Exhaustion that won’t lift. Less drive. Weight that won’t budge. Strength that isn’t coming back. An endocrinologist can help you understand what may be behind those changes and discuss next steps through telehealth.
It’s easy to blame work, stress or getting older. If something has changed and it’s getting in the way of your life, it’s worth bringing up.
Low energy
Tired all the time
You sleep, you rest, and you still wake up running on empty.
Short-fused and foggy
You snap faster, forget things and can’t focus like you used to.
Sexual health
Less interest in sex
Your drive dropped and you shrugged it off as part of getting older.
Erection problems
Getting or keeping an erection has become harder than it used to be.
Weight & strength
Weight that won’t come off
You watch what you eat and work out, but your weight won’t budge.
The gym stopped paying off
Building strength feels harder, recovery takes longer, and everyday activities leave you more wiped out.
What we hear in the exam room
“Doc, you’ll understand when you’re older. You just lose interest with age.”
A story from Dr. David’s practice
What the evaluation showed
This patient put a change in his sex drive down to age. His evaluation found very low testosterone. Understanding the cause gave him and his doctor a place to start.
Testosterone levels can change with age. When symptoms are bothering you, an evaluation can help determine whether hormones or something else may be involved.
1-minute check
Is it age, or is it something more?
Five questions to help you put changes into words. This check cannot tell you whether your testosterone is low or whether you need treatment.
0 of 5 answered
Enable JavaScript to take the check, or go straight to the evaluation.
This check is for guidance only and is not a medical diagnosis.
Why an endocrinologist
Same symptoms, different causes
We start by understanding what’s going on with you. That guides which tests and treatments make sense.
Weight & hormones
Extra weight and lower testosterone
Extra weight can contribute to lower testosterone. When that is part of the picture, weight care may help improve hormone levels too. We consider both before deciding which treatment makes sense, including GLP-1 medications when appropriate.
With age
Testosterone that changes over time
If symptoms suggest low testosterone, we look at your history and lab results together. Treatment depends on the cause, your goals and your health.
Sexual health
Erections, desire and lasting longer
Hormones are one part of the picture. We can discuss treatments that fit your situation and guide you to a urologist if needed.
Medical conditions
When testosterone is very low
Problems involving the pituitary gland or testicles can affect testosterone. An endocrinologist can evaluate whether an underlying condition needs attention.
How we’re different
Your health comes before a prescription
We look at your symptoms, health history and goals before discussing treatment. That includes what matters to you about your heart, prostate and fertility.
Questions about your care
The Anzara Health approach
Where do we start?
An endocrinologist looks for the cause first.
How is my plan made?
We build it around your health and goals.
What levels are we aiming for?
We discuss a healthy range for you.
What if I want kids?
We factor your fertility goals into treatment decisions from day one.
What happens next?
We follow up and adjust the plan as needed.
The Anzara Health method for men
How it works
Four clear steps. You know what we’re doing and why.
We listen
Meet Dr. David through telehealth to talk about your symptoms, your history and what you want to get back to.
We measure
If lab work is appropriate, we’ll explain what we’re testing and walk you through the results.
We treat the cause
Build a plan that can include nutrition, weight care, changes to your routine or medication.
We stay with you
Check in, talk about how things are going and adjust the plan together.
We listen · We measure · We take care of you
From home
No waiting room. No judgment.
Some things are easier to talk about one-on-one. Make space for that conversation from a private place that works for you.
Telehealth from a private placeJoin from home or another private setting in a state where care is available.
Private and confidentialWe handle your medical information according to our privacy practices.
Straight answers, no judgmentAsk what’s on your mind, including questions about sex and fertility.
Your doctor
Dr. David Berger, MD
Board-certified endocrinologist
GLP-1 & weight care
Dr. Berger is a former assistant professor at Columbia University Irving Medical Center. He treats men’s hormonal health, weight and metabolic health, thyroid disorders, and conditions involving the pituitary, adrenal glands and bones.
Dr. Berger focuses on understanding the cause and discussing treatment that fits your symptoms, lab results and health goals.
What to expect at your first visit
In a private telehealth visit, you’ll tell Dr. Berger what’s changed, review your health history and talk about your goals. If he recommends lab work, he’ll explain what it can help clarify. Together, you’ll decide what makes sense to do next.
Not necessarily. A diagnosis of low testosterone requires symptoms and consistently low levels confirmed with repeat morning blood tests. Your doctor will review the results, discuss possible causes and explain which options fit your health and goals.
I want to have kids. Does this affect that?
Taking testosterone can lower sperm production. If you plan to have children, tell your endocrinologist so you can discuss the options before starting treatment.
Is it confidential?
Your telehealth visit is private. Our privacy policy explains how information is handled.
Do I have to go anywhere?
Visits are by telehealth. If you need lab work, the care team can help you find a lab near you.
Do you treat erectile dysfunction?
You can bring it up in your evaluation. Your doctor can discuss possible causes and options, and advise you if you need to see a urologist in person.
Which states do you serve?
Contact our care team on WhatsApp to confirm whether care is available in your state before booking.
How much does it cost?
Contact our care team on WhatsApp for the current evaluation fee and what’s included.
Let’s find out what’s changed.
Talk with Dr. David in a private telehealth evaluation. Bookings are arranged with our care team on WhatsApp.
