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Johnston, IA 50131

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Testosterone Replacement Therapy in Johnston, IA

A Man Is Not His Symptoms

Treat Your Symptoms With Testosterone Replacement Therapy, The Leading-Edge Treatment That Transforms Lives—So You Can Be The Man You Know You Are.

Feeling sluggish lately? Do you find yourself lacking motivation, feeling worn out, and distant from your partner? Maybe you've noticed a slight increase in weight and a decline in performance, whether it's at the gym or in the bedroom. It might be time to consider checking your testosterone levels—testosterone replacement therapy (TRT) could be the key to revitalizing your well-being.

Low testosterone levels are a common issue that many men face as they age. However, your symptoms don't have to define you, and this doesn't have to be your new normal. While we can't turn back the clock, every man deserves to maintain his vitality, energy, and confidence as he ages gracefully.

With TRT, you can reignite that spark and reclaim your zest for life. Our VIP Male program specializes in treating these symptoms using evidence-based methods and with utmost confidentiality, ensuring you can confidently embrace the man you know you are.

Take our low-T quiz today to discover if your symptoms could be linked to low testosterone levels.

There's no need to continue living with these challenges when a fulfilling life is within reach. With the guidance of our skilled medical professionals, you can embrace aging with vitality and vigor.

You've earned it.

Benefits of Testosterone Replacement Therapy

If you’ve thought, “Maybe this is just how it goes when you get older,” and then resigned yourself to fatigue, brain fog, and a lack of libido—you’ve come to the right place. You do not have to settle for a lackluster quality of life.

Testosterone replacement therapy can help you feel and live your best. This safe, effective treatment can give you benefits like:

● Increased energy

● Restored confidence & swagger

● Stronger relationships

● Improved sexual function

● Greater desire for sex & intimacy

● Renewed motivation & drive

● Better mood, focus, & cognitive function

● Improved job performance & work relationships

● More effective workouts & quicker recovery

● Added lean muscle mass & strength

● Decreased weight & belly fat

● Increased bone density

● Improved cardiovascular health

● Overall health improvements, reducing or eliminating the need for pharmaceutical treatments

If you are ready to start feeling better, make an appointment, and let’s tailor a treatment plan that will get you the results you deserve.

How Does Dr. Nanninga Deliver Testosterone Replacement Therapy?

Though many different forms of testosterone are available, not all are safe and effective. The health providers at VIP Male are dedicated to providing the best treatment available, which is why we focus on injectable testosterone replacement. In addition, you will receive supplemental medications to ensure that your other hormones stay at optimal levels and your body continues to make its own testosterone.

To learn more about what testosterone replacement therapy entails, visit—

Symptoms of Low Testosterone

A common symptom of aging, our bodies produce less testosterone as the years pass. A man is considered to have low testosterone when his levels dip below 300 nanograms per deciliter (ng/dL). However, low-T symptoms can become evident long before that because a “normal” amount of testosterone can vary widely from man to man. Many men don’t connect their symptoms to low testosterone. Those symptoms can include:

● Fatigue

● Brain fog

● Poor sleep

● Low sex drive

● Erectile dysfunction

● Irritability

● Depression & anxiety

● Lack of motivation & drive

● Decrease in focus & concentration

● Weight gain & belly fat

● Muscle loss & decreased strength

● Joint pain

● Loss of body hair

In addition, low testosterone may contribute to an increased risk of:

● Obesity

● High cholesterol

● High blood pressure

If you’ve been dealing with any of these symptoms, it’s time to take the low-T quiz to find out if testosterone replacement therapy could help you reclaim that spark and swagger.


Though a gradual decrease in testosterone levels is a sign of aging, there are other contributing factors to low-T. The lifestyle choices we make have an impact on our overall health. Though there is no surefire way to prevent low-T, your best strategy—and an excellent way to maximize the results of our treatments—is to maintain a robust lifestyle. Consider prioritizing:


The American Heart Association recommends “at least 150 minutes per week of moderate-intensity aerobic activity or 75 minutes per week of vigorous aerobic activity, or a combination of both preferably spread throughout the week.” Add a moderate- to high-intensity resistance training workout 2–3 times a week to reap the full benefits.

A Healthy Diet

Obesity can be a cause of low testosterone. Eat a well-rounded diet complete with proteins, fats, and carbohydrates to help support optimal hormone levels.

Reducing Stress

The American Psychological Association attributes a decrease in testosterone production to “chronic, ongoing stress.” To help keep your levels where they should be, try to find ways to reduce or remove stressors in your life.


Much of a man’s daily testosterone is released while he sleeps. If you aren’t getting enough sleep, chances are you aren’t getting enough testosterone either. Explore strategies to get more quality sleep.

Don’t let your symptoms define you.

Our trusted men’s health providers will tailor a plan specifically for your needs and goals. We will work together to help you regain your vitality and lust for life. Be the man you know you are and age well—you’ve earned it.

Causes of Low Testosterone

Low testosterone (male hypogonadism) may have several possible causes. There are two main types of hypogonadism: primary and central (secondary). Though both types result in the same effect (low testosterone), their root causes are different.

Primary hypogonadism occurs when your testicles aren’t producing enough testosterone even though they are still receiving the signal to do so from the brain. Some causes of this type of hypogonadism could be:

● Autoimmune diseases such as Addison’s disease

● Genetic disorders, such as Turner syndrome & Klinefelter syndrome

● Hypoparathyroidism

● Liver & kidney diseases

● Severe infections of your testes

● Hemochromatosis

● Testicular trauma

● Surgery on your penis

● Radiation exposure

● Chemotherapy

● Anabolic steroid abuse

Central hypogonadism occurs when there is a problem with your hypothalamus or pituitary gland. Some causes of this type of hypogonadism could be:

● A tumor in or near your pituitary gland or hypothalamus

● Brain or head injury

● Nutritional deficiencies

● Alcohol use

● Rapid weight loss

● Obesity

● Genetic or autoimmune disorders

● Use of steroids or opioids

● Obstructive sleep apnea

● Injury to your pituitary gland or hypothalamus

● Normal aging

● Medications

If you suspect you have low testosterone, it is vital to see a medical provider. With a simple blood test, they can assess your levels and begin the process of identifying the cause.

What Is Testosterone & Why Is It Important?

Testosterone is the primary male sex hormone, and it has a variety of vital jobs throughout a man’s life. We might associate testosterone most with the development of reproductive tissues (testes, prostate) during puberty. However, testosterone helps maintain many other functions starting in pre-birth and continuing through adulthood. Testosterone plays an essential role in:

● Bone growth & density

● Fat distribution

● Muscle strength & mass

● Facial & body hair

● Sex drive

● Sperm production

● Mental health & well-being

● Red blood cell production

● Voice deepening during puberty

The brain and pituitary gland control the production of testosterone by the testes. From there, testosterone moves through the body via the blood. Testosterone levels change from hour to hour, tending to be highest in the morning and lowest at night. Generally peaking during adolescence and early adulthood, as you age, your testosterone level will gradually decline by roughly 1% a year after age 30 or 40.

If you suspect you have low testosterone, it is vital to see a medical provider. With a simple blood test, they can assess your levels and begin the process of identifying the cause.

Scheduling Your Appointment

Ready to take the first step towards a whole new you? Our body contouring process brings you the results you’ve always worked for but had trouble achieving due to those stubborn areas. See the instant loss of inches and let your skin gain a beautiful new glow with your scheduled treatments. With a healthy lifestyle, these results are permanent. Finally, reach your goals and show off a new, thinner look!

Testosterone Replacement Therapy FAQs

What Are the Side Effects of TRT?

For most men, the benefits of TRT surpass the potential side effects by far. At VIP Male, our medical experts are vigilant, conducting regular screenings, observations, and tests to ensure your well-being.

We're ready to adjust your treatments whenever necessary, and if you ever have concerns, don't hesitate to reach out to us immediately.

While rare, some patients may experience side effects including:


Breast swelling/tenderness

Testicular shrinkage

In very rare cases, TRT might elevate the risk of blood clots due to increased red blood cell production. Our medical team closely monitors this possibility through regular blood tests.

Moreover, TRT can affect fertility. During your initial consultation, we'll discuss your desire to have children.

If you're interested, we'll provide Clomid alongside your TRT treatments to prevent fertility complications, followed by HCG (Human Chorionic Gonadotropin) for additional fertility support.

Is TRT Safe?

Testosterone replacement therapy (TRT) stands as an FDA-approved remedy for low testosterone and hypogonadism. Under the careful supervision of a licensed medical expert, TRT is considered very safe. Regular follow-up blood tests and examinations are conducted to ensure your well-being.

We maintain close monitoring and tailor a plan to suit your specific needs and response to treatment. This meticulous approach guarantees that you experience the full advantages of TRT. Should any adverse effects occur, adjustments to your treatment will be made promptly.

Does TRT Reduce Your Life Expectancy?

Absolutely not. In fact, recent findings indicate that long-acting injections may actually be linked to a decrease in cardiovascular risk, as highlighted in a study published in the medical journal Drug Safety.

Additionally, raising serum testosterone levels to within the normal range has been associated with a decrease in overall mortality rates.

In simpler terms, undergoing medically supervised testosterone injections to restore your levels to normal can positively impact your cardiovascular health and increase your life expectancy.

Does Testosterone Replacement Therapy Impact Fertility?

Although TRT can affect fertility, addressing this impact is quite manageable.

Our blog post titled "TRT and Fertility" delves into comprehensive details, as provided by our doctor, regarding the potential effects of treatment on fertility. During your initial appointment, we ensure to discuss this aspect if you still desire to have children. If so, alongside your TRT treatments, you will also receive Clomid to mitigate fertility complications, followed by HCG (Human Chorionic Gonadotropin) for additional fertility support.

How Do I Know If My Testosterone Level Will Qualify Me for Treatment?

Testosterone levels vary for each person depending on their age, symptoms, and other factors. A normal level for you may not be normal for the next patient. We still treat many patients whose levels are in the 300–600 ng/dL range who are symptomatic, and we see them have significant improvements in their symptoms.

Visit our Location

8851 Northpark Drive, Suite 200

Johnston, IA 50131

Give us a Call

Send us a Message

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Office Hours

Monday: 9-1 & 3-6

Tuesday: 9-1 & 3-6

Wednesday: 9-1 & 3-6

Thursday: 9-1


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