Testosterone Replacement Therapy at Russald Medical Center

Men's Health · Tijuana, Mexico

Testosterone Replacement
Therapy (TRT)

Energy, drive, muscle, clarity. these aren't just symptoms of getting older. In many men, they're signs of a clinically low testosterone level that can be identified with a blood test and addressed with a physician-supervised protocol. At Russald, TRT is lab-based, personalized, and significantly more affordable than US clinics.

Medically reviewed by Russald Medical Center — April 25, 2026

View ProceduresFree Evaluation
Lab-BasedDiagnosis Required
OngoingMonitoring Included
RemoteInitial Consult
60–75%Less Than US Clinics

What Is TRT?

Restoring Testosterone to Where It Belongs

TRT restores testosterone to physiologic levels. the range your body is designed to function at. Treatment is initiated only when low testosterone is confirmed by laboratory testing, and the protocol is tailored to your individual hormonal profile.

At Russald, no TRT is prescribed based on symptoms alone. We confirm the deficiency first, then build the protocol around your labs, your goals, and your clinical picture. TRT is offered at 60–75% below US men's health clinic pricing, with remote initial consultation available.

Symptoms

Recognize the Signs of Low Testosterone

Low testosterone builds gradually. Many men attribute these symptoms to stress or aging without ever checking their hormone levels.

Persistent Fatigue

Tired even after a full night's sleep. Low energy throughout the day that doesn't improve with rest.

Muscle Loss

Harder to build or maintain muscle. Strength declining despite consistent training and good nutrition.

Brain Fog

Difficulty concentrating, reduced mental sharpness, lower motivation and drive at work or at home.

Reduced Libido

Decreased interest in sex. Reduced drive that feels unlike you and doesn't respond to lifestyle changes.

Body Fat Increase

Fat accumulating around the abdomen despite diet and exercise. Difficulty maintaining healthy body composition.

Mood Changes

Irritability, mild depression, or a flat feeling in mood and outlook that wasn't there before.

Not all of these symptoms are caused by low testosterone. Only a lab test can confirm it. and only a physician should prescribe treatment based on that result.

Treatment Options

Three Delivery Methods

Your physician selects the most appropriate based on your lifestyle, labs, and preferences.

Most Common

Injectable

Testosterone cypionate or enanthate administered intramuscularly. Typically weekly or biweekly. Most cost-effective option with precise dosage control.

Topical Gel

Applied daily to skin for steady absorption. Convenient for patients who prefer to avoid injections. Requires consistent daily application for stable levels.

Pellets

Subcutaneous pellets inserted every 3–6 months. Consistent sustained release. no daily or weekly dosing required. Minimal maintenance between visits.

What patients report

Common outcomes after treatment

  • Improved energy and stamina

    Fatigue recedes over the first weeks of treatment as levels normalize.

  • Better body composition

    Improved response to training. Fat redistribution over months of treatment.

  • Mental clarity and mood

    Reduced brain fog, improved motivation, and a more stable mood baseline.

  • Restored libido and sexual function

    One of the most consistently reported improvements when deficiency is confirmed.

  • Stronger training response

    Muscle building becomes notably more responsive when testosterone is at physiologic levels.

Individual results vary. Results depend on confirmed deficiency, protocol adherence, and ongoing monitoring.

The Process

Step by Step

  1. Remote Consultation

    Initial consultation reviewed remotely. Lab order placed. done near you or at Russald on first visit.

  2. Lab Review

    Physician reviews your complete panel. Protocol designed around your specific hormonal profile and goals.

  3. First Visit — Treatment Initiated

    Treatment administered at Russald. Physician consultation, baseline confirmed, first dose same day.

  4. Ongoing Monitoring

    Regular lab checks. testosterone, hematocrit, PSA. Dosage adjusted as needed. Remote follow-up available.

Lab Panel

Required Bloodwork

No TRT is prescribed without a physician consultation and lab review. Labs can be done at Russald or at a lab near you beforehand.

Total Testosterone

Two morning samples

Free Testosterone

Bioavailable fraction

Estradiol

Hormonal balance

DHEA & Cortisol

Adrenal markers

IGF-1

Growth hormone axis

CBC

Complete blood count

Metabolic Panel

Liver & kidney function

Total PSA

Prostate screening

Patient Videos

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Joshua Standifer

The facilities are incredible

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The facilities are first class

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The clinic is beautiful

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Patient Reviews

Real Words from Real Patients

Anthony Preciado

a week ago

Wow, I want to thank the staff and doctors here at Russald Medical. They were so nice and made us feel comfortable. I loved how they were explaining everything in detail, Also were letting me know what they were doing in the moment. I would definitely come back here and recommend Russald Medical to anyone who’s thinking about getting a hair transplant. Trust me you’ll love the experience here.

Elvia Gomez

a week ago

I am so grateful to the Russald Medical clinic. They treated me like a queen — the staff, the doctors, the drivers. My thanks for my hair transplant. Thank you so much.

Tim Spires

a week ago

The clinic was clean and wonderful. The people treating me were fantastic, and easy going. Great food was supplied, full facility available in your room. They provide a driver to take me straight from the airport to the clinic, and one to take you back for any flying needs. Procedure appears to be like all the rest you do research about. It was interesting learning about how it works. High hopes for a great outcome. Thank you, Russald Medical.

Creative.ness__

a week ago

My husband went to Russald Medical for a hair transplant and we had a very good experience. The staff was very professional and made my husband and myself feel comfortable and welcome. Loved that they had transportation options so that was one less thing for us to stress about. Can’t wait to update with his final results.

Luis Cazares

6 months ago

Excellent service, very professional! The facilities are spotless, making clients feel very comfortable and at ease. 10/10. Thank you for your attention!

Eric Su

7 months ago

I came here for multiple PRP procedures for tendinitis. The prices were far superior to those in America with superior service as well. The surgeon was incredibly kind, professional and helped all of the issues in my shoulders and my knees. I felt better the next day. Previously I spent thousands on chiropractors and acupuncture — so glad I chose Russald Medical instead. Referring friends and family as well.

Caro Medina

7 months ago

I did my hormone replacement treatment with Russald Medical and had AMAZING results. Before selecting them I reached out to 3 other clinics in Tijuana and they all wanted to sell medicated creams without any blood tests. Russald immediately requested a full blood panel including hormonal tests, which obviously makes more sense. The lab-based approach made all the difference.

Andrew Castro

a year ago

I saw the surgeon here after 5 months of shoulder pain from an injury. We injected PRP into my shoulder and that’s where my recovery began. Every week I felt improvement — my shoulder was 100% by about the 8 week mark. He is an exceptional doctor, well versed in what he does, and listens to his patients. 100% recommend Russald Medical.

Stephanie Perez

a year ago

I highly recommend this place; the facilities are very welcoming and beautiful. The receptionist was friendly. And most importantly, the changes since I started going here are very noticeable; in a short time, my hair is healthier and stronger.

See more patient reviews

FAQ

Common Questions About TRT

Can I get prescription testosterone in Tijuana, Mexico?

Yes. Testosterone is a prescription medication — at Russald a licensed physician prescribes it only after blood testing confirms a clinically low level. It is not sold over the counter or online; the legal path is a lab-confirmed diagnosis and a physician-managed protocol. Many U.S. patients begin the lab review remotely before they travel.

How do I know if I need TRT?

The only way to confirm low testosterone is through blood testing. ideally two morning samples. Symptoms alone are not sufficient for diagnosis. A physician at Russald reviews your labs and clinical picture before recommending TRT.

Is TRT safe?

TRT is generally safe when prescribed based on confirmed lab deficiency and monitored by a physician. Key risks. including effects on fertility, hematocrit elevation, and others. are reviewed in detail during your physician consultation. No TRT is prescribed without a full evaluation.

Will TRT affect my fertility?

TRT can suppress sperm production. Patients who want to preserve fertility should discuss this with the physician before starting. Alternatives or additional protocols may be considered. Fertility implications are always part of the informed consent discussion before treatment begins.

Can I start the process remotely?

Yes. An initial consultation and lab order can be completed remotely. If you have labs available from a local lab, the physician can review them before your visit. The first in-person visit at Russald is typically for treatment initiation and physician consultation.

How often do I need to visit Tijuana?

This depends on the delivery method. Injectable TRT is typically weekly or biweekly. many patients self-administer at home after the first visit. Pellets require a visit every 3–6 months. Remote follow-up for lab monitoring and dosage adjustment is available for patients returning to the US.

How much does TRT cost compared to US clinics?

US men’s health clinics typically charge about $200–$500 per month for managed TRT; at Russald it is 60–75% less. Your exact cost depends on the delivery method (injectable, gel, or pellet) and your monitoring schedule, and is confirmed after your free clinical pre-screening — see our pricing comparison for the full breakdown.

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