The Pollock T-Optimizer™ Program

CLINICALLY ADVANCED TESTOSTERONE REPLACEMENT THERAPY

The Pollock T-Optimizer™ program is an evidence-based, patient-centered program designed to deliver testosterone replacement therapy to men in a safe and effective way.

Our scientifically validated micro-dosing strategy means you can get the testosterone you need, minimizing the side effects you worry about.

We take a symptom-focused approach to ensure that each man receives a tailored treatment plan for his unique needs. This approach is based on the latest research and aims to help men improve their drive, from the boardroom to the bedroom.

T-Optimizer™ draws on the updated Canadian Urological Association Guideline 2021 and clinical experience from around the world, combining different treatment methods and strategies into what we believe is a gold standard approach.

Why Treat Low Testosterone

Testosterone is the most important sex hormone in the male body, responsible for sex drive, erectile function, muscle mass, size and strength as well as a number of important wellness and reproductive functions. 

Serum testosterone levels peak at age 20 and gradually decline with age. Twenty-five percent of Canadian men aged 40-65 years will suffer from low testosterone.

Testosterone replacement therapy can improve penis blood flow and sexual function in middle-aged and older men with low testosterone. 

Men with low testosterone are at higher risk of osteoporosis, cardiovascular disease, type 2 diabetes mellitus, and metabolic syndrome. 

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The T-Optimizer™ Difference

A COMPREHENSIVE APPROACH TO HORMONE REPLACEMENT THERAPY

  • Daily testosterone micro-dosing prescription strategy designed to maximize efficacy and minimize effects.
  • Low dose HCG is used to maintain testicular size and prevent infertility.
  • Other medication may also be prescribed to minimize potential adverse effects.

PERSONALIZED AND UNINTERRUPTED PRESCRIPTION ACCESS

  • Streamlined access to prescriptions from a local pharmacy to ensure there are no disruptions to medication and treatment plan.

SELF-INJECTION EDUCATION

  • One-on-one self injection training session with Pollock Clinics staff to optimize the safety and ease of at home injections.

ANNUAL PHYSICAL EXAMINATION

  • Comprehensive annual physical exam to ensure cardiovascular and prostate health.

FOCUSED EXAM EVERY THREE MONTHS

  • An in-person physical assessment done once every 3 months to ensure the safety and efficacy of the hormone replacement therapy.
  • Structured appointment scheduling for regular body composition scans.

PRIVATE PHLEBOTOMY SERVICE

  • Private and personalized lab testing done in the comfort of our New Westminster clinic location.
  • No appointment necessary and no wait times.

OVERALL HEALTH AND LIFESTYLE OPTIMIZATION

  • An initial visit and three follow-ups with our in-house Naturopathic doctor. The focus will be to optimize nutrition, sleep, body composition, mental health, and overall well-being.

TAILORED NUTRACEUTICALS PRESCRIPTION

  • One month supply of Pollock Clinics specially formulated “Peak Performance” and “Testosterone Support” designed to improve sexual function and hormonal health.

Maximizing The T-Optimizer™ Benefits

The idea of the the T-Optimizer™ program is to mimic as close as possible a man’s natural daily release of testosterone, which occurs at night peaking in the morning and then waning throughout the day.

Testosterone replacement therapy (TRT) with the T-Optimizer™ program can improve sexual health, physical health and psychological health. 

Benefits include:

Sexual Health

Physical Health

Psychological Health

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Men who have symptoms of testosterone deficiency should book a consultation and undergo blood tests to determine their testosterone level.

  • Most men who are prescribed testosterone by their urologist, endocrinologist or family physician are usually prescribed a depot dose given every 3-4 weeks. This dosing strategy can contribute to many unwanted treatment effects.
  • Long-term use of testosterone in this way may cause reversible side-effects such as hot flushing and acne, and other effects such as breast enlargement, hair loss and testicular atrophy can be permanent.
  • Concerns have been raised linking testosterone therapy to prostate cancer, infertility, cardiovascular disease and venous thromboembolism but these treatment effects are either unproven (prostate cancer), rare (venous thromboembolism) or are manageable by way of appropriate patient selection and monitoring (cardiovascular disease and infertility).
  • The T-Optimizer™ program has been designed to monitor for and minimize the potential harms of testosterone replacement therapy.

Pollock Clinics T-Optimizer™ Protocols

Testosterone Subcutaneous Injection

Micro-dosing via a subcutaneous route will lead to even better pharmacokinetics, ensuing a stable release of hormone. This can decrease the differences between the peaks and the troughs, resulting in stable daily levels of testosterone. 

Human Choriogonadotropin (HCG) Injection

HCG functions as an luteinizing hormone analogue and allows for hormonal replacement in men which more closely approximates male physiology when combined with testosterone. Only low doses administered subcutaneously are required and HCG remains the only Health Canada approved non-testosterone treatment option for Testosterone Deficiency Syndrome.

HCG can also be used as monotherapy and this is included as a treatment option in the 2021 CUA Guideline. The literature suggests that while monotherapy can successfully raise serum testosterone levels, it does not treat the negative symptoms of low testosterone as effectively as when combined with a low-dose of testosterone.

The best available alternative strategy for men who don’t want to inject can apply topical testosterone 1% gel (Androgel 1% pump) daily.

Daily administration of the gel to the upper arms and shoulders or abdomen. The main risk of this treatment is of passive transference of the testosterone hormone to family members (including children) causing virilization.

The topical gel formulations are also associated with increased PSA levels and acne.

Selective Estrogen Receptor Modulators (SERMS) are a class of medications that block the feedback of estradiol on receptors in the pituitary gland. This causes increased production of LH and FSH which then stimulate endogenous testosterone production within the testicles. 

Aromatase Inhibitors (AI) are a class of medications which block aromatase, the key enzyme in in the liver and adipose tissue responsible for converting testosterone into Estradiol. The result is less estradiol produced throughout tissues in the body and elevated levels of testosterone.

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WHY CHOOSE US?

Experienced physicians who have together safely carried out over 100,000 procedures.

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Pollock Clinics offers:

  • Fast, Friendly Online Booking
  • Reliable Surgical Care
  • No Doctor’s Referral Required
  • Fast Access – Appointments Usually Within Days
  • In-person or Virtual Consultations Offered
  • Erectile Dysfunction & Other Men’s Sexual Health Programs Offered

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