TRT & low testosterone treatment in Springfield, MO
Low testosterone treatment that starts with real numbers.
Your drive has changed, your libido is lower, or recovery feels harder. Low testosterone is one possible explanation, not the only one. At our Springfield clinic, Teresa reviews symptoms, health history, and testosterone testing together before discussing whether testosterone replacement therapy (TRT) is appropriate.
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Rated 5 out of 5 stars
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Start here
What TRT actually is.
Before anything else, the plain version: TRT restores testosterone that has dropped below where your body runs well, using the same hormone your body already makes, dosed to your measured levels and rechecked over time. Three terms get used loosely, and the difference between them is the whole point.
TRT
Testosterone replacement therapy
Bringing low testosterone back into a healthy range under supervision — by injection, cream, or pellet — with dosing set from your labs, not a fixed protocol.
Low T
Low testosterone
The condition, not the treatment: testosterone low enough to cause symptoms. It is diagnosed from bloodwork plus how you feel, never from symptoms alone.
Total vs. free
The two numbers that matter
Total testosterone is everything in your blood; free is the fraction actually available to your tissue. A “normal” total can hide a low free — which is why both get measured here.
In their own words
What men describe when they come in
“I have no drive — at work or at home.”
“I train hard and I am still losing muscle.”
“The belly fat will not come off.”
“I am tired by the middle of the afternoon.”
“My focus is shot.”
“My recovery takes days longer than it used to.”
“My mood is flat.”
“My libido dropped off a cliff.”
Every one of these is measurable. None of them is something you have to live with because someone called it normal.
Drawn at our in-office lab · Walk-in lab draws Mon–Thu 7:30–2, no appointment needed
What we measure
Total testosterone alone is not a workup
Much of your testosterone is bound up and unavailable, so a total reading can look acceptable while free testosterone sits low. We measure the whole picture — free and total testosterone, estradiol, thyroid, and the metabolic markers that quietly suppress hormones in the first place.
Total testosterone
Free testosterone
SHBG
Estradiol
LH & FSH
Full thyroid panel
Fasting insulin & A1c
PSA
The full panel — including free and total testosterone.
Total testosterone alone is the number most men get. Free testosterone is the fraction actually available to your tissue, and it is where a “normal” total often falls apart.
Being told you are “in range” is not the end of the conversation.
The reference range spans decades of men. Sitting at the bottom of it in your forties is a finding worth acting on, not a reason to send you home.
How it works
Three steps to knowing what is actually low.
You are not handed a standard dose and sent home. We build your plan with you, using your numbers, and we change it when those numbers change.
Step 01
Draw a real panel
Everything is drawn at our in-office lab during your Total Health Assessment, including the markers a basic physical skips.
No second trip to a lab
Step 02
Find out what is driving it
In a full hour, Teresa shows you whether this is primary low T, a thyroid problem, insulin resistance, or a combination — and what that means for treatment.
One full hour
Step 03
Treat and re-measure
If testosterone therapy fits, dosing is set from your labs and adjusted at follow-up. We treat the metabolic side at the same time, since the two feed each other.
Several kinds of provider will write a testosterone prescription, and they are not the same in what they measure or how they follow up. Here is the honest landscape.
Primary care (PCP)
Usually the first stop, and often where a single total-T number gets checked.
Typical visit
15 minutes, many concerns
Testing
Total testosterone, sometimes
Follow-up
Rarely re-measures or adjusts
Urologist
The specialist for prostate and fertility, who also manages testosterone.
Typical visit
Focused on urologic health
Testing
Free + total, often
Follow-up
Referral-based, less frequent
Online TRT clinic
Mail-order testosterone marketed on speed and low price.
Typical visit
No in-person exam
Testing
Minimal; sometimes dose-first
Follow-up
Automated, rarely a real recheck
Dedicated hormone clinic
Where you are
A practice where hormone and metabolic health is the entire focus.
Typical visit
A full hour on your results
Testing
Free + total, plus what drives it
Follow-up
Re-measured and re-dosed over time
No specialty “owns” low testosterone, and you don’t need a referral to be seen here. What separates providers isn’t the title — it’s whether they measure free and total, look for what’s driving the drop, and recheck instead of setting a dose and forgetting it.
Who qualifies
Are you a candidate for TRT?
There’s no symptom that qualifies you on its own and no age that rules you out. Candidacy comes from bloodwork read alongside how you feel — but here is the honest shape of who this tends to fit.
Likely a fit if
You’ve lost drive, focus, strength, or recovery over months and can’t pin it on one thing.
You were told your testosterone was “normal” but still feel switched off.
A single total-T number was checked and free testosterone never was.
You want the cause found — thyroid, insulin, sleep — before, or alongside, any prescription.
A different first step if
You’re trying to conceive now or soon — testosterone can suppress fertility, so that changes the first step.
You have an untreated prostate concern or an elevated PSA that needs evaluating first.
You want testosterone on demand without testing — that isn’t how anything is prescribed here.
Your numbers are healthy and the cause is elsewhere; the same panel usually shows where to look instead.
Not sure which column you’re in? That’s the normal starting point — the assessment and a full panel settle it.
Who you'll actually see
Teresa Mealy, APN
There is no rotating staff here. Teresa is the founder and the only clinical provider, which means the person who reads your labs is the same person who builds your testosterone therapy for men plan and the same person you see at every follow-up.
“I am only a consultant. YOU are the leader.”
APN — Advanced Practice Nurse
Licensed in Missouri and Florida
Medically supervised with a board-certified physician
Patients tend to arrive skeptical, having already been told their labs were within range. These are public reviews, quoted exactly as published.
Rated 5 out of 5 stars
Teresa’s assistance, care and guidance has changed my life. I’ve never felt better after dealing with Long Covid symptoms for so long. The staff is helpful, kind and accommodating. Thank you Teresa for everything. I would give 10 stars if I could!
Michael Engelmeyer · Google review · September 2025
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google · June 2025
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google · May 2025
Rated 5 out of 5 stars
Just starting my HRT with Teresa Mealy. Intake visits and labs complete now one week into my Hormone treatment already feeling the benefits. Teresa is caring and knowledgeable. Her staff are friendly and professional…
Dana Faulkner · Google · November 2023
Rated 5 out of 5 stars
My A1c levels dropped from 6.0 to 5.1 over two months on a lchf (Keto) diet.
6.0 → 5.1A1c, in two months
CW Powell · Google · October 2019
Rated 5 out of 5 stars
Everyone in the clinic was so kind and considerate. They went out of the way to make me feel welcome. Teresa spoke to me like I was a human. She explained everything from the moment I sat down. She is very easy to talk to…
Emma Wasson · Google · February 2026
Rated 5 out of 5 stars
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google · February 2026
Quoted word for word, trimmed only at sentence breaks. 4.9 out of 5 across 126 Google reviews as of July 2026. Read them on Google.
Individual results vary. These are personal experiences, not a promise of any particular outcome.
After your assessment
Care that keeps adjusting.
Hormones and metabolism aren't set once and left alone — the dose that's right in month one usually isn't right in month six. Total Health Optimization is how that keeps getting tuned: unlimited visits, labs re-read as they change, and your provider reachable between them.
Total Health Optimization
$499 to start, then $275/qtr
Optimization members unlock better pricing on nearly everything else. If you already spend on supplements and treatments, the savings offset much of the quarterly fee.
Wholesale pricing on our own supplement line
Members-only peptide pricing
Discounted compounded prescriptions
A supplement starter pack included
A free InBody body-composition scan
A direct provider line, Monday–Thursday
No insurance, no contracts, cancel anytime.
Start with the $299 Total Health Assessment — credited in full toward any program you start.
Common questions
What men want to know before starting testosterone therapy.
Can TRT affect fertility, and what needs monitoring?
Testosterone treatment can suppress sperm production and is generally not recommended when you are planning fertility in the near term. Before treatment, discuss fertility goals, sleep apnea, prostate concerns, heart health, and blood counts. Follow-up checks treatment response, side effects, testosterone levels, and hematocrit, with prostate monitoring when appropriate. A prescription is not guaranteed by the assessment.
My doctor said my testosterone was normal. Why do I still feel awful?
Fatigue and low libido can have causes other than testosterone, including sleep problems, medications, thyroid disease, or depression. A normal result does not dismiss your symptoms, but it does not establish a need for TRT either. Guidelines call for compatible symptoms and consistently low testosterone, confirmed with repeat morning fasting testing; free testosterone may help in selected cases.
Will I be on testosterone forever?
That depends entirely on what your labs show and what is causing it. Sometimes the driver is thyroid or insulin resistance, and correcting that changes the picture. Teresa will be direct with you about what your own results point to.
Do you require a referral?
No referral needed. You can book the Total Health Assessment directly and start there.
Have a question that is not here? Call (417) 771-5277 and talk to a real person.
Often connected to
One system, not separate problems.
These rarely show up alone. Teresa treats them together, in one plan, rather than as separate departments.
It all starts with the $299 Total Health Assessment — a full lab panel, a one-hour results review, and a plan built around you. The fee credits fully toward any program you start.
