Men's Hormones and Testosterone Therapy
Low Testosterone and Andropause
This page is for men who feel tired or low and suspect low testosterone.
We treat low testosterone by telehealth for men across Washington and Idaho. Our clinic is in Spokane.
Andropause is sometimes called "male menopause." It is a natural change. As testosterone drops, it can cause many hard symptoms. We offer care that is personal and based on research. Our goal is to restore your energy and protect your long-term health. We do more than treat a low number. We optimize your hormones so you feel like yourself again.
What Does Optimizing Hormones Mean?
This is a core part of our practice. We go beyond "normal" lab ranges. We find and correct imbalances. Then we guide your levels to the best range for your body. We base this on your full labs, symptoms, age, and goals. The aim is better energy, mood, thinking, strength, and well-being. We want you at your best, not just in an average range.
Trained by Leaders in Hormone Care

Your care follows the latest research from WorldLink Medical. It is an industry leader in hormone education based on science. Dr. Milani is board-certified in anti-aging medicine (ABAAHP) and advanced hormone therapy (ABHRT). He completed strict training in advanced hormone protocols and clinical safety. Your care is grounded in science, not stories.
Symptoms Testosterone Therapy Can Help
Testosterone Replacement Therapy (TRT) restores healthy testosterone levels. It can ease the hardest symptoms of andropause, such as:
- Low sex drive (libido)
- Erectile dysfunction (ED)
- Ongoing fatigue and low energy
- Loss of muscle mass and strength
- More body fat, especially belly fat
- Insulin resistance (your body stops responding well to insulin)
- Brain fog, poor focus, and memory issues
- Mood swings, irritability, or depression
- Sleep problems or insomnia
- Lower bone density
- Lack of motivation and drive
What to Expect
- In-depth consultation. We start with a 90-minute visit. We listen to your full health history, symptoms, and goals.
- Advanced lab testing. Detailed lab panels show your hormone status and overall health.
- Personal plan. Based on your visit and labs, we build your plan. It may include BHRT and targeted supplements. BHRT means bioidentical hormone replacement therapy. These hormones match the ones your body makes.
- Ongoing support. We monitor you and follow up often. We adjust your plan as needed.
Ready to Live Evergreen?
You do not have to live with low testosterone. Schedule a free 15-minute call with a clinician. We serve adults in Washington and Idaho by telehealth.
Call or Text 509-720-6314 Email Care@evergreenmed.health