Manus Solis
Testosterone Therapy
Physician-prescribed, individually dosed, and measured against outcomes that matter.
Overview
Testosterone governs energy, cognition, body composition, libido, mood, and cardiovascular function. When levels decline, whether from age, illness, or metabolic disruption, the effects are felt across every system. Testosterone replacement therapy restores physiological concentrations under close medical supervision, with dosing guided by bloodwork, symptoms, and functional performance.
At Manus Solis, testosterone therapy is prescribed within a structured clinical framework. We track your Vis Viva Score across three domains: how you feel (Sensus), what your blood reveals (Pulsus), and what your body can do (Virtus). Dosing is titrated to response. We adjust until the numbers, the symptoms, and the performance data converge.
Common Symptoms
- Persistent fatigue
- Reduced muscle mass
- Increased body fat
- Low libido
- Erectile difficulty
- Brain fog or poor concentration
- Depressed mood or irritability
- Disturbed sleep
- Decreased exercise tolerance
What We Measure
- Total testosterone
- Free testosterone
- SHBG
- Estradiol (E2)
- LH & FSH
- PSA
- CBC & hematocrit
- Fasting insulin & glucose
- Lipid panel
- Thyroid panel (TSH, fT3, fT4)
- DHEA-S
- Prolactin
Hormones & Treatments
- Testosterone (cypionate, enanthate, cream)
- Anastrozole (estrogen management)
- HCG (testicular function, fertility)
- DHEA
- Thyroid (if concurrent deficiency)
Custom-compounded by our Ontario pharmacy partner. Individually dosed. Physician-titrated.
Treatment
How We Treat This
We prescribe bioidentical testosterone, compounded in Ontario and individually dosed, via injection, cream, or a combination protocol based on your physiology and preference. Estrogen management, hematocrit monitoring, and fertility preservation are addressed from the outset. Every protocol includes scheduled reassessment at 4–6 weeks, then quarterly.
Men experiencing symptoms consistent with testosterone deficiency, confirmed by laboratory findings. Whether you are newly investigating low T or dissatisfied with a current protocol, we welcome the conversation.
Questions
FAQ
Is testosterone therapy legal in Ontario?
Yes. Testosterone is a regulated medication prescribed by licensed physicians in Ontario for clinically diagnosed hypogonadism and related conditions. At Manus Solis, all prescriptions are written by our physician and fulfilled through a licensed Ontario compounding pharmacy.
How long before I notice results from TRT?
Most men report improved energy and mood within 3-4 weeks. Body composition changes, libido improvement, and cognitive clarity typically become apparent over 8-12 weeks. Full optimization, where lab values, symptoms, and performance metrics are all aligned, often takes 3-6 months of careful titration.
Will testosterone therapy affect my fertility?
Exogenous testosterone suppresses sperm production through its effect on LH and FSH. If fertility is a concern, we incorporate HCG into the protocol from the beginning, or discuss alternative approaches. This is addressed before any prescription is written.
What monitoring is required during testosterone therapy?
We draw labs at baseline, 4–6 weeks after initiation, and quarterly thereafter. We track total and free testosterone, hematocrit, PSA, estradiol, and metabolic markers. Symptom scoring and functional performance data are reviewed at every visit. The goal is continuous optimization, not a static prescription.
Ontario-Wide
Virtual consultations available to patients in Toronto, Mississauga, Brampton, Markham, Vaughan, Richmond Hill, Oakville, Burlington, Hamilton, Ottawa, London, and across Ontario. Bloodwork requisitions and prescriptions managed remotely. Compounds shipped directly from our Ontario pharmacy partner.
Begin
Book a Discovery Call
A confidential conversation with our physician and founder.
inquiries@manussolis.com · Yorkville, Toronto