Personalized, Medically Supervised Testosterone Therapy in Vancouver
Are you experiencing symptoms such as low libido, sexual dysfunction, fatigue, low motivation, brain fog, loss of muscle mass, anxiety or depression? If you answered yes to any of these symptoms, low Testosterone may be contributing to your symptoms.
As we age, it's common to hear patients say, “I don't feel like myself anymore,” or “I don't feel the way I used to.” Changes in hormone levels may play a role in how we feel physically, mentally, and emotionally over time. Hormone replacement therapy, including Testosterone replacement, may help with these symptoms.
At Vitalia Healthcare in Vancouver, we offer individualized Testosterone replacement. Our Medical and Naturopathic Physicians work together to provide personalized hormone replacement. This includes comprehensive testing, careful dosing, and ongoing medical monitoring. When prescribed and managed appropriately, hormone replacement therapy may help support overall well-being and may be an option for those looking to better understand and address hormone-related changes.
Testosterone Replacement Therapy in Vancouver
Testosterone levels decline as we age. When levels fall below optimal ranges, a person may experience symptoms such as low libido, low strength and loss of muscle mass.
Our Vancouver-based clinic offers Testosterone replacement therapy tailored specifically for each patient. Because healthy testosterone ranges differ significantly between men and women, our approach emphasizes specific dosing for each individual person and careful follow-up.
Benefits of Testosterone Therapy
When testosterone levels are properly optimized under medical supervision, our patients in our clinic in Vancouver report improvements such as:
Results vary, not all patients will have the same results. Benefits may develop gradually with consistent treatment and follow-up care.
Testosterone Therapy for Men & Women in Vancouver
For Men
Testosterone is an important hormone in men's health. Testosterone is important for energy levels, muscle mass, strength, fat distribution, libido, mood, cognitive function, and metabolism in general. While testosterone levels naturally decline with age, they can also be affected by chronic stress and other lifestyle factors.
When testosterone levels fall below an optimal range, men may begin to experience symptoms such as fatigue, loss of muscle mass and strength, reduced libido and sexual performance, brain fog, decreased motivation, mood changes, and difficulty maintaining body composition. Medically supervised testosterone therapy may be considered for men experiencing symptoms associated with low testosterone, following appropriate testing and clinical evaluation.
For Women
Typically considered as the “male hormone”, testosterone is also an important hormone for women's health. It supports energy levels, mood, cognitive function, libido, muscle strength and skin tightness. Women produce testosterone in much smaller amounts than men. Testosterone levels decline with age, especially during menopause.
When testosterone levels begin to decline during perimenopause and menopause, some women may experience symptoms such as low energy, decreased libido, reduced motivation, brain fog, mood changes, and loss of muscle strength. A simple blood test can measure a woman's Testosterone levels. If her level is low and she is experiencing symptoms, Testosterone replacement may be considered as part of an overall hormone optimization plan.
Results do vary and not all female patients taking Testosterone replacement have the same benefits. At Vitalia Healthcare, some of our female patients report noticing improvements such as increased energy, enhanced libido, improved mental clarity, and support for muscle strength and body composition over time. Please know Individual responses and results do vary, depending on multiple factors, including overall health and proper medical supervision
A 2024 study undertaken in a UK specialist menopause clinic included 510 women using Hormone Replacement Therapy with persistent low libido, cognitive and negative mood symptoms. They were treated with Testosterone cream or gel for 4 months. The results are as follows:
Testosterone therapy for women is different from replacement in men. Since women produce much lower amounts of Testosterone compared to men, low-dose prescribing and careful monitoring is important.
Forms of Testosterone Replacement Therapy Available
At our Vancouver clinic, testosterone therapy is prescribed as either a topical gel or as an injection, depending on your medical needs and preferences:
Our Medical Doctor will determine the most appropriate option for you based on absorption, convenience, and treatment goals.
Safety, Side Effects & Medical Monitoring
Testosterone Replacement Therapy is considered safe for many individuals when prescribed and monitored appropriately. Like all medical treatments, TRT may have potential side effects.
At Vitalia Healthcare, all testosterone therapy programs include regular lab testing and clinical follow-ups to ensure hormone levels remain within a healthy and appropriate range to minimize the risk of having side effects.
Personalized Testosterone Replacement Therapy Through Collaborative Medical Care
At Vitalia Health Care, we offer a unique approach to Testosterone Replacement Therapy (TRT) by combining the expertise of our Naturopathic Physicians with the medical oversight of Dr. Nima Sakian, MD. This collaborative model allows patients to benefit from both evidence-informed naturopathic care and conventional medical management throughout their treatment journey.
Whether you are looking to improve energy, improve libido, enhance physical performance, or optimize overall hormone health, our team provides personalized care with ongoing monitoring to help you achieve safe and effective results.
Our Collaborative TRT Program
Our program is designed to provide comprehensive assessment, safe prescribing, and ongoing monitoring through a partnership between our Naturopathic Physicians and Dr. Nima Sakian, MD.
Step 1: Initial Consultation with a Naturopathic Physician
Your journey begins with a comprehensive consultation with one of our Naturopathic Doctors.
During this appointment we will:
**Please note that the initial consultation and laboratory testing are privately billed. Some extended health benefit plans may provide coverage for Naturopathic services.
Step 2: Review of Your Results
Once your laboratory results are available, you will return for a follow-up visit with your Naturopathic Physician.
During this visit we will:
If Testosterone Replacement Therapy appears appropriate, you will be scheduled for a consultation with Dr. Nima Sakian, MD.
Step 3: Medical Assessment with Dr. Nima Sakian, MD
Once your laboratory results are available, you will return for a follow-up visit with your Naturopathic Physician.
During this visit we will:
**Any additional laboratory investigations ordered during this consultation are included as part of the visit.
If TRT is recommended, Dr. Sakian will prescribe a personalized treatment plan and send your prescription directly to the pharmacy of your choice.
Personalized Treatment Options
Testosterone therapy is never standardized. Treatment is individualized based on your symptoms, laboratory results, medical history, and treatment goals.
Depending on your needs, Dr. Sakian may recommend:
*Topical testosterone gel applied daily or Testosterone injections.
During your consultation, the advantages and considerations of each option will be reviewed to help determine the most appropriate treatment for you.
Ongoing Monitoring and Follow-Up
Hormone therapy requires regular monitoring to ensure treatment remains safe and effective.
Follow-up appointments are typically scheduled every three months.
During these visits we monitor:
Your dosage may be adjusted over time to help optimize hormone levels while maintaining safety.
Why Choose Vitalia Health Care for TRT in Vancouver?
Our program offers a collaborative model that brings together the strengths of both Naturopathic Medicine and Conventional Medicine.
Patients benefit from:
This integrated approach allows us to address not only testosterone levels but also the broader health factors that contribute to energy, vitality, and healthy aging.
Meet Dr. Nima Sakian, MD
Dr. Nima Sakian is a physician with more than 16 years of clinical experience in primary care, hormone therapy, functional medicine, and anti-aging medicine. He has a particular interest in the assessment and management of hormone deficiency using evidence-informed approaches, including testosterone replacement therapy when clinically indicated.
As Medical Director of Broadway Anti-Aging, Dr. Sakian provides individualized patient care based on comprehensive medical assessment, appropriate laboratory evaluation, and ongoing monitoring. His approach emphasizes patient safety, informed decision-making, and treatment plans tailored to each patient's clinical needs and goals.
Dr. Sakian is committed to delivering compassionate, ethical, and evidence-based care while helping patients optimize their health and well-being through medically appropriate therapies.
Program Fees
Patients may choose to:
Please note that consultations and laboratory testing performed through the Naturopathic Physicians are billed separately. Coverage may be available through extended health insurance plans depending on your provider.
Schedule your consultation today! We can be reached at 604-566-9355.
FAQ
When prescribed and monitored appropriately, testosterone therapy may help support:
✔ Increased energy and reduced fatigue ✔ Improved libido and sexual health ✔ Better mood, motivation, and mental clarity ✔ Reduced brain fog ✔ Improved muscle strength and body composition (with exercise) ✔ Support for bone health
Not all patients have the same results. Results may develop gradually with consistent treatment and follow-up.
Testosterone is also important for women's health, especially during perimenopause and menopause. When prescribed in very low, carefully monitored doses, some women may notice:
✔ Increased energy and vitality ✔ Enhanced libido and sexual well-being ✔ Improved mood and mental clarity ✔ Support for muscle strength and body composition ✔ Improvement in skin tightness
Individual results vary, not all women have the same results. Treatment must be carefully monitored in women.
The first step is an initial consultation with one of our Naturopathic Doctors to review your symptoms and health history. From there, our doctors will suggest testing your hormones to understand your levels and assess if Testosterone therapy may be right for you. Symptoms such as low energy, brain fog, low libido, mood changes, or loss of muscle strength may be linked to hormonal changes.
Vitalia Healthcare offers a collaborative, medically supervised approach to testosterone therapy:
✔ You will get care from both a Medical Doctor and experienced Naturopathic Doctors ✔ We are experienced in prescribing testosterone for both men and women ✔ We offer comprehensive hormone testing (blood and urine) ✔ We offer personalized dosing and treatment plans ✔ We offer ongoing monitoring and follow-up care
Our Vancouver-based clinic prioritizes safety, individualized care, and long-term health outcomes.
The Initial consultation is $250.
Please see here for our fee schedule
Some private insurance companies (extended health insurance coverage) may provide at least partial coverage of naturopathic services
Your initial appointment will be with a Naturopathic Physician at Vitalia Health Care INC. They will review your medical history, symptoms and any other pertinent information.
During this initial appointment, your Naturopathic Doctor will recommend a blood test for Testosterone and any other information required based on your health history, family history and symptoms.
Yes, laboratory testing is important to assess your testosterone levels and identify any underlying conditions that may affect your treatment plan and determine if Testosterone replacement is right for you. These results allow us to develop a treatment plan that is safe and tailored for you. It also provides a baseline that we can use for monitoring later on.
At the follow up appointment, the results of your lab tests will be discussed. Your progress based on any other recommendations from the initial appointment, will also be discussed. If your Testosterone levels are low, you will be referred to our Medical Doctor specifically for prescribing Testosterone Replacement.
During your first visit, you will meet with the physician in person. We will review your lab results, medical history, discuss your symptoms and health goals, and perform a physical examination.
TRT can be administered in different ways depending on your medical needs, lifestyle, and laboratory results. Many patients are treated with a topical testosterone gel that is applied daily to the skin. For patients with more significant testosterone deficiencies or those who may benefit from a different approach, testosterone injections may be recommended. Your physician will discuss the advantages of each option and help determine which treatment is most appropriate for you.
Once your laboratory results have been reviewed, your physician will determine whether TRT is appropriate for you. If treatment is recommended, a personalized prescription will be sent directly to the pharmacy of your choice, along with instructions on how to use your medication safely and effectively.
TRT requires regular follow-up to ensure your treatment is both safe and effective. We closely monitor your symptoms, testosterone levels, and other important laboratory markers. Based on your progress and lab results, we may adjust your dosage to optimize your treatment while minimizing the risk of side effects.
Follow-up visits are an essential part of successful TRT. They allow us to review your progress, repeat laboratory testing when appropriate, answer your questions, and make any necessary adjustments to your treatment plan. Regular monitoring helps ensure you continue to receive the greatest benefit from therapy safely.
No. TRT is never a one-size-fits-all treatment. Your symptoms, medical history, physical examination, laboratory findings, and treatment goals all help determine the most appropriate medication, dosage, and method of administration for your individual needs.
Dose adjustments are a normal part of TRT. As your body responds to treatment, we use your symptoms and follow-up laboratory results to determine whether your dosage should be modified. This individualized approach helps maximize the benefits of treatment while reducing the likelihood of side effects.
Book a Testosterone Consultation at Vitalia Health Care in Vancouver
Speak with our Naturopathic Doctor about hormone testing and personalized treatment options.