Andropause Treatment in San Diego
Natural Hormone Therapy for Men(BHRT)
Last Updated: May 19, 2026 | Medically Reviewed by Brooke Leverone, ND
Are you experiencing unexplained fatigue, decreased motivation, or changes in your physical vitality that seem to have crept up gradually over time? You’re not alone. Many men in San Diego and throughout Southern California are discovering that these symptoms may be connected to andropause—a natural hormonal transition that affects millions of men as they age.
Dr. Brooke Leverone, ND, a California-licensed naturopathic doctor (License #: ND449) serving San Diego County, specializes in comprehensive andropause treatment using male hormone optimization therapy and functional medicine approaches. With over 19 years of clinical experience and specialized training from Bastyr University, Dr. Leverone combines the wisdom of naturopathic medicine with cutting-edge hormone optimization to help men reclaim their energy, vitality, and overall well-being.
Dr. Leverone’s andropause program has helped hundreds of men throughout San Diego County restore their vitality. Here’s what her patients experience:
- Hundreds of men treated for andropause
- Average testosterone increase of 300–500 ng/dL, restoring levels to an optimal 700–900 ng/dL
- 80% of patients report significant improvement within 3 months — rising to 90% by 6 months
- 10/10 satisfaction scores for andropause treatment
- used in combination with comprehensive careResults are strongest when testosterone therapy is paired with Dr. Leverone’s comprehensive, whole-person approach
- Understanding Andropause: The Male Hormonal Transition
- Recognizing the Signs: Symptoms of Andropause and Low Testosterone
- Dr. Leverone’s Comprehensive Approach to Andropause Treatment
- The Naturopathic Difference
- Comprehensive Hormone Testing and Assessment
- Bioidentical Testosterone Replacement Therapy for Men
- Testosterone Delivery Methods
Understanding Andropause: The Male Hormonal Transition
Andropause, often referred to as “male menopause” or low testosterone (Low-T), represents a gradual decline in testosterone production that typically begins around age 30. According to research published in the Journal of Clinical Endocrinology & Metabolism, testosterone levels decline by approximately 1-2% per year after age 40, withstudies showing that up to 39% of men over 45 experience clinically low testosterone levels.1,2
Unlike the more dramatic hormonal changes women experience during menopause, andropause occurs gradually over many years. This slow progression often means that symptoms develop so subtly that many men attribute them to normal aging, stress, or lifestyle factors—when in reality, hormonal imbalance may be the underlying cause.
I’ve witnessed countless men transform their lives once we address the root cause of their symptoms through comprehensive hormone balancing. When testosterone levels are optimized using bioidentical compounds that work in harmony with your body’s natural physiology, patients don’t just feel better—they rediscover the energy, drive, and vitality they thought were gone forever.
— Dr. Brooke Leverone, ND
Recognizing the Signs: Symptoms of Andropause and Low Testosterone
Your body has remarkable ways of communicating when hormonal balance is disrupted. Andropause symptoms often manifest as a constellation of changes that may seem unrelated but are actually interconnected signs of declining testosterone levels.
Physical Symptoms
- Persistent fatigue that doesn’t improve with rest
- Decreased muscle mass and strength despite maintaining exercise routines
- Increased abdominal weight and body fat, particularly around the midsection
- Reduced bone density and joint discomfort
- Changes in sleep patterns and reduced sleep quality
- Thinning hair and changes in physical appearance
- Hot flashes and night sweats (less common but can occur in men)
Sexual and Reproductive Symptoms
- Decreased libido and interest in intimacy
- Erectile dysfunction or performance concerns
- Reduced sexual satisfaction and response
- Changes in reproductive function
Mental and Emotional Symptoms
- Mood changes, including increased irritability or feelings of depression
- Difficulty concentrating and reduced mental sharpness
- Memory concerns and cognitive fog
- Decreased motivation and drive
- Increased anxiety or feelings of overwhelm
- Loss of competitive edge or confidence
Metabolic and Energy-Related Symptoms
- Slower metabolism and difficulty maintaining healthy weight
- Reduced recovery time from exercise or physical activity
- Decreased stamina and endurance
- Changes in appetite and eating patterns
Research indicates that these symptoms significantly impact quality of life, with studies showing that men with low testosterone are more likely to experience depression, cardiovascular issues, and reduced overall life satisfaction.3
Dr. Leverone’s Comprehensive Approach to Andropause Treatment
Clinical Experience and Expertise in Male Hormone Therapy
Dr. Leverone brings extensive clinical experience to andropause treatment, having completed specialized training in testosterone replacement therapy and functional medicine. Her educational background includes:
- Doctorate of Naturopathic Medicine, Bastyr University, Seattle (2008)
- Bachelor of Science, University of California, San Diego (2002)
- Two-year residency in Bioidentical Hormone Replacement Therapy (BHRT) and Functional Medicine in Seattle
- Advanced Training in Functional Medicine and Nutrigenomics
Professional Credentials and Continuing Education
Dr. Leverone maintains active involvement in professional development and education:
- Member, California Association of Naturopathic Doctors
- Faculty & Educator: Former instructor at Bastyr University California, teaching hormone therapy and methylation genetics to medical students
- Professional Training Leader: Instructed physicians in hormone replacement therapy with La Vita Compounding Pharmacy
- Advanced Coursework: Presented methylation genetics education for providers with EpigeneticsRX
- Continuing Education: Pursues 20-40 hours of continuing hormone-therapy education annually through the American Academy of Anti-Aging Medicine (A4M)
The Naturopathic Difference
Dr. Leverone’s approach to andropause treatment goes far beyond simply prescribing testosterone replacement. As a naturopathic doctor with specialized training in functional medicine, she addresses the whole person—examining not just hormone levels, but the underlying factors that contribute to hormonal imbalance.
True healing happens when we address root causes, not just symptoms. While bioidentical hormone therapy can be transformative, lasting results come from supporting your body’s natural ability to produce and utilize hormones effectively through comprehensive lifestyle optimization and targeted therapeutic interventions.
— Dr. Brooke Leverone, NDProper andropause treatment begins with thorough testing that goes beyond basic testosterone levels. Dr. Leverone’s comprehensive hormone panel includes:
- Total and free testosterone levels
- Luteinizing hormone (LH) and follicle-stimulating hormone (FSH)
- Estradiol and DHEA-S
- Cortisol and adrenal function assessment
- Thyroid function (TSH, T3, T4, reverse T3)
- Insulin and glucose metabolism markers
- Prostate-specific antigen (PSA) for safety monitoring
This comprehensive approach ensures that treatment addresses all aspects of hormonal health, not just testosterone deficiency.
Bioidentical Testosterone Replacement Therapy for Men
The Science of Bioidentical Testosterone
Bioidentical testosterone is derived from natural plant sources and is molecularly identical to the testosterone your body produces naturally. Unlike synthetic testosterone preparations, bioidentical testosterone integrates seamlessly with your body’s existing hormonal systems, often resulting in fewer side effects and more predictable responses.
Research published in medical journals has shown that bioidentical testosterone therapy effectively improves symptoms of andropause while maintaining better safety profiles compared to synthetic testosterone alternatives.
The key difference lies in molecular structure: bioidentical testosterone has the exact same chemical structure as the testosterone produced by your testes, allowing your body to recognize, utilize, and metabolize it naturally. This molecular compatibility often translates to:
- More consistent testosterone levels throughout treatment
- Reduced risk of adverse reactions
- Better integration with your body’s natural feedback systems
- Improved patient tolerance and satisfaction
Research indicates that men using bioidentical testosterone replacement therapy experience more stable hormone levels and fewer fluctuations compared to synthetic testosterone preparations, leading to more consistent symptom relief and better overall treatment outcomes.
Testosterone Delivery Methods
Dr. Leverone offers multiple testosterone delivery methods specifically designed for men, matching your lifestyle, preferences, and physiological needs:
Injectable Testosterone
- Precise, controlled testosterone administration
- Longer-lasting effects (typically weekly or bi-weekly)
- Professional monitoring and dose adjustment
- Consistent testosterone levels between injections
Topical Testosterone Creams and Gels
- Steady testosterone absorption through the skin
- Easy daily application, typically to shoulders or thighs
- Adjustable dosing based on testosterone response
- Minimal systemic side effects
- Allows for precise dose titration
Testosterone Troches (Oral Lozenges)
- Convenient oral testosterone dosing
- Good absorption through oral mucosa
- Patient-friendly administration
- Customizable testosterone concentrations
Expected Benefits of Testosterone Replacement Therapy
Men undergoing bioidentical testosterone replacement therapy with Dr. Leverone typically experience:
- Increased Energy and Vitality: Restoration of youthful energy levels and stamina
- Improved Muscle Mass and Strength: Enhanced protein synthesis and muscle development
- Enhanced Libido and Sexual Function: Improved sexual desire, performance, and satisfaction
- Better Mood Stability and Mental Clarity: Reduced irritability, improved focus and cognitive function
- Improved Sleep Quality and Recovery: Deeper, more restorative sleep patterns
- Reduced Body Fat: Particularly decreased abdominal and visceral fat
- Stronger Bones and Joint Comfort: Improved bone density and reduced joint pain
- Enhanced Motivation and Drive: Return of competitive spirit and goal-oriented behavior
- Better Stress Resilience: Improved ability to handle physical and emotional stressors
Most patients begin noticing improvements in energy and mood within 2-4 weeks of starting testosterone therapy, with significant changes in muscle mass, body composition, and sexual function typically becoming apparent within 3-6 months of consistent treatment.
Patient Success Stories and Treatment Outcomes
“To say that Dr. Brooke Leverone got me ‘Back On The Horse’ is an understatement. She was the 1st medical person to not give up. She ran multiple tests, did different blood panels, talked with me about what kind of therapies I was open to and took the time to dial in the right treatment plan that has had me feeling better in my mid 40’s than I ever did in my 30’s.
Dr. Brooke discovered that my hormone levels (testosterone) had dropped THRU THE FLOOR. No doctor I’d seen even thought to check for that, not to mention the other 30 data points she found about my health as well.”
-Travis H., San Diego
Beyond Testosterone: A Truly Integrative Approach
Nutritional Optimization for Testosterone Production
Proper nutrition forms the foundation of healthy testosterone production. Dr. Leverone’s approach includes:
- Anti-inflammatory dietary protocols tailored to support male hormone production
- Blood sugar optimization strategies to prevent testosterone suppression
- Targeted nutritional supplementation based on comprehensive testing
- Gut health restoration and microbiome support for optimal hormone metabolism
- Identification and elimination of testosterone-disrupting foods and chemicals
Lifestyle Factors That Support Testosterone Health
Stress Management for Optimal Testosterone
Chronic stress significantly impacts testosterone production through elevated cortisol levels. Dr. Leverone incorporates evidence-based stress reduction techniques including:
- Mindfulness and meditation practices specifically for men
- Breathing exercises and relaxation techniques
- Lifestyle modifications to reduce chronic stressors
- Adrenal support protocols to optimize cortisol-testosterone balance
Sleep Optimization for Testosterone Production
Quality sleep is essential for healthy testosterone production, as most testosterone is produced during deep sleep phases. Treatment plans include:
- Sleep hygiene improvement protocols
- Circadian rhythm support for optimal testosterone production
- Natural sleep aids when appropriate
- Environmental optimization for better rest and recovery
Exercise and Movement for Testosterone Support
Strategic exercise supports natural testosterone production:
- Resistance training protocols proven to boost testosterone
- High-intensity interval training (HIIT) recommendations
- Recovery and rest day planning to prevent overtraining
- Movement practices that specifically support male hormonal health
Advanced Therapeutic Support for Male Hormones
Dr. Leverone’s integrative approach may include:
- Personalized health coaching to support sustainable lifestyle changes that optimize testosterone production
- Methylation pathway optimization for hormone processing
- Comprehensive detoxification support to eliminate testosterone-disrupting toxins
- Thyroid and adrenal optimization for complete hormonal balance
- Targeted supplementation for testosterone and male fertility support
Safety and Monitoring: Your Well-being is Our Priority
Patient safety forms the foundation of Dr. Leverone’s testosterone replacement therapy practice. Comprehensive monitoring protocols include:
- Regular testosterone level assessments every 3-6 months
- Prostate health monitoring with PSA testing every 6 months
- Liver function assessments every 6 months
- Cardiovascular health monitoring including lipid panels
- Complete blood count monitoring for red blood cell levels
- Ongoing symptom tracking and quality of life measures
Understanding Potential Risks and Considerations
While bioidentical testosterone therapy is generally well-tolerated, Dr. Leverone believes in complete transparency about potential considerations and contraindications:
Common Temporary Side Effects:
- Temporary adjustment symptoms during initial treatment (1-2 weeks)
- Mild skin irritation at application sites for topical testosterone preparations
- Individual variations in treatment response requiring dose adjustments
- Temporary changes in sleep patterns during dose optimization
Monitoring Requirements for Testosterone Therapy:
- Regular PSA testing for prostate health (every 6 months for men over 50)
- Liver function monitoring (every 6 months)
- Complete blood count and metabolic panel (every 6 months)
- Cardiovascular risk assessment (annually)
- Testosterone and estradiol level monitoring (every 3-6 months)
Contraindications for Testosterone Therapy:
- Active prostate cancer or history of prostate cancer
- Severe heart failure or recent cardiovascular events
- Severe liver dysfunction
- Male breast cancer or suspected breast cancer
The American Urological Association emphasizes the importance of individualized risk assessment and ongoing monitoring for testosterone replacement therapy, principles that guide every aspect of Dr. Leverone’s care.4
Frequently Asked Questions
- Where can I find andropause treatment near me in San Diego? Dr. Brooke Leverone provides comprehensive andropause treatment through virtual consultations, serving patients throughout San Diego County and Southern California. With over 19 years of experience in naturopathic medicine and specialized training in bioidentical testosterone replacement therapy, Dr. Leverone offers a unique combination of clinical expertise and personalized care that addresses the root causes of testosterone deficiency, not just symptoms.
- Can I combine testosterone therapy with other treatments? Absolutely. Dr. Leverone specializes in integrative treatment approaches that may include thyroid optimization, adrenal support, nutritional therapy, stress management protocols, and targeted supplementation. This comprehensive approach often leads to more profound and lasting improvements in overall health and vitality. Bioidentical testosterone therapy works synergistically with other naturopathic treatments to support your body’s natural healing abilities.
- How long does it take to see results from testosterone replacement therapy? Most patients begin experiencing improvements in energy, sleep quality, and mood within 2-4 weeks of starting bioidentical testosterone therapy. Significant changes in muscle mass, body composition, and sexual function typically become apparent within 3-6 months of consistent treatment. However, every person’s journey is unique, and Dr. Leverone works closely with each patient to monitor progress and adjust testosterone dosing as needed.
- Is bioidentical testosterone therapy safe for long-term use? When properly monitored by a qualified healthcare provider, bioidentical testosterone therapy has an excellent safety profile. Dr. Leverone’s comprehensive monitoring protocols include regular testosterone level assessments, prostate health monitoring, and cardiovascular health evaluations to ensure ongoing safety and effectiveness. The key to safe, long-term testosterone therapy is working with a provider who understands the complexities of male hormonal balance and maintains appropriate monitoring protocols.
- How does naturopathic andropause treatment differ from conventional approaches? Naturopathic testosterone treatment addresses the whole person, not just testosterone levels. While conventional medicine often focuses solely on testosterone replacement, Dr. Leverone’s approach examines and treats underlying factors that contribute to testosterone deficiency, including nutrition, stress, sleep, gut health, and environmental toxin exposure. This comprehensive approach often leads to better long-term outcomes and may reduce dependence on testosterone therapy over time.
- What should I expect during my first consultation? Your initial consultation includes a comprehensive health history review, discussion of symptoms and goals, physical assessment when appropriate, and development of a personalized testing strategy. Dr. Leverone will explain testosterone treatment options, discuss potential risks and benefits, and answer all your questions. Most initial consultations last 60 minutes and cost $500.
Begin Your Journey to Renewed Vitality
You don’t have to accept declining energy, motivation, and vitality as inevitable parts of aging. Men throughout San Diego County have discovered renewed strength, enhanced well-being, and improved quality of life through Dr. Leverone’s comprehensive andropause treatment programs.
Your journey to optimal health begins with understanding your unique testosterone profile and developing a personalized treatment plan that addresses your specific needs and goals. Dr. Leverone’s integrative approach combines the best of naturopathic medicine with cutting-edge testosterone optimization to help you reclaim the vitality and well-being you deserve.Take the first step toward renewed energy and vitality. Schedule your consultation today and discover how comprehensive testosterone replacement therapy can help you feel like yourself again.
Contact Information & Pricing
Contact Information:
Phone: (858) 263-0901
Website: drbrookeleverone.com
Email: info@drbrookeleverone.com
Virtual Consultation Hours:
- Tuesday: 10 AM – 5 PM
- Wednesday: 10 AM – 5 PM
- Friday: 10 AM – 5 PM
- Monday, Saturday, Sunday: Closed
New Patient Appointments: We welcome new patients and typically can schedule initial consultations within 1-2 weeks.
Transparent Pricing Information:
- Initial Consultation: $500 per hour
- Lab Review: $500 per hour
- Check-In Visits: 30 minutes at $250
- Laboratory Testing: Cash-pay, typically $200–$500 depending on specific panels ordered
- Insurance: We do not bill insurance. Most plans do not cover advanced hormone testing. Paying cash is often less expensive than using insurance.
- Superbill & Payment Options: Detailed superbill available for potential out-of-network reimbursement. FSA and HSA payments accepted.
- Comprehensive Treatment Packages: Optional packages offer bundled services and discounts on supplements for patients seeking ongoing, holistic care.
All fees are discussed upfront so you know the exact cost before any labs or treatments are ordered.
Education & Professional Training:
- Bachelor of Science, University of California, San Diego (2002)
- Doctorate of Naturopathic Medicine, Bastyr University, Seattle (2008)
- California Licensed Naturopathic Physician (License #: ND449)
- Advanced Training in Functional Medicine and Nutrigenomics
Clinical Experience & Expertise:
Dr. Brooke Leverone brings over 19 years of dedicated clinical experience to her San Diego practice, with specialized focus on andropause treatment, bioidentical testosterone replacement therapy, and functional medicine. As a La Jolla native, she understands the unique health needs and lifestyle factors that affect San Diego men.
Philosophy of Care:
“I believe that every person has an innate capacity for healing and vitality. My role as a naturopathic doctor is to support and guide that natural healing process, providing the tools, knowledge, and personalized care needed to help each patient achieve optimal health. Testosterone balance is often the key that unlocks this potential for men, but true wellness encompasses the whole person—mind, body, and spirit.
— Dr. Brooke Leverone, NDProfessional Credentials & Continuing Education:
- Completed two-year residency in Bioidentical Hormone Replacement Therapy (BHRT) and Functional Medicine in Seattle
- Member, California Association of Naturopathic Doctors
- Faculty & Educator: Former instructor at Bastyr University California, teaching hormone therapy and methylation genetics to medical students
- Professional Training Leader: Instructed physicians in hormone replacement therapy with La Vita Compounding Pharmacy
- Advanced Coursework: Presented methylation genetics education for providers with EpigeneticsRX
- Continuing Education: Pursues 20-40 hours of continuing hormone-therapy education annually through the American Academy of Anti-Aging Medicine (A4M)
Areas of Specialization:
- Andropause and male hormone optimization
- Bioidentical Testosterone Replacement Therapy for men
- Functional medicine and root cause analysis
- Nutrigenomics and personalized medicine
- Methylation pathway optimization
- Integrative men’s health
- Thyroid and adrenal optimization
- Chronic condition management through lifestyle interventions
1 Harman SM, Metter EJ, Tobin JD, Pearson J, Blackman MR; Baltimore Longitudinal Study of Aging. Longitudinal effects of aging on serum total and free testosterone levels in healthy men. Baltimore Longitudinal Study of Aging. J Clin Endocrinol Metab. 2001 Feb;86(2):724-31. doi: 10.1210/jcem.86.2.7219. PMID: 11158037. Available: https://pubmed.ncbi.nlm.nih.gov/11158037/. Accessed September 19, 2025.
2 Bhasin S, Pencina M, Jasuja GK, Travison TG, Coviello A, Orwoll E, Wang PY, Nielson C, Wu F, Tajar A, Labrie F, Vesper H, Zhang A, Ulloor J, Singh R, D’Agostino R, Vasan RS. Reference ranges for testosterone in men generated using liquid chromatography tandem mass spectrometry in a community-based sample of healthy nonobese young men in the Framingham Heart Study and applied to three geographically distinct cohorts. J Clin Endocrinol Metab. 2011 Aug;96(8):2430-9. doi: 10.1210/jc.2010-3012. Epub 2011 Jun 22. PMID: 21697255; PMCID: PMC3146796. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC3146796/. Accessed September 19, 2025.
3 Mayo Clinic. Male Hypogonadism. Available: https://www.mayoclinic.org/diseases-conditions/male-hypogonadism/symptoms-causes/syc-20354881. Accessed September 19, 2025.
4 American Urological Association. Evaluation and Management of Testosterone Deficiency (2024). Available: https://www.auanet.org/guidelines-and-quality/guidelines/testosterone-deficiency-guideline. Accessed September 19, 2025.
Medical Disclaimer: This information is provided for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Individual results may vary based on personal health factors, adherence to treatment protocols, and other variables. All medical treatments carry potential risks and benefits that should be thoroughly discussed with a qualified healthcare provider.
Editorial Review: This content has been medically reviewed by Brooke Leverone, ND, for accuracy, clinical relevance, and current medical standards. Last medical review: September 3, 2025.
Privacy & Safety Commitment: Our practice maintains strict HIPAA compliance and patient confidentiality standards. All treatments are performed in accordance with California medical regulations, safety protocols, and established medical guidelines. We are committed to providing a safe, supportive, and professional environment for all patients.