Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
TRT for Broward County men who already failed a 'boost' supplement
Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC will not start testosterone because a website said you have Low T. Morning labs, repeats, and a psychiatric exam come first.
What Men's Testosterone Therapy actually includes
Heart health: we discuss risk; we do not sell cardioprotection as a slogan.
Muscle loss is not an automatic TRT coupon.
Labs, scales, and follow-up cadence
Informed consent.
Hold TRT if hematocrit critically high — coordinate phlebotomy/ER as needed.
Chart assay type.
No supraphysiologic targeting for vanity.
From intake to follow-up: Men's Testosterone Therapy
Screen OSA.
Add LH/FSH, prolactin, TSH as indicated.
Document cardiovascular discussion.
Fertility question before any prescription.
Why Hollywood presentations look the way they do
Libido did not return because the problem was the SSRI, not T.
A 'free T' app number conflicted with LC-MS total T and nobody explained assay differences.
Internet TRT plus an SSRI plus alcohol, no reconciliation.
What we do not do
Psychiatry-only care may ignore hypogonadism. We check when the history fits.
Primary care may start T without a mood screen. We add the screen.
We will lose the patient who wants 2000 ng/dL 'because bro science.' That is acceptable.
What we rule in — and rule out
Secondary causes evaluated (pituitary, opioids, OSA).
Not indicated to treat bipolar mania.
Patients who want monitoring, not a Forever Protocol.
Not indicated for athletic enhancement.
Questions we hear about Men's Testosterone Therapy
Bioidentical?
Marketing word. Monitoring still applies.
Sleep apnea?
We screen. Treating apnea can change T and mood without TRT.
Anxiety on TRT?
Report it. Dose and diagnosis may be wrong.
Crisis?
988 or ER.
Telehealth?
Lab review and counseling if you are in Florida. Not a mail-order steroid service.
Are you a urologist?
No. PMHNP-BC with hormone-informed psychiatry. We refer when urology is needed.
Next step
Crisis now is 988 or the ER — not the booking form. For non-urgent Men's Testosterone Therapy, use (888) 307-2199 during weekday hours.
Questions about insurance, labs, or whether Men's Testosterone Therapy can be done by video: call (888) 307-2199 before you book so the visit type matches the clinical need.
Related care
Clinician: Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC, Psychiatric Mental Health Nurse Practitioner. Last medical review: 2026-09-21.
Florida telehealth psychiatry is available to established and new patients located in Florida at the time of the visit, subject to licensure and clinical appropriateness. An in-person evaluation at the Hollywood office may be recommended when a physical exam, vital signs, or a more complete diagnostic interview is needed.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. It does not establish a provider-patient relationship. Always seek care from a qualified clinician for questions about a medical or psychiatric condition. If you are in crisis, call 988 or go to the nearest emergency department.