Moderate Symptoms Detected Moderate Symptoms Detected
Thank you for completing the Biltmore Restorative Medicine Male Hormone Assessment.
Based on your responses, your total symptom score is {calculation-1}/125 , which falls into the Moderate Symptoms range.
What This Means:
Your symptoms indicate a meaningful hormonal imbalance that is affecting your quality of life, performance, and wellbeing. You’re likely experiencing the effects of testosterone deficiency (Low T) that could significantly benefit from professional evaluation and treatment.
You are a good candidate for Bioidentical Hormone Replacement Therapy (BHRT).
Men in your symptom range typically see substantial improvements with properly balanced testosterone therapy, often reporting they “feel like themselves again” or “have their edge back” within weeks to months of starting treatment.
The Impact on Your Life:
Moderate symptoms don’t just affect how you feel—they impact:
Work Performance: Reduced energy, focus, and competitive drive affect career successPhysical Health: Muscle loss, fat gain, decreased strength and enduranceSexual Function: Reduced libido and performance affecting intimacy and confidenceMental Sharpness: Brain fog, memory issues, and decreased concentrationEmotional Wellbeing: Mood swings, irritability, or depression affecting relationshipsOverall Vitality: Feeling older than your years, lacking enthusiasm for life
You don’t have to accept this as “just getting older.”
Why Your Symptoms Matter:
Beyond quality of life, untreated testosterone deficiency increases risks for:
Cardiovascular disease – Low testosterone is linked to heart problemsType 2 diabetes – Testosterone affects insulin sensitivity and glucose metabolismOsteoporosis – Testosterone is crucial for bone densityMuscle loss (sarcopenia) – Accelerated aging and weaknessCognitive decline – Memory and mental function deteriorationDepression and anxiety – Mental health significantly affected by hormones
Early intervention protects your long-term health.
Recommended Next Steps:
Step 1: Schedule Your Comprehensive Consultation
Dr. George K. Ibrahim brings unique expertise to your evaluation:
Why Dr. Ibrahim?
30+ years as board-certified urologist treating men’s health issuesFellowship in Anti-Aging Medicine with specialized hormone trainingOnly certified Fellow of A4M in Western NC – highest level of expertiseComprehensive approach treating the whole person, not just testosterone levelsProven track record helping men reclaim their vitality and performance
Your consultation will include:
Detailed review of your symptoms and health history
Discussion of your goals and concerns
Physical examination relevant to hormone health
Review of treatment options and approaches
Cost and timeline discussion
Questions answered by expert who truly understands male physiology
Step 2: Comprehensive Hormone Testing
To properly diagnose and treat your condition, we recommend:
Essential Tests:
Total Testosterone – Overall testosterone levelFree Testosterone – Bioavailable testosterone (most clinically important)Estradiol (E2) – Estrogen level (balance is critical)SHBG – Sex hormone binding globulinLH and FSH – Pituitary function assessmentDHT – Dihydrotestosterone (potent testosterone metabolite)
Additional Important Tests:
Complete Thyroid Panel – TSH, Free T3, Free T4 (thyroid affects everything)Complete Metabolic Panel – Overall health assessmentPSA – Prostate health (Dr. Ibrahim’s urological expertise is critical here)Complete Blood Count – Red blood cells and hematocritVitamin D, B12 – Often deficient and affect energyLipid Panel – Cardiovascular healthHbA1c – Glucose metabolism
Why comprehensive testing matters:
Identifies the root cause of your symptoms
Rules out other conditions mimicking low testosterone
Establishes safe baseline before treatment
Allows proper monitoring during treatment
Dr. Ibrahim’s urological expertise ensures prostate safety
Step 3: Personalized Treatment Plan
Based on your results, Dr. Ibrahim will design a treatment approach tailored to you:
Bioidentical Testosterone Options:
Testosterone Pellet Implants (Dr. Ibrahim’s preferred method for most men)
Small pellets inserted under the skin (quick, office procedure)
Steady, consistent testosterone levels for 3-4 months
No daily administration or hassle
Most closely mimics natural testosterone production
Proven most effective for moderate to significant symptoms
Testosterone Injections
Self-administered weekly or bi-weekly
Flexible dosing adjustments
Cost-effective option
Requires consistent self-administration
Topical Testosterone Gel/Cream
Daily application
Easy to use
Good for men who prefer not to inject
Transfer precautions with family (especially women/children)
Additional Considerations:
Aromatase inhibitors – If you convert too much testosterone to estrogenHCG – To maintain testicular function if desired (fertility preservation)Thyroid optimization – If thyroid is contributing to symptomsNutritional support – Vitamins and supplements to optimize results
Step 4: Monitoring and Optimization
Proper hormone therapy requires ongoing monitoring:
Follow-up at 6 weeks to assess initial response
Lab recheck at 8-12 weeks to optimize dosing
Quarterly check-ins for first year
Semi-annual monitoring thereafter
Adjustments made based on symptoms and lab values
What to Expect from Treatment:
Timeline for Improvement:
Weeks 1-2:
Initial energy improvements
Better sleep quality
Mood stabilization beginning
Subtle mental clarity improvements
Weeks 3-6:
Noticeable energy increase
Libido returning
Beginning of body composition changes
Improved motivation and drive
Better workouts and recovery
Weeks 8-12:
Significant sexual function improvement
Muscle mass increasing, fat decreasing
Mental clarity and focus much improved
Mood significantly better
Feeling “like yourself again”
Months 3-6:
Continued body composition improvements
Sustained high energy and performance
Sexual function optimized
Mental sharpness at peak
Overall vitality restored
Most men report: “I wish I had done this years ago.”
Real Patient Success Stories:
“At 47, I thought feeling tired and unmotivated was just part of getting older. Three months after starting treatment with Dr. Ibrahim, I have more energy than my 30s, I’m back in the gym setting PRs, and my wife is very happy. This changed my life.” – Mark, 47
“Low T was killing my career and marriage. Dr. Ibrahim’s expertise as a urologist gave me confidence he knew what he was doing. Six months later: lost 25 pounds, gained muscle, my libido is back, and I’m crushing it at work. Best decision I ever made.” – Jason, 52
“I was skeptical about testosterone therapy, but Dr. Ibrahim explained everything thoroughly. The improvement in my energy, mood, and sexual function has been remarkable. I feel 10 years younger.” – David, 55
Investment in Your Health:
Consultation & Testing:
Initial consultation: from $200-400 (comprehensive evaluation)
Hormone lab panel: from $300-500 (complete testing)
Total initial investment: from $500-900
Treatment Costs:
Pellet therapy: from $500-800 every 3-4 months ($165-265/month)Injection therapy: from $150-300/monthTopical therapy: from $200-400/monthFollow-up labs: from $200-300 every 3-6 months
Daily cost: $5-10/day to reclaim your vitality, performance, and quality of life
Most men find: The return in energy, productivity, confidence, and quality of life far exceeds the investment.
Why Men Choose Biltmore:
Urological Expertise:
Dr. Ibrahim’s 30+ years as urologist provides unmatched understanding of male physiology
Expert prostate monitoring (critical with testosterone therapy)
Comprehensive approach to men’s sexual health
Deep knowledge of male hormone systems
Proven Results:
Over a decade optimizing male hormones
Hundreds of successful treatments
Track record of safety and effectiveness
High patient satisfaction and retention
Comprehensive Care:
On-site laboratory (convenient, fast results)
All treatment options available
Integration with other therapies (peptides, sexual health treatments)
Complete men’s health optimization
Safety First:
Proper medical screening
Comprehensive monitoring protocols
Prostate health vigilance
Side effect management expertise
Common Questions:
“Is testosterone therapy safe?” When properly monitored by an expert like Dr. Ibrahim, testosterone therapy is very safe. Risks are minimized through proper screening, dosing, and monitoring—especially prostate health monitoring, which is Dr. Ibrahim’s specialty.
“Will I have to take this forever?” Most men choose to continue because they feel dramatically better. However, you’re not “locked in.” Testosterone can be discontinued if desired, though symptoms would gradually return.
“What about my prostate?” This is where Dr. Ibrahim’s urological expertise is invaluable. Proper monitoring and management keep your prostate healthy. Current evidence shows testosterone doesn’t cause prostate cancer, but monitoring is still essential.
“Will my insurance cover this?” Some insurance plans cover testosterone therapy if you have documented low testosterone. We can provide documentation for insurance submission. Many men choose to self-pay for more comprehensive optimization.
“How quickly will I feel better?” Most men notice improvements within 2-4 weeks, with progressive benefits over 3-6 months. Timeline varies based on severity of deficiency and individual response.
Take Action Now:
Don’t spend another month suffering from symptoms that are treatable.
You’ve taken the first step by completing this assessment. Now take the next step toward feeling like yourself again.
Schedule your consultation within the next 2 weeks for optimal results.
Ready to Reclaim Your Vitality?
Call: (864) 202-6583 Email: info@HormoneTherapyGreenvilleSC.com
What to bring to your consultation:
List of current medications and supplements
Recent lab work (if available)
Your top 3 goals for treatment
Questions and concerns
Most men start treatment within 2-3 weeks of consultation.
This assessment is for educational purposes only and does not constitute medical advice. Your consultation with Dr. Ibrahim will provide personalized medical recommendations based on your complete health picture.
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