Bioidentical Hormone Replacement Therapy
The VAL Vitality Strategy TRT at Vitality Aesthetics Longevity, Dr. Valerie Civelli, approaches hormone optimization as a master engineer. At VAL, TRT is not a one-size-fits-all prescription; it is a meticulously managed protocol designed to elevate your baseline. By utilizing bio-identical hormones and continuous clinical monitoring, we help high-performing individuals reclaim the energy, focus, and physical resilience required for an elite lifestyle.
Precision dosing of bio-identical testosterone to optimize serum levels
Comprehensive lab monitoring of hematocrit, estrogen, and PSA levels.
Long-term vitality management with quarterly clinical reviews.
Tailored options, including subcutaneous injections or topical applications
Restored libido, increased lean muscle mass, cognitive sharpness, and emotional stability.
Testosterone Replacement Therapy (TRT) at VAL is defined as Endocrine Optimization. As men age, testosterone levels naturally decline, often leading to a loss of the "edge" that defines their personal and professional lives. We utilize medical-grade, bio-identical testosterone to return your levels to their optimal physiological range, ensuring your body functions with the vigor of its prime.
The process begins with an exhaustive diagnostic — a comprehensive blood panel to establish your baseline and identify underlying deficiencies. Once your bespoke dosage is engineered, the procedure typically involves a painless, self-administered weekly injection or a high-absorption topical cream.
Dr. Civelli provides ongoing oversight, adjusting your protocol in real time based on your symptoms and updated lab results.
TRT is a foundational tool for addressing the systemic symptoms of "Low-T" and andropause:
The benefits of a VAL-engineered TRT protocol are expansive, impacting both your performance and your presence.
The ideal candidate is a man aged 35-60 experiencing fatigue, decreased drive, or unexplained weight gain. You should seek this treatment if you demand a high-touch, concierge medical experience where your safety and long-term healthspan are prioritized over "quick-fix" gym-culture results.
There is no "recovery" or downtime required. TRT is a lifestyle integration. While the injections themselves are brief and painless, we guide you through the first few weeks of "hormonal loading," ensuring your body adapts smoothly without the side effects often found in low-grade "T-Clinics."
Initial improvements in mood and mental clarity are often reported within the first 2-3 weeks. Changes in body composition and libido typically manifest between weeks 6 and 12.
The most profound, permanent results—the "VAL Standard"—are achieved after 6 months of consistent, monitored optimization, leading to a permanent shift.
TRT is easy to find; high-level, but physician-directed TRT is not. VAL was created for people who want precision, stewardship, and discretion from a top-rated local clinic.
Dr. Valerie Civelli, M.D., brings a level of clinical rigor to hormone therapy that is rarely found in the aesthetic or "wellness" space. As a board-certified physician with leadership in family and functional medicine, she doesn't just look at a number on a page; she looks at the harmony of your entire biological system. Choosing VAL means choosing a physician who prioritizes your longevity as much as your performance.
Hair loss is often genetic; however, TRT can accelerate it if not managed correctly. Dr. Civelli monitors your DHT levels (the hormone responsible for hair follicle miniaturization) and can integrate protective protocols into your treatment plan.
Exogenous testosterone can suppress natural sperm production. If preserving fertility is a priority, Dr. Civelli can engineer your protocol using adjunct therapies (like HCG) to maintain testicular function while still optimizing your levels.
Standard clinics often use "cookie-cutter" dosing that ignores estrogen balance and heart health. At VAL, your protocol is a bespoke engineering project based on DNA, gut health, and comprehensive labs, overseen by a UCLA-affiliated physician.
While injections are the clinical "gold standard" for stability, we also offer high-potency topical options for those who prefer a needle-free protocol.
When managed by a board-certified physician like Dr. Civelli, TRT can actually be cardio-protective. We manage your hematocrit and lipid profiles with extreme care to ensure your heart health is optimized alongside your hormones.
