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.
Schedule a ConsultationYour initial consultation includes:
Testosterone plays a key role in maintaining muscle mass, bone density, fat distribution, sex drive, and overall vitality. When levels drop, the effects touch every part of your life.
A relentless tiredness that sleep doesn't fix. Operating at 60% — in the boardroom, at the gym, at home.
Difficulty concentrating, sluggish decision-making, lack of the sharpness you've always relied on.
Loss of muscle mass, increasing belly fat, reduced strength — despite consistent effort.
Reduced sex drive, erectile difficulties, and a diminished sense of vitality.
Unexplained mood swings, irritability, or persistent dysphoria that's not in character.
Difficulty losing weight regardless of diet and exercise. Increased body fat in new areas.
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.
This is not volume-based medicine. We limit the number of patients we work with so we can deliver the level of attention, discretion, and clinical rigor our patients expect.
An unhurried consultation including targeted history, physical examination, and advanced diagnostics — free testosterone, bioavailable testosterone, estradiol levels, and any additional testing needed for a precise diagnosis.
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.
Direct phone and email access to your physician, regular monitoring, and therapy adjustments as needed. We succeed when you do.
Also referred to as Low T or hypogonadism, it's a condition in which the body doesn't produce enough testosterone — the hormone that regulates muscle mass, bone density, fat distribution, and sex drive throughout a man's life.
We use advanced diagnostics including free testosterone assessment and bioavailable testosterone calculations for a precise diagnosis. All clients receive a targeted history and physical examination. We also check estradiol levels to ensure proper hormone balance — a root cause frequently overlooked by the general medical community.
Custom-designed treatments include topical therapies (patches, creams, gels) and injectable testosterone. We craft a dosage regimen to help you achieve peak sexual and athletic performance at medically appropriate levels.
Approximately 9 out of 10 men undergoing testosterone replacement therapy find success.
There is no age limit. Testosterone therapy can produce results in older men. You'll need your levels checked to confirm whether you're a good candidate.
Yes. Low testosterone is often a factor in ED. TRT may help with erectile dysfunction and enhance the effectiveness of ED medications.
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
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