Testosterone Therapy
In atlanta
Personalized, bioidentical testosterone replacement therapy designed around your unique physiology. Comprehensive laboratory evaluation, individualized protocols, and ongoing monitoring by Dr. Ched Garten at Paragon Sports Medicine.
Signs You Might Have Low Testosterone
Do any of these sound familiar?
If 3 or more of these sound familiar, your testosterone may be below optimal. A simple blood test at Paragon can tell you in 48 hours.
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Persistent fatigue and reduced energy despite adequate sleep
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Decreased muscle mass and increased body fat, particularly around the abdomen
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Reduced libido and changes in sexual function
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Cognitive changes, including brain fog, poor concentration, and memory concerns
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Mood changes, low motivation, and irritability
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Poor recovery from exercise and reduced physical performance
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Sleep disturbances and difficulty recovering overnight
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Metabolic changes, including insulin resistance and difficulty managing weight
A thorough laboratory evaluation is required before any treatment decisions are made. Symptoms alone are not sufficient for diagnosis.
Low Testosterone Is Often a Metabolic Issue,
Not Just a Hormonal One
Research has established clear connections between testosterone deficiency and a range of metabolic and cardiovascular conditions.
For many men, hormonal decline is not an isolated finding. It is part of a broader metabolic picture that, when addressed comprehensively, can lead to meaningful improvements in overall health.
Testosterone replacement therapy is not a treatment for any of the conditions listed above. However, addressing underlying hormonal deficiency can be one component of a comprehensive approach to metabolic health. Dr. Garten evaluates each patient's full health picture before making any recommendations.
What We Test Before and During Treatment
Safe testosterone replacement requires a thorough understanding of your baseline health. We evaluate a comprehensive hormonal and metabolic panel, not just total testosterone, to ensure accurate diagnosis, appropriate candidacy, and responsible ongoing monitoring throughout your care.
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Total Testosterone
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Free Testosterone
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Estradiol (E2) — critical for managing side effects
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PSA (Prostate Specific Antigen)
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Complete Blood Count (CBC) — monitoring hematocrit
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Comprehensive Metabolic Panel
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Lipid Panel
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Thyroid (TSH, Free T3, Free T4)
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DHEA-S
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Hemoglobin A1C
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Vitamin D
Our approach for Testosterone
Optimization at Paragon
There is no standard testosterone protocol that works for everyone. Your hormonal profile is shaped by your genetics, body composition, metabolic health, age, and lifestyle. What works for one person may be inadequate or excessive for another, even when starting testosterone levels appear similar. At Paragon, we take the time to understand your full picture before we build a plan around it.
KNOW YOUR BASELINE
Before any recommendations are made, we run a comprehensive hormonal and metabolic panel. For men this includes total and free testosterone, LH, estradiol, CBC, PSA, a full thyroid panel, vitamin D, and vitamin B12. Where needed, we also assess for insulin resistance. Nothing is assumed.
YOUR INITIAL CONSULTATION
We take a detailed health history, explore your symptoms, and understand your goals. We educate you thoroughly on andropause and TRT before reviewing your labs together and building your personalised treatment plan.
EARLY CALIBRATION
Four to eight weeks after starting therapy, we repeat the necessary labs to evaluate your therapeutic levels and how your body is responding. Adjustments are made based on your data and how you feel. Both matter equally.
LONG-TERM PARTNERSHIP
Once stable, we see you every four to six months. Repeat labs, a full clinical review, and any protocol adjustments needed. Our goal is to restore your testosterone to optimal, physiologic ranges and support your long-term health as your needs evolve.
When Testosterone Replacement May Not Be Appropriate
Testosterone replacement therapy is not right for everyone, and careful screening is an important part of our process. TRT is generally not recommended for men with the following:
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Active or suspected prostate cancer
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Hematocrit above 54 percent
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Severe untreated heart failure
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Active breast cancer
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Uncontrolled or severe sleep apnea
Testosterone Therapy in Atlanta:
What Patients Ask Us
Atlanta's Performance and Longevity Medicine Practice
Paragon Sports Medicine is a non-surgical sports medicine and regenerative medicine practice based in Atlanta, GA. Founded by Dr. Ched Garten, Paragon was built around a single principle: that the most effective care comes from understanding the whole patient, not just treating isolated symptoms.
What began as a practice rooted in elite sports medicine has grown into a comprehensive Performance and Longevity Medicine clinic serving professionals, executives, and active adults across Atlanta. Every service is designed around precision, evidence, and long-term health.
From regenerative therapies and peptide optimization to testosterone replacement and sports medicine, Paragon brings the same standard of care once reserved for professional athletes to anyone committed to performing and living at their best.
The providers Behind Your Protocol
Meet the passionate professionals who make Paragon's mission possible—
experts who treat not just injuries, but the dreams and aspirations behind them.
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Dr. Ched Garten
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Jordan Carney, CRNP
Request a consultation
Take the first step toward understanding your hormonal health. At Paragon Sports Medicine, Dr. Ched Garten provides comprehensive, evidence-based testosterone replacement therapy designed around your unique physiology. Whether you are experiencing symptoms of hormonal decline or simply want a clearer picture of where your hormones stand, we are here to help you understand your options and make informed decisions about your health.
Request a consultation
Take the first step toward understanding your hormonal health. At Paragon Sports Medicine, Dr. Ched Garten provides comprehensive, evidence-based testosterone replacement therapy designed around your unique physiology. Whether you are experiencing symptoms of hormonal decline or simply want a clearer picture of where your hormones stand, we are here to help you understand your options and make informed decisions about your health.