TRT Specialist Partner
for Your Male Patients.
Revive Low T Clinic serves as a specialist resource for PCPs, internists, urologists, and NDs managing male patients with symptomatic hypogonadism. We provide comprehensive diagnostic workups, insurance-covered treatment, and coordination notes within 48 business hours.
What Revive Offers
Your Patients
Differentiated from telehealth TRT services in ways that matter clinically — in-person exams, comprehensive diagnostics, and insurance billing.
51-Analyte First-Visit Panel
Every new patient receives a comprehensive lab panel drawn on-site at the first visit. Not a minimal screening — a full evaluation designed to confirm diagnosis and rule out contributing or contraindicated conditions before treatment begins.
- →Total testosterone, free testosterone, SHBG
- →LH, FSH, prolactin, estradiol (E2)
- →PSA, CBC with hematocrit, CMP
- →HbA1c, lipids, thyroid, and additional metabolic markers
Insurance-Covered Treatment
Revive accepts commercial insurance for testosterone therapy — including testosterone cypionate, labs, and office visits. This distinguishes our service from telehealth TRT models, which route patients through compounding pharmacies with no insurance coverage.
- →Premera, Regence, UHC, Aetna, Cigna, Kaiser
- →Apple Health, Medicare Part D
- →Patients typically pay $0–30/month for medication
- →We manage prior authorizations in-house
Coordination Notes Within 48 Hours
After every patient visit, we generate a clinical coordination note and transmit it to the referring provider within 48 business hours. Notes include diagnosis, treatment plan, labs, and any findings that may be relevant to ongoing primary care.
- →Note sent after every visit, not just initiation
- →Lab results included
- →Co-management welcome for complex patients
- →Direct physician-to-physician contact available for complex cases
Same-Week Appointments
No formal referral form or authorization is required. Patients can call or book online directly. Three clinic locations in the Seattle metropolitan area: Seattle, Kirkland, and Federal Way. Labs drawn on-site — no separate lab visit required.
- →No referral form required
- →Patient books directly: (206) 960-4770
- →In-office labs, no separate lab visit
- →Seattle · Kirkland · Federal Way
Diagnostic Criteria We Apply
Our diagnostic and treatment protocols align with Endocrine Society and AUA guidelines for male hypogonadism.
Biochemical Criteria
- → Two morning total testosterone measurements below 300 ng/dL, or below laboratory reference range
- → Low free testosterone with symptoms — even when total T is borderline
- → LH/FSH evaluation to classify primary vs. secondary hypogonadism
Clinical Criteria
- → Persistent fatigue, reduced libido, decreased muscle mass
- → Cognitive changes, depressed mood, reduced bone density
- → Signs and symptoms must be documented and consistent with hypogonadism
Contraindications we screen for: PSA elevation requiring urology evaluation prior to TRT, untreated sleep apnea, active cardiovascular events, erythrocytosis (Hct >52% — managed via therapeutic phlebotomy pathway), and prostate or breast cancer history.
Appropriate Patients
for Referral
Symptomatic Hypogonadism with Biochemical Confirmation
Men with documented low testosterone on two morning draws, plus clinical symptoms (fatigue, libido changes, mood, muscle mass decline) who are candidates for testosterone replacement. These patients benefit from the comprehensive workup and insurance-covered treatment pathway we provide.
Telehealth TRT Transfers Needing Clinical Oversight
Men currently on TRT through a telehealth service who want in-person physician management, lower-cost insurance-covered treatment, and ongoing monitoring. Many of these patients have suboptimal protocols or elevated hematocrit without a clear management plan.
Men with Complex Hormonal or Comorbid Presentations
Men with fertility concerns (enclomiphene or hCG-augmented protocols), metabolic syndrome intersecting with hypogonadism, ED with suspected hormonal component, or weight management goals where hormonal optimization may be part of a broader approach. Please flag cardiovascular, oncology, or renal comorbidities at referral for coordination.
Referral Process
Mention Revive Low T Clinic, the clinic number (206-960-4770), or revivelowt.com. No formal referral form needed.
Patient calls or books online — same-week appointments typically available at one of three locations.
45–60 minute appointment. 51-analyte panel drawn on-site. Treatment plan developed at or shortly after the visit.
Clinical summary, lab results, diagnosis, and treatment plan transmitted to the referring provider after every visit.
Direct physician-to-physician contact available for complex cases or co-management questions. We handle prior authorizations, pharmacy coordination, and follow-up monitoring.
Clinical Protocol Summary
First-Visit Lab Panel (Selected)
- Total testosterone (early morning)
- Free testosterone (calculated/direct)
- LH, FSH
- Estradiol (E2), SHBG
- Prolactin
- PSA (men ≥40 or per indication)
- CBC with differential / hematocrit
- CMP (BMP + liver function)
- HbA1c, lipid panel
- TSH, thyroid panel
- Additional markers per clinical picture
Medications & Monitoring
Testosterone cypionate (injectable, FDA-approved generic) — covered by all major WA commercial plans
Anastrozole (estrogen management), hCG (fertility preservation), clomiphene/enclomiphene (secondary hypogonadism or fertility)
- → 6–8 weeks post-initiation (labs + visit)
- → 6-month follow-up
- → Annual thereafter
- → Hematocrit pathway if Hct >52%
Get in Touch
No referral form is required. Your patients can call or book online directly. We will send you a coordination note after their first visit.
Seattle · Kirkland · Federal Way
revivelowt.com