04 — Hormones · Lubbock, TX

Hormone Optimization — TRT For Men, HRT For Women

Hormone optimization at Pinnacle Performance & Wellness in Lubbock, Texas is individualized hormone replacement therapy based on comprehensive lab testing and symptoms, supervised by Stuart Riggins, FNP-C. It includes testosterone replacement therapy (TRT) for men and hormone replacement therapy (HRT) for women, with ongoing lab monitoring. Available in person at 8347 Upland Avenue and by telehealth across Texas, Oklahoma, Colorado, Kansas, New Mexico, and Arizona.

Full Lab PanelsOngoing MonitoringTelehealth · 6 StatesCash-Pay · HSA/FSA

Medically reviewed by Stuart Riggins, FNP-C — Pinnacle Performance & Wellness, Lubbock, TX

Active adult swinging a golf club at full capacity — hormone optimization at Pinnacle in Lubbock

The Premise

“Your Labs Are Normal” And “Your Labs Are Optimal” Are Different Sentences

Reference ranges on a lab report describe a statistical distribution of the people who got tested at that lab — not a target for how you should feel or function. A 42-year-old man with a total testosterone of 320 ng/dL sits inside a typical reference range and is often told nothing is wrong, while reporting flat energy, disappearing morning erections, worse recovery from training, and a body composition that has changed despite identical habits.

That gap is the entire premise of this service. Pinnacle evaluates the full panel against your symptoms, your training, your sleep, and your goals — and where treatment is indicated, targets a range where you function well rather than a range you merely fall inside. Equally, treatment is not the answer to every low-normal number. Some patients arrive convinced they need testosterone and leave with a sleep apnea referral, an iron panel, or a thyroid diagnosis, because that is what the labs showed.

TRT For Men

What We Test Before We Treat

No responsible clinic prescribes testosterone from a symptom questionnaire. Baseline testing at Pinnacle includes total and free testosterone, SHBG, LH and FSH, estradiol (sensitive assay), prolactin where indicated, PSA, CBC with hematocrit, CMP, lipids, HbA1c, and thyroid function. Testosterone is drawn in the morning, and clinically significant results are confirmed on a repeat draw before treatment starts, because a single low value can be produced by illness, poor sleep, or the timing of the blood draw.

Those tests are not bureaucracy. LH and FSH separate primary from secondary hypogonadism, which changes what should be prescribed. SHBG explains why a “normal” total testosterone can leave you with very little free hormone. Hematocrit and PSA set the safety baseline that gets monitored for as long as you are on therapy.

About testosterone. Testosterone is a Schedule III controlled substance and is prescribed only after lab confirmation and clinical evaluation. Risks include effects on fertility and sperm production, elevated red blood cell count, and changes in cardiovascular and prostate markers, all of which are monitored on a defined schedule. Individual results vary.

Delivery Methods

Compared Honestly

MethodFrequencyNotes
Injection (cypionate/enanthate)Weekly or twice weekly, self-administeredMost controllable, most cost-effective, easiest to adjust or stop. The default for most patients here.
Cream / gelDaily, topicalNo needles. Requires care around transfer to partners and children; absorption varies.
PelletsEvery 3–5 months, in-office insertionConvenient. Dose cannot be adjusted once inserted, and levels commonly peak high then trough low.
Oral (newer formulations)DailyLimited use; requires specific monitoring.

We will tell you which we think fits and why. The pellet market is heavily marketed in West Texas because it is a repeating in-office procedure; that is a business reason, not a clinical one, and for many patients injections give better control at lower cost.

HRT For Women

Perimenopause, Menopause, And The Years Nobody Warned You About

Perimenopause commonly starts in the early-to-mid 40s and can run for years before periods stop. The symptoms — disrupted sleep, night sweats, new anxiety, brain fog, joint aches, changed body composition, low libido, vaginal dryness, and worsened recovery from training — get attributed to stress, parenting, or age, frequently by a provider who never ordered a hormone panel.

Pinnacle evaluates estradiol, progesterone, FSH, testosterone (yes, women need it too and it is routinely ignored), thyroid, and metabolic markers, then builds a protocol around symptoms and stage. That may include estradiol and progesterone, low-dose testosterone where appropriate, vaginal estrogen, or non-hormonal management. Care is individualized and monitored — not a one-size pellet inserted on a schedule.

Book A Hormone Consult

The Process

What The First 90 Days Look Like

  1. Consultation

    Symptom history, medical history, medications, training, sleep, and goals. In person or by telehealth.

  2. Comprehensive labs

    The full panel above, drawn in the morning.

  3. Results review

    The actual numbers, explained. You will know what your free testosterone, SHBG, estradiol, and hematocrit are and what they mean.

  4. Protocol start

    Where treatment is indicated, with dosing, administration training, and what to expect week by week.

  5. 6–8 week follow-up labs

    The first repeat panel, with dose adjustment based on results and symptoms rather than a fixed script.

  6. Ongoing monitoring

    Labs at regular intervals for as long as you are on therapy. Hematocrit, PSA, estradiol, and lipids are tracked, not assumed.

Most men report changes in energy and sleep in weeks two to four, libido and mood by week six, and body composition changes over three to six months when training and protein intake support it. Timelines vary.

Simple monthly program pricing  ·  Labs and medication quoted in full before you start — no hidden line items.

Common Questions

Hormone Therapy FAQ

How much does TRT cost in Lubbock?
At Pinnacle, hormone therapy is cash-based with pricing quoted before you start. The program is a flat monthly rate covering provider visits, protocol management, and dose adjustments, with initial and follow-up lab panels quoted separately and in advance. Medication is billed separately and varies by delivery method — injectable testosterone is generally the least expensive option, while pellets carry a higher per-procedure cost. We accept HSA and FSA cards and provide superbills for out-of-network reimbursement. Ask for the full quote at your consultation, including labs and medication, so you can compare it directly against the national TRT subscription services that advertise a low headline price and then bill labs and medication separately.
What testosterone level is considered low?
Most laboratories set the lower limit of the adult male reference range for total testosterone somewhere between roughly 264 and 300 ng/dL, and major clinical guidelines suggest evaluating for hypogonadism when morning total testosterone falls consistently below that threshold with corresponding symptoms. The number alone is not the diagnosis. Free testosterone, SHBG, LH, and FSH frequently matter more — a man with high SHBG can sit at 450 ng/dL total and have very little biologically available hormone, while a man at 290 with normal free testosterone and no symptoms may need no treatment at all. Pinnacle requires morning draws and confirms clinically significant results with a repeat panel before prescribing anything.
Does TRT affect fertility?
Yes, and this is the single most under-disclosed fact in the TRT industry. Exogenous testosterone suppresses the hypothalamic-pituitary axis, which reduces LH and FSH signaling and can substantially reduce or stop sperm production, in some cases with prolonged recovery after stopping. If you may want biological children, say so at the consultation before you start. There are alternatives and adjuncts — including protocols intended to raise your own production rather than replace it, and medications used alongside therapy to maintain testicular function — and there are monitoring options such as a baseline semen analysis and sperm banking. Any clinic that starts you on testosterone without asking this question is not managing your care properly.
Do women need testosterone too?
Yes, and it is routinely omitted from hormone panels for women. Testosterone is the most abundant biologically active sex hormone in women by concentration, declining gradually from the twenties onward, and low levels are associated with reduced libido, low energy, diminished sense of wellbeing, and loss of lean mass. Pinnacle tests total and free testosterone alongside estradiol, progesterone, FSH, and thyroid for every female hormone patient. Where low-dose testosterone is clinically appropriate it is prescribed at physiologic female dosing and monitored — the dose is a fraction of a male protocol. Use of testosterone in women is off-label in the United States, which is disclosed before treatment and is not a reason to leave the deficiency unexamined.
Can I do hormone therapy by telehealth?
Yes. Pinnacle manages hormone optimization by telehealth for patients in Texas, Oklahoma, Colorado, Kansas, New Mexico, and Arizona. The consultation, results review, protocol design, dose adjustments, and ongoing follow-ups all run on video with the same provider each time. Labs are drawn at a facility near you and the results are reviewed with you directly. Injectable medication is shipped from the pharmacy with administration training provided on the visit. The one thing telehealth cannot do is a pellet insertion, which is an in-office procedure. Remote patients are held to the same lab monitoring schedule as in-person patients — no clinic should be renewing a testosterone prescription without current bloodwork, regardless of how convenient that is.
Related care under the same roof: Hormonal drivers of weight gain are treated in the same clinic — see Medical Weight Loss. Peptide protocols are sometimes used alongside hormone therapy — see Peptide Therapy.

Book A Hormone Consult   Telehealth in TX, OK, CO, KS, NM, AZ · (806) 808-0606

West Texas’s integrated human performance and wellness center. Clinical precision. Athletic methodology. One system.

8347 Upland Ave · Lubbock, TX 79424

(806) 808-0606

[email protected]

Office hours:

Monday to Thursday: 8am - 5pm

Friday: 8am to 12pm

Saturday: By appointment

Sunday: Closed

© 2026 Pinnacle Performance & Wellness, LLC · Lubbock, TX

Disclaimer

All information on this website is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury. No guarantees of specific results are expressly made or implied on this website.