Not feeling like yourself lately?
Our signature, medically guided approach for men seeking personalized hormone evaluation and care.
Feeling irritable, carrying extra weight, low on energy, or struggling with motivation or intimacy?
First things first… when we say GOAT, we’re not talking about the greatest of all time. We’re referring to common experiences men don’t always talk about but may notice over time:
G – Feeling GRUMPY or emotionally flat
O – Feeling OVERWEIGHT or noticing changes in weight
A – Feeling ANGRY or easily irritated
T – Feeling TIRED or low on energy
S – Noticing SEXUAL changes in interest or performance
These experiences are common and can have many contributing factors. The GOATs Program is a medically guided, individualized program designed to help evaluate these concerns and support overall well-being through personalized care and clinical oversight.
Created by Dr. Roberto Tostado, a physician with decades of clinical experience working with men’s health
With over 30 years of experience, Dr. Roberto Tostado has worked with thousands of men through personalized, medically guided care focused on hormone evaluation, metabolic health, and overall well-being. Over the years, Dr. Tostado observed a growing trend:
Men in their 30s, 40s, and 50s reporting changes such as lower energy, reduced motivation, emotional strain, and shifts in metabolic health earlier than expected. Through his clinical experience, he noted recurring lifestyle and environmental factors that may contribute to how men feel over time, including dietary habits, stress, and other modern health challenges.
In response, he developed the GOATs Program, an individualized, medically guided approach that looks at multiple aspects of health, including hormones, metabolism, mindset, and lifestyle factors, through comprehensive evaluation and ongoing support.
The GOATs Program was created to help men better understand what may be contributing to how they feel and to support overall well-being through personalized care and clinical oversight. Individual experiences and outcomes may vary.
Signs of Low Testosterone Include:
- Fatigue and Low Energy: Constant tiredness, even after a full night’s rest.
- Decreased Muscle Mass and Strength: A noticeable decline in muscle tone and strength, even with regular exercise.
- Weight Gain: Especially around the abdomen, despite attempts at a healthy lifestyle.
- Reduced Libido and Sexual Performance: A significant drop in sexual desire and performance.
- Mood Swings and Irritability: Heightened emotional sensitivity, irritability, or symptoms of depression.
- Difficulty Concentrating and Brain Fog: Struggling to focus or remember things, affecting productivity.
- Lowered Bone Density: Increased risk of osteoporosis and fractures due to thinning bones.
- Hair Loss: Thinning or receding hairlines, or a decrease in body hair.
- Dry, Wrinkled Skin: Noticeable changes in skin elasticity and appearance.
- Poor Sleep Quality and Insomnia: Difficulty falling or staying asleep, leading to restless nights.
- Aches and Pains: Unexplained joint pain, muscle discomfort, or general body soreness.
- Reduced Motivation and Apathy: Loss of drive or enthusiasm for work, hobbies, and social interactions.
Potential Benefits of Hormone Optimization Therapy
Hormone optimization therapy is individualized and guided by clinical evaluation. Responses vary from person to person, and not all patients experience the same effects. When therapy is appropriate, some patients may report changes such as:
Improved sense of well-being or quality of life
Changes in energy levels or stamina
Support for sleep quality or mood balance
Changes in body composition when combined with healthy lifestyle habits
Improved focus or mental clarity
Support for sexual health and comfort
These potential benefits are discussed as part of a personalized consultation, along with possible risks, alternatives, and the importance of ongoing monitoring.Bottom of the Page Disclaimer
Is Hormone Optimization Right for You?
Hormone optimization is not appropriate for every patient. Our clinicians work closely with each individual to determine whether therapy is suitable and to discuss alternatives when appropriate.
If you are interested in a clinical evaluation for hormone balance, schedule a consultation with our medical team to discuss your goals and determine appropriate next steps.
FAQ's
After an individualized clinical evaluation, hormone therapy may be administered using different delivery methods depending on what is determined to be appropriate for each patient. In some cases, this may include the placement of a small hormone pellet beneath the skin during an in-office procedure. The procedure is typically brief and performed under local anesthesia.
As with any hormone therapy, side effects are possible and can vary from person to person. Potential risks may include hormone-related symptoms such as fluid retention, mood changes, acne, or changes in energy levels. Because pellet placement involves a minor in-office procedure, there is also a small risk of local reactions such as bruising, infection, scarring, or pellet extrusion. Careful dosing, clinical monitoring, and adherence to post-procedure instructions are important parts of reducing risk.
The duration of hormone pellet therapy varies by individual and depends on multiple factors, including metabolism and clinical response. In general, pellets may last several months, but timing and follow-up are determined through ongoing clinical assessment rather than a fixed schedule.
Hormone pellets typically contain compounded bioidentical hormones such as estradiol or testosterone. These hormones are chemically similar to those naturally produced by the body and are prepared by licensed compounding pharmacies. Compounded hormone therapies are not FDA approved medications.
Research on hormone therapy, including compounded bioidentical hormone therapy, is ongoing, and risk can vary based on individual health factors, dosing, duration of use, and medical history. No hormone therapy is entirely without risk. Potential risks, benefits, and alternatives are reviewed with each patient as part of the clinical decision-making process, and therapy is prescribed only when deemed appropriate by a licensed clinician.
Disclaimer
The information on this page is provided for general informational and educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Hormone optimization services are individualized and based on clinical evaluation and medical judgment. Bioidentical hormone therapies may include compounded medications. Compounded medications are not FDA approved, and individual responses, risks, and outcomes may vary. Patients are encouraged to consult with a licensed healthcare professional to determine what options may be appropriate for the individual needs.