Frequently Asked Questions

Like family doctors and private executive clinics, we are a comprehensive primary care provider. However, TRT franchises and online providers cannot replace proper primary care medicine. One key difference that allows us to deliver superior healthcare is our intentionally low patient rosters.

General practitioners typically manage 9,000 to 11,000 patients annually and see 30 to 40 patients daily. With such high patient volumes, they have limited time to review current research, investigate new findings, or spend meaningful time with each patient. Our doctors maintain much smaller patient rosters of 500 to 750 patients per year. Most private clinics operate at similar levels, and while this lower volume certainly improves basic care quality, we believe our true value lies in our approach.

Both family doctors and private clinics typically operate on evidence-based care models. While this sounds positive, this structure represents a fundamental issue with modern healthcare: it creates a reactive framework. We believe a patient's baseline health must first be properly diagnosed and optimized through collaboration between our clinical team and the patient. When this foundation is established, symptoms and diseases often resolve naturally.

Many lifestyle-related conditions can be reversed and eliminated through this proactive approach, including obesity, fatty liver disease, heart disease, type 2 diabetes, high blood pressure, certain cancers, metabolic syndrome, chronic kidney disease, chronic obstructive pulmonary disease, inflammatory bowel conditions, irritable bowel syndrome, and even dental decay. These non-communicable diseases respond well to foundational health optimization rather than symptom management alone.

The healthcare system is failing men with its reactive, symptom-focused approach rather than being proactive and preventative 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 at why this is occurring. 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 your health foundation needed for long-term success. Achieving optimal health applies a clinical framework and systems that deliver results and data and from that, we can start 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 (3-8months plus), so some patients choose private options to get imaging much sooner. 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 and some private clinics.

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. 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 E, 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.

Our membership operates as an annual subscription model designed for Ontario residents with valid OHIP cards. The membership fee is $239 per month, paid annually at $2,868. This comprehensive fee includes all necessary medical requisitions and access to our network of select partner imaging facilities. Specialist referrals are also included as needed.

Imaging services such as Ultrasounds, CT scans or MRIs may be covered by OHIP when medically warranted. However, when ordered for preventative purposes, these costs are typically out-of-pocket expenses. All requisitions are included with active membership, and our team can assist with booking appointments at partner facilities.

Prescription medications remain the patient's financial responsibility and may be covered through OHIP, Health Spending Accounts (HSA), or private insurance depending on your specific coverage. While we do not directly accept insurance payments, we are HSA-eligible in most cases. When applicable, we provide detailed receipts that you can submit directly to your insurance provider for reimbursement.

For advanced private imaging services like full-body MRI or comprehensive CT scans, costs typically range from $390 to $2,200 depending on the extent of scanning required. The Mas Clinic maintains a strict no-markup policy on all third-party imaging and diagnostic services for our members. We simply provide the necessary medical requisitions and facilitate appointment scheduling when requested.

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.