You’re not lazy. You’re not “just getting older.” If the gas tank feels empty by 3 p.m., workouts take days to recover from, patience is thin, and the midsection won’t cooperate, there’s a decent chance low testosterone is part of the story. At SD Weight Loss Center in Spring Valley, CA, we treat testosterone replacement therapy (TRT) like real medicine—labs first, straight talk, and dosing that fits a normal week, not a fantasy routine.
Care is led by Michael Woo-Ming, MD, MPH—Mayo Clinic–trained, practicing in SoCal since the late ’90s. He reads the numbers, listens to how you actually live, and builds a plan you can run without turning your life into a science project.
Years Experiences
Testosterone touches energy, mood, focus, sleep, muscle, and body composition. When it drifts low, you notice it as slow recovery, softer strength, brain fog, shorter fuse, flatter libido, and a waistband that keeps inching forward. TRT restores a healthy range so your system can behave like itself again. It’s not about chasing bodybuilder levels or becoming someone else—it’s about getting you back.
What it won’t do: outrun junk sleep, replace protein you didn’t eat, or cover for zero movement. We’ll help you fix those too so TRT isn’t doing all the work alone.
We draw a full panel: total and free testosterone, SHBG, estradiol, thyroid, A1c/insulin, lipids, vitamin D, CBC, and anything your history flags. Low-T symptoms can come from thyroid or sleep issues; we catch that before we start.
If labs confirm deficiency, we’ll map the route: Injections for steady levels and fast turnaround Topicals if you prefer skin application and daily rhythm Selective meds (e.g., clomiphene) to nudge your own production in certain cases No one gets a one-size script. We pick the path you’ll actually follow.
Protein targets that protect muscle. Two or three short strength sessions that fit around the 125 commute. Bedtime that lets hormones reset. If you’re also running GLP-1 or medical weight loss, we’ll sequence dosing so appetite, strength, and recovery line up.
Labs at sensible intervals. We watch hematocrit, estradiol, PSA, lipids, and how you feel. Doses change by data, not vibe.
The afternoon crash eases first. Sleep steadies when bedtime is sane. Mornings stop feeling like uphill.
Drive and focus return. Lifts feel more honest. You recover faster. Mood has edges again—in a good way.
Body comp shifts if protein and lifting are in place. Belly eases down, shoulders and legs reappear. The “this is me again” moment shows up somewhere in here.
Done right, TRT is monitored medicine. Side effects usually come from poor oversight or ego dosing. We keep hematocrit, estradiol, and PSA in range; we manage aromatization; we don’t chase giant numbers. If something looks off, we adjust. If TRT isn’t the move, we say so. Simple.
Book a free consultation today. We’ll run the labs, go through the results, and outline next steps you can actually follow. No scare tactics. No fairy dust. Just medicine that respects your time and your goals.
SD Weight Loss Center—real medicine, real coaching, real results, right here in Spring Valley.
With Dr. Woo-Ming, you get a clinician who has treated thousands of patients, knows how hormones interact with metabolism and sleep, and understands when to hold, change, or stop. That’s the gap between “felt good for a month” and “I finally feel like myself again.”
If you’re done guessing and ready for data—and a plan that respects your life in Spring Valley—come in. We’ll run the labs, cut through the noise, and map a route that actually holds.
SD Weight Loss Center — real medicine, real coaching, real results, right here in Spring Valley.
You’ll see pricing before you start—meds, labs, follow-ups, and coaching support where needed. No bundles designed to oversell, no vague “membership” math. If you need less, you pay less. If you need more oversight up front, we explain why.