Stop Guessing.
Optimize Your
Testosterone.
Low energy. Brain fog. Zero drive. TRT at ZYP Medical starts at $129/month — testosterone, supplies, shipping, and direct text access to your provider included. No gatekeepers, no call center, no hidden fees.
How TRT Works at ZYP
Three steps from first call to first dose. Most patients start treatment within 7–10 days.
Book Your Consultation
A $50 deposit reserves a full 60-minute visit — virtual or in-person. That $50 is applied directly to your initial lab testing, so it isn't an extra fee. It's a head start.
Get Your Labs Drawn
Labs are required before any prescription — that's a safety standard, not a formality. Draw in-clinic in Gretna, use an at-home kit, or take the order to any lab you choose.
Review, Then Decide
We walk through every value in a 30-minute follow-up — what's normal, what isn't, what it means. If TRT isn't right for you, we say so. No commitment either way.
No BS Pricing.
What you see is what you pay. No hidden fees, no contracts, no pressure. Education first — treatment only when it's clinically right for you.
A Membership, Not a Prescription.
Most TRT clinics sell you a vial and disappear until your next refill. Your ZYP membership buys you ongoing access to a family-practice-trained clinician who already knows your labs, your history, and your goals — for a lot more than testosterone.
Text Us Directly
A real conversation with your provider — not a ticket in a queue. Ask about a side effect, a dose question, or a symptom that popped up on a Tuesday night. Most messages get answered same-day.
Minor Illness & Urgent Care
Sinus infection. UTI. Rash. Pink eye. Travel meds. A cough that won't quit. Our clinicians are family-practice trained — you don't need a separate urgent care visit for the everyday stuff.
Peptide Management
BPC-157, sermorelin, ipamorelin, and more — protocol design, dosing, cycling, and lab monitoring are handled as part of your membership. Peptide cost is separate, at member pricing.
The Whole Picture
Testosterone is rarely the only thing off. Thyroid, insulin, lipids, iron, vitamin D, inflammation — we look at all of it, and we tell you what it means in plain language.
What Is HCG, and Should You Add It to TRT?
HCG (human chorionic gonadotropin) is a hormone that mimics luteinizing hormone (LH), the brain signal that tells your testicles to produce testosterone and sperm. When you start testosterone replacement therapy, that signal shuts down. HCG replaces it — which is why it is added to a TRT protocol to help preserve fertility, maintain testicular size, and keep intratesticular testosterone production running. At ZYP Medical, HCG is $69/month, added to your existing membership.
Protects Fertility
Sperm production depends on very high testosterone concentrations inside the testicle — far higher than blood levels. HCG keeps that intratesticular signal active while you're on TRT.
Prevents Testicular Atrophy
Shrinkage is one of the most common complaints men have on testosterone. HCG maintains the LH signal, which helps preserve testicular volume and function.
Easier to Come Off
Men who keep the natural pathway partially active tend to have a smoother time restarting endogenous production if they later decide to stop TRT.
How HCG Works on TRT
Your testosterone production normally runs on a feedback loop: the hypothalamus releases GnRH, the pituitary responds with LH and FSH, and LH tells the Leydig cells in your testicles to make testosterone. When testosterone is supplied from outside the body, the brain reads levels as sufficient and shuts the loop down. LH drops. The testicles go quiet. Over time that means reduced sperm production and, for many men, noticeable shrinkage.
HCG is structurally similar enough to LH that it binds the same receptor. Adding it to a TRT protocol keeps the Leydig cells working, which maintains intratesticular testosterone — the local concentration that sperm production actually depends on. Your blood testosterone comes from your prescribed dose; HCG protects what's happening upstream.
Who Should Consider HCG?
- Men who want children now or want to keep the option open
- Men who have noticed testicular shrinkage since starting TRT
- Younger men starting testosterone who want to preserve the natural axis
- Men who anticipate coming off TRT at some point
- Men who simply feel better with the natural pathway active — a common and legitimate reason
What to Expect
HCG is given as a small subcutaneous injection, typically two to three times per week, using an insulin syringe. Most men describe it as easier than their weekly testosterone injection. Your provider sets the dose based on your labs, your goals, and your response — there is no universal protocol, and anyone who gives you one without seeing your bloodwork is guessing.
Monitoring matters. HCG can raise estradiol in some men, which is one reason lab follow-up every 8–12 weeks is part of every ZYP protocol. If estrogen climbs, we adjust — sometimes the HCG dose, sometimes with anastrozole.
HCG vs. Clomiphene — What's the Difference?
HCG works below the brain, directly stimulating the testicle by imitating LH. It works even when the pituitary is fully suppressed by TRT, which is why it's the preferred fertility-preservation add-on for men already on testosterone. Clomiphene works above the testicle, blocking estrogen feedback at the pituitary so your body produces more of its own LH and FSH. That requires a pituitary that is still responsive, so it's better suited to men not on testosterone or on a lower-suppression protocol. Some men use both. Which makes sense for you is a conversation, not a formula — and it's one we have at your consultation.
Know Your Numbers Before You Start.
Lab testing is required before any hormone prescription — for your safety and to confirm treatment is clinically appropriate. Your provider recommends the panel that matches your symptoms and history. Every price below is all-inclusive.
New Male Hormone Panel
The panel we order most often for men starting care. Covers the full hormone axis, prostate screening, metabolic and cardiovascular markers, thyroid, growth factor, and adrenal status in one draw.
Testosterone Lifestyle Panel
For men evaluating low-T symptoms alongside metabolic health. Combines hormones with diabetes screening, lipids, and vitamin status — without thyroid or fertility markers.
Male Comprehensive Hormone
Our most comprehensive male hormone workup. Pre-TRT baseline or annual deep-dive. Includes full thyroid with antibodies, adrenal cortisol, fertility markers (FSH/LH), and key nutrients.
Male TRT Monitoring
The recurring TRT safety panel. Tracks testosterone levels, estrogen balance, prostate marker, blood counts (hematocrit), and metabolic safety. Also works as a basic pre-treatment check.
What that price actually covers. Panel pricing is not just the blood draw. It includes a full 60-minute consultation and a 30-minute follow-up visit to walk through every value in detail — what's normal, what isn't, and what it means for you. There is no commitment to start treatment at any point. Given the amount of time our provider spends on each patient's care plan and education, we think it's the fairest pricing in the metro.
Additional markers available. Add-on labs can be added to any panel by request or based on provider recommendation, according to your symptoms, complaints, and clinical relevance. Ask at your consultation.
Using an outside lab or insurance. You may receive a lab order and take it to an outside facility, where you can use insurance or pay cash. Coverage for lab and hormone testing is frequently limited or denied, and it is your responsibility to verify coverage with your insurer before your blood is drawn. ZYP Medical, LLC and its associated providers are not responsible for payments due, charges, or medical bills issued by outside facilities or laboratory testing centers.
Your $50 consultation deposit is credited toward your initial lab testing cost.
TRT FAQ
How much does TRT cost in Omaha at ZYP Medical?
TRT at ZYP Medical starts at $129 per month. That's the ZYP TRT membership: testosterone cypionate, all injection supplies, 2-day shipping, ongoing monitoring, and direct text access to your provider. ZYP Elite is $199 per month and bundles in anastrozole, clomiphene, and lab draws every 8–12 weeks — but it requires in-person visits at our Gretna clinic.
Getting started requires a $50 consultation deposit, which is credited toward your initial lab testing. Lab panels range from $99 to $319 depending on which panel your provider recommends.
What's actually included in the $129/month ZYP TRT plan?
More than testosterone. Your $129 covers your medication and all supplies, discreet 2-day shipping, unlimited dose adjustments and follow-ups with no per-visit charge, and direct text access to your provider — not a portal or a call center.
It also covers you for the everyday stuff: minor illness and urgent-care-type needs like sinus infections, UTIs, rashes, and travel questions, plus peptide therapy management (protocol design, dosing, and monitoring; peptide cost separate). Members also get member pricing on virtual urgent care, peptides, GLP-1 weight loss, IV hydration, and lab monitoring at $60 per draw.
Why is ZYP Elite only available to in-clinic patients?
Because Elite bundles the cost of your recurring lab draws into the monthly price, and we can only absorb that cost when we draw the blood ourselves at our Gretna clinic. Elite is therefore limited to patients in the Omaha metro area who can come in every 8–12 weeks.
If you're outside the metro or prefer telehealth, ZYP TRT at $129/month is your plan — you get the same medication, the same provider, and the same direct access, and you pay for labs separately at $60 per draw or through an outside facility.
What does the $50 consultation deposit cover?
The $50 reserves a full 60-minute consultation with your provider, virtual or in person. It is a deposit, not an extra fee — the entire $50 is applied to your initial lab testing cost. You leave the visit with a panel recommendation matched to your symptoms and history, and no obligation to proceed.
What labs do I need before starting TRT, and what do they cost?
Lab testing is required before any hormone prescription — that's a safety and appropriateness standard, not a formality. Most new patients get the New Male Hormone Panel ($199, 12 biomarkers). Other options are the Testosterone Lifestyle Panel ($199), the Male Comprehensive Hormone panel ($319, our most thorough), and the Male TRT Monitoring panel ($99, or $60 for established members).
Every panel price is all-inclusive and covers a full 60-minute consultation plus a 30-minute results review, a written report, and an in-clinic draw for Omaha-area patients. Additional markers can be added based on your symptoms and clinical relevance.
Can I use my insurance for lab testing?
You can receive a lab order and take it to an outside facility, where you may use insurance or pay cash. Be aware that coverage for lab and hormone testing is frequently limited or denied, and it is your responsibility to verify coverage with your insurer before your blood is drawn. ZYP Medical, LLC and its associated providers are not responsible for payments due, charges, or medical bills issued by outside facilities or laboratory testing centers.
ZYP Medical itself is a direct-pay practice and does not bill insurance for clinical services.
What is HCG and why would I add it to my TRT protocol?
HCG (human chorionic gonadotropin) mimics luteinizing hormone (LH), the signal your brain normally sends to your testicles. Testosterone therapy shuts that signal off, which reduces sperm production and often causes testicular shrinkage. HCG replaces the signal, maintaining intratesticular testosterone — the local concentration sperm production depends on.
It's the standard add-on for men who want to protect fertility, preserve testicular size, or keep the natural pathway active in case they come off TRT later. At ZYP Medical, HCG is $69 per month, added to your existing membership. It's given as a small subcutaneous injection two to three times per week, with dosing individualized to your labs.
Will TRT affect my fertility?
Yes — exogenous testosterone suppresses the brain signal that drives sperm production, and for most men that means a significant drop in fertility while on therapy. If you plan to have children, or want to keep the option open, we discuss preservation options at your consultation: HCG (+$69/month), clomiphene ($75 for a 3-month supply, at our cost), or both. Included at no extra charge in ZYP Elite.
Can ZYP Medical be my primary care provider?
No. ZYP Medical is a direct-pay men's health and wellness practice, not a primary care practice, and we cannot serve as your PCP. We don't manage chronic disease long-term, coordinate specialist referrals, maintain a comprehensive longitudinal record, or provide emergency care. Please keep an established primary care provider.
That said, our clinicians are family-practice trained and well versed across multiple areas of medicine, which is why members can bring us a wide range of everyday concerns instead of sitting in an urgent care waiting room. Anything outside our scope gets referred appropriately.
Do you handle minor illness and urgent-care needs for members?
Yes. Sinus infections, UTIs, rashes, pink eye, coughs, travel medication questions, sick-day guidance — these are handled by the same provider who already knows your labs and history. It's one of the most-used parts of the membership and one of the biggest differences between ZYP and a testosterone-only clinic.
Note that ZYP Medical does not prescribe controlled substances virtually, and true emergencies should go to an emergency department or 911.
Can I get TRT via telemedicine if I'm not near Omaha?
Yes. ZYP Medical provides telemedicine TRT to patients in Nebraska, Iowa, and Arizona — the three states where our provider holds the required licensure and DEA registration. Medications ship discreetly to your door in about two business days. In-person visits are available at our Gretna, Nebraska clinic for patients who prefer face-to-face care.
Who is my provider at ZYP Medical?
Josh Peterson, FNP-C is the founder and provider at ZYP Medical — a board-certified Family Nurse Practitioner with extensive experience in men's health and hormone optimization. When you text ZYP Medical, you're texting Josh. Not a rep, not a queue. Patients consistently name that direct line as the thing they value most.
Let's Get You Feeling Better.
Five minutes to schedule. A full hour of undivided clinical attention. Your $50 deposit goes straight toward your labs. No sales pitch — just a game plan built around your numbers.
Book Your Consultation — $50 Deposit Or text us directly: (402) 407-2847Serving men across Nebraska, Iowa, and Arizona via telemedicine. In-person care at our Gretna, NE clinic — minutes from Omaha, La Vista, Papillion, and Bellevue.
ZYP Medical, LLC provides telemedicine and in-clinic services for testosterone replacement therapy (TRT) and men's health. All treatments are prescribed by Josh Peterson, FNP-C, a licensed Family Nurse Practitioner, following a comprehensive consultation and laboratory review. Not every patient requires or qualifies for testosterone therapy — treatment is prescribed only when clinically indicated based on laboratory values and patient symptoms. Compounded testosterone, anastrozole, clomiphene, enclomiphene, and HCG are not FDA-approved drugs, are not evaluated by the FDA for safety, effectiveness, or quality, and are used off-label at the clinician's discretion. Individual results vary; ZYP Medical does not promise or guarantee any specific health outcome. Lab testing is required before prescribing. Insurance coverage for laboratory testing is not guaranteed, and patients are responsible for verifying coverage with their insurer prior to testing; ZYP Medical, LLC and its associated providers are not responsible for payments due, charges, or medical bills issued by outside facilities or laboratory testing centers. ZYP Medical is a direct-pay practice and does not bill insurance for clinical services. ZYP Medical is not a primary care practice and does not serve as a primary care provider. ZYP Medical does not prescribe controlled substances virtually. TRT and controlled-substance prescribing is limited to patients located in Nebraska, Iowa, and Arizona. Content on this page is for general education and is not a substitute for individualized medical advice. If you are experiencing a medical emergency, call 911. Pricing is subject to change without notice.
How TRT Works at ZYP
Three steps from first visit to first dose — most men start within 7–10 days. No insurance runaround, no hidden fees, no upsell.
Book Your Consultation
A full 60 minutes with your provider — in person at our Gretna, NE clinic or virtually anywhere in Nebraska, Iowa, or Arizona. We go through your symptoms, your history, and your goals. The $50 isn't a fee; it comes straight off your lab cost.
Get Your Labs Drawn
Labs are required before any prescription — that's a safety standard, not a formality. Your provider picks the panel that fits your symptoms. Every panel price already includes your consultation and a 30-minute results review.
We ship at-home kits, or fax your order to any lab you choose in NE, IA, or AZ. Have bloodwork from the last three months? Send it over — if it covers what we need, your provider may not order a redraw.
Start Your Protocol
If treatment is right for you, your protocol is built around your numbers — not a template. Medication and supplies ship discreetly to your door in two days. Follow-ups and dose adjustments are included, and you can text your provider directly whenever something comes up.
Transform Your Life with Optimized T
From renewed energy and mental clarity to enhanced physical performance — here's what men experience when testosterone levels are dialed in.
Enhanced Mood & Mental Clarity
Improved Sexual Health & Libido
Peak Physical & Mental Performance
Increased Energy & Vitality
Enhanced Muscle Mass & Fat Loss
Accelerated Recovery & Healing
Upgrade to ZYP Elite — Unlock 15% Off Everything
The all-inclusive TRT plan. Testosterone, ancillary medications, labs, shipping, and provider access — one flat price. Plus exclusive member pricing across all ZYP services.
Individual results may vary. Benefits described are based on clinical research and patient reports. Testosterone therapy should only be used under medical supervision for clinically diagnosed low testosterone. Not all patients will qualify for treatment. Compounded testosterone medications are not FDA-approved and are used off-label. ZYP Medical does not guarantee specific health outcomes.
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Visit ZYP Medical in Gretna, Nebraska
Conveniently located to serve men throughout the Greater Omaha Metro Area
Service Area Questions
Frequently Asked Questions
Real answers from your provider — not a chatbot. Still have questions? Just text Josh.
What is testosterone replacement therapy (TRT)?
Testosterone replacement therapy (TRT) is a medically supervised treatment that restores testosterone levels in men diagnosed with low testosterone (hypogonadism). It's administered via injections, topical creams, or pellets depending on the patient's needs. At ZYP Medical in Gretna, Nebraska, we primarily use testosterone cypionate injections (self-administered at home once or twice weekly) and testosterone cream as a non-injection alternative. TRT is not a performance enhancer — it brings your levels back to a healthy, physiologic range to relieve symptoms like fatigue, low libido, brain fog, and loss of muscle mass.
What are the symptoms of low testosterone in men?
Common symptoms of low testosterone include: persistent fatigue and low energy even with adequate sleep, decreased libido and erectile dysfunction, difficulty building or maintaining muscle, increased body fat (especially around the midsection), brain fog, poor concentration, and irritability, depressed mood or loss of motivation, and disrupted sleep patterns. Many men attribute these symptoms to aging or stress — but if you're experiencing several of these, it's worth getting a comprehensive hormone panel. Low testosterone affects an estimated 1 in 4 men over 30.
What causes low testosterone?
Low testosterone can result from primary hypogonadism (a problem with the testes — from injury, infection, or genetic conditions like Klinefelter syndrome), secondary hypogonadism (a problem with the pituitary or hypothalamus signaling), or mixed/functional causes which are the most common. Functional causes include aging (testosterone declines roughly 1–2% per year after 30), obesity, chronic stress, poor sleep, certain medications (like opioids or corticosteroids), and metabolic conditions like type 2 diabetes. During your consultation, we review your labs and history to identify the root cause — not just treat the number.
How do I know if I have low testosterone? What labs are needed?
The only way to confirm low testosterone is through bloodwork. We order a comprehensive hormone panel that includes total testosterone, free testosterone, SHBG, estradiol, LH, FSH, CBC (including hematocrit), metabolic panel, lipids, PSA, and thyroid function. Labs should be drawn fasting, in the morning when testosterone peaks. If you've had labs done in the past 3 months, bring them — we'll review what you already have and only order what's missing. We coordinate with Quest Diagnostics, LabCorp, your local hospital lab, or can ship an at-home collection kit directly to you.
At what testosterone level is TRT recommended?
There's no single cutoff that determines treatment. Most guidelines consider total testosterone below 300 ng/dL as clinically low, but symptoms matter just as much as numbers. Some men feel terrible at 350 while others function fine at 280. At ZYP, we look at the whole picture — total testosterone, free testosterone, SHBG, symptoms, age, and health history. The goal isn't to chase a number on paper; it's to find the level where you feel and function your best while staying within a safe, physiologic range.
What is the goal of TRT? What testosterone level should I target?
The goal is to restore testosterone to a level where your symptoms resolve and you feel like yourself again — typically somewhere in the 600–900 ng/dL range, though this varies by individual. We also monitor free testosterone, estradiol, and hematocrit to make sure everything stays balanced. We start conservative, check labs at regular intervals, and adjust dosing based on how you feel and what your bloodwork shows. This is a partnership — you know your body, we know the medicine.
How is testosterone administered? Do I have to inject myself?
We offer multiple options: Testosterone cypionate injections are the most common — self-administered at home using a small subcutaneous or intramuscular needle, typically once or twice per week. Most guys are nervous at first but it becomes routine within a week. We walk you through the process during your consultation. If needles aren't your thing, we also offer testosterone cream applied daily. We also have natural approaches like enclomiphene and our Elevate-T formula (DHEA + enclomiphene + pregnenolone) that stimulate your body's own production without exogenous testosterone.
How long does it take to feel the effects of TRT?
Most men notice improved energy and mood within 2–3 weeks. Libido improvements often follow by weeks 3–6. Changes in body composition (less fat, more muscle) take longer — typically 8–12 weeks with consistent training and nutrition. Full stabilization usually occurs around 6–8 weeks, which is when we recheck labs and make dosing adjustments. Everyone responds differently, so patience and consistent dosing are key in the early weeks.
Can I stay fertile while on TRT?
This is critical and something many clinics overlook. Exogenous testosterone suppresses sperm production by shutting down LH and FSH signaling. If you're planning to have children, we add clomiphene or enclomiphene to your protocol to maintain fertility while on TRT — included in our TRT + Fertility Protection plan ($179/mo). Alternatively, enclomiphene alone can raise testosterone while preserving and often increasing sperm counts. We discuss fertility at every initial consultation.
What happens if I stop TRT?
Your testosterone will gradually return toward pre-treatment levels over several weeks. During this period, you may experience a temporary dip below baseline as natural production restarts — fatigue, low mood, and reduced libido can return. We don't recommend stopping abruptly. If you decide TRT isn't for you, we'll taper your dose and may use clomiphene to restart natural production smoothly. This is another reason we take an education-first approach before starting — we want you to understand the commitment.
How much does TRT cost at ZYP Medical?
Consultation is $50 — a full hour with your provider, not a 10-minute sales pitch. ZYP TRT is $129/month including testosterone, all supplies, shipping, and ongoing virtual follow-ups. TRT + Fertility Protection is $179/month and adds clomiphene or anastrozole. No hidden fees, no contracts, cancel anytime. We're cash-pay only — which is how we keep pricing lower than what most men pay even with insurance at other Omaha clinics.
Why is ZYP so much cheaper than other TRT clinics in Omaha?
Lower overhead, zero corporate markup, and no massive marketing budget. ZYP is a solo-provider practice — Josh handles your care directly without layers of staff, sales teams, or franchise fees. We don't upsell unnecessary supplements or push add-ons. We source from reputable compounding pharmacies at competitive rates and pass those savings directly to you. The result: premium care at roughly half the price of corporate chains like Limitless, Opt Health, or TRT Nation.
Do I have to come into the Gretna clinic? Can everything be done virtually?
Everything can be managed 100% virtually. We offer telemedicine to patients in Nebraska, Iowa, and Arizona. Labs can be drawn at your local Quest, LabCorp, or hospital — or we ship an at-home collection kit. Medications ship directly to your door with discreet packaging. Follow-ups are via video or phone, and you can text Josh anytime. We love seeing patients in person at our Gretna office, but distance should never stop you from getting care.
Does ZYP accept insurance?
No — we're cash-pay only, and that's by design. Dropping insurance allows us to keep prices significantly lower than what most Omaha men pay even with insurance copays at other clinics. No prior authorizations, no claim denials, no surprise bills. Our $129/month is all-inclusive. We can provide superbills if you'd like to submit to your insurance for potential reimbursement, but we cannot guarantee coverage.
Will ZYP be my primary care provider if I start TRT?
No — ZYP specializes in men's health and hormone optimization. We encourage you to maintain your relationship with your PCP for general health and preventive care. We're happy to coordinate, share labs, and keep them in the loop. Think of us as the specialist focused on getting your hormones dialed in while your PCP handles the big picture.
What states does ZYP serve for TRT?
TRT and men's health services are available in Nebraska, Iowa, and Arizona — the states where Josh holds active DEA licenses. If you're in South Dakota, Kansas, or Colorado, we can still help with non-controlled services like GLP-1 weight loss and virtual urgent care. Learn more about weight loss services →
What are the common side effects of TRT?
Most side effects are mild and manageable: acne or oily skin (especially early on), elevated hematocrit (we monitor closely via CBC), elevated estradiol causing water retention or nipple sensitivity, testicular atrophy if fertility protection isn't used, and mild injection site reactions. Serious complications are rare with proper monitoring — which is exactly why we check labs regularly and adjust dosing based on your response, not a one-size-fits-all protocol.
What if my hematocrit gets above 54% on TRT?
Elevated hematocrit increases blood viscosity and clotting risk — it's one of the most important markers we monitor. If yours starts trending up, we have several approaches: adjusting dose or frequency, switching to cream (less hematocrit elevation), therapeutic phlebotomy (donating blood), increasing hydration, or adding naringin. We monitor CBC at every lab draw and address trends early — not after they've become a problem.
What are symptoms of elevated estradiol? How is it treated?
Testosterone converts to estradiol via aromatase — levels can climb, especially with higher body fat. Symptoms include: water retention and bloating, mood swings or irritability, nipple sensitivity or gynecomastia, paradoxically decreased libido, and difficulty losing weight. Treatment options include adjusting dose or injection frequency, anastrozole (used judiciously), and lifestyle modifications like reducing body fat and limiting alcohol. We monitor estradiol at every lab check.
Is TRT safe long-term? Does it cause heart problems or prostate cancer?
Current evidence suggests TRT at physiologic doses, when properly monitored, is not associated with increased cardiovascular risk — and may improve cardiovascular markers in men with low testosterone. The TRAVERSE trial (2023), the largest TRT safety study to date, found no increased risk of major cardiac events. Regarding prostate cancer, TRT does not cause prostate cancer based on current evidence, though it's contraindicated in men with active prostate cancer. We monitor PSA at baseline and regularly on treatment.
My testosterone vial broke or was lost — what do I do?
Text Josh directly at (402) 407-2847. We'll coordinate with the pharmacy to get a replacement shipped ASAP. There may be an additional cost for the replacement vial, but we handle the logistics so there's minimal disruption to your treatment. Don't skip doses waiting — reach out right away.
Still have questions? Josh answers every one personally.
Miles away?
We've still got your back.
We'd love to see you in Gretna — but if you can't make the drive, that's exactly what virtual care is for. Same provider, same attention, same results. Just from your couch.
Virtual consultations
Secure video visits from anywhere in NE, IA, or AZ. Full hour with Josh — same as in-person.
Flexible lab options
At-home lab kits shipped to you, or we'll fax orders to Quest, LabCorp, or your local hospital lab. Already have recent labs? We accept those too.
Meds shipped to your door
Testosterone and supplies delivered directly. Discreet packaging. No pharmacy trips.
Ongoing check-ins & adjustments
Phone follow-ups, dosing tweaks, and direct text access to Josh. You're never left guessing.
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.
✓ 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:
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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