Testosterone Replacement Therapy Online for Men in Texas
Feeling worn down, foggy, or just not like yourself? For some men, low testosterone ("low T") is part of the picture. At Sana Vida Wellness Center, we evaluate and treat low T entirely online. You get a careful, lab-based plan without the waiting room.
Many men search for a "low T clinic in San Antonio." Our care is virtual only, so you can meet with us from home, work, or anywhere in Texas.
Texas only: Testosterone is a controlled medication, so testosterone therapy is available only to men who live in Texas and are physically located in Texas during their visits. It is not offered in our other licensed states.
Common signs of low testosterone
Low T can show up gradually. Men often notice:
- Low energy or fatigue that sleep doesn't fix
- Lower sex drive or changes in erections
- Loss of muscle, or more belly fat
- Low mood, irritability, or trouble concentrating
- Poor sleep or reduced motivation
These symptoms have many possible causes, including thyroid problems, sleep apnea, stress, medications, and blood sugar issues. That's why we test instead of guessing.
How a virtual low T evaluation works
- Book a video visit. Choose a time at our online scheduler.
- Talk it through. Dr. P. John Schanen reviews your symptoms, health history, medications, and goals.
- Get labs locally. We order blood work at a nearby LabCorp or Quest location. Testosterone is usually checked in the morning, often on two separate days, along with related labs such as a blood count and other hormone or metabolic markers.
- Review results together. We explain what your numbers mean and whether treatment makes sense for you.
Treatment overview
If testing confirms low testosterone and treatment is a good fit, options may include testosterone given by injection or applied to the skin as a gel or cream. We'll talk through the pros, cons, cost, and routine of each. Sometimes the right first step is to address something else, such as sleep, weight, or another medication. We'll tell you if that's the case.
Safety and monitoring
Testosterone is a prescription medicine, and it needs follow-up. Your plan includes:
- Repeat labs at regular intervals, including testosterone level, red blood cell count (hematocrit), and other markers as needed
- Check-ins on symptoms, blood pressure, and side effects
- A discussion about fertility. Testosterone can lower sperm production, so men who want children should tell us up front.
Testosterone isn't right for everyone. For example, it may not be appropriate for men with certain cancers, untreated severe sleep apnea, or very high blood counts. We'll review your history carefully.
Who this is for
Testosterone therapy is offered to men 35 and older who live in Texas, including:
- Men with symptoms of low T who want testing
- Men who were previously diagnosed and want convenient virtual follow-up
- Busy or rural Texans who'd rather skip the drive
Related services
- Hormone Replacement Therapy
- Medical weight loss: we prescribe compounded GLP-1 medications and commercially available GLP-1 products such as semaglutide and tirzepatide. Our team is experienced at helping with insurance prior authorizations for GLP-1 medications. Coverage depends on your plan.
- FAQs
Your provider
Care is provided by Dr. P. John Schanen, APRN, FNP-C, ENP-C, DNP, a board-certified family and emergency nurse practitioner with 14 years of experience as a nurse practitioner.
Cost
Visits are available through our Direct Primary Care memberships ($120/month for adults 20–44, $150 for 45–64, $200 for 65+, with no registration fee). Memberships are cash-based. Medications and labs may be billed to your insurance.
Frequently asked questions
Who is eligible?
Men 35 and older who live in Texas and are physically located in Texas during each visit.
Can low T really be treated online?
Yes. Evaluation relies on your history and lab work, and both can be handled through video visits and local labs.
Do I need to go to a clinic for labs?
You'll visit a LabCorp or Quest location near you for a quick blood draw. We send the order electronically.
How soon will I feel different?
It varies from person to person. Some men notice changes within weeks, and others take longer. We'll track your progress with you.
Does insurance cover this?
The membership is cash-based. Your labs and medications may be billed to insurance, depending on your plan.
More questions? Visit our FAQs or call (210) 879-4275.
