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Men’s Hormone Health & Andropause Treatment in Atlanta

Restore your energy, strength, and vitality.

If you’re like most American men, chances are you’ve experienced at least one of the symptoms below—and many can be traced back to a hormone imbalance. Andropause, often called “male menopause,” occurs when testosterone levels gradually decline—typically starting in your early 30s at a rate of 1–2% per year. By age 50, millions of men have low testosterone symptoms, yet only a small percentage seek treatment.

At Atlanta Integrative & Internal Medicine, we specialize in customized bioidentical hormone therapy for men, helping you regain balance, health, and quality of life.

Common Symptoms of Low Testosterone / Andropause

  • Irritable Male Syndrome
  • Weight gain & increased belly fat
  • Sleep apnea
  • Memory loss & brain fog
  • Low libido
  • Hair loss
  • Erectile dysfunction
  • Hot flashes & night sweats
  • Fatigue & decreased stamina
  • Depression
  • Loss of muscle mass
  • Increased perspiration
  • Gynecomastia (male breast enlargement)

Real Patient Story

E.M., age 48, came to us after being told by his endocrinologist that his testosterone “wasn’t that low.” Yet he was feeling weaker, had less workout endurance, lower libido, and more belly fat. His lab results showed free testosterone just under the “normal” lab range—but well below optimal.

We started him on our Hypotestosterone Program, which included:

  • Twice-weekly self-administered testosterone injections
  • Medications to maintain testicular size and function
  • Aromatase inhibitors to prevent estrogen conversion

Results after 45 days:

  • Lost 16 pounds
  • Increased gym performance
  • Blood sugar normalized—allowing him to reduce diabetes medication
  • Boosted energy, mood, and libido

His words:

“I think it’s criminal my endocrinologist wasn’t willing to address my low testosterone.”

Our Androgen Replacement Therapy Approach

Testosterone replacement therapy (TRT) is not one-size-fits-all. We use a detailed, personalized plan to optimize hormones while preserving testicular function and protecting long-term health.

Your treatment plan may include:

  • Initial Evaluation: Complete medical history & 1-hour physical exam
  • Advanced Hormone Testing: Blood and/or saliva tests for testosterone, estrogen, and other key hormones
  • Custom Treatment Program: Bioidentical testosterone plus medications to maintain sperm production and prevent estrogen conversion
  • Nutritional, Supplement & Fitness Support: To enhance results and overall health
  • Hair & Prostate Protection: 5-alpha reductase inhibitors to prevent testosterone from converting to DHT, reducing hair loss and prostate enlargement risks
  • Ongoing Monitoring: Re-testing at 45 days, adjustments as needed, and follow-ups every 6 months (annual hormone testing required)

When Will You Feel Better?

Many men notice improvements within a few weeks, including increased energy, better mood, and enhanced libido. Strength, muscle mass, and endurance typically improve over several months of consistent therapy.

The risks and benefits of testosterone replacement need to be evaluated by a qualified physician. Men vary in anatomy and physiology, so androgen replacement therapy is not a one-size-fits-all diagnosis. Testosterone replacement therapy is a treatment for men with low testosterone who want to boost their health and overall well-being. Perhaps the best news for men is that hormone losses and imbalances are easily correctible. Proper treatment by a qualified physician can bring about a healthier, younger and more vital you.
Simple testing will measure your current hormone levels, at which point a customized treatment can be created to not only adjust your testosterone levels, but other hormones as well. The treatment is paired with an individualized nutrition, supplement and fitness program that will optimize your hormone replacement therapy. Therapy must include consideration for maintaining testicular function including sperm production. If a man wishes to preserve his options for fathering children, certain stimulating hormones will be added to the regimen. Aromatase inhibitors may be added, on an individual basis, to prevent the conversion of testosterone to estrogen. One of the undesired consequences of testosterone replacement can be breast enlargement. The aromatase inhibitors prevent this. Other undesired effects may be accelerated balding. The use of 5’reductase inhibitors prevents the conversion of testosterone to DHT. This blocking action prevents the hair loss and prostate enlargement which might otherwise be problematic.
A well experienced physician will understand how to monitor and treat all these aspects of testosterone replacement. It is not as simple as prescribing a pharmaceutical gel.
Your first visit will be a complete history and physical exam. Prepare for about one hour. Blood and/or saliva tests will be done to evaluate hormone levels. After all results are in, you will have a consultation (in office or by phone) to establish the custom treatment. 
After 45 days, you will need to have the hormone levels retested. This will include the estrogen and testosterone levels. Another phone consultation is made to adjust the treatment protocol, if necessary. After that, visits will be made every 6 months. Hormone testing must be at least once a year.
 
When will you feel better?
Most men experience significant improvement within a few weeks. Further improvements, such as strength and endurance, will continue to improve over more time.

Testimonials

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Savanna Dagel
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Dr. Cardwell is the best!
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Chris Kerner
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My wife was diagnosed with stage 3 cancer almost 2 years ago and we have seen a significant turnaround in her response to the chemotherapy and immunotherapy that she has been receiving for over a year and a half year with only slight changes but after starting with Atlanta Integrative and Internal Medicine, we have seen her numbers drop, many of the tumors she had when we started with them are now gone and the remaining tumor she has is down by 85%. The entire team is incredible and does whatever they can to help you in your time of need and I cannot recommend them enough.
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Melissa Hudson Glover
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Dr. Cardwell totally changed my life! He helped me return to a normal immune system & life after living in a house with mold. It took time/driving but it was so worth it! I can confidently say I’ve never met a doctor that has cared so much and helped with every health issue with patience and vast knowledge. He is a true gem and I am so grateful to him and Atlanta Integrative & Internal Medicine. They are all so warm and lovely for IVs, etc and make you feel like family. It’s how visiting the doctor should be!
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Quinn Rice
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After a bout of strep, I developed a rash and went to both my GP and derm who each prescribed me oral and topical steroids. Topical helped while using, but it would come back when I stopped and I was diagnosed with psoriasis. I went to AIIM and saw Jessica Caspar, APRN. She suggested ozone IVs and gave me ozonated olive oil. Within a few days of using the cream, my skin looks dramatically better! I am very hopeful and glad to not be relying on steroids. Highly recommend Jessica!
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Illanit Kazula
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Anyone experiencing chronic autoimmune conditions or chronic pain needs to visit this clinic and specifically ask for NP Jessica Kaplan. The amount of care and professionalism is unmatched. The services offered have helped me manage my symptoms unbelievably and I am so grateful. Jessica’s knowledge, expertise and bedside manner is so wonderful it really helped me recover and feel better. Do not hesitate to make an appt here. You will not regret it.
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Brian Hill
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This has been a good experience. Dr. Patel is kind and takes time to explain things. I have learned more about my health here than at any other time in my life. The only downside is that all expense is out of pocket.
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Linda Nixon
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Sean Phillips
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Dr. Cardwell has been treating me for the past five years. He is by far one of the best doctors I have seen. His level of compassion and the time he takes with his patients is something you very rarely see these days. I have some complicated issues and he has spent a lot of time researching what issues I am experiencing to help find a cure. I would recommend Dr. Cardwell and his staff to anyone.
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