Private Physicians for High-Performing Men

Low T Treatment for Men Who Refuse to Accept “Good Enough”

You built your career on precision, discipline, and refusing to settle. Your health demands the same standard. Obsidian's board-certified urologists deliver personalized testosterone therapy designed around your physiology, lifestyle, and goals — with the rigor you expect from everyone you work with.

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What You Get

Low testosterone deserves more than a drive-through solution.

Your initial consultation includes:

  • ✓ Comprehensive in-person evaluation by a board-certified urologist
  • ✓ Advanced hormone testing and assessment of metabolic and cardiovascular health
  • ✓ A personalized health strategy guided by an ongoing physician partnership to optimize results
  • ✓ Direct physician access — appointments, phone and email, not a call center
The Problem

You're Not Slowing Down.
Your Hormones Are.

More than 25% of men over 35 have clinically low testosterone. Most don't realize it — they assume the fatigue, brain fog, weight gain, and declining drive are just part of getting older. They're not. These are treatable symptoms, and you don't have to live with them.

Persistent Fatigue

A relentless tiredness that sleep doesn't fix. The feeling that you're operating at 60% — in the boardroom, at the gym, at home.

Mental Fog

Difficulty concentrating, sluggish decision-making, a lack of the sharpness and motivation you've always relied on.

Declining Performance

Loss of muscle mass, increasing belly fat, reduced strength — despite consistent effort in the gym.

Low Libido

Reduced sex drive, erectile difficulties, and a diminished sense of vitality that affects your confidence and relationships.

Irritability & Mood Changes

Unexplained mood swings, a shorter fuse, or a persistent feeling of dysphoria that's not in character.

Weight Resistance

Difficulty losing weight regardless of diet and exercise. Increased body fat in areas that never used to be a problem.

Not All Treatment Is Equal

The Difference Between a Clinic
and Obsidian Men's Health

Low-T has become an unethical billion-dollar industry. That's attracted drive-through clinics, thinly credentialed "anti-aging/longevity doctors," worthless supplements and peptides with no legit human data. We exist because you deserve better.

The Typical Low-T Clinic

  • ✕ See NP / PA provider with no physician oversight
  • ✕ No physical exam or comprehensive assessment of health
  • ✕ Algorithm based treatment protocols
  • ✕ Goal: the sale of compounded drugs and supplements
  • ✕ No patient-physician relationship — you're a number
  • ✕ "Anti-aging/longevity" practitioners, which is NOT a legitimate medical specialty
  • ✕ Volume-based: see as many patients as possible

The Obsidian Approach

  • ✓ Board-certified urologist from first visit to ongoing care
  • ✓ Comprehensive hormone testing along with extensive biomarkers of overall health
  • ✓ Therapy calibrated to your symptoms, physiology & health goals
  • ✓ Goal: treatment of low T symptoms with long term safety
  • ✓ Direct access to your physician, always
  • ✓ 50+ years combined urology experience
  • ✓ Limited patients for unhurried, concierge level care
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Your Physicians

Board-Certified Urologists.
Not Sales Teams.

Dr. Shane Geib, M.D.

Shane Geib, M.D.

Founder · Board-Certified Urologist

Dr. Marc Richman, M.D.

Marc Richman, M.D.

Founder · Board-Certified Urologist

Board-certified by the American Board of Urology with over 50 years of combined experience specializing in men's health. They founded Obsidian because too many men were being failed by reactive, fragmented healthcare — and deserved a physician who operates at their level.

🏥

Board Certified

American Board of Urology — the gold standard in urological medicine

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50+ Years Combined

Decades of specialized experience in men's health and hormone therapy

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Whole-Patient Approach

Every diagnosis considers the full clinical picture — not just a single lab number

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Physician-Led Care

Your doctor is your primary point of contact — always. No middlemen, no runaround.

How It Works

A Process Designed for
Results, Not Volume

We limit the number of patients we take on so that every man we work with gets the attention, precision, and clinical rigor he deserves.

01

Comprehensive Evaluation

An unhurried initial consultation including targeted history, physical examination, and advanced diagnostics — free testosterone, bioavailable testosterone, estradiol levels, and any additional testing needed for a precise diagnosis.

02

Personalized Treatment Plan

Your therapy is custom-designed around your symptoms, goals, and physiology. Topical treatments, injectable therapy, or a combination — calibrated for peak performance at medically appropriate levels. Never a cookie-cutter protocol.

03

Ongoing Partnership

This isn't a prescription and a handshake. You'll have unlimited appointments, direct phone and email access to your physician, and regular monitoring to optimize your results over time. We succeed when you do.

"

I'd been told by two other doctors that my levels were 'normal' and to basically deal with it. Within weeks of working with Dr. Geib, I felt like a different person. This is what medical care should be.

— OBSIDIAN PATIENT, NORTHERN VIRGINIA

90%
Success Rate with TRT
50+
Years Combined Experience
1000s
Men's Lives Improved
Take the First Step

Your Health Deserves the Same Rigor You Apply to Everything Else

Schedule a confidential consultation with a board-certified urologist. No sales pitch. No pressure. Just a physician who will tell you what's actually going on — and what to do about it.

Schedule a Consultation

📍 8200 Greensboro Drive, Suite 200, McLean, Virginia 22102

📞 703-940-5815  |  Serving Northern Virginia, Washington D.C. & Bethesda