Nurse Practitioner
Megan Lafuente
West Hollywood
What Megan does
- Neurotoxins
- Dermal filler
- Hormone therapy
- Peptide protocols
- Medical weight management
- Lab work review
Hormones
Testosterone and erectile function are related but not the same problem, and both deserve a physician rather than a questionnaire.
$550
Morning testosterone, metabolic and cardiovascular markers
New clients save 15% on your first treatment.
Testosterone therapy starts at $550 and what you pay depends on the delivery method and dose. Pellets are quoted separately after labs, and the P-Shot is $950. The consultation and initial assessment are complimentary. Compare on annual cost rather than per-visit if you are weighing us against a subscription service.
Financing available
Pay over time with the same providers we use in studio. Checking your options does not affect your credit score.
Men's health · Low energy
In short
Men's health at BHRC covers testosterone replacement therapy from $550 and erectile dysfunction treatment, both starting with full blood work and a physician consultation rather than an online questionnaire. Testosterone is confirmed on morning labs before anything is prescribed. ED is assessed properly, because it is frequently the first sign of cardiovascular disease and treating the symptom alone can miss that.
Low testosterone and erectile dysfunction overlap enough that men often assume they are the same thing, and enough clinics are happy to let them. They are not. Testosterone drives libido, energy, mood, muscle and bone. Erections are largely a vascular and neurological event. A man can have textbook-normal testosterone and significant ED, or low testosterone and no erectile problem at all. Treating one and expecting the other to resolve is how men end up on therapy they did not need and still unhappy. Worse, ED is frequently the earliest warning of cardiovascular disease, appearing years before anything else. A service that just mails you tablets never finds that.
Units and cost
Priced by therapy.
| Area | Typical units | Cost |
|---|---|---|
| Testosterone therapy | Injections, creams or pellets | from $550 |
| BioTE pellets | Every 3 to 4 months | Call for pricing |
| Full male hormone panel | With the consultation | from $550 |
| P-Shot | PRP, evidence still early | $950 |
| ED assessment | Including cardiovascular risk | Call for pricing |
| Thyroid panel | Frequently the real cause of fatigue | See thyroid |
| Metabolic markers | HbA1c and insulin | See blood panels |
| Weight management | Often raises testosterone on its own | See weight loss |
Weight is worth taking seriously here. Body fat converts testosterone to oestrogen, so significant weight loss can raise testosterone meaningfully without any hormone therapy. Where that applies we will say so rather than start you on TRT for life.
Treatment areas
Low energy
from $550
Often the first thing to change.
Libido
from $550
Distinct from erectile function.
Erectile function
call for pricing
Assessed properly, including vascular causes.
Muscle and body composition
from $550
Alongside training.
Mood and focus
from $550
Commonly reported, commonly dismissed.
Full male panel
included
Wider than testosterone alone.
How it works
Confirm it, find out why, then treat.
Testosterone is confirmed on morning bloods, and usually more than once. Levels follow a daily rhythm and are highest in the morning, so an afternoon draw can read low in a man whose testosterone is entirely normal. Diagnosing on a single afternoon sample is one of the most common errors in this field.
The panel goes wider than testosterone alone: free and total testosterone, plus thyroid, metabolic markers, iron and cardiovascular risk. Low testosterone is often secondary to something else, particularly obesity, sleep apnoea or insulin resistance, and treating that can raise it without any hormone therapy at all.
If testosterone therapy is appropriate, delivery is your choice once we have found the dose: weekly injections, daily cream, or BioTE pellets every three to four months. We usually establish the dose on something adjustable first.
ED is assessed separately and properly, including cardiovascular risk, medications, sleep and mental health, all of which are common contributors and none of which are fixed by testosterone.
Which product
We offer all three. None is simply best.
Starts working: Weekly or twice weekly. Lasts: Fully adjustable. The most common and generally the cheapest. Precise dose control and you can stop immediately. Requires self-injection, and some men feel the dip before the next dose.
Starts working: Daily. Lasts: Adjustable. No needles and easy to adjust. ⚠️ Carries a real transfer risk to partners and children through skin contact, which matters a great deal with young children in the house, and absorption varies between men.
Starts working: Every 3 to 4 months. Lasts: Not adjustable. Nothing to remember and steady levels. ⚠️ Once inserted the dose cannot be changed until it wears off. Establish your dose on something adjustable first.
Starts working: n/a. Lasts: n/a. Testosterone therapy suppresses your body's own production and reduces sperm count, often substantially. If you may want children, this must be discussed BEFORE you start, because there are alternatives that raise testosterone without doing that. This is the most common serious oversight in the TRT industry and we raise it at the first consultation.
Good to know
And what testosterone will not fix.
Usually among the first things men notice, often within weeks.
Testosterone drives desire specifically, which is distinct from erectile function.
Alongside resistance training, which is not optional if this is your goal.
Frequently reported and frequently dismissed.
Assessed on its own terms, including the vascular causes that testosterone does not address.
The arteries involved are small and narrow first, so ED often appears years before other symptoms. We assess for it. A service that mails you tablets does not.
They overlap but are different problems. Anyone promising otherwise is selling you something.
Aftercare
Monitored, and adjusted.
Energy, mood and libido usually shift first. Body composition is slower.
Repeat labs and the first real adjustment, including haematocrit and oestradiol, not just testosterone.
Body composition changes become visible, provided you are training. Testosterone is not a substitute for that.
TRT can raise red blood cell count and requires ongoing monitoring. This is a real reason to be under a physician rather than a subscription.
Labs at least twice yearly, and PSA monitoring as appropriate for your age.
Both raise testosterone independently. Sleep apnoea in particular suppresses it and is worth investigating.
Discuss it rather than stopping abruptly. There are better and worse ways.
Is it for you
Most men who come to us have symptoms they have been putting off raising, sometimes for years.
None of these are automatic exclusions, but several change the plan substantially. Bring your history and we will go through it.
Your timeline
Morning labs, twice, before anything is prescribed.
Frequently asked
On morning blood work, confirmed more than once. Testosterone follows a daily rhythm and is highest in the morning, so an afternoon sample can read low in a man whose levels are entirely normal. Symptoms alone are not enough either, because fatigue, low mood and low libido have many causes. Diagnosing on one afternoon draw is one of the most common errors in this field.
From $550, depending on delivery method and dose. Pellets are quoted separately after blood work. The consultation and initial assessment are complimentary. If you are comparing us against a subscription service, compare the annual cost including labs and monitoring.
Yes, and this is the most important question on this page. Testosterone therapy suppresses your body's own production and reduces sperm count, often substantially and sometimes for a long time after stopping. If you may want children, tell us at the first consultation. There are alternatives that raise testosterone without suppressing fertility, and we would rather have that conversation before you start than after.
Sometimes, and often not, and we are not going to promise it will. Testosterone drives libido, which is desire. Erections are largely vascular and neurological. You can have normal testosterone and significant ED. That is why we assess erectile dysfunction on its own terms rather than treating it as a testosterone problem by default.
Because the arteries involved in erections are small and narrow before the larger ones do. That means ED frequently appears years before any other sign of cardiovascular disease, and it is one of the earliest warnings available. Treating the symptom with a tablet and never asking why is a genuine missed opportunity, and it is the main reason to see a physician rather than fill in an online form.
It is PRP, your own platelets, prepared and injected. It is $950. On efficacy we will be straight with you: the evidence base for PRP in erectile dysfunction is early and considerably thinner than for established treatments. Some men report benefit. We offer it, and we will not oversell it.
You can, and for some men it is adequate. What you generally do not get is morning labs confirmed twice, monitoring of haematocrit and oestradiol rather than testosterone alone, a fertility conversation before you start, or anyone asking why your testosterone is low in the first place. Low testosterone is often secondary to obesity, sleep apnoea or insulin resistance, and treating those can raise it without lifelong therapy.
Not necessarily, and it depends on why your testosterone is low. If it is secondary to weight, sleep apnoea or another treatable cause, addressing that can raise it meaningfully on its own. If it is primary, therapy is generally long term. We will tell you which situation you are in rather than assuming the second.
Enhance your results
What pairs well with neurotoxin.
The full detail on hormone replacement therapy, from $550, across all three delivery methods.
Learn More
The low-maintenance option, every three to four months for men.
Learn More
The wider testing and treatment picture, if hormones are only part of what is going on.
Learn More
Body fat converts testosterone to oestrogen, so weight loss can raise it without hormone therapy.
Learn MoreOur team
The molecule is the same everywhere. Who holds the syringe is not.
Nurse Practitioner
West Hollywood
What Megan does
Testosterone follows a daily rhythm. Diagnosing on one afternoon sample is the most common error in this field and we do not make it.
TRT suppresses sperm production. There are alternatives that do not. Having that conversation afterwards is too late, and the industry routinely does.
Low testosterone is often secondary to weight, sleep apnoea or insulin resistance. Treating the cause can raise it without lifelong therapy.
It is frequently the earliest sign of vascular disease. A subscription that mails you tablets will never find that.
We offer it at $950 and we will tell you the evidence base for PRP in ED is early. You should hear that from us, not afterwards.
Haematocrit and oestradiol, not just testosterone, and PSA as appropriate. This is what a physician does and a questionnaire does not.
Find a studio
Available at all 22 studios. Pick your closest for directions, hours and local pricing.
West Hollywood, CA
8550 Santa Monica Blvd, Ste 101
West Hollywood, CA 90069
Westlake Village, CA
968 South Westlake Blvd, Ste 10
Westlake Village, CA 91361
Las Vegas, NV
1825 Festival Plaza Dr, Ste 180
Las Vegas, NV 89135
Henderson, NV
120 S Green Valley Pkwy, Ste 174
Henderson, NV 89012
Bee Cave, TX
3944 Ranch Rd 620 S, Bldg 1, Ste 100
Bee Cave, TX 78738
San Antonio, TX
23110 W Interstate 10 Frontage Rd, Ste 203
San Antonio, TX 78257
Tell us what you are considering and where, and a provider will be in touch.
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Start your journey
Schedule your complimentary consultation. We will run morning labs, look at what is actually driving your symptoms, and tell you honestly whether testosterone therapy is the right answer for you.
Medically reviewed by the BHRC clinical team. Last reviewed August 2026.
This page is for general information and is not medical advice. Treatment suitability, pricing and results vary by individual and are confirmed at consultation with a licensed provider.
