Format: Oral softgel capsule
Status: Prescription-only (CIII)
Access: Telehealth consultation required
Mechanism: Lymphatic absorption via lipid-based delivery system
Treatment Details
Lab monitoring included with eligible plans*
Telehealth clinical evaluation with a licensed clinician
Personalized care plan determined by the clinician based on history, symptoms, and labs
Prescription medication and required supplies included when prescribed
Follow-up care and ongoing monitoring per clinician-directed schedule
Secure clinician messaging through your patient portal
Status: Prescription (RX) Only — telehealth evaluation required
Important Disclosures Testosterone replacement therapy is not appropriate for all individuals.
Prescription issuance is not guaranteed and is determined solely by a licensed clinician.
This program does not promise specific outcomes. Individual responses vary.
*Monthly automatic billing is required for plans that include laboratory testing (if applicable). Patients may be responsible for additional laboratory costs if repeat testing is clinically indicated or if testing is performed outside the included schedule.
Testosterone replacement therapy may be considered for adult men with clinically confirmed testosterone deficiency (hypogonadism), as determined by a licensed clinician following a comprehensive medical evaluation and laboratory review. TRT is prescription-only, is not appropriate for everyone, and individual responses vary.
During evaluation, some men with low testosterone may report symptoms such as:
Persistent low energy or fatigue
Reduced libido
Difficulty maintaining muscle mass
Changes in motivation or overall sense of well-being
Administration (Clinician-Directed)
Route: Oral softgel capsule, taken by mouth as prescribed by the licensed clinician.
Frequency: Determined by the prescribing clinician based on individual medical evaluation, laboratory review, and ongoing clinical considerations.
Instructions: Patients receive guidance on proper use through the care team and patient portal. Do not start, stop, or adjust dosage or schedule without clinician approval.
Active Ingredient: Testosterone Undecanoate (CIII). A fatty-acid ester of testosterone.
Delivery Matrix: Phytosterol esters and DL-alpha-tocopherol (Vitamin E) formulated to bind with dietary fats for lymphatic uptake.
Inactive Ingredients: Gelatin, glycerin, purified water.
Care options aligned to your goals, based on individualized clinical review
Start with an online intake. Clinicians may order and review lab work when clinically appropriate.
Follow-ups and adjustments are guided by a licensed clinician based on symptoms, history, and lab results.
Clinician-guided discussion of options for men’s health concerns, based on your evaluation and medical history.
Reminders, education, and help navigating next steps—so you know what happens before and after your visit.
Confidential support with secure messaging and account access.
Testosterone Replacement Therapy (TRT) is a medically prescribed treatment designed to restore testosterone levels to an optimal physiological range. By directly addressing the hormonal root cause of fatigue, low libido, muscle loss, and cognitive decline, TRT helps normalize energy production, muscle protein synthesis, mood regulation, and metabolic function.
Unlike supplements or lifestyle-only approaches that attempt to stimulate hormone production indirectly, clinically supervised TRT delivers precision-dosed testosterone under physician monitoring, ensuring consistent, effective restoration without hormonal instability. This targeted medical approach supports sustainable strength, mental clarity, sexual health, and long-term vitality—without the crashes or guesswork of non-clinical solutions.
Get Started TodayMake the switch to TRTBOSS and experience affordable, high-quality treatment that’s 100% online, discreet, and designed for your lifestyle.
At TRTBOSS Every step is supported through a clinician-led process with independent, U.S. Licensed clinicians. If prescribed, medications are dispensed and shipped by Licensed U.S LegitScript-certified pharmacies. From expert medical oversight to discreet delivery, We prioritize privacy, secure communications, and clear next steps throughout your experience.
TRTBOSS has truly changed my life. The process was smooth, the team was supportive, and the results speak for themselves. I feel more energetic, confident, and focused than ever. It’s easily the best decision I’ve made for my health.
TRTBOSS has truly changed my life. The process was smooth, the team was supportive, and the results speak for themselves. I feel more energetic, confident, and focused than ever. It’s easily the best decision I’ve made for my health.
TRTBOSS has truly changed my life. The process was smooth, the team was supportive, and the results speak for themselves. I feel more energetic, confident, and focused than ever. It’s easily the best decision I’ve made for my health.
Unlike older forms (like Methyltestosterone) which were liver-toxic, Kyzatrex® is absorbed through the lymphatic system rather than the portal vein. This bypasses the liver significantly, maintaining a safety profile comparable to transdermal gels regarding liver enzymes.
Clinical data shows it is highly effective. In pivotal trials, the vast majority of participants achieved effective therapeutic levels. While injections are the historical “gold standard” for absorption, this oral protocol is the leading non-invasive alternative.
It can. Clinical studies showed a small increase in blood pressure in some men. We require all patients on the Oral Protocol to monitor their BP at home. (See Boxed Warning below).
This specific webpage is for Oral Testosterone monotherapy. However, hCG (injectable) can often be prescribed alongside this protocol if maintaining testicular volume and fertility is a priority for you. Ask your provider during your consult.
Medical Citations & Positive Health Publications
Clinical Basis for Therapy:
1. TRT’s Impact on Body Composition- A study demonstrated that a 10-week regimen of Testosterone Replacement Therapy (TRT), when paired with a disciplined diet and exercise plan, led to substantial gains in fat-free mass and muscle size. Utilizing advanced measurement techniques, such as underwater weighing and magnetic resonance imaging, the findings confirmed significant improvements in overall body weight and the muscle size of major muscle groups.
https://pubmed.ncbi.nlm.nih.gov/9024227/
2. TRT Improves Sexual Function and Satisfaction- High-quality evidence demonstrates that Testosterone Replacement Therapy (TRT) is linked to significant improvements in sexual health for men with low testosterone (hypogonadism) when compared to a placebo. These benefits include a substantial enhancement in:
Sexual desire (libido)
Erectile function (EF)
Sexual activity
Sexual satisfaction
https://academic.oup.com/jcem/article/103/5/1745/4939466?login=false
3.TRT and Cognitive Function- Promising research links testosterone supplementation to improved cognitive function in men, including those with normal testosterone (eugonadal) and those with low levels (hypogonadal), regardless of their starting cognitive status. Low natural testosterone levels may be associated with reduced cognitive ability, and supplementing with testosterone may lead to improvements in certain cognitive skills. A study spanning two years on young and middle-aged hypogonadal men demonstrated that Testosterone Replacement Therapy (TRT) enhanced:
Attention
Visual scanning ability
Executive function
Psychomotor speed
https://onlinelibrary.wiley.com/doi/10.1111/and.12633
https://academic.oup.com/ejendo/article-abstract/155/6/773/6695703?redirectedFrom=fulltext
4. TRT and Mood Enhancement- Testosterone replacement therapy in men with low testosterone (hypogonadism) improved their mood by:
Improving positive mood parameters such as energy, well-being, and friendliness.
Decreasing negative mood parameters including anger, nervousness, and irritability.
https://pubmed.ncbi.nlm.nih.gov/8855804/
5. Advanced Oral Testosterone Formulation- Our FDA-approved oral testosterone is engineered for highly efficient and specific lymphatic absorption. This innovative design allows the medication to bypass the liver, thereby avoiding the liver toxicity traditionally associated with older oral testosterone medications. Furthermore, clinical monitoring of liver markers in patients using this formulation has consistently shown no acute adverse effects on liver function.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7126116/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558846/
Efficacy: Kyzatrex® Clinical Trials (NCT03198728). Results showed 96% of compliant patients achieved mean plasma testosterone concentration within the normal range (222–800 ng/dL) after 90 days of treatment.
Safety Profile: Swerdloff, R. S., et al. (2020). Oral Testosterone Undecanoate: A Review of the Clinical Data. Journal of Endocrine Society. (Discusses the safety of lymphatic-absorbed testosterone regarding liver enzyme stability).
Absorption Mechanism: Shackleford, D. M., et al. (2003). The role of lymphatic transport in the oral bioavailability of testosterone undecanoate. (Establishes the science behind bypassing first-pass liver metabolism).
IMPORTANT SAFETY INFORMATION
BOXED WARNING: BLOOD PRESSURE INCREASES
Kyzatrex® can cause blood pressure (BP) increases that can increase the risk of major adverse cardiovascular events (MACE), including non-fatal heart attack, non-fatal stroke, and cardiovascular death.
Your provider will check your BP before starting and periodically during treatment. If your BP rises, treatment may need to be stopped or BP medication added.
Contraindications: Do not use if you have breast cancer, known/suspected prostate cancer, or are allergic to ingredients in Kyzatrex.
Side Effects: Common side effects may include high blood pressure, headache, and increased red blood cell count (polycythemia).
Rx Only: This is a controlled substance. Misuse may lead to serious cardiac or psychological side effects.
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