Frequently Asked Questions

Every visit is conducted directly with a fellowship-trained endocrinologist—no mid-level providers, no rushed appointments, and no protocol-driven care. We built this practice based on years of patient feedback about what works in telehealth medicine: time, listening, and individualized evaluation rather than one-size-fits-all solutions.

Our practice is primarily focused on men's hormonal and metabolic health, and the majority of our patients are men. We do welcome female patients for general endocrinology care—thyroid conditions, diabetes, metabolic health, and related concerns. However, because our staffing and clinical focus are oriented toward men's health, we encourage female patients to reach out by email before scheduling. This allows us to confirm that we are the right fit for your specific needs and that we are actively providing care in the area of endocrinology most relevant to you.

Absolutely. Many patients come to us without a clear diagnosis—they simply know something feels off. Fatigue, weight changes, mood shifts, low energy, or other symptoms that haven't been explained by prior workups are exactly the kind of concerns we take seriously. A thorough endocrine evaluation can surface conditions that are frequently missed in a busy primary care setting. You do not need a referral or a prior diagnosis to be seen.

No. Every visit at ReNu TRT & Men's Endocrinology is conducted directly with a fellowship-trained endocrinologist. We do not use mid-level providers for patient visits. This is a deliberate and non-negotiable part of how we practice.

Your initial consultation is a 60-minute telehealth visit directly with a fellowship-trained endocrinologist—no intake nurses, no assistants. We begin with a thorough review of your symptoms, their timeline, and how they've affected your daily life. We also review your medical history, any prior lab work, current medications, and previous evaluations. The goal is to understand your full picture before recommending any testing or treatment.

No—but if you have recent lab results (within the past 6–12 months), they are helpful and we encourage you to upload them when completing your intake forms. If you don't have any prior labs, that's completely fine. We'll determine what testing is appropriate based on your consultation and order it afterward.

After your initial consultation, your endocrinologist will order a targeted set of labs based on your specific symptoms and history. These are sent electronically to a national lab network—you can walk into a convenient location near you without an appointment. Depending on your presentation, a first workup might include hormone panels (testosterone, thyroid, cortisol, DHEA, IGF-1), metabolic markers (glucose, insulin, HbA1c, lipids), and other targeted tests. We don't order everything at once—labs are chosen deliberately to answer specific clinical questions.

Once your results are in, your endocrinologist reviews them in the context of your symptoms and history—not just against a reference range. Many conditions are missed because labs are read in isolation rather than as part of a clinical picture. You'll receive a follow-up visit to go through your results in detail. Everything is explained clearly: what the numbers mean, what they suggest, and what the next step should be.

Normal labs don't always mean there's nothing wrong—and we take that seriously. If initial testing doesn't explain your symptoms, we'll discuss what additional evaluation might be appropriate, whether that's more targeted hormone testing, dynamic testing, or a different diagnostic approach. You'll leave with clarity about next steps, not just a reassurance that 'everything looks fine.'

You'll receive written recommendations and any lab orders shortly after your initial consultation. Once your lab results are available (typically within a few days of your blood draw), we'll schedule a follow-up visit to review them and finalize your care plan. If a condition is identified, treatment planning begins at that follow-up visit.

After booking your appointment, you'll complete intake forms and receive a secure video link. On the day of your visit, you'll connect with your endocrinologist via HIPAA-compliant video for a face-to-face consultation. The visit is conducted just like an in-person appointment, with the convenience of connecting from wherever you're most comfortable.

Yes. For $125, you can submit your medical history, lab results, current medications, and specific questions through the SimplePractice patient portal — no scheduled appointment or video call needed. Your fellowship-trained endocrinologist reviews your full clinical picture and sends back a detailed written assessment within 48 business hours. This is ideal if you already have recent labs and just need expert endocrinology interpretation without waiting for a video visit. It's also a great option for second opinions on an existing treatment protocol or for lab results flagged by your primary care doctor with no clear follow-up.

Initial consultations are 60 minutes. Follow-up visits are 30 minutes. We don't rush appointments—if you need more time, we take it. Our goal is to ensure you feel heard and that all your questions are answered.

Yes. Continuity of care is important, and you will see the same endocrinologist for all your visits unless you request otherwise. This allows your physician to understand your case thoroughly and track your progress over time.

We can order laboratory testing through national lab networks that have locations throughout the country. You'll receive orders electronically and can visit a convenient lab location near you. Results are sent directly to us and reviewed by your endocrinologist, who will discuss them with you during your follow-up visit or via secure message.

No. We are a cash-only practice, which means we do not bill insurance directly and do not accept insurance as payment. Payment is collected securely at the time of booking. However, after every visit, we provide a detailed, itemized superbill—a receipt that includes all the diagnostic codes (ICD-10) and procedure codes (CPT) your insurance company needs. You can submit this superbill directly to your insurance company for out-of-network reimbursement. Many patients with PPO plans or out-of-network benefits recover a significant portion of their visit cost—often 50–80% depending on their plan.

A superbill is a detailed, itemized receipt that includes all the information your insurance company needs to process an out-of-network reimbursement claim. It contains the date of service, the provider's information, diagnostic codes (ICD-10), procedure codes (CPT), and the amount paid. After each visit, we provide you with a superbill that you can submit directly to your insurance company—either by mail, online portal, or through their mobile app. Most insurance companies have a straightforward process for submitting out-of-network claims. If you need guidance on how to submit your superbill, we're happy to help.

Out-of-network reimbursement means your insurance company reimburses you directly for a portion of the visit cost after you submit your superbill. The amount you receive depends on your specific plan's out-of-network benefits. PPO plans typically offer out-of-network coverage, while HMO plans usually do not. Before your first visit, we recommend calling your insurance company and asking: 'What are my out-of-network benefits for outpatient specialist visits?' and 'What percentage of the allowed amount will be reimbursed after my deductible?' Many patients are surprised to find they have generous out-of-network benefits they weren't aware of.

Pricing is transparent and the same nationwide. Initial consultations are $300 for a 60-minute visit with a fellowship-trained endocrinologist. Follow-up visits are $150 for 30 minutes. We also offer asynchronous consultations for $125 — you submit your medical history, labs, and records through the SimplePractice patient portal, and your endocrinologist sends back a detailed written clinical assessment within 48 business hours, no video visit or scheduled appointment required. Payment is collected at the time of booking through our secure platform. There are no surprise charges or hidden fees. After each visit, you receive a detailed superbill for insurance reimbursement.

Operating as a cash-only practice allows us to spend adequate time with each patient without the constraints imposed by insurance reimbursement models. Insurance-driven care often leads to rushed appointments, limited access, and treatment decisions influenced by coverage policies rather than clinical judgment. By operating outside of insurance, we can offer 60-minute initial visits, unhurried follow-ups, and care decisions driven entirely by your clinical needs. It also eliminates the administrative burden that often leads to long wait times and limited availability. We believe this model results in better care and a better patient experience.

Cash-pay eliminates the constraints that insurance reimbursement places on medical care. It allows us to spend the time each patient deserves—60-minute initial visits instead of 15-minute appointments. It means treatment decisions are made based on what's clinically appropriate for you, not what an insurance company will approve. It also means no prior authorizations, no coverage denials, and no surprise bills months after your visit. You know exactly what you're paying upfront, and you receive a superbill to submit for reimbursement. Many patients find that the quality of care, the time spent, and the clarity of communication far outweigh the upfront cost—especially when insurance reimburses 50–80% of the visit.

Yes. In states where we are licensed, we can prescribe medications when clinically appropriate. Prescriptions are sent electronically to your preferred pharmacy. For patients receiving consultative services in states where we are not licensed, medication recommendations are provided to your local clinician who can write the prescriptions.

We prescribe controlled substances when medically necessary and appropriate, following all federal and state regulations. This includes testosterone replacement therapy and other medications that may be classified as controlled substances. All prescribing is done thoughtfully and with appropriate monitoring.

Prescriptions are sent electronically to your preferred pharmacy—either a local pharmacy or a mail-order pharmacy of your choice. You can pick up medications the same way you would for any other prescription. We can also provide guidance on finding pharmacies that carry specific medications or offer competitive pricing.

We provide full telehealth care in states where our physicians are licensed (currently California, Texas, Florida, New York, Arizona, Washington, and Oregon). For patients in other states, we offer consultative services in collaboration with your local clinician. See our States & Licensure page for more details.

In states where we are not yet licensed, we provide expert consultation and detailed written recommendations to both you and your local clinician. Your clinician remains responsible for ordering tests and prescribing medications, while we serve as a consultative resource to guide evaluation and management. Follow-up consultations remain available as needed.