Hormone Optimization
Physician-managed. Individualized. Results you can feel.
“Normal” and “Optimal” Are Not the Same Thing
Most men who come to Learn2Renew for hormone optimization have already been through the standard experience: a primary care physician who ran a total testosterone panel, found a number within the “normal” range, and sent them home with reassurance that nothing was wrong — despite the fact that they felt exhausted, mentally flat, and like a diminished version of themselves.
The problem is not the test. It is what gets done with the result. Reference ranges are built from population averages that include sedentary, overweight, and symptomatic men. A man at the bottom of the normal range may have testosterone equivalent to someone decades older. “Normal” and “optimal” are not the same thing, and treating the lab value rather than the patient is the most common reason hormone therapy fails to deliver meaningful results.
Dr. Croland evaluates the complete clinical picture — symptoms, lifestyle, body composition, and the full hormonal axis — and calibrates treatment to how the patient actually feels, not to where a single number sits on a population average.
Physician-Managed TRT in Charlotte & Matthews, NC
Low or suboptimal testosterone is among the most underdiagnosed and undertreated conditions in men’s health. Its symptoms are frequently attributed to aging, stress, or lifestyle rather than recognized as the hormonal shift they often represent. A thorough clinical evaluation — not a reassurance based on a reference range — is the appropriate starting point for any man experiencing these symptoms.
Delivery Methods
Dr. Croland offers testosterone replacement via several delivery methods and will recommend the most appropriate based on your clinical situation, lifestyle, and preferences:
Custom-dosed pellets inserted subcutaneously in a brief in-office procedure. Releases testosterone consistently over 4–6 months — stable levels, no daily compliance burden, no peaks and troughs. A procedure every 4–6 months rather than weekly administration.
Delivers testosterone directly into muscle tissue on a weekly or biweekly schedule. Allows dose flexibility and is typically the most cost-effective delivery method. Levels peak post-injection and decline toward the end of the dosing interval.
Applied daily for a needle-free option. Convenient for patients who prefer to avoid injections or procedures. Absorption varies between individuals; skin transfer precautions apply.
The goal of treatment
The goal is not to achieve a higher lab value. It is to restore the energy, drive, body composition, mood, and quality of life that suboptimal testosterone has eroded — safely, with regular monitoring, lab work, and clinical follow-up built into the program.
Testosterone Doesn’t Function in Isolation
Dr. Croland evaluates and manages the full hormonal picture — including thyroid function when clinically relevant — because treating a single hormone while overlooking the rest of the axis rarely produces the results patients are looking for. When other hormonal factors are contributing to a patient’s symptoms, they are addressed as part of the overall treatment plan rather than referred out or ignored.
Structured for Ongoing Clinical Management, Not One-Off Visits
Hormone optimization is not a single appointment — it is an ongoing clinical relationship that includes regular lab work, dose adjustments, and monitoring. Learn2Renew offers membership programs designed to make that relationship accessible and predictable.
Membership options include both Silver and Gold tiers for men and women, with Gold membership including pellet therapy. Current pricing and membership details are available during your consultation or by calling our office directly.
Comprehensive BHRT for Women in Charlotte & Matthews, NC
While Dr. Croland’s hormone practice is primarily focused on men, he provides comprehensive bioidentical hormone replacement therapy for women at both Learn2Renew locations — including estrogen, progesterone, and testosterone as clinically indicated.
Women experiencing symptoms of perimenopause or menopause — hot flashes, sleep disruption, mood changes, low libido, cognitive changes, or weight changes — frequently respond well to individualized BHRT. Pellet therapy is available for women as well as men. Women who prefer a female provider for hormone care are encouraged to discuss this during their consultation.
If You’ve Been Told Your Labs Are Normal but You Don’t Feel Normal — This Is the Conversation to Have
A hormone consultation at Learn2Renew begins with a comprehensive evaluation — not a brief lab review. Dr. Croland will assess your full clinical picture, discuss your symptoms and goals, and recommend a treatment approach calibrated to how you want to feel rather than where a number lands on a reference range.
Frequently Asked Questions
Where can I get testosterone replacement therapy in Charlotte NC?
Learn2Renew offers physician-managed testosterone replacement therapy at locations in Ballantyne/Charlotte and Matthews, NC. Dr. David Croland, DO, personally manages all hormone optimization protocols, including pellet therapy, injections, and topical preparations.
What is testosterone pellet therapy and how does it work?
Testosterone pellets are small, custom-dosed implants inserted subcutaneously during a brief in-office procedure. They release testosterone consistently over 4–6 months, providing stable hormone levels without the peaks and troughs of injections or the daily compliance burden of topical preparations. Pellet therapy is Dr. Croland’s preferred delivery method for most patients.
How do I know if I have low testosterone?
Common symptoms include fatigue, difficulty building muscle, increased abdominal fat, reduced libido, mood changes, brain fog, and poor sleep. A comprehensive evaluation including labs and a clinical assessment is the appropriate starting point. Falling within the “normal” reference range on a standard lab panel does not always mean your levels are optimal for you as an individual.
What is the difference between bioidentical and synthetic hormones?
Bioidentical hormones are molecularly identical to the hormones naturally produced by the human body. Synthetic hormones — such as Premarin and Provera — are chemically different. Most of the hormone preparations used at Learn2Renew are bioidentical.
Does Learn2Renew offer hormone therapy for women in Charlotte?
Yes. Learn2Renew provides comprehensive bioidentical hormone replacement therapy for women, including estrogen, progesterone, and testosterone, at both the Charlotte and Matthews locations. Pellet therapy is available for women as well as men.
How much does testosterone replacement cost in Charlotte?
Learn2Renew offers membership programs for hormone optimization including Silver and Gold tiers for both men and women, with Gold membership including pellet therapy. Current pricing and membership details are provided during your consultation. Call (704) 243-7106 or book a consultation to learn more.
How is hormone optimization at Learn2Renew different from what my primary care doctor offers?
Primary care physicians typically use broad population reference ranges to evaluate hormone levels and may not investigate further if a result falls within the “normal” range. Dr. Croland evaluates the full clinical picture — symptoms, lifestyle, body composition, and the complete hormonal axis — and calibrates treatment to how you actually feel rather than where a single number lands on a population average. He also offers pellet therapy, which most primary care practices do not provide.