Gradual decline in testosterone levels. Unlike women, male hormones do not completely go away. However, testosterone levels decrease causing unwanted symptoms. More and more males are seeking testosterone replacement to improve their health and overall quality of life. In our practice we look at both total and free testosterone levels. Free testosterone levels determine if the total testosterone is not optimal for the individual patient. Some male patients may have higher estradiol (female hormone) levels than free testosterone, worsening symptoms. Our treatment plan is all-encompassing, touching on lifestyle, diet, exercise, and stress management as well as hormone replacement. We manage declining testosterone levels with nutraceuticals and supplements, including adaptogenic herbs that not only help balance your hormones but also boost your overall health.