Get Your Testosterone Levels Back in Omaha, NE
How ZYP TRT Works
Get started with testosterone therapy in 3 easy steps. No insurance headaches, no hidden fees.
Book Your Consultation
Schedule your men's health consultation – available in-person in Gretna, NE or virtually from anywhere in Nebraska, Iowa, or Arizona. Discuss your symptoms, health goals, and treatment options with an experienced provider.
Get Your Labs Done
Comprehensive hormone panel to assess your testosterone levels and overall health. Already have recent labs? Bring them – no need for new testing!
We coordinate local lab draws in Iowa, Arizona, and across Nebraska – or ship you an at-home testing kit.
Start Your Treatment
If approved, begin your personalized TRT plan. Medications and supplies shipped directly to your door. Unlimited in-person or virtual follow-ups included – text your provider anytime.
🎯 Limited Offer: Initial Consult is FREE!
Do You Have Low Testosterone?
Check any symptoms you're experiencing. This takes less than 30 seconds.
Transform Your Life with TRT
Experience the proven benefits of optimized testosterone levels. From improved energy and mental clarity to enhanced physical performance, TRT helps men reclaim their vitality and live life to the fullest.
Enhanced Mood & Mental Clarity
Improved Sexual Health & Libido
Peak Physical & Mental Performance
Increased Energy & Vitality
Enhanced Muscle Mass & Fat Loss
Accelerated Recovery & Healing
Ready to Experience These Benefits?
Schedule your consultation with ZYP Medical today and discover how testosterone therapy can transform your life. Same-day appointments available in Gretna, Nebraska.
Book Your FREE Consultation*Individual results may vary. Benefits listed are based on clinical research and patient reports. Testosterone therapy should only be used under medical supervision for diagnosed low testosterone. Not all patients will qualify for treatment. Consult with a healthcare provider to determine if TRT is right for you.
Standard TRT
Testosterone replacement therapy to restore energy, strength, and vitality. Includes medication, lab monitoring, and provider support.
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Fertility Protection
TRT + HCG to maintain testosterone levels while preserving fertility and testicular function. Ideal for men planning to have children.
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Growth Hormone Peptides
Advanced peptide therapy options
GLP-1 Weight Loss
Active ZYP Men's Health members receive exclusive weight loss discounts! Save $100 on starter plans for semaglutide and tirzepatide treatments.
Important Medical Information
Testosterone Therapy Disclaimer: Testosterone replacement therapy (TRT) should only be used under medical supervision for diagnosed low testosterone. Not all patients will qualify for treatment. Individual results may vary. Consult with a healthcare provider to determine if TRT is right for you. Potential side effects and risks should be discussed with your provider.
Compounded Medications: Some testosterone and hormone therapies offered by ZYP Medical are compounded medications prepared by a licensed compounding pharmacy. Compounded medications are not FDA-approved and have not undergone FDA review for safety, efficacy, or quality. The FDA does not verify the safety or effectiveness of compounded drugs.
Weight Loss Disclaimer: GLP-1 medications (semaglutide and tirzepatide) are prescription medications that should only be used under medical supervision. Results vary by individual. Weight loss requires commitment to lifestyle changes including diet and exercise. Not all patients will qualify for treatment. Potential side effects and risks should be discussed with your provider.
Images & Illustrations: All product images, patient representations, and visual content on this page are for illustrative purposes only and do not depict actual patients, specific results, or guarantee outcomes. Individual results may vary.
Professional Medical Advice: The information provided on this website is for educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified healthcare provider with any questions regarding a medical condition or treatment.
Need directions to our Men’s Health Clinic in Gretna, Nebraska? We proudly serve Gretna, Omaha, Papillion, Bellevue, Elkhorn & Beyond.
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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
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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
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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
Frequently Asked Questions
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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.
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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.
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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.
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Testosterone has many key responsibilities for both men and women. Here are the most important roles for Men:
Male hair patterns
Deep voice
Skeletal Muscle Growth
Erythrocytosis
Motivation & Drive
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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.
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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.
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If your hematocrit (hct) rises above 54% - your medical provider may recommend a few options:
Phlebotimize every 1-2 months (Donate blood)
Lower your Testosterone Dose
Increase the frequency of your injections with LOWER doses. (Split doses in half - Twice weekly)
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.
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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.
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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.
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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.
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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.)
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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.
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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
Can't Visit Our Gretna Clinic? No Problem! Try out ZYP Virtual TRT.
Convenient 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*
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.