Testosterone Replacement Therapy

Introduction and Overview of Testosterone

Testosterone is the primary male hormone and is crucial in maintaining optimal health. It regulates libido, bone mass, fat distribution, muscle mass, strength, healthy production of red blood cells, virility, and cognition. As we age, testosterone begins to decline by roughly 1-3% each year. Declining testosterone levels can lead to a sense of having left one's prime years and contributes to many of the stereotypes we attribute to aging.

Testosterone plays a crucial role in men's health, influencing various physiological functions beyond its association with masculinity. It begins to increase during puberty and declines steadily after the age of 30. It is instrumental in maintaining bone density, muscle mass, and overall body composition. Additionally, testosterone contributes to mood regulation, energy levels, and cognitive functions, highlighting its significance in promoting physical vitality and emotional well-being in men.

Symptoms of Low Testosterone

Low testosterone, also known as hypogonadism, can manifest in a variety of ways. The symptoms may vary from person to person, but common signs include:

Sexual Dysfunction

Reduced Libido: A decreased interest in sexual activity.

Erectile Dysfunction: The inability to achieve or maintain an erection.

Emotional Changes

Mood Changes: Including mood swings, depression, or irritability.

Cognitive Effects: Such as forgetfulness or trouble focusing.

Physical Fatigue and Sleep Disturbances

Chronic Fatigue: Constant tiredness and lack of energy.

Sleep Disturbances: Including insomnia or other sleep-related issues.

Changes in Body Composition and Appearance

Loss of Muscle and Bone Mass: Leading to reduced muscle strength and thinning of bones.

Increase in Body Fat: Especially around the abdomen.

Hair Loss: Thinning hair or baldness.

Health Risks

Risk of Fractures: Due to the loss of bone mass.

Gynecomastia: Enlargement of breast tissue.

These symptoms can have a significant impact on quality of life and may lead to other health concerns if left untreated. It is essential to consult with a healthcare provider if any of these symptoms are experienced, as they can conduct appropriate tests and provide treatment options tailored to individual needs.

Ideal Candidates

Those looking to undergo Testosterone Replacement are men who have noticed a decline in the way they feel about their manhood. They may experience a low sex drive, decreased stamina, significant weight gain or loss of muscle mass. They have decreased testosterone production, as determined by appropriate medical testing. Eligible patients are realistic in their expectations about TRT and what it can do for them.

Benefits of TRT

There are a plethora of benefits you can realize with testosterone replacement therapy. Many patients who undergo testosterone replacement therapy report feeling like a different person than when they initially sought treatment. The benefits of testosterone replacement therapy can include:

-Enhanced muscle mass

-Improved energy and endurance

-Enhanced libido and sexual performance

-Less brain fog

-Leaner body

-Improved mood

1. Initial Diagnostic Assessment

From the moment you enter one of our Metro Vancouver locations, you will be put at ease. The MMC Wellness team will answer your questions and listen to your concerns;following the initial assessment, you will be given a lab requisition. This essential preliminary step allows us to better understand your hormonal levels and provides crucial information to aid in diagnosis.

2. Personalized Consultation Day

Once the blood test results are available, you will meet with our MMC medical team for a personal consultation. In this judgment-free zone, the medical team will thoroughly assess your symptoms, medical history, and the results of the blood test. We take every matter seriously and strive to understand how you feel, so we can tailor the right solution for your unique set of challenges.

3. Tailoring Your BHRT Treatment Plan

Our MMC doctor will begin to tailor a unique hormone replacement plan for you.This plan will be aligned with your current health status and specific needs. At MMC Wellness, we utilize the pellet method of hormone replacement and also offer Bio-Identical Hormone Replacement Therapy (BHRT). These advanced techniques guarantee a consistent physiological release and a treatment that is perfectly aligned with your body's needs.

4. Comprehensive After Care & Follow-Up

This HRT process does not end with the insertion of your pellets. We at MMC Wellness believe that continued care and monitoring are essential in providing you with the highest quality care possible. You will be in constant communication with the doctor and his professional staff and will be invited to report on how you feel as the hormone therapy takes effect in your system. MMC Wellness will routinely check your blood in the 3-4 months following your initial HRT session. MMC Doctor will fine-tune your hormone plan to deliver your desired results if necessary.

Bioidentical Pellet Technology

MMC Wellness Group’s bioidentical pellet technology provides several advantages over traditional TRT methods. Firstly, it offers convenience and peace of mind as individuals do not need to worry about daily or frequent dosing. Instead, they can rely on the sustained release of hormones from the pellet. This can enhance compliance with the treatment regimen.

Our pellet technology makes use of bioidentical hormones, which is structurally identical to the testosterone naturally produced in the body. With traditional TRT, individuals are prescribed injections or oral forms of testosterone analogs such as testosterone enanthate, cypionate, and undecanoate. Our use of bioidentical testosterone mimics the physiology of your body much more closely than the synthetic analogs offered through traditional TRT.

Furthermore, the slow and steady release of hormones provided by the pellet technology helps to mimic the body's natural hormone fluctuations more closely. This can result in a more stable and consistent hormonal environment, reducing the likelihood of hormonal fluctuations and associated symptoms.



Many men report feeling like a different person after they begin hormone replacement. They bask in their renewed sense of virility, making them feel better than before. Following the insertion of the pellets under the skin, you may experience some tenderness at the implantation site. Any discomfort should resolve within 24 hours. As the pellets or injection release the hormones, you may experience an increase in sex drive as soon as three weeks after administration. You may notice an improvement in mood between 3-6 weeks. Enhancement of muscle mass and strength may be evident at around 12 weeks. During your consultation, We will discuss the additional effects of Testosterone Replacement Therapy with you. Generally, men report feeling more energized, having more sexual interest and improved sexual performance, gaining enhanced strength, and experiencing improved well-being overall. 


The desire to feel strong, invigorated, and attractive may be shared among men seeking hormone replacement therapy. However, the approach to achieving their desired results will vary between individuals. This is why Dr. Jiang works closely with each patient to create a treatment plan tailored to their individual needs and physiology. Because of MMC Wellness’ customized approach to TRT, the cost of therapy will vary between patients. 


Because TRT is tailored to the individual, effects will vary between patients. During your consultation, Dr. Jiang will inform you of the risks and benefits of TRT based on your unique presentation of symptoms, body chemistry, and medical history. 


Each patient is an individual with a unique experience. The dose of testosterone you will be prescribed will be determined by several factors. To determine the therapeutically effective dose for you and your needs, Dr. Jiang will inquire about your symptoms and health history and draw blood to determine your candidacy for TRT. He will insert several pellets, each the size of a grain of rice, just under the skin near your hip. From there, you will return to the clinic for routine follow-up visits. Dr. Jiang will make any necessary adjustments based on your reports and additional testing. So, your exact dosage will be determined only after a consultation with Dr. Jiang and adjusted as needed.

Client Feedback

5 Stars

Quick, easy, efficient and kind

Donna Marlatte

5 Stars

Fast turnaround, very professional, and very helpful when I asked for help.

Yedish Hoarder

5 Stars


Alex Wu

5 Stars

Very efficient and friendly. Recommend their services

Jo DiTommaso

5 Stars

Excellent and professional. Very happy with their service.

Siwei Zhan

5 Stars

Fast & efficient, exactly what I wanted. Thanks so much.

Marie Gilbert

5 Stars


xia cheng

5 Stars

高效 亲切 一切都非常好👍 强列推荐 …

gen jiang

5 Stars

I would highly recommend Midtown Medical clinic. I have used them several times and they have been incredibly helpful with communication and ensuring that my appointments were booked at the appropriate times Their communication was prompt and clear. They were always available on the phone or by email to explain the process or to answer my questions. The staff were always friendly and efficient. I would not hesitate in recommending this fabulous clinic!

Leslie Henry

5 Stars

Good service and fast result. Thank you!


5 Stars

Nice staff! Thank you

Brandon Yeung

5 Stars


lu tory

5 Stars


Ziqi Qiu

5 Stars

Friendly staff, fast and efficient

Christine Meng

5 Stars

服务特别好 谢谢


5 Stars

工作人员的态度都很友善, 耐心地解答了我们一系列的疑问。他们给了我们一份安心和踏实, 强烈推荐这里!!


5 Stars

Friendly, efficient and professional service. Highly recommended!

Salina Wong

5 Stars

Very patient and responsible.小姐姐们 are very nice

rabbit66 S

5 Stars

this clinic is one of the best in town !!

Hsieh Anthony

5 Stars

Very easy to book, efficient process.

Tim Douglas

5 Stars



5 Stars

Highly recommended. My family has been using their services for a few times, very good price and customer service.

Ping Huang

5 Stars

Very satisfied using their services and getting my therapy from them. The consultant, doctor and front desk were all very professional at what they do during my visits, not to mention the clinic being the nicest I've been to. Definitely check out what services / therapies they offer! Highly recommended!

Steven Miller

5 Stars

Very nice!!!

frank Dong

5 Stars

The staff was friendly and efficient. Highly recommended!

Sue Fishkoff

5 Stars


wei liu

5 Stars


Haihui Yong

5 Stars

Very clean, quick, well organized efficient company with very helpful staff.

Bruce Featherstone

5 Stars

So fast, nice Dr. Great experience!

Jody Cheng

5 Stars

Fast and nice.


5 Stars


Helen He

5 Stars

Very professional.

Yeung Henry

5 Stars

Great service and fast results. Would recommend!

Sam Wolfe

5 Stars

good service !!

Vivi Zhang

5 Stars

The results came out very quickly and effective. The staff and doctor are helpful.

Wongsapat Piammanastham

5 Stars

Nice staff here. Polite and efficient.

Yibin Yang

5 Stars


Sansuike X

5 Stars

Very good services! The staff are very nice and considerate.

Chao Ella Xu

5 Stars


Min Wang

5 Stars

very efficient

susan susan

5 Stars


fei mo

5 Stars

People there are very nice. They speak English and Mandarin. The nurse was excellent. Even my 7 years old son doesn't have any complaints.

Wenbo Li

5 Stars

Very Professional, thanks

Ji Yan

5 Stars

Very patient and helpful staff!

Christina B

5 Stars

专业高效便捷 值得信赖

hengyuan bai

5 Stars

Very efficient service, pleasant and helpful staff. Thanks.

Kim Muzyka

5 Stars

The doctor and assistant are awesome, really kind and patient as well. Satisfied and appreciative!


5 Stars

Very attentive and professional staff, would highly recommend anyone to come here. Staff was very quick to help.

Eric C

5 Stars


zhou zhang

5 Stars


Fan Wang

5 Stars

Great clinic! I came in for a checkup and the doctor was very nice.

Justin Lam

5 Stars

Fast, trustable, great service!

Huanan Li

5 Stars

Professional service, good doctor in Richmond. I highly recommend my friends to this doctor.

Jason Xu

5 Stars

Nice and fast and quick results

Dawn Rockhill

5 Stars

Profession and great customer service! Quick turn around time for results! Highly recommend them.

Jas Sadhra

5 Stars


wei chen

5 Stars

Good service and fast reporting.

Wenji Liu

5 Stars

专业团队提供专业的服务,耐心的解答问题,预约方便快捷 ... 非常棒的体验,强烈推荐

Kunyu Guo

5 Stars

Quick, pleasant, prompt service

Janet Wooldridge

5 Stars



5 Stars

It was great, the doctors and people there are friendly! One of the best clinic in Richmond!!!

Jackson Yang

5 Stars

Dr.Jiang is a very considerate doctor. Last time I came to the clinic for a serious cough. He first gave me a comprehensive check, and let me detail the feelings of throat at different times. He also asked whether I had other ailments or allergies before giving me prescriptions.

Jason Yu

5 Stars

Amazing services. Have done the tests twice for recent trips to US.

Raymond Qu

5 Stars

Very professional and efficient


5 Stars

very fast and friendly experience 😀

Joyce Liu

5 Stars

A reliable clinic. Thanks!!!

Joey Wang

5 Stars

Was very quick and professional people

Ed Furness

5 Stars

Great medical clinic! I am totally satisfied with the health care provided by the GP and services of the staff.

Ping Xu

5 Stars

Pretty good service

Freedie Tse (Yamito)

5 Stars

Actually, this is a good clinic to me. We usually went to another clinic much closer to our house, however, its LONG LONG LONG waiting time made me so depressed every time. So we swapped to this one.

Zhiyi Liu

5 Stars

Very Helpful, quick and clear!

Hong Zhou

5 Stars

Great Staff

Tom Brett

5 Stars


Jie Chen

5 Stars

The staff is very nice and efficient. Great experience.Highly recommend.

Zhou Lin

5 Stars

Really fast service and very friendly.

Andrew Armstrong

5 Stars



5 Stars

Friend Introduce me to MMC, Have Good Positive Experience With Them, Their service is good ,and Helpful , Very Efficient .And Accurate Fast.Highly Recommended ,A ++++++++++ .

Johny Yang

5 Stars

Great staff. Efficient and very helpful. Thanks for the great service.

Tom Thorpe

5 Stars


Ke Yao

5 Stars

Super fast !!! Great service!!!

Monica Meng

5 Stars

Great front desk. Quick service. Very organized place.

LEI ZHOU (Lynn Zhou)

5 Stars


Kai Liu

5 Stars

Very professional . Went to the clinic morning and got results evening. I highly recommend this clinic. Very kind and responsible people.

Mandy Huang

5 Stars

Professioal and nicely done..!!

Michael chen (陳武宏)

5 Stars


Sally Chen

5 Stars

very good service. Effective and efficient. Thanks.


5 Stars

Great staff, very professionally done.

Avedis Halachyan

5 Stars

Very professional team.

Christophe Hazebrouck

5 Stars

simplified and highly efficient

Ming Wu

5 Stars

Smile & professional, an excellent experience at MMC

David Mo

5 Stars

Great experience. Very professional and efficient service. Thank you!

Geoffrey Leonard

5 Stars

They went above and beyond during a stressful situation and the staff worked after hours (10PM!) Cannot recommend highly enough.

Nancy Ma

5 Stars

Quick and simple

bo L

5 Stars

Dr. Jiang takes proud in what he does and he does it well. Qualify, professional, you get the results and know you are safe.

Hu Sumer

5 Stars

Fast service and nice staff

Jessie Wen

5 Stars

Great customer service, good price and get the report the same day.

Bin Lynn

5 Stars

Friendly service . Everything went quickly and very well . I recommend.

derek r.

5 Stars


Jia Yan

5 Stars

The staff members were extremely helpful, especially the lady at the front desk, she was very nice, professional and patient. Many thanks to the staff members at Midtown Clinic! Our experience was great.

Kate Gao

5 Stars

Good service more than expected 👍👍👍 …

Eu Chong

5 Stars

The service was prompt and efficient timely.

Sonnylily Nguyen

5 Stars

very good

Chen Yao

5 Stars

Super efficient, super kind. All I can do for you guys is to write a 5 star review.

Hex Zhao

5 Stars

Good service and quick response. Strong recommended!

janet he

5 Stars

Great service

Li Sunny

5 Stars


Yu Chen

5 Stars

The doctor and their staff members were all really professional and polite. Can't wait for the new clinic besides Lansdowne to open!


5 Stars

Good, affordable and fast service!

Anitha Paschapur

5 Stars

Profession and great customer service! Highly recommend them.

Nick Lai

Experience Exceptional Care with MMC Wellness Group

Trust our commitment to excellence, compassion, and patient-centered care. Schedule an appointment today and embark on a transformative journey towards improved health and wellness.