Fatigue, weight that will not shift, flattened drive, changes in sexual function. These are medical questions — and they are worth investigating properly.
Men see doctors less often than women and tend to present later, which means symptoms are frequently well established by the time they are raised. The complaints below are common, treatable, and worth taking seriously.
Every item on that list is consistent with low testosterone. Every one is also consistent with sleep apnea, thyroid disease, depression, anemia, vitamin D deficiency, poorly controlled blood sugar, or medication side effects.
This overlap is exactly why we test rather than assume. Obstructive sleep apnea in particular is commonly missed and commonly mistaken for low testosterone — and treating testosterone while untreated apnea persists can actually make the apnea worse.
Comprehensive testing including total and free testosterone drawn in the morning, thyroid function, metabolic markers, blood count and vitamin D. Where genuine deficiency is confirmed alongside symptoms, testosterone replacement therapy may be appropriate — with the fertility implications discussed before you start.
Erectile dysfunction is evaluated as a medical symptom rather than an inconvenience, because it is frequently an early marker of vascular disease. Treatment follows from the cause.
Non-surgical penis enlargement with injectable dermal filler, for men whose concern is aesthetic rather than functional. This adds girth only — it does not increase length and it does not treat erectile function. There are two routes: a reversible hyaluronic acid filler lasting roughly 18 to 24 months, and a collagen-stimulating filler that does not require repeat treatments. If we think the procedure is the wrong answer for what is actually bothering you, we will say so.
Medically supervised weight loss beginning with laboratory work — insulin resistance, thyroid function and testosterone all influence how difficult weight loss is for you specifically.
PRP therapy for the tendon and joint problems that accumulate with training and age.
Men increasingly ask about Botox and filler, and dosing for men genuinely differs — heavier muscle mass usually means higher Botox units, and the goal is typically preserving a flat brow rather than creating an arch.
Dr. Daniel Moghadam sees you personally and performs any treatment himself. Sexual health complaints are frequently rushed or brushed aside, and they deserve the same clinical attention as any other symptom.
Sexual symptoms are often the first visible sign of something systemic — cardiovascular disease, diabetes, hormonal deficiency, medication effects, or depression. A clinic that treats the symptom without looking for the cause can miss something that genuinely matters. We take a proper history and test where testing is warranted.
This is an area with a great deal of marketing and considerably less high-quality data. Where the evidence for a treatment is limited, you will be told that plainly, so you can decide with accurate information rather than a sales pitch.
Appointments are one-to-one. Nothing is discussed with anyone else, and consultations are complimentary with no obligation to proceed.
This is the single most important thing on this page.
Erectile dysfunction is frequently an early warning sign of cardiovascular disease. The arteries supplying the penis are considerably narrower than the coronary arteries, so atherosclerosis affecting the vascular system often produces erectile symptoms years before it produces cardiac symptoms.
Put plainly: for some men, ED is the first indication of a vascular problem that has not yet declared itself in the heart. A clinic that hands over a prescription without assessing blood pressure, lipids, blood sugar and cardiovascular risk is treating a symptom and ignoring a warning.
We take that history and test accordingly. If your assessment suggests cardiovascular risk requiring specialist management, you will be told so and referred — that is a better outcome than a prescription.
A detailed history covering energy, sleep, mood, sexual function, training, weight, medications and family history, followed by a physical examination and comprehensive laboratory work. Testosterone is drawn in the morning, since levels fall through the day. The panel also covers thyroid, blood count, metabolic markers and vitamin D — because those explain the same symptoms.
Very likely, which is why we test broadly. Sleep apnea, thyroid disease, depression, anemia, vitamin D deficiency, poorly controlled blood sugar and various medications all cause fatigue, low libido, weight gain and poor concentration. Sleep apnea in particular is frequently mistaken for low testosterone, and treating testosterone without addressing it can worsen the apnea.
It can be, and this is genuinely important. The arteries supplying the penis are much narrower than the coronary arteries, so vascular disease often produces erectile symptoms years before cardiac symptoms appear. ED can be an early warning of cardiovascular disease. That is why it deserves a proper assessment of blood pressure, lipids and blood sugar rather than just a prescription.
No. Men in their late twenties and thirties come in with fatigue, training plateaus, or sexual symptoms, and those complaints are just as valid. Younger men with genuinely low testosterone often have a specific underlying cause worth identifying rather than simply replacing the hormone.
Yes, and you should know before starting. Testosterone therapy suppresses your body's own production and typically reduces or stops sperm production, which can significantly impair fertility and may persist after stopping. If you may want children, say so at consultation — alternatives exist that raise testosterone without shutting down the natural pathway.
Yes, and dosing genuinely differs. Men typically require higher Botox units because of greater muscle mass, and the aesthetic goal usually differs too — preserving a flatter brow rather than creating an arch, and maintaining a stronger jawline rather than softening it.
Yes. Appointments are one-to-one with Dr. Moghadam and nothing is discussed with anyone else. Sexual health concerns in particular are treated as ordinary medical matters, because that is what they are.
Yes, complimentary with no obligation to proceed to treatment. Laboratory work is discussed and quoted separately before anything is ordered.
Men travel to our Beverly Hills office from across Los Angeles and the Westside:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
A proper assessment tells you whether hormones, metabolic health, or something else explains how you have been feeling. Consultations are complimentary.
Twenty-three evidence-based articles on non-surgical enhancement — what the published studies actually measured, what the professional societies say, and what these treatments cannot do. Reviewed by Dr. Moghadam.