merrick County

    • Broken Bow - Custer County

    • Ord - Valley County

    • Aurora - Hamilton County

    • St. Paul - Howard County

    • Minden - Kearney County

    • Gothenburg - Dawson County

    • Cozad - Dawson County

    • Alma - Harlan County

    • Red Cloud - Webster County

    • Cambridge - Furnas County

    Northeast Nebraska

    Quality testosterone therapy for northeastern communities:

    • Norfolk - Northeast Nebraska's retail and medical center

    • Columbus - Major medical hub

    • Fremont - Easy clinic access

    • Blair - Washington County

    • South Sioux City - Dakota County border city

    • Wayne - Wayne County seat

    • West Point - Cuming County

    • Neligh - Antelope County

    • O'Neill - Holt County

    • Hartington - Cedar County

    • Creighton - Knox County

    • Pender - Thurston County

    • Madison - Madison County

    • Stanton - Stanton County

    • Albion - Boone County

    Western Nebraska

    We serve patients throughout western Nebraska:

    • Scottsbluff - Western Nebraska's largest city

    • North Platte - Lincoln County medical hub

    • Alliance - Box Butte County

    • Chadron - Dawes County

    • Sidney - Cheyenne County

    • Gering - Scotts Bluff County

    • Ogallala - Keith County

    • McCook - Southwest hub

    • Imperial - Chase County

    • Bridgeport - Morrill County

    • Grant - Perkins County

    • Gordon - Sheridan County

  • Iowa Coverage

    Serving our neighbors across the border:

    • Council Bluffs - Pottawattamie County (metro Omaha)

    • Des Moines - Iowa's capital and largest city

    • Sioux City - Northwest Iowa hub

    • Cedar Rapids - Eastern Iowa coverage

    • Davenport - Quad Cities area

    • Iowa City - University town

    • Waterloo - Northeast Iowa

    • Dubuque - Mississippi River city

    • Ames - Central Iowa

    • West Des Moines - Polk County

    • Ankeny - Growing suburb

    • Cedar Falls - Black Hawk County

    • Marion - Linn County

    • Bettendorf - Scott County

    • Urbandale - Polk County

  • Arizona Coverage

    We're expanding our reach to serve Arizona residents:

    • Phoenix - State capital and largest metro

    • Scottsdale - Maricopa County

    • Tucson - Southern Arizona hub

    • Mesa - East Valley city

    • Chandler - Growing Phoenix suburb

    • Glendale - West Valley

    • Tempe - ASU college town

    • Peoria - Northwest Phoenix metro

    • Surprise - Northwest Valley

    • Gilbert - Southeast Valley

    • Goodyear - West Phoenix area

    • Flagstaff - Northern Arizona

    • Prescott - Central Arizona

    • Yuma - Southwest border city

    • Lake Havasu City - Western Arizona

Finally, a Men’s Health clinic with transparent pricing

Men don’t care how much business spend on their rent and overhead. They just want convenient access, affordable pricing, and personalized Testosterone treatment.

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Getting older doesn’t mean you have to feel older.

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Low Testosterone (Low T) Symptoms in Men: Decreased Libido, Fatigue, Mood Changes & More

Andropause—commonly referred to as low testosterone—can greatly affect men’s overall health and quality of life. Testosterone plays a vital role in maintaining energy, sex drive, motivation, and emotional balance. When testosterone levels are low, men may experience a wide range of symptoms that can negatively impact their physical and mental well-being.

Symptoms of Low Testosterone Typically Include:


√ Fatigue

√ Loss of Motivation

√ Increased Body Fat

√ Muscle Loss

√ Low Sex Drive

√ Brain Fog

√ Depressed Mood

√ Erectile Dysfunction

If you exhibit any of these low Testosterone symptoms, it’s warranted you get your hormone levels checked. ZYP Medical can help you get the process started!

If you have low Testosterone, we offer customized testosterone replacement therapy (TRT) treatment plans tailored to your needs. We are here to help get back on track to ‘Feeling Better’. Our Low T Clinic in Gretna, Nebraska is local, affordable, and personable.

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Who has the most Affordable Testosterone Replacement Therapy for Men in Omaha, Nebraska?

ZYP Medical offers the most affordable pricing plans for testosterone replacement therapy near Omaha, Nebraska.

Here’s what you could be saving!

Book a Consult

  What are the Benefits to TRT?  

Testosterone Replacement therapy can help improve your mood
  • Testosterone plays a crucial role in emotional well-being. Low levels can lead to irritability, anxiety, and even depression. Testosterone Replacement Therapy (TRT) helps stabilize mood, enhancing feelings of happiness, confidence, and overall mental resilience. Men often report feeling more balanced and motivated after treatment.

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  • Whether in the gym, at work, or in daily life, testosterone is vital for physical and mental performance. TRT helps improve stamina, focus, and endurance by optimizing energy production and muscle function. Men often report sharper concentration, improved productivity, and better athletic performance.

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  • Testosterone is essential for a healthy sex drive. Low levels can diminish libido and contribute to erectile dysfunction. TRT revitalizes sexual health by restoring testosterone levels, improving desire, and enhancing performance. Many men experience a renewed sense of intimacy and satisfaction in their relationships.

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  • Testosterone aids in the repair and recovery of muscles, tendons, and ligaments. Low levels can slow down recovery after exercise or injury. TRT accelerates healing by boosting protein synthesis and reducing inflammation, helping men bounce back faster from workouts and physical exertion.

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Worried you may have Low T?

Here are some common symptoms:

  • Lack of morning erections, softer erections, or difficulties starting or maintaining an erection are all commonly reported in men with Low testosterone.

  • Men with low libido secondary to low testosterone will commonly report little to no sexual desire or drive. Exogenous testosterone replacement therapy can be very beneficial for this issue.

  • Those with low testosterone will commonly lack/have difficulties with decreased strength, muscle tone, and increased body fat, especially around the belly.

  • Men with low “T” will commonly report feeling unmotivated and fatigued most of the time. This can be quite difficult on a man’s ego and mood. Many men report feeling better and more motivated while on TRT.

  • Sometimes patients with low testosterone levels will experience symptoms of Depression, Irritability & Brain Fog – Feeling more anxious, depressed, unmotivated, or mentally sluggish is commonly reported.

ZYP Provides Personalized Testosterone Replacement Therapy in Nebraska, Iowa & Arizona.

How to get stronger using ZYP TRT
ZYP Medical Men's health page

Looking for a Hormone Clinic near Omaha, Elkhorn or Gretna, NE? ZYP can help!

We serve patients that live in Omaha, Bellevue, Elkhorn and Papillion, just minutes away from our Clinic in Gretna, Nebraska.

Did you Know?

Up to 40% of men aged 45 and older have low testosterone (Low T). (AUA - American Urological Association)

Testosterone levels decline by about 1% per year after age 30. (Journal of Clinical Endocrinology & Metabolism)

An estimated 20–50% of men over 30 have suboptimal testosterone levels (below 400 ng/dL). (European Journal of Endocrinology)

Low T is linked to obesity, diabetes, and metabolic syndrome, affecting up to 50% of men with these conditions. (Diabetes Care Journal)

Frequently Asked Questions

  • Testosterone is a steroid hormone that is present in the bodies of both men and women, although men have higher concentrations of it. Testosterone is made in the testes, ovaries, and adrenal glands and is derived from cholesterol. It is primarily responsible for the development of the male reproductive system and also plays a role in body hair growth, muscle mass, fat distribution, voice depth, and libido. In the body, some testosterone is converted into dihydrotestosterone, which plays a role in prostate enlargement and baldness, and estradiol, which is a type of estrogen.

  • It is normal for testosterone levels to decrease with age. This can be a result of declining testicular function as well as modifiable lifestyle factors, like how much you are exercising. However, some men have low testosterone independent of this age-related decline. And while there are many possible causes for low testosterone (alcohol abuse, diabetes, genetic disorders, metabolic disorders, medications, trauma, etc.), some men may never discover what is causing it in them. Low testosterone is a medical condition that should be treated with the guidance of a healthcare professional.

  • There are a variety of symptoms you may be experiencing that could indicate you have low testosterone. Having little interest in sex or having difficulty getting or maintaining an erection are two of the sexual symptoms related to low testosterone. However, there are also more nonspecific symptoms such as low energy, depression, decreased muscle mass, increased fat mass, and decreased body hair. If you have any of these symptoms, you should talk to your healthcare provider about whether you may be suffering from low testosterone.

  • Testosterone has many key responsibilities for both men and women. Here are the most important roles for Men:

    1. Male hair patterns

    2. Deep voice

    3. Skeletal Muscle Growth

    4. Erythrocytosis

    5. Motivation & Drive

  • Testosterone is naturally produced through a complex hormonal pathway involving the brain and testes. The process begins in the hypothalamus, which releases gonadotropin-releasing hormone (GnRH). GnRH signals the anterior pituitary gland to release two key hormones: luteinizing hormone (LH) and follicle-stimulating hormone (FSH).

    LH stimulates the testes to produce testosterone in the Leydig cells.

    FSH works alongside testosterone to support sperm production in the Sertoli cells.

    Testosterone is then converted into estradiol in small amounts, which helps regulate this system. A feedback loop ensures balance, as high levels of testosterone and estradiol signal the hypothalamus and pituitary to reduce GnRH, LH, and FSH secretion, maintaining hormonal equilibrium.

  • 1. Primary Hypogonadism

    This type occurs when the testes fail to produce sufficient testosterone due to a direct problem with the testes themselves. Causes include genetic disorders (e.g., Klinefelter syndrome), injury, infection, or chemotherapy.

    2. Secondary Hypogonadism

    This form results from a problem in the brain’s hypothalamus or pituitary gland, which fail to signal the testes to produce testosterone. Common causes include tumors, trauma, or certain medical conditions affecting the brain.

    3. Adult-Onset Hypogonadism

    Also known as late-onset hypogonadism, this occurs in older men as testosterone levels naturally decline with age. It is often associated with symptoms like fatigue, reduced libido, and decreased muscle mass, sometimes linked to obesity or chronic illnesses.

  • If your hematocrit (hct) rises above 54% - your medical provider may recommend a few options:

    1. Phlebotimize every 1-2 months (Donate blood)

    2. Lower your Testosterone Dose

    3. Increase the frequency of your injections with LOWER doses. (Split doses in half - Twice weekly)

    4. Switch to a topical testosterone agent like Gels or Creams (Additional costs associated with these routes)

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  • If you suspect low testosterone, it’s important to consult a healthcare provider. They’ll likely ask detailed questions about your medical history, risk factors, and symptoms to better understand your condition. A blood test is typically used to diagnose low testosterone, as levels fluctuate throughout the day and are highest in the morning. For accuracy, your provider may recommend testing between 8:00 AM and 10:00 AM on two separate occasions. Once the results are in, your provider can guide you on the best course of action. If low testosterone is confirmed, they may investigate the underlying cause or suggest treatment options like testosterone replacement therapy or other methods to boost testosterone levels.

  • The main goal in Testosterone Replacement Therapy is achieving a therapeutic dose that improves the symptoms one may be experiencing with low testosterone.

    • The “typical” optimal goal for total testosteron is between the ranges of 700-1400 ng/dl

    • Each person’s therapeutic teststerone level where they are having symptom improvement is individualized.

  • Testosterone replacement therapy (TRT) can improve energy, mood, and overall health, but it can also signal your body to slow down or stop making its own testosterone. When this happens, the testicles may shrink, and sperm production can drop—making it harder to stay fertile.

    To help protect fertility, we often add medicines like hCG (human chorionic gonadotropin) or Clomid/Enclomiphene alongside TRT:

    • hCG acts like the body’s natural hormone that tells the testicles to keep working. This helps maintain testicular size and supports sperm production.

    • Clomid or Enclomiphene work at the brain level, encouraging your body to keep sending signals to produce its own testosterone and sperm.

    By using these medications with TRT, we can often preserve or improve sperm production, protect testicular size, and give you the best chance of maintaining fertility while still getting the benefits of testosterone therapy.

  • In men on TRT, symptoms of low estradiol levels commonly include:

    • Joint pain

    • Fatigue

    • Low libido

    • Mood disturbances

    Symptoms of high estradiol levels often include:

    • Water retention

    • Gynecomastia (enlarged breast tissue)

    • Irritability

    • Reduced sexual function

    Anastrozole, an aromatase inhibitor, may be prescribed to lower estradiol by blocking its conversion from testosterone, helping to maintain hormonal balance.

  • No ZYP cannot replace the role of your normal primary care provider (PCP). We encourage you maintain a close relationship with your PCP. ZYP will manage your TRT & may recommend you see your priamry care provider for alternative conditions that need addressed (ie; Uncontrolled hypertension, hyperlipidemia, hypothyroidism, Sleep Apnea, etc.)

  • We understand unfortunate circumstances occur, however, ZYP has a strict no refund policy for TRT medications.

    • If you need a replacement vial - please contact your ZYP provider for a one time replacement Fee.

  • If you decided to stop treatment after achieving a therapeutic level and were having good symptom relief/feeling better - over the course of 1-2 months you may start to lose those positive effects and will slowly return to your previous state of symptoms that you had prior to starting TRT.
    *individual results/effects/symptoms will vary

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Can't Visit Our Gretna Clinic? No Problem! Try out ZYP Virtual TRT.

Convenient At-Home Lab Testing

We make testosterone testing easy, no matter where you live:

Lab Kits Shipped Directly to Your Home - We can arrange at-home lab collection kits for your convenience

Use Your Local Lab or Hospital - Most major labs and hospital lab facilities accept our lab orders or drop shipment lab kits from our partnered lab. If you have a preferred local lab (Quest Diagnostics, LabCorp, hospital outpatient labs, etc.), we'll work with you to see if they can process your hormone testing

We'll Check for You - Curious if your local lab accepts our orders? Just ask! We're happy to investigate lab options in your area and coordinate your testing

Already Have Recent Labs? - We accept testosterone labs completed within the last 3 months, saving you time and money

Telemedicine TRT Consultations

For patients outside the Gretna area, we offer:

  • Virtual consultations via secure video calls

  • Phone follow-ups for medication management

  • Ongoing TRT monitoring and adjustments

  • Medications shipped directly to your door*

*Must qualify for treatment by a licensed healthcare provider

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Men's Health & TRT Disclaimer

Is it Safe to be on Testosterone Replacement Therapy?

Yes — Testosterone Replacement Therapy (TRT) is considered safe when it’s properly prescribed, carefully monitored, and tailored to your individual needs. At ZYP Medical, we take safety seriously by offering expert provider support, comprehensive lab monitoring, and personalized care for every patient.

When managed by experienced professionals, TRT can help restore energy, mood, libido, and overall wellness without unnecessary risks.

Our clinic serves patients throughout Gretna, Omaha, Elkhorn, and Papillion, Nebraska, with convenient in-person and virtual options.

✅ How We Keep TRT Safe at ZYP:

Detailed hormone evaluations before treatment begins

• Ongoing lab monitoring of testosterone, estrogen, red blood cell levels (CBC), PSA, liver function, and more

Expert provider guidance with adjustments based on your labs and symptoms

• Use of additional medications like anastrozole or HCG when clinically necessary to balance hormones and preserve fertility

• Clear education on side effects, safe dosing, and realistic expectations

TRT is not a one-size-fits-all solution — and at ZYP Medical, it never will be. Your treatment is based on your lifestyle, goals, labs, and overall health profile.

🩺 Serving Men in:

Nebraksa, Iowa & Arizona.

If you’ve been experiencing fatigue, low motivation, decreased libido, or brain fog, and you’re wondering if testosterone therapy is right for you, our team is here to guide you every step of the way — safely and confidently.

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