Drive, sleep and body composition move together. Labs show which lever to pull first — sometimes it is estrogen, sometimes sleep, sometimes signalling.
Priorities, in order
01Labs before anything hormonal
02Sleep is the cheapest testosterone
03Address visceral fat
Foundations
—Strength training 3x/week
—Alcohol under 4 drinks/week
—7+ hours sleep
Start today — no labs needed
✓Sleep routine and sermorelin while labs process
03What helps & how
What's in it, in plain language.
Natural productionoral
Clomiphene
Signals your body to produce more of its own testosterone.
What to expect: Levels typically rise in 4–6 weeks.
Evidence: Strong
Estrogen balance (if labs indicate)oral
Anastrozole
Lowers conversion of testosterone to estrogen.
What to expect: Used only when labs show elevated estradiol.
Evidence: Strong
Sleepinjectable
Sermorelin
Asks your pituitary to release your own growth hormone in its natural nightly pulse.
What to expect: Deeper sleep in 2–4 weeks; recovery improves by month 2.
Evidence: Moderate
Visceral fat & HDLinjectable
Tesamorelin
A growth-hormone releasing analogue that targets visceral (belly) fat and can improve HDL.
What to expect: Waist reduction over 12–26 weeks.
Evidence: Strong (FDA-approved indication)
Coming soonComing soon
Testosterone
Direct hormone replacement.
What to expect: Coming soon — not yet available through Vero.
Evidence: Strong
04The protocol
Your plan, week by week.
WK 0
Lab panel
TruDiagnostic panel typicalRange —Once
Changes when: Physician reviews results first
WK 1–12
Clomiphene
25 mg typicalRange 12.5–50 mg3x/week
Changes when: Total T in optimal range
WK 1–12
Sermorelin
300 mcg typicalRange 200–500 mcgNightly
Changes when: Sleep improving
WK 4–26
Tesamorelin
1 mg typicalRange 1–2 mgDaily
Changes when: Waist/HDL review
Acute phase
Labs + initiation
Long-term
Quarterly lab-guided adjustment
Review cadence
Every 12 weeks with your physician
Labs we look at — optimal ranges, not just "normal"
Testosterone replacement itself is not yet offered; this protocol uses non-controlled levers only.
Not a fit if you have
×Liver disease
×Osteoporosis (anastrozole)
Your physician will ask
?Trying to conceive in the next 12 months?
?History of blood clots?
A licensed, Vero-contracted physician reviews your intake and lab results (before you see them) and decides whether to prescribe. Nothing ships without that review.
07About the expert
Courtney Contreras
MPAS, PA-C
"Labs first. Optimal ranges, not reference ranges."
Courtney is a board-certified physician assistant who has spent a decade in metabolic and regenerative medicine. Her practice is built on one conviction: most people are not failing their plan, they were never told what to fix first.