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TRT membership · Westover Hills & Boerne

Testosterone Replacement Therapy (TRT) in San Antonio & Boerne

A monitored TRT membership for adult men with confirmed low testosterone. One monthly fee covers your consultation, lab reviews every 90 days, prescription management, injection training, and a provider you can reach between visits, at our Westover Hills clinic in San Antonio or on Main Street in Boerne.

A provider checking a patient’s blood pressure at a TRT visit

Monitored therapyLabs reviewed throughout treatment

$150per month membership

TRT Program

TRT Program at Alamo Primary Care in San Antonio & Boerne

At Alamo Primary Care, we understand why testosterone matters to men. It does far more than drive libido: it helps maintain muscle and bone, supports red blood cell production, and plays a part in energy, mood, focus and how your body stores fat.

Levels fall gradually with age, and for some men they drop low enough to cause real symptoms that are easy to put down to getting older. Low testosterone is diagnosed with a blood test, and when it is confirmed alongside symptoms, treatment can make a meaningful difference.

Our TRT program is a membership: one monthly fee for a thorough first consultation, scheduled follow-ups with lab review, prescription management, injection training and a provider you can reach between visits, with treatment monitored closely for as long as you are on it.

Signs of Low Testosterone (Low T) in Men

If several of these sound familiar, a simple morning blood test is the place to start.

Low energy

Worn out by mid-afternoon, even on a good night's sleep.

Reduced sex drive

Less interest than before, or changes in erectile function.

Muscle loss

Strength slipping despite keeping up with training.

Weight gain

More fat around the middle that won't shift.

Poor sleep

Restless nights and waking up unrefreshed.

Mood & focus

Irritability, low mood or trouble concentrating.

How Testosterone Replacement Therapy Works

Most members receive testosterone injections, self-administered at home after one-on-one training. Your provider sets a starting dose based on your labs and symptoms, then adjusts it at follow-up visits to keep levels in a healthy range.

What we monitor at your 90-day visits:

  • Total and free testosterone
  • Hematocrit (red blood cell levels)
  • PSA (prostate health)
  • Estradiol, as needed
  • Blood pressure and overall symptoms

How Soon Does TRT Work?

Every man responds differently, but many notice changes in stages:

  • 3–6 weeks:improved energy, mood, and libido
  • 2–3 months:better sleep, focus, and erectile function for some men
  • 3–6 months:gains in muscle and strength, and reduced body fat, especially with exercise

Your 6-week and 90-day visits are when we check what’s changing and fine-tune your dose.

Who Is a Good Candidate for TRT?

TRT may be right for adult men who have symptoms of low testosterone and consistently low levels on morning blood tests. TRT may not be right for you if you:

  • Want to have children soon, since TRT can lower sperm production and fertility
  • Have untreated prostate or breast cancer
  • Have high red blood cell counts (polycythemia)
  • Have untreated severe sleep apnea or uncontrolled heart failure

Your provider reviews your history and labs carefully before recommending treatment. Considering pellets instead of injections? Compare with Biote pellet therapy →

TRT Membership: $150/Month in San Antonio & Boerne

$150/month · one simple monthly fee

Your membership includes

  • Comprehensive initial consultation: symptoms, health history, and a full review of your lab results
  • 6-week follow-up visit after starting treatment to check how you feel and fine-tune your dose
  • Follow-up visits every 90 days with laboratory review (testosterone, hematocrit, PSA, and more)
  • Prescription management: your initial testosterone prescription and ongoing 90-day e-prescriptions, as appropriate
  • One-on-one self-injection training until you feel confident
  • Direct access to your provider for questions and treatment concerns between scheduled visits
  • Ongoing monitoring and side-effect management with evidence-based clinical guidance throughout your therapy

Not included

  • Testosterone medication, purchased separately through your pharmacy
Contact us to join

Your first months

Your First Months as a TRT Member

  1. Before your first visit

    Morning labs

    A morning blood draw, when testosterone is highest, measures your testosterone levels and other markers so your consultation starts from real numbers.

  2. Day 1

    Initial consultation

    We review your symptoms, health history, and lab results to confirm whether TRT is right for you, including a conversation about fertility if you plan to have children.

  3. Start

    Prescription & injection training

    Your first prescription is sent to your pharmacy, and we show you one-on-one how to self-inject with confidence.

  4. Weeks 1–6

    Support between visits

    Questions about your injections, how you feel, or side effects? Reach your provider directly; there’s no need to wait for your next appointment.

  5. Week 6

    First follow-up

    We check how you’re feeling, review any side effects, and decide whether your dose needs adjusting.

  6. Every 90 days

    Ongoing visits & labs

    Repeat labs, including testosterone, hematocrit, and PSA, are reviewed with you, and your 90-day e-prescriptions are renewed as appropriate.

Contact us

Start Your TRT Membership in San Antonio or Boerne

Send us your details and our team will call you, usually within one business day, to set up your initial consultation. Prefer to talk now? Call either clinic.

Call210-571-1338 Emailadmin@alamoprimarycare.com

Westover Hills, San Antonio12047 Potranco Rd Ste 105, San Antonio, TX 78253Mon–Thu 7 am–5 pm · Fri 7 am–3 pm

Main Street, Boerne1411 S Main Street, Boerne, TX 78006Mon–Fri 8 am–5 pm

Please don’t include medical details. We’ll only use your information to contact you about the TRT program.

Google Reviews

Alamo Primary Care

4.8 1,221 reviews
Review us on Google
C Casey Torresa month ago
We are thrilled with our first visit here. Everything moved very quickly and efficiently, as they seem to have a very effective team of employees. The appointment lasted approximately 1 hour, and that included new patient intake forms, vitals, seeing the doctor and getting labs done. I love how fast the process went, while also feeling seen, heard and feeling like our concerns were valid and taken seriously. The receptionists were all very friendly, inviting and helpful, including Delilah, who checked us out and set our next appointment. Finding a new primary care provider can be quite overwhelming and time consuming, but not here, and the services offered go above and beyond anything we expected. We look forward to future visits with this practice.
S Stassney Bernala month ago
Alamo Primary Care has the BEST staff! From the moment I walked in, I had such a great experience as a new patient. I’m especially thankful they were able to get me in for a same day appointment. Im finally feeling like I’m getting the answers I’ve been looking for. Highly recommend!
M Mark & Eva Serna2 months ago
We came in to establish care with my new PCP, Dr. Vishal, and his staff were absolutely wonderful! Everyone was so informative, patient, and thorough throughout the entire process. I’m so happy that I made the change and feel confident knowing I’m in such great hands. Thank you, Dr. Vishal and team, for making us feel so welcomed and cared for!
J Jeremy Bazan3 months ago
I’ve had a great experience with Alamo Primary Care. Everyone in the office has always been friendly, welcoming, and willing to help. The front desk ladies are always kind and make everything easy, whether it’s scheduling appointments or answering questions. The doctor takes the time to listen and explain things without making you feel rushed, and the PA has been just as helpful and knowledgeable. It’s nice to go to a doctor’s office where you feel like they actually care about their patients. Highly recommend!
I IRIS BANE4 months ago
My senior mother had an appointment there today and let me know how well every member of your staff treated her from beginning to end. I appreciate your professionalism, empathy and amazing bedside manner. I’m happy to know she felt comfortable and in good hands. Highly recommend! Respectfully, patients daughter.
G Glenda Wilton5 months ago
I had an excellent experience with this doctor and their entire office staff. From the moment I walked in, I was greeted warmly and treated with kindness and professionalism. The front desk team was efficient and helpful, making the check-in process smooth and stress-free. The doctor took the time to listen carefully to my concerns, explained everything clearly, and made sure I felt comfortable with the treatment plan. I never felt rushed, and it was clear that they genuinely care about their patients’ well-being.
S Sheila Evans5 months ago
I had a very positive experience at this primary care office. The staff was friendly, professional, and made me feel comfortable from the moment I walked in. Dr. Vishal Nemargommula took time to listen carefully to my concerns, answered my questions thoroughly, and never made me feel rushed. He was very kind, professional and easy to talk to. I especially appreciated how respectful and understanding everyone was during my visit. The office was clean, organized, and the overall atmosphere was welcoming.
C Cheyenne Peters7 months ago
This was my first time at this location and I was pleasantly surprised at every turn of this appointment. The front staff were incredibly welcoming and equally as funny. I’m a nervous talker so they humored me and it helped me calm down a lot. The doctor was punctual and very thorough for a first time visit which was a pleasant surprise. He had several follow up questions about each of my concerns and gathered more information as well as educated me more than any physician I’ve seen on a first visit. Excellent first impression and visit.
R Ruben Guerra8 months ago
I cannot say enough good things about my experience with Dr. Vishal. From the moment I walked in, I felt comfortable from the check in with the ladies up front to the medical assistants in the back! He talked to me, not at me. He listened to my concerns, asked thoughtful questions, and made me feel validated. He came highly recommended and I never felt one ounce of regret. It’s such a relief to finally have a primary care doctor who makes you feel seen and heard. 10/10 recommend!
J julio catalan10 months ago
Very nice customer service it was a very pleasant visit of what I was dreading to be bad news. Every single nurse had a great attitude and made me feel very comfortable and welcomed. I’m glad I found this place and it’s only 5 minutes away from me. Plus they do IV therapy!!! Also the receptionist were awesome Andrea, Jen, Delilah were so nice to my kids they gave them Christmas light up necklaces because my kids asked for stickers. Great people

Questions

TRT, answered

Anything else? Call 210-571-1338.

Where can I get TRT in San Antonio, TX?

Alamo Primary Care offers testosterone replacement therapy at its Westover Hills clinic, 12047 Potranco Rd, San Antonio, TX 78253. The TRT membership costs $150 per month and includes a consultation, lab reviews every 90 days, prescription management, injection training, and direct provider access.

Where can I get testosterone replacement therapy in Boerne, TX?

Alamo Primary Care provides TRT at 1411 S Main Street, Boerne, TX 78006, open Monday to Friday, 8 am to 5 pm. Men from Boerne, Fair Oaks Ranch, and Kendall County can join the $150 monthly TRT membership after confirming low testosterone with blood tests.

How much does TRT cost in San Antonio?

At Alamo Primary Care in San Antonio and Boerne, the TRT membership is $150 per month. It covers consultations, a 6-week follow-up, visits every 90 days with lab review, prescription management, injection training, and provider access. Testosterone medication is billed separately.

Does the $150 TRT membership include medication?

No. The Alamo Primary Care TRT membership covers visits, lab review, prescription management, injection training, and provider access. The testosterone medication is a separate cost.

How is low testosterone diagnosed?

Low testosterone is diagnosed with blood tests, usually taken in the morning when levels are highest, along with a review of symptoms and medical history. At Alamo Primary Care, a single lab result alone isn’t enough to start TRT.

What are the symptoms of low testosterone?

Common symptoms of low testosterone include fatigue, reduced sex drive, erectile changes, muscle loss, weight gain around the middle, poor sleep, irritability, and trouble concentrating. Men in San Antonio and Boerne can get tested at Alamo Primary Care with a morning blood test.

How long does it take for TRT to work?

Many men notice better energy, mood, and libido within three to six weeks of starting TRT. Changes in muscle, strength, and body fat usually take three to six months. Alamo Primary Care reviews progress at a 6-week follow-up and every 90 days.

Will I have to inject myself?

Most Alamo Primary Care TRT members self-inject testosterone at home. Each member receives one-on-one injection training until they feel comfortable, and can contact their provider with questions between visits.

Does TRT affect fertility?

Yes. Testosterone replacement therapy can lower sperm production and reduce fertility, sometimes significantly. Men who want to have children should discuss this with their provider before starting TRT. Alamo Primary Care reviews family planning goals before prescribing.

What are the side effects of TRT?

Possible TRT side effects include higher red blood cell counts, acne or oily skin, sleep changes, fluid retention, and reduced fertility. Alamo Primary Care monitors hematocrit, PSA, and testosterone levels every 90 days to manage side effects safely.

Is TRT safe?

TRT is generally considered safe for men with confirmed low testosterone when it is properly monitored with regular lab work. Alamo Primary Care checks testosterone, hematocrit, and PSA levels every 90 days and adjusts treatment as needed.

What is the difference between TRT injections and testosterone pellets?

TRT injections are self-administered at home, usually weekly or every two weeks, with doses easy to adjust. Testosterone pellets, such as Biote, are placed under the skin in the clinic and release hormone over four to six months. Alamo Primary Care offers both in San Antonio and Boerne.

Is TRT covered by insurance?

The Alamo Primary Care TRT membership is a $150 monthly fee. Call 210-571-1338 to check what your plan covers.

TRT for Adult Men in San Antonio & Boerne

Westover Hills, 12047 Potranco Rd, San Antonio · 1411 S Main St, Boerne. Serving Alamo Ranch, Helotes, Fair Oaks Ranch, and Kendall County.