Frequently Asked Questions

Most men's clinics start out the same way - taking some blood tests and getting results with the sole aim of providing a testosterone prescription. Previous health history, family history, and current state of bodily health are typically not primary considerations beyond meeting regulatory requirements. The Mas Clinic takes a whole-body approach, creating a medical "snapshot" that includes your input to diagnose and treat from there. We provide insights through imaging and analysis that others cannot - our preventative medicine approach guides us in creating a personalized program to help you reach new levels or maximize your efforts if you're just starting out. Unlike standard TRT clinics that simply look to prescribe and have you return every 3 months to renew the prescription, we take a sporting and executive healthcare approach to our patients. We've developed a clinical framework based on American endocrine and sports medicine principles that focuses on comprehensive optimization rather than just meeting arbitrary testosterone ranges.

The healthcare system is failing men with its reactive, symptom-focused approach rather than being proactive and systems-based. Our systems-based approach recognizes that the endocrine system is one of the most important systems in your body, and most clinics will only get you into an arbitrary range of testosterone levels without looking beyond this single measure. Many clinics won't acknowledge estrogen monitoring, or if they do, they'll offer a one-size-fits-all prescription. There is a comprehensive framework for prescribing testosterone and ensuring men can safely exercise vigorously, especially important as many of our patients are about 10+ years removed from their last gym membership. Our systematic approach provides the structure and support needed for long-term success, integrating seamless monitoring and adjustments. We focus on building robust systems, tools, and guidance needed for long-term success---not just quick fixes. Achieving optimal health isn't about quick fixes; it's about implementing robust systems that empower you with the data, tools, and processes to manage your health proactively.

All patients in higher risk categories undergo comprehensive cardiovascular screening. We specifically focus on heart attack prevention through advanced medical approaches. During intake, we run a full panel of 65+ tests, and perform arterial testing so you can see the state of your arterial health. A full physical is performed in-office with blood drawn at our Toronto clinic location. If warranted, further scans using CT Scanner or MRI may be used. In some cases, these can be covered under OHIP or Alberta Health; in others, they're out-of-pocket expenses. If tests are covered by public healthcare, wait times can be quite long, so some patients choose private options to get imaging within 14 days. We have several labs at our disposal and can requisition advanced tests for methylation and cardiovascular disease. These are optional out-of-pocket tests with no markup on any imaging or diagnostics for patients. The fact that we even present these imaging and bloodwork options may be the first time you're learning about them, which speaks volumes compared to other clinics and family practitioners.

The cost of TRT at The Mas Clinic includes several components:

On intake, we run a full panel of 65+ tests, and perform arterial testing to assess your arterial health. A full physical is performed in-office with blood drawn at our Toronto clinic. Our approach includes advanced diagnostics that go beyond standard blood work, analyzing comprehensive biomarkers to tailor treatments with unparalleled accuracy. The screening we have our patients undergo helps us understand where the patient stands in terms of health - a single blood test generally doesn't provide sufficient information. We have at our disposal imaging tools with resolutions that lead to diagnoses and interpretations only dreamed about 10 years ago, all available privately. We also incorporate AI to help radiologists and technicians identify issues that might otherwise be missed. For cardiovascular health specifically, we offer comprehensive lipid panels with advanced analysis (including LDL-P, HDL-P, Apolipoprotein B, and Lipoprotein(a)), inflammatory markers (hs-CRP, MPO, Lp-PLA2), and advanced cardiovascular testing such as arterial stiffness testing, carotid intima-media thickness (CIMT), and coronary calcium scores.

Treatment at the clinic for Ontario residents with OHIP cards is anticipated to be $119 a month, payable quarterly prior to your first visit to the Toronto clinic. Imaging such as CT scans or MRIs may be covered by OHIP if medically warranted, but if for preventative purposes, the costs will be out-of-pocket. Requisitions will be included if membership is current. Prescription costs are the patient's responsibility, as we are not a pharmacy. We do not take insurance, but we are HSA eligible in many cases. If you can claim this, we will provide a receipt for you to submit directly to your insurance company. Some of the doctor treatment costs are covered by OHIP and Alberta Health. For private imaging like a full body MRI, costs vary but can run between $550-$3500. There is no markup on any of the imaging or diagnostics for patients.

We accept:

• • Men concerned about cardiovascular health
• • Men with low testosterone or men just looking to optimize hormones
• • Athletes, past or present
• • Men self-prescribing TRT who want a prescription and better care
• • Men not happy with budget TRT or 'prescription mill' care
• • Men looking to fix old injuries and get into great shape
• • Men who have gotten off track and want to get back on
• • Men that perhaps cannot exercise right now but may have the capacity to in the future

Our typical patient has played sports or weight-lifted in the past, may or may not have previous injuries, and is probably carrying excess adipose tissue (fat). They likely have insulin resistance, don't get regular exposure to sunlight or exercise, and are starting to feel some effects of aging and/or low testosterone.

We cannot accept:

• • Men that by active choice will not exercise
• • Men who excessively smoke/drink/take drugs
• • Men with serious or advanced diagnosed diseases where their primary care provider is a specialist

Starting TRT at The Mas Clinic involves a structured process designed to ensure safe and effective treatment:

• • Initial consultation Comprehensive review of your symptoms, medical history, and health goals
• • Comprehensive blood work Thorough hormone panel and health markers assessment
• • Protocol development Customized treatment plan based on your test results and health objectives
• • Education session Detailed instruction on medication administration and protocol adherence
• • Regular monitoring Follow-up appointments and blood work to assess progress and make adjustments

This process typically takes 2-3 weeks from initial consultation to beginning treatment, depending on how quickly we can obtain and analyze your blood work results.

Yes, when properly implemented, TRT can be an important component of a preventative health strategy for men with documented low testosterone levels. Maintaining optimal testosterone levels has been associated with numerous health benefits that may help prevent age-related decline and chronic conditions.

Potential preventative benefits include:

• • Improved body composition (increased muscle mass, reduced fat mass)
• • Enhanced metabolic health and insulin sensitivity
• • Better cardiovascular health markers
• • Improved bone density and reduced fracture risk
• • Enhanced cognitive function and mood stability
• • Better overall quality of life and functional capacity

At The Mas Clinic, we view hormone optimization as one aspect of a comprehensive preventative health approach that also includes nutrition, exercise, stress management, and sleep optimization.