Men’s Health & Hormone Optimization Clinic | Male Excel Men’s Health Women’s Health Testosterone Therapy TRT online Thyroid Therapy Testosterone Cypionate Injection Testosterone Lipoderm Cream Triclozene Oral Hormone / Testosterone Testing Hormone Treatment Price Symptoms of Low T New to HRT? Already Taking Testosterone? Is TRT Right for Me? TRT FAQs ED Medications ED Medications Generic Daily Cialis Generic Cialis Generic Viagra Which ED Medication is Right for Me? ED Medication Costs ED FAQs Learn More Our Story Our Providers The Excel Advantage About Dr. Peter Fotinos Reviews Request a Consultation Health Guide TRT Studies Testosterone Therapy TRT online Thyroid Therapy Testosterone Cypionate Injection Testosterone Lipoderm Cream Triclozene Oral Hormone / Testosterone Testing Hormone Treatment Price Symptoms of Low T New to HRT? Already Taking Testosterone? Is TRT Right for Me? TRT FAQs ED Medications ED Medications Generic Daily Cialis Generic Cialis Generic Viagra Which ED Medication is Right for Me? ED Medication Costs ED FAQs Learn More Our Story Our Providers The Excel Advantage About Dr. Peter Fotinos Reviews Request a Consultation Health Guide TRT Studies GET STARTED Member Login Feel Better. Live Better. Excel. Constant fatigue, poor focus, and weight gain aren’t random. Often hormone-related, our experts treat the cause to restore energy and protect long-term health. Start Your Free Assessment 100,000+ patients treated | In-house physicians | Daily TRT microdosing| 60-day follow-ups As Seen In You don’t have to feel this way You don’t have to feel this way We understand how frustrating it is when your body doesn’t keep up. This isn’t a lack of discipline. There’s a cause. And it’s biological. You’ve worked hard to build your life. You shouldn’t feel like a shadow of yourself. Crashing by 2:00 PM Crashing by 2:00 PM Losing your mental edge Losing your mental edge Stubborn weight gain Stubborn weight gain Losing your drive Losing your drive Most doctors don’t look deeper. We do. Our clinicians identify exactly where your hormone levels are falling short and build a plan to help you feel like yourself again. Treatment built around your symptoms. Your symptoms, labs, and goals guide your personalized treatment plan. Testosterone Sexual Health Longevity Labs Provider–led TRT CORE TREATMENT Restore optimal testosterone levels with a protocol built around your symptoms. Improves energy, focus, and motivation Supports muscle mass and metabolic health Helps restore drive and overall performance Treatment Options THE EXCEL ADVANTAGE™ Daily microdosing protocol Daily microdosing protocol Daily injections or creams Supports stable hormone levels without peaks and crashes Thyroid optimization Supports metabolism, energy, and overall response Provider–Led TRT CORE TREATMENT Restore optimal testosterone levels with a protocol built around your symptoms. Improves energy, focus, and motivation Supports muscle mass and metabolic health Helps restore drive and overall performance Treatment Options THE EXCEL ADVANTAGE™ Daily microdosing protocol Daily microdosing protocol Daily injections or creams Supports stable hormone levels without peaks and crashes Thyroid optimization Supports metabolism, energy, and overall response TRT is the foundation of hormone optimization Daily dosing, thyroid support, and ongoing clinical oversight are what turn TRT into real, lasting results. Start Your Free Assessment Sexual health support PROVEN TREATMENTS Improve performance and confidence with clinically guided treatment. Supports stronger, more reliable erections Improves sexual performance and confidence Flexible options for daily or on-demand use Treatment options ON-DEMAND OR DAILY Sildenafil On-demand option Fast-acting support when needed Tadalafil (daily or on-demand) Flexible dosing options Supports spontaneity and extended performance Get ED Meds Sexual health support PROVEN TREATMENTS Improve performance and confidence with clinically guided treatment. Supports stronger, more reliable erections Improves sexual performance and confidence Flexible options for daily or on-demand use Treatment options ON-DEMAND OR DAILY Sildenafil On-demand option Fast-acting support when needed Tadalafil (daily or on-demand) Flexible dosing options Supports spontaneity and extended performance Get ED Meds Treat the symptom. Address the cause. ED medications improve performance. Hormone optimization supports long-term function. Start Your Free Assessment Advanced longevity therapies COMING SOON FOR MEMBERS Support long-term health, performance, and aging with advanced strategies. Improves energy, recovery, and cognitive function Supports muscle, metabolic health, and resilience Helps maintain performance as you age Treatment options PERSONALIZED PROTOCOL Proactive healthcare plan Full-spectrum foundation Combines hormone optimization with long-term strategies Advanced therapies Member-access treatments Includes peptides, NAD+, B12, and targeted support Learn More Advanced longevity therapies COMING SOON FOR MEMBERS Support long-term health, performance, and aging with advanced strategies. Improves energy, recovery, and cognitive function Supports muscle, metabolic health, and resilience Helps maintain performance as you age Treatment options PERSONALIZED PROTOCOL Proactive healthcare plan Full-spectrum foundation Combines hormone optimization with long-term strategies Advanced therapies Member-access treatments Includes peptides, NAD+, B12, and targeted support Learn More Optimize for long-term health and performance. Go beyond TRT with advanced therapies that support long-term health, recovery, and aging. Start Your Free Assessment At-Home Testosterone Test Kit CORE TESTING Start with a free online assessment, then complete your at-home finger prick test to guide your treatment. Quick, convenient at-home sample collection Measures key hormone and metabolic markers Used alongside symptoms to guide your protocol Testing options PERSONALIZED PROTOCOL Initial hormone test kit Simple finger prick test Establishes your baseline and starting point 360 advanced testing Members only Deeper analysis to refine and optimize your protocol Provider-led review. Ongoing monitoring. Integrated into your Proactive Healthcare Plan Start Your Free Assessment At-Home Testosterone Test Kit CORE TESTING Start with a free online assessment, then complete your at-home finger prick test to guide your treatment. Quick, convenient at-home sample collection Measures key hormone and metabolic markers Used alongside symptoms to guide your protocol Testing options PERSONALIZED PROTOCOL Initial hormone test kit Simple finger prick test Establishes your baseline and starting point 360 advanced testing Members only Deeper analysis to refine and optimize your protocol Provider-led review. Ongoing monitoring. Integrated into your Proactive Healthcare Plan Take Free Assessment Built on symptoms. Backed by data. Measured and adjusted over time to support long-term health, performance, and healthy aging. Start Your Free Assessment Rewriting the rules of men’s health and aging Healthy aging isn’t about treating illness after it appears. It starts with optimized hormones and a proactive medical strategy that strengthens performance today and helps prevent the age-related decline most men accept as inevitable. Common signs of hormone decline Low Energy & Fatigue When hormones fall out of balance, energy drops. Our in-house expert providers identify the root cause across testosterone, thyroid, and metabolism, using precision dosing and targeted support to restore energy. Weight gain & stubborn belly fat Low testosterone and thyroid imbalance can impact mood, confidence, and drive. TRT and thyroid optimization often help restore motivation and decisiveness. Poor sleep & relaxation Waking up tired or struggling to stay asleep? Hormone imbalance disrupts sleep cycles and recovery. Optimized testosterone supports deeper, restorative sleep. Brain fog & memory issues Harder to focus or stay sharp? Low testosterone affects cognitive clarity. Healthy hormone levels support focus and mental performance. Mood changes & irritability Low testosterone and thyroid imbalance can impact mood, confidence, and drive. TRT and thyroid optimization often help restore motivation and decisiveness. Muscle loss & weakness Muscle isn’t just about strength. It’s essential for healthy aging. Low testosterone accelerates muscle loss. TRT helps preserve lean mass, mobility, and physical function. Metabolic slowdown Hormonal decline can increase inflammation and insulin resistance, raising long-term metabolic risk, including Type 2 diabetes. TRT supports metabolic health, with additional metabolic support when clinically appropriate. There’s a reason you felt unstoppable when you were younger. Because your hormones were working for you, not against you. Start with hormone testing Symptoms are signals. Biomarkers reveal whats actually happening. We start with lab testing processed through Excel Medical Labs, our CLIA-certified laboratory in North Carolina, so your provider can build your plan using both your results and your symptoms. Every Male Excel protocol begins with advanced lab testing processed through Excel Medical Labs, our CLIA-certified laboratory in North Carolina, so your treatment is built on measurable data, not guesswork. At-Home Hormone Test 360 Blood Panel Processed at ExcelMedicalLabs, a CLIA-certified facility meeting federal laboratory standards for accuracy and reliability. At-Home Hormone Test Simple. Precise. Done at home. Our finger-prick blood spot test measures five critical biomarkers that influence energy, metabolism, libido, and performance: Total testosterone Estradiol DHEA-S Free T3 PSA No lab visit. No waiting room. Reviewed by a licensed, in-house Male Excel provider before any treatment decision is made. Start Your Free Assessment CLIA Certified 54 Biomarkers At-Home Draw Hospital-grade testing processed in our CLIA-certified laboratory for maximum analytical precision. 360 Blood Panel Available to members Only Speak to your provider for more information Comprehensive full-body biomarker analysis, available to members as part of a more complete testing protocol. For men who want complete clarity, the 360 panel evaluates the systems that drive performance, recovery, metabolic health, and long-term risk: Hormones Cardiovascular markers Metabolic health Liver and kidney function Inflammation Vitamin status Prostate health Processed at ExcelMedicalLabs, a CLIA-certified facility meeting federal laboratory standards for accuracy and reliability. CLIA Certified 54 Biomarkers At-Home Draw Hospital-grade testing processed in our CLIA-certified laboratory for maximum analytical precision. The Excel Advantage™. A different standard of care. Male Excel members gain access to expert-led care and advanced treatments designed to improve performance, metabolic health, recovery, and long-term aging. Expert providers A dedicated medical team trained in The Excel Advantage™ protocol. Consistent, expert guidance from day one. Not outsourced. Not rotated. Your care stays with one provider Licensed U.S. providers specializing in men’s hormone and preventive health 300+ hours of training in the first two years, with ongoing education every year Trained in The Excel Advantage™ protocol across testosterone, thyroid, weight loss, and sexual health Led by Peter Fotinos MD and Lorna A. Brudie DO FACOG FACS Ongoing oversight and adjustments as your treatment evolves Proven protocol A clinical system designed to restore steady hormones, support healthy aging, and prevent the gradual decline many men experience after 35. Daily testosterone microdosing for stable, predictable levels Thyroid support when needed to improve energy and well-being Structured GLP-1 options including Semaglutide injections, Semaglutide pills, and Tirzepatide for weight control and long-term health Regular symptom reviews and 60-day provider check-ins Full hormone and health panels every 6 months No estrogen blockers Protocol refined through nearly two decades of patient outcomes Personalized prescriptions U.S. compounded and pharmacy-dispensed treatments tailored to your body and goals. Your provider adjusts dosing every 60 days for safe, effective results. Bioidentical testosterone compounded in the United States Thyroid medication when clinically appropriate GLP-1 metabolic therapies, with B-12 added when needed for energy and muscle support ED medications prescribed when appropriate Targeted supplements, NAD+, and DHEA layered in based on symptoms and labs Flexible options for injections or topical therapies Dosing personalized to your goals, with provider monitoring every 60 days 96 % of our patients experience life-changing results in six months* That’s the Excel Advantage. The Excel Advantage Guarantee Follow the protocol for 90 days. You will see results, or we will refund your membership fees.** *Data taken from 32,795 members responding to symptoms reviews with their Excel medical providers ** The Excel Advantage™ Guarantee: Follow your provider’s treatment plan for 90 days. If symptoms don’t improve, your three months of membership fees will be refunded. Benefits of hormone optimization for men Testosterone replacement therapy (TRT) and thyroid medications deliver physical, mental, and long-term health improvements that men can feel every day. With Male Excel, treatment is guided by experts who know how to optimize performance and long-term health. More energy and motivation Leaner muscle and fat reduction Improved mood and mental clarity Increased confidence and drive Better sexual performance Long-term health support Deeper, more restorative sleep More energy and motivation Leaner muscle and fat reduction Improved mood and mental clarity Increased confidence and drive Better sexual performance Long-term health support Deeper, more restorative sleep Reclaim your edge. Personalized TRT & hormone optimization, managed by licensed physicians. Start Your Free Assessment Trusted by 100,000+ men. Physician-led care. How to order testosterone online Get started within days 1 Complete symptom assessment and order test kit Start with a quick online assessment, then order your at-home test kit. 2 Meet your provider online Discuss your results, goals, and recommended treatment directly with your Male Excel provider   Start The Excel Advantage One-on-one care Regular hormone testing and 60-day follow-ups Daily microdosing protocol Results guaranteed or membership fee refunded¹ Start Your Free Assessment Physician-Led Care Ongoing medical management $99 / month Hormone optimization is not a one-time prescription. It requires ongoing evaluation and expert medical guidance Access all treatments Get started within days Start Your Free Assessment 60-day follow-ups Provider reviews to refine and optimize treatment. Member access & pricing Access to advanced treatments with preferred pricing. In-house specialists Trained directly in the Excel Advantage™ protocol. Integrated treatment Testosterone therapy, thyroid optimization, metabolic support. Symptom-driven care Treatment guided by symptoms, not lab numbers alone. Precision monitoring Regular labs with personalized treatment adjustments. Transparent pricing and proven value Testosterone therapy starts at $99 per month. Transparent pricing. U.S.-made medications. No hidden costs. See Plans & Pricing All treatments are provider-prescribed and medically supervised. Membership required. Meet the medical experts Peter Fotinos, MD Chief Medical Officer, Excel Medical Family medicine and specialist in hormone optimization Lorna A. Brudie, DO, FACOOG, FACOG Medical Director, Excel Medical Board-certified in obstetrics and gynecology Specialist in hormone optimization Dr Fotinos and Dr Brudie lead all clinical strategy and medical oversight for Male Excel. They define treatment protocols, direct and deliver provider training, and set the clinical standards followed by Excel Medical’s nationwide, in-house team of licensed physicians. Meet the Medical Team Patient stories Verified Trustpilot reviews. Actor portrayal shown to protect patient privacy. “I haven’t felt this strong in years.” “Clearer mind, better workouts, and my wife noticed first.” The best decision I have made for my health.” See All Reviews on Trustpilot Thank God I found Male Excel I found Male Excel a few years ago when I was looking for ways to take testosterone to help improve my energy, vitality, and sex drive. They have been very easy to work with and the doctors I communicate with have been honest, efficient, and helped me reach all the goals I had set. I’ve lost over 20 pounds, now do Pilates 5 days a week, lift weights 3/4 days a week, and have tremendous energy and vitality I was looking for. I just turned 71, and can honestly say I feel better than I’ve felt in several years. Marc Morton Still amazing after a year together! I’ve worked with Male Excel for over a year now and they are just amazing. From my practitioner to the shipping department, everyone has been responsive and effective. so much so that my wife is working with the women’s version of this now and I have recommended Male Excel to friends and gym buddies. Great work!! Michael Napoli Superior quality and service Superior quality and service. When I couldn’t get testosterone replacement therapy at age 60, I was medically evaluated by Male Excel and received TRT and other medication for returning my testosterone level to that of my 20s. Clearing up my mind, increasing stamina and energy levels, along with gradually increasing my strength & muscle mass, improving my work performance. 💪 Darrin S. Walker I would have to say this is a total... I would have to say this is a total game changer for me. The staff here is very responsive very concerned very helpful and what only the best for the customer I am 100% satisfied. I think that anybody is looking to recapture their own well-being has nothing to lose and should act immediately for a better healthy, healthier life do it now you have nothing to lose. Allen Living my best life to the fullest Male Excel has given me more energy, the feeling like when i was in college. Looking at my wife like she’s 25 and I’m 30. No need to say more. My workouts are like when i was boxing for my 2nd golden glove title. My brain is just as sharp when i was in my 30s. Not to mention I’m 65 and feeling great. I can use more peaceful sleep tho. Andra D Hayes Frequently asked questions about TRT Do you take insurance? We do not accept insurance. Most plans are built around reactive care and don’t cover the kind of personalized hormone optimization we provide through testosterone therapy online. Male Excel is designed to treat the root cause, not just manage symptoms. That level of care requires flexibility, precision, and ongoing provider access that insurance doesn’t support. You may be able to use FSA, HSA, or HRA funds for reimbursement. How much does treatment cost? Membership is $99 per month and includes unlimited provider access, structured 60-day assessments, and comprehensive blood testing every 6 months as part of your TRT online program. Medications are billed separately based on your personalized protocol, with member pricing on prescriptions. What states do you cover? Our medical providers prescribe hormone treatment in all states except Alaska, Arkansas, Connecticut, Hawaii, Idaho, Louisiana, Mississippi, New Hampshire, and Rhode Island. Not sure if you’re covered? Check availability in your state . How long does it take to see results from TRT online? Most men begin to notice improvements in energy, focus, libido, and mood within 3 to 6 weeks after starting testosterone therapy online. More significant changes like body composition, strength, and metabolic health typically develop over 3 to 6 months as your hormones stabilize. What makes Male Excel different from other TRT online clinics? Most TRT online clinics still use outdated models. Weekly injections, inconsistent hormone levels, and treatment based on lab ranges alone. Male Excel is built on a 20-year protocol that has helped over 100,000 members. We use precise dosing, structured 60-day assessments, and ongoing optimization based on how you feel. No spikes, no crashes. This is TRT online done right. Can I take my testosterone therapy plan to my primary care provider? You can share your plan, but most primary care providers are not trained in advanced testosterone therapy online or modern TRT protocols. Many rely on outdated dosing, lab ranges alone, or insurance-driven limitations. Male Excel providers are trained in The Excel Advantage™ protocol, focused on symptom resolution and long-term optimization. Can I switch to Male Excel if I’m already on TRT or ED treatment? Yes. Many of our patients come from other TRT online clinics or traditional providers. We transition you through our onboarding process and rebuild your protocol using The Excel Advantage™ approach to improve consistency, stability, and results. How do refills and follow-ups work? As part of your TRT online program, we notify you when it’s time for a refill. You complete a quick check-in, your provider reviews your progress, and your protocol is adjusted if needed. Structured 60-day assessments ensure your treatment continues to evolve with you. What if I want to pause treatment? You can pause your testosterone therapy online at any time. Contact Member Support and we’ll guide you through it. You can restart whenever you’re ready. This is the moment you take it back We do not just restore hormones. We rebuild men. Male Excel is the nation’s leading online men’s health clinic for long-term hormone optimization and preventive care. Start Your Free Assessment This is the moment you take it back We do not just restore hormones. We rebuild men. Male Excel is the nation’s leading online men’s health clinic for long-term hormone optimization and preventive care. Start Your Free Assessment CONTACT Mon-Sun: 7am-9pm (EST) Phone: (833) 625-3392 TREATMENTS Testosterone Replacement Thyroid Therapy Testosterone Test Kit Testosterone Treatment Pricing ED Medications LEARN MORE Reviews Our Story Our Providers Common Questions Contact Us Health Guide (Blog) TRT Studies Careers LEGAL Terms & Conditions Privacy Policy Consumer Health Data Privacy Policy Your Privacy Choices Contact Treatment Learn more Facebook-f X-twitter Instagram Linkedin-in Youtube Terms & conditions     •     Privacy policy Consumer Health Data Privacy Policy Your Privacy Choices The information provided on this website is for informational purposes and not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to your doctor. Prescription hormones from Male Excel require an online consultation with one of our licensed healthcare providers who will evaluate whether or not you are an appropriate candidate and review benefits and potential side effects with you prior to prescribing. Based on DEA and state laws, your testosterone treatment plan may require an in-person medical exam. Your Male Excel provider will be able to provide more details during your online consultations. © Copyright 2026, Excel Medical. All Rights Reserved. Male Excel, Inc. is not connected or affiliated with Nelson Vergel, the EXCELMALE mark, EXCELMALE forum, or any associated products and services. Testosterone Safety Information Thyroid Safety Information ADDITIONAL IMPORTANT SAFETY INFORMATION WARNING: SECONDARY EXPOSURE TO TESTOSTERONE · See full prescribing information for complete boxed warning · Virilization has been reported in children with secondary exposure to topical testosterone products · Children should avoid contact with unwashed or unclothed application sites in men using topical testosterone products · Healthcare providers should advise patients to strictly adhere to recommended instructions for use Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor. Warnings and Precautions: · Possible increased risk of heart attack or stroke. · Male Excel’s testosterone products are not meant for use by women. · It is not known if Male Excel’s testosterone products are safe or effective in children younger than 18 years old. Improper use of testosterone in children may affect bone growth. · Testosterone can be abused when taken at higher than prescribed doses and when used with other anabolic androgenic steroids. Male Excel’s Testosterone Lipoderm Cream is a controlled substance (CIII) because it contains testosterone that can be a target for people who abuse prescription medicines. Anabolic androgenic steroid abuse can lead to serious cardiovascular and psychiatric adverse reactions. Your doctor will check you for signs of abuse before and during treatment. · Keep your Male Excel products in a safe place to protect them. · Never give your Male Excel products to anyone else, even if they have the same symptoms you have. · Selling or giving away this medicine may harm others and is against the law. These are not all the possible side effects. See the Full Prescribing Information for more. What Should You Know Before Taking Male Excel’s Testosterone Lipoderm Cream? It is not known if Male Excel’s Testosterone Lipoderm Cream is safe or effective in treating men who have low testosterone due to aging. It is not known if Male Excel’s Testosterone Lipoderm Cream is safe or effective in children younger than 18 years old. Male Excel l’s Testosterone Lipoderm Cream is a controlled substance (CIII) because it contains testosterone that can be a target for people who abuse prescription medicines. Keep it in a safe place to protect it, and never give it to anyone else. Selling or giving away this medicine may harm others and is against the law. Male Excel’s Testosterone Lipoderm Cream is not meant for use in women. Male Excel’s Testosterone Lipoderm Cream can transfer from your body to others, including children and women. Transference can happen if other people come into contact with the area where Male Excel’s Testosterone Lipoderm Cream is applied. Children and women should avoid contact with the unwashed or uncovered (unclothed) areas where Male Excel’s Testosterone Lipoderm Cream has been applied to your skin. Early signs and symptoms of puberty have occurred in young children who have come in direct contact with testosterone by touching areas where men have used Male Excel’s Testosterone Lipoderm Cream. Signs and symptoms of early puberty in a child who has come in direct contact with Male Excel’s Testosterone Lipoderm Cream may include: · Abnormal sexual changes. · Enlarged penis or clitoris. · Early hair growth near the vagina or around the penis (pubic hair). · Erections or acting out sexual urges (sex drive). · Behavior problems, including acting aggressively or behaving angrily or violently. Signs and symptoms in a woman who has come in direct contact with Male Excel’s Testosterone Lipoderm Cream may include: · Changes in body hair. · An abnormal increase in pimples (acne). To lower the risk of transfer of Male Excel’s Testosterone Lipoderm Cream from your body to others, you should follow these important instructions: · Apply Male Excel’s Testosterone Lipoderm Cream only to areas of your shoulders, upper arms, or stomach area (abdomen) that a short-sleeve t-shirt will cover. · Wash your hands right away with soap and water after applying testosterone cream · After the gel has dried, cover the application area with clothing. Keep the area covered until you have washed or showered the application area well. · If you expect skin-to-skin contact with another person, wash the application area well with soap and water. · If a child or woman touches the area where you have applied testosterone cream, that area on the child or woman should be washed thoroughly with soap and water immediately. Stop using Male Excel’s Testosterone Lipoderm Cream and call your healthcare provider immediately if you see any signs and symptoms of puberty in a child or changes in body hair. The same applies if you notice increased acne in a woman that may have happened through accidental touching of the area where you have applied Male Excel’s Testosterone Lipoderm Cream. Do not use Male Excel’s Testosterone Lipoderm Cream if you: · Have breast cancer or have or might have prostate cancer. · Are pregnant. Male Excel’s Testosterone Lipoderm Cream may harm your unborn baby. Pregnant women should avoid contact with the area of skin where Male Excel’s Testosterone Lipoderm Cream has been applied. Before using Male Excel’s Testosterone Lipoderm Cream, inform your healthcare provider about all of your medical conditions, including if you have breast cancer, prostate cancer, urinary problems due to an enlarged prostate, heart, kidney, or liver problems, or problems breathing while you sleep (sleep apnea). Inform your healthcare provider of all medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Especially tell your healthcare provider if you take insulin, medicines that decrease blood clotting (blood thinners), or corticosteroids. Male Excel’s Testosterone Lipoderm Cream can cause serious side effects, including: · If you already have an enlarged prostate gland, your signs and symptoms can worsen while using Male Excel’s Testosterone Lipoderm Cream (including changes in urination). · Possible increased risk of prostate cancer.] · Blood clots in the legs or lungs. Signs and symptoms of a blood clot in your leg can include leg pain, swelling, or redness. Signs and symptoms of a blood clot in your lungs can include difficulty breathing or chest pain. · Possible increased risk of heart attack or stroke.[sw4] · In large doses, Male Excel’s Testosterone Lipoderm Cream may lower your sperm count. · Swelling in your ankles, feet, or body, with or without heart failure. This may cause serious problems for people with heart, kidney, or liver disease. · Enlarged or painful breasts. · Having problems breathing while you sleep (sleep apnea). The most common side effects of Male Excel’s Testosterone Lipoderm Cream include increased prostate-specific antigen (a test used to screen for prostate cancer), mood swings, high blood pressure, increased red blood cell count, acne, and skin irritation where the gel is applied. This is the most important information to know about Male Excel’s Testosterone Lipoderm Cream. For further information, talk with your healthcare provider. Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all the possible side effects of Male Excel’s Testosterone Lipoderm Cream. For more information, ask your healthcare provider or pharmacist. Please click here to see full prescribing information, Medication Guide, and complete boxed warnings for the product. You are encouraged to report any adverse side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. ADDITIONAL IMPORTANT SAFETY INFORMATION AND BLACK BOX WARNING WARNING: Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects. What Should You Know Before Taking Male Excel’s desiccated thyroid [tetraiodothyronine sodium (T4 levothyroxine) and triiodothyronine sodium (T3 liothyronine)]? PLEASE NOTE: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor. This is not an Orange Book product and has not been subjected to FDA therapeutic equivalency or other equivalency testing. No representation is made as to generic status or bioequivalency. Each person recommending a prescription substitution using this product shall make such recommendations based on each such person’s professional opinion and knowledge upon evaluating the active ingredients, excipients, inactive ingredients and chemical information provided herein. All prescription substitutions and/or recommendations using this product shall be made subject to state and federal statutes as applicable. What is Male Excel’s desiccated thyroid? · Male Excel’s desiccated thyroid is a prescription medicine used to treat a condition called hypothyroidism from any cause, except for cases of temporary hypothyroidism, which is usually associated with an inflammation of the thyroid (thyroiditis). It is meant to replace or supplement a hormone that is usually made by your thyroid gland. When should I not take Male Excel’s desiccated thyroid? · Male Excel’s desiccated thyroid should not be used for weight loss. Do not use Male Excel’s desiccated thyroid if you have hyperthyroidism, overactive thyroid, uncorrected adrenal problems, or are allergic to any of its ingredients. What warnings should I know about Male Excel’s desiccated thyroid? · Large doses of Male Excel’s desiccated thyroid may cause serious or life-threatening side effects, including chest pain, increased pulse rate, rapid, strong, irregular heartbeat, and excessive sweating. · Male Excel’s desiccated thyroid should be used with caution in people with heart disease, on diabetes medication, or on blood thinning medication. · Children may experience partial hair loss in the first few months of thyroid therapy, but this will usually go away on its own. What should I tell my healthcare provider? · Tell your doctor immediately if you experience chest pain, increased pulse rate, rapid, strong, irregular heartbeat, excessive sweating, or any other unusual event. · Tell your doctor about any other medical conditions you may have, especially heart disease, diabetes, blood clotting problems, and adrenal or pituitary gland problems. The dose of other drugs you may be taking to control these conditions may have to be changed while you are taking Male Excel’s desiccated thyroid. · If you have diabetes, check your blood sugar levels and/or the glucose in your urine, as ordered by your doctor and immediately tell your doctor if there are any changes. · Tell your doctor if you are allergic to any foods or drugs, are pregnant or plan to become pregnant, are breastfeeding or are taking any other drugs, as well as prescription and over-the-counter products. What are the side effects of Male Excel’s desiccated thyroid? · Side effects may include chest pain, increased pulse rate, rapid, strong, irregular heartbeat, or excessive sweating. If you experience these side effects, immediately contact your doctor. What other medications might interact with Male Excel’s desiccated thyroid? · Male Excel’s desiccated thyroid can interact with some medications, such as oral anticoagulants, which are medicines used to thin the blood, insulin or oral medications used to treat diabetes, certain medications used to treat high cholesterol levels, and estrogen-containing birth control pills. IMPORTANT RISK INFORMATION Thyroid hormones, including Male Excel’s desiccated thyroid, should not be used alone or in combination with other drugs to treat obesity or weight loss. In patients with normal thyroid levels, doses of Male Excel’s desiccated thyroid used daily for hormone replacement are not helpful for weight loss. Larger doses may result in serious or even life-threatening events, especially when combined with certain other drugs used to reduce appetite. · Male Excel’s desiccated thyroid is contraindicated in patients with uncorrected adrenal insufficiency, untreated thyrotoxicosis, and hypersensitivity to any component of the product. · In the elderly and patients with cardiovascular disease, Male Excel’s desiccated thyroid should be used with greater caution than younger patients or those without cardiovascular disease. · Use of Male Excel’s desiccated thyroid in patients with diabetes mellitus or adrenal cortical insufficiency may worsen the intensity of their symptoms. · The therapy of myxedema coma requires simultaneous administration of glucocorticoids. · Concomitant use of Male Excel’s desiccated thyroid with oral anticoagulants alters the sensitivity of oral anticoagulants. Prothrombin time should be closely monitored in thyroid-treated patients on oral anticoagulants. · In infants, excessive doses of Male Excel’s desiccated thyroid may produce craniosynostosis. · Partial loss of hair may be experienced by children in the first few months of therapy but is usually transient. · Adverse reactions associated with Male Excel’s desiccated thyroid therapy are primarily those of hyperthyroidism due to therapeutic overdosage. · Many drugs and some laboratory tests may alter the therapeutic response to Male Excel’s desiccated thyroid. In addition, thyroid hormones and thyroid status have varied effects on the pharmacokinetics and actions of other drugs. Administer at least 4 hours before or after drugs that are known to interfere with absorption. Evaluate the need for dose adjustments when regularly administering within one hour of certain foods that may affect absorption. Please click here to see full prescribing information, including BOXED WARNING and important safety information. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088