PHYSICIAN-LED HORMONE THERAPY · LIBERTY LAKE, WA

Testosterone Replacement Therapy in Spokane, Spokane Valley & Liberty Lake

Physician-led care from Dr. Cody Belkoff, DO. $150/month, all-inclusive —

medication, quarterly labs, and unlimited access to your physician. In-person

in Liberty Lake, telehealth throughout Washington and Idaho.

5.0 ★ Google Rating • Compounded 503A Pharmacy • In-Person Spokane-Area Clinic

Spokane · Spokane Valley · Liberty Lake · North Idaho

Serving Men Across the Inland Northwest


We’re in Liberty Lake at 2110 N Molter Road, Suite 119 — just off I‑90 at Exit 296. Men travel to us from across the region for testosterone replacement therapy.

Spokane, WA

18 min

A straight shot east on I‑90 from downtown. We see patients from the South Hill, Browne’s Addition, North Spokane, Five Mile, and the Perry District.

Spokane Valley, WA

8 min

Minutes from the Spokane Valley Mall. Convenient for patients in Greenacres, Veradale, Otis Orchards, Millwood, and Dishman.

Liberty Lake, WA

Our home

We’re minutes from Pavillion Park, Rocky Hill Park, and Trailhead Golf Course.

Post Falls, ID

12 min

West on I‑90 from Exit 5 to Exit 296. Idaho residents welcome — Dr. Belkoff is licensed in both Washington and Idaho.

Coeur d’Alene, ID

22 min

West on I‑90. Serving patients from downtown CDA, Hayden, and Dalton Gardens.

Free parking at the door

Spaces directly in front of Suite 119. No garage, no meters, no permit.

Can’t make it in?

Established patients complete follow‑ups by telehealth from anywhere in WA or ID.

2110 N Molter Rd, Ste 119

Liberty Lake, WA 99019 · I‑90 Exit 296 · (509) 601‑4700

$150

Per Month, All‑In

No surprise lab fees. No add‑on consult charges. One flat membership.

30+

Labs Included Quarterly

Total T, Free T, Estradiol, PSA, CBC and CMP — drawn and reviewed every 90 days.

D.O.

Physician‑Led Care

Dr. Cody Belkoff, Doctor of Osteopathic Medicine — every dose, every adjustment.

Current membership pricing; not a price guarantee. Advanced or specialty testing beyond the standard panel may carry additional cost and is always quoted in advance.

UNDERSTADING TESTOSTERONE THERAPY

What Is TRT — And Is It Right for You?

Testosterone replacement therapy restores low testosterone to a healthy clinical range under physician supervision. Here's what every Spokane-area man should know before starting.

What Is TRT?

Testosterone replacement therapy (TRT) is a physician-supervised treatment that restores testosterone to optimal levels in men with clinically low testosterone. At Prime Body Solutions, TRT is delivered most often as weekly subcutaneous injections of testosterone cypionate, compounded by a licensed 503A pharmacy. Cream and oral options are available when clinically appropriate.

Symptoms of Low Testosterone

Common signs of low T include persistent fatigue, low libido, erectile changes, brain fog, weight gain (especially abdominal), loss of muscle mass, irritability or low mood, and poor sleep. If three or more of these sound familiar, baseline labs are the only way to know if testosterone is the cause.

Who Qualifies for TRT?

Adult men with documented low testosterone (typically Total T below 300 ng/dL paired with symptoms) are candidates after a comprehensive medical evaluation. Dr. Belkoff reviews your full health history, baseline labs, and goals before prescribing. TRT is not appropriate for men actively trying to conceive without additional fertility planning.

THE PRIME BODY PROCESS

From Low T to Optimized — In 4 Physician-Led Steps

No 90-second telehealth surveys. No mystery dosing. Every step is built around your labs, your symptoms, and direct access to Dr. Belkoff.

01

Free Consultation

Book a complimentary visit with Dr. Belkoff. We review your symptoms, health history, goals, and any prior bloodwork. You leave with a clear next-step plan — no pressure, no rush.

02

Comprehensive Labs

Baseline blood draw at our Liberty Lake clinic. We measure Total T, Free T, Estradiol, PSA, CBC and CMP — plus optional labs like thyroid, IGF-1, lipids or HbA1c when clinically indicated. Results in 3–5 days.

03

Personalized Prescription

Dr. Belkoff reviews your labs with you and prescribes a TRT protocol matched to your biology — typically weekly testosterone cypionate injections. Cream and pellet options available. Compounded by licensed 503A pharmacy; brand-name available on request.

04

Ongoing Monitoring

Quarterly labs are repeated every 90 days to track progress and adjust dose as needed. You have direct access to Dr. Belkoff between visits — no gatekeepers, no rotating providers. This is real medicine, managed for the long term.

Comprehensive Lab Testing

What We Actually Test


“Comprehensive labs” means nothing unless you know what’s in the panel. Here’s exactly what we run before you start therapy, and again every quarter.

Hormone Panel

The full picture of what your body is producing, binding, and converting.

  • Total Testosterone
  • Free Testosterone
  • Sex Hormone Binding Globulin (SHBG)
  • Estradiol Sensitive assay — see below
  • Luteinizing Hormone (LH)
  • Follicle Stimulating Hormone (FSH)
  • DHEA‑Sulfate
  • Prolactin

Safety Monitoring

The tests that catch problems early — run every quarter, without exception.

  • Complete Blood Count (CBC) Including hemoglobin and hematocrit, which we watch closely because testosterone therapy can raise red blood cell counts.
  • Prostate Specific Antigen (PSA)
  • Comprehensive Metabolic Panel (CMP) Liver and kidney function, electrolytes, and glucose.

Metabolic & Thyroid

Low testosterone rarely travels alone. These find what else is driving your symptoms.

  • Lipid Panel Total cholesterol, HDL, LDL, triglycerides
  • Hemoglobin A1c
  • TSH, Free T3, Free T4
  • Vitamin D (25‑OH)
  • Ferritin

Why the sensitive estradiol assay matters

The standard estradiol test was designed for women and is unreliable at the lower concentrations found in men. Many clinics run the standard test and make dosing decisions on a number that isn’t accurate. We use the sensitive (LC/MS) assay.

Labs are drawn locally. You do not need to be sick, referred, or insured to get tested.

Treatment Options

Ways to Take Testosterone


There is no single correct delivery method. The right one depends on your labs, your schedule, your needle tolerance, and your fertility plans.

Subcutaneous Injections

Most common

A small insulin‑style needle into the fat of the abdomen or thigh, once or twice weekly. Nearly painless, easy to self‑administer, and produces the steadiest blood levels of any method. This is what most of our patients use.

Best for — men who want the most stable levels and the lowest cost.

Intramuscular Injections

A larger needle into the thigh or glute, typically weekly. Long‑established and effective. Some men prefer it; most find subcutaneous easier once they’ve tried both.

Best for — men already comfortable with IM dosing who don’t want to switch.

Oral Capsules — Kyzatrex®

FDA‑approved

An FDA‑approved oral testosterone undecanoate capsule taken twice daily with food — morning and evening. No needles, no skin transfer risk, and no refrigeration. Because absorption depends on food, consistency with meals matters. Blood pressure is monitored throughout treatment; hypertension was the most commonly reported side effect in the approval trial.

Best for — men who won’t inject, or who have young children at home.

Topical Cream or Gel

Applied daily to the skin. No needles, but absorption varies significantly between individuals, and there is a real transfer risk — testosterone can be passed to a partner or child through skin contact. Requires care around household members.

Best for — men avoiding needles who can reliably manage skin‑contact precautions.

Fertility‑Preserving Options

Off‑label

For men who want to preserve fertility, medications such as enclomiphene, clomiphene, or hCG may raise your body’s own testosterone production rather than replacing it. These are prescribed off‑label for this purpose. We discuss them with every patient who is planning to have children.

Best for — men who want children now or in the future.

How we choose yours

We start most patients on weekly subcutaneous injections and adjust from there based on your follow‑up labs and how you actually feel. If injections aren’t right for you, we’ll say so — and switching methods later is straightforward.

Full Disclosure

Risks, Side Effects & Who Shouldn’t Take Testosterone


Testosterone replacement therapy is a prescription medication with real risks. Any clinic that won’t discuss them is not a clinic you should trust with your hormones.

Common & Manageable

Expected, monitored, and usually resolved with a dose adjustment.

  • Elevated red blood cell count (erythrocytosis) The most common clinically significant effect. We check hemoglobin and hematocrit every quarter as part of your standard panel. If levels climb, we reduce your dose or adjust frequency; in some cases blood donation is recommended.
  • Elevated estradiol Testosterone converts to estrogen. Some men experience water retention, mood changes, or breast tenderness. Managed by dose adjustment first, medication second.
  • Increased blood pressure Testosterone products carry a class-wide FDA warning for increased blood pressure. If you have hypertension or take blood pressure medication, tell us before you start. We recommend monitoring at home or with your primary care provider while on therapy.
  • Acne and oily skin Usually early, and usually temporary.
  • Injection site irritation Mild redness or soreness at the site.

Serious Considerations

Discuss each of these with Dr. Belkoff before you start.

  • Fertility suppression Testosterone therapy suppresses sperm production, often significantly, and this can persist after stopping. If you may want children, tell us before you start — there are fertility-preserving alternatives such as enclomiphene.
  • Sleep apnea Testosterone can worsen existing obstructive sleep apnea. We screen for it.
  • Prostate Testosterone does not appear to cause prostate cancer, but it can accelerate growth of an existing prostate cancer. This is why we require a baseline PSA and monitor it quarterly.
  • Blood clots Venous thromboembolism has been reported with testosterone therapy. We review your clotting history and any family history before prescribing.

Who Should Not Start Testosterone Therapy

This is not a complete list, and it is not medical advice. If any of these apply to you, we’ll tell you so at your free consultation — and we’ll explain why.

  • Men with untreated or active prostate cancer, or breast cancer
  • Men actively trying to conceive
  • Men with untreated severe sleep apnea
  • Men with a hematocrit above the safe threshold at baseline
  • Men with uncontrolled heart failure
  • Men with an elevated PSA that hasn’t been evaluated

What about heart risk?

You’ve probably heard that testosterone causes heart attacks. That warning was on testosterone labeling for years. In February 2025, the FDA removed it.

The change followed the TRAVERSE trial — a randomized study of more than 5,000 men with low testosterone who already had cardiovascular disease or were at high risk. It found no increase in major adverse cardiac events. At the same time, the FDA added a class-wide warning about increased blood pressure — so if you have hypertension, that’s worth raising before you start.

Fair balance matters here: TRAVERSE also reported higher rates of atrial fibrillation, acute kidney injury, and pulmonary embolism in the testosterone group. This is an evolving picture, not a settled one. We review your cardiac history and lipid panel before prescribing — and again at every quarterly follow-up.

↓ Dr. Belkoff goes deeper on this below.

Hear it straight from Dr. Belkoff

In “Testosterone 101” on The Modern U Podcast, two practicing physicians interview Dr. Belkoff on generational testosterone decline, stress and hormones, TRT versus enclomiphene, and what lifestyle actually changes. Evidence‑based, no hype.

Watch the episode

Sources U.S. Food and Drug Administration, FDA Issues Class-Wide Labeling Changes for Testosterone Products (February 28, 2025) · American Urological Association, Testosterone Deficiency Guideline · Endocrine Society, Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline

TRANSPARENT ALL IN PRICING

What $150/Month Actually Gets You at Prime Body Solutions

Most online TRT programs advertise a low monthly fee — then bill you separately for medication, labs, and consults. Here's the difference, line by line.

PRIME BODY SOLUTIONS — LIBERTY LAKE

$150 / month

Flat. All-in. No surprise fees.

Weekly testosterone cypionate injections

Compounded by licensed 503A pharmacy

Quarterly Total Testosterone lab

Quarterly Free Testosterone lab

Quarterly Estradiol (E2) lab

Quarterly PSA (prostate safety)

Quarterly CBC (hematocrit monitoring)

Quarterly Complete Metabolic Panel

Direct physician access — text or message Dr. Belkoff

In-person clinic visits in Liberty Lake

Brand-name available on request

Optional add-on labs (thyroid, IGF-1, lipids, HbA1c, DHEA, SHBG, ApoA/ApoB) when indicated

TYPICAL ONLINE TRT PROGRAM

$175–$220+ / month

Membership only. Medication, labs, brand-name extra.

⚠ Membership covers consults only — not medication

⚠ Testosterone billed separately (~$28/mo additional)

⚠ Initial labs cost $65–$200 extra

✗ Quarterly comprehensive lab panel not included

✗ Only 8–11 biomarkers tested (vs 6 mandatory + 8 optional here)

✗ No in-person clinic — chat-only or video-only

✗ Rotating providers, not one named physician

✗ Brand-name often unavailable or premium-priced

✗ No optional advanced lab panel access

Source: Hone Health, Henry Meds, and similar telehealth TRT pricing as publicly published, 2026.

Why Men Across the Inland Northwest Choose Prime Body Solutions

The Difference Between TRT and Real Testosterone Medicine


Anyone can prescribe testosterone. Few do it the right way — with the right monitoring, the right protocols, and a real physician on the other end.

Direct Physician Access

You’re treated by Dr. Cody Belkoff, DO — not a chatbot, not a rotating nurse practitioner. Every dose adjustment, lab review, and protocol change goes through your doctor. Message him directly when you have a question.

Built-In Safety Monitoring

TRT done right means tracking what actually matters. Every 90 days we check your PSA, estradiol, hematocrit, CBC and CMP — the labs that catch problems early. Most online programs skip these or charge extra. Yours are included from day one.

Personalized Protocols

Weekly testosterone cypionate is the foundation, but treatment is matched to your life — cream and oral options when clinically appropriate, brand‑name on request, and adjuncts like hCG or anastrozole when indicated. One protocol does not fit every man.

REAL PATIENTS, REAL RESULTS

Spokane-Area Patients Who Got Their Lives Back

Verified 5-star Google reviews from TRT patients in our program. Names abbreviated for privacy.

At a Glance

Quick Answers About TRT at Prime Body Solutions


The short version — everything men in the Spokane area ask us before booking.

What does TRT cost in Spokane?

Testosterone replacement therapy at Prime Body Solutions in Liberty Lake, WA is $150 per month, including medication, quarterly labs, and unlimited physician access. The initial consultation is free. This is current pricing and is not a price guarantee.

Where is the clinic located?

Prime Body Solutions is at 2110 N Molter Road, Suite 119, Liberty Lake, WA 99019 — just off I‑90 at Exit 296, with free parking directly in front of the suite.

Who is the physician?

Dr. Cody Belkoff, DO is a board‑certified osteopathic physician and the founder of Prime Body Solutions. He is licensed in Washington and Idaho, and he personally manages every testosterone protocol in the practice. Meet Dr. Belkoff

What areas do you serve?

Prime Body Solutions treats men in Spokane, Spokane Valley, and Liberty Lake, Washington, and Post Falls and Coeur d’Alene, Idaho. Established patients can complete follow‑ups by telehealth anywhere in Washington or Idaho.

How do you start TRT?

Start with a free consultation, then a comprehensive baseline lab panel, then a personalized prescription. Most patients at Prime Body Solutions begin therapy within one to two weeks. No referral and no insurance are required.

What forms of testosterone do you offer?

Prime Body Solutions offers subcutaneous and intramuscular injections, topical cream or gel, and Kyzatrex — an FDA‑approved oral testosterone capsule. Fertility‑preserving options such as enclomiphene are also available. Compare the options

How is treatment monitored?

Quarterly labs include total and free testosterone, sensitive estradiol, SHBG, LH, FSH, PSA, CBC with hematocrit, CMP, lipid panel, A1c, and a full thyroid panel. Doses are adjusted based on results. See the full panel

Do you take insurance?

No. Prime Body Solutions is a cash‑pay practice with no contracts and no minimum term. HSA and FSA cards are generally accepted for prescribed testosterone therapy, and itemized receipts are provided.

What if my total testosterone is “normal”?

Total testosterone is only part of the picture. Most of the testosterone in your blood is bound to SHBG and unavailable to your tissues — so a man with a total T of 450 and high SHBG can have less usable testosterone than a man at 320. Prime Body Solutions measures total T, free T, SHBG, and sensitive estradiol together, alongside your symptoms. A result above the standard cutoff does not automatically rule out a problem, and a result below it does not automatically mean you need treatment. See the full panel

How is low testosterone diagnosed?

Low testosterone is diagnosed with morning blood work plus a clinical evaluation — never symptoms alone, and never a single number alone. Guidelines commonly reference a total testosterone below 300 ng/dL on two separate mornings, but free testosterone and SHBG are what determine how much of that hormone your body can actually use. Dr. Belkoff reviews all of it together.

How long does TRT take to work?

Most men notice improvements in energy and mood within three to six weeks, and changes in libido at four to eight weeks. Changes in body composition generally take three to six months. Individual response varies.

Is testosterone therapy safe?

Testosterone therapy is a prescription medication with real risks, including elevated red blood cell counts, fertility suppression, and increased blood pressure. In February 2025 the FDA removed the cardiovascular boxed warning from testosterone products following the TRAVERSE trial. Read the full risk disclosure

Can I hear from the doctor directly?

Yes. Dr. Belkoff was interviewed by two practicing physicians on “Testosterone 101”, covering testosterone decline, TRT versus enclomiphene, and what lifestyle changes actually do. Watch the episode

TRT QUESTIONS, ANSWERED BY A PHYSICIAN

Frequently Asked Questions About Testosterone Replacement Therapy

Real answers from Dr. Cody Belkoff, DO — not marketing fluff. If your question isn't here, message us directly.

How much does TRT cost at Prime Body Solutions?

TRT membership is a flat $150 per month. That includes weekly compounded testosterone cypionate, all clinic visits, direct physician access, and quarterly comprehensive labs (Total T, Free T, Estradiol, PSA, CBC and CMP). There are no surprise medication fees, no separate lab bills, and no upcharges for messaging your doctor.

Is TRT safe long-term?

When properly prescribed and monitored, TRT has an established safety profile in men with documented low testosterone. The key word is monitored — your hematocrit, PSA, estradiol, and metabolic markers must be checked regularly to catch issues early. That's why every Prime Body TRT membership includes quarterly safety labs at no extra cost.

How long does TRT take to work?

Most men notice improved energy, mood, and mental clarity within 3–6 weeks. Libido and erectile changes typically respond in 4–8 weeks. Body composition changes (more lean muscle, less fat) take 3–6 months of consistent therapy plus training. Sleep quality often improves first.

What are the side effects of TRT?

Most side effects are dose-dependent and manageable: mild acne, slight water retention, increased red blood cell count, and elevated estradiol in some men. Rare but more serious risks include polycythemia (thick blood), prostate symptoms, and fertility suppression. This is why physician monitoring with quarterly labs is non-negotiable — we adjust your protocol before issues develop.

Can I stop TRT once I start?

Yes. TRT is not a lifelong commitment by default. Many men choose to stay on it indefinitely because of the quality-of-life benefits, but stopping is always an option. If you decide to discontinue, Dr. Belkoff will guide you through a structured taper and post-cycle support to help your natural testosterone production recover when possible.

What labs are required before starting TRT?

At minimum, every patient gets baseline Total Testosterone, Free Testosterone, Estradiol (E2), PSA, CBC, and a Complete Metabolic Panel before starting. Depending on your history and symptoms, Dr. Belkoff may also order thyroid panel, IGF-1, SHBG, DHEA, lipids, HbA1c, or apolipoproteins. We don't guess — we measure.

How is TRT administered — injections, pills, cream, or pellets?

The default protocol at Prime Body Solutions is anywhere from weekly to microdsoing subcutaneous testosterone cypionate injection — it's the most predictable, most studied, and easiest to dose-adjust. Topical cream and Oral KYZATREX are available when clinically appropriate (frequent travelers, needle-averse patients, etc.). All medications are compounded by a licensed 503A pharmacy. Brand-name testosterone is available on patient request. We currently do not offer pellets.

Will TRT affect my fertility?

Yes — TRT typically suppresses sperm production while you're on it. If you're trying to conceive now or in the near future, we adjust the plan: protocols using HCG, clomiphene, or enclomiphene can preserve fertility and stimulate natural testosterone. Always tell Dr. Belkoff about your family planning goals at the consultation.

Is TRT covered by insurance?

Insurance coverage for TRT is inconsistent and usually requires extensive documentation, multiple low lab readings, and may limit you to specific brands. Prime Body Solutions operates as a transparent cash-pay membership ($150/month all-in) so you skip the prior authorizations, paperwork, and gatekeeping — and your medical record stays private from your insurer.

Who Treats You

About Your Physician


Dr. Cody Belkoff, DO, founder and medical director of Prime Body Solutions in Liberty Lake, Washington

Cody Belkoff, DO

Founder & Medical Director · Prime Body Solutions

Dr. Cody Belkoff earned his undergraduate degree at Eastern Washington University and his Doctor of Osteopathic Medicine at Pacific Northwest University of Health Sciences in Yakima. He completed his residency in Emergency Medicine in Oklahoma City, where he served as Chief Resident, and is board certified through the American Board of Emergency Medicine.

Fifteen years in emergency medicine is an unusual background for hormone care — and it is exactly why he does this work. In the ER you meet metabolic disease at the end of the story: the heart attack, the stroke, the diabetic crisis. Prime Body Solutions exists to meet it at the beginning instead.

Dr. Belkoff personally designs and manages every testosterone protocol in the practice. He reviews your labs himself, he makes the dosing decisions himself, and he is the one you message when something feels off. There is no mid‑level handoff and no algorithm.

He holds medical licenses in eight states, including Washington and Idaho, and sees patients in person in Liberty Lake and by telehealth across the Inland Northwest. You can hear him discuss testosterone, SHBG, and TRT versus enclomiphene with two other practicing physicians on “Testosterone 101”.

Board Certification

American Board of Emergency Medicine ABEM certified

Medical Degree

Doctor of Osteopathic Medicine Pacific Northwest University, Yakima, WA

Clinical Experience

15+ years Emergency medicine, preventative & metabolic care

Licensure

8 states Including Washington and Idaho

Kelly Belkoff, BSN, RN — Lead Registered Nurse

Kelly earned her Bachelor of Science in Nursing with honors from Langston University and coordinates treatment plans, lab follow‑ups, and day‑to‑day patient support. Between the two of them, you are never routed to a call center. Meet the full team

Medical Review

This page was written and medically reviewed by Cody Belkoff, DO, Founder and Medical Director of Prime Body Solutions, Liberty Lake, WA. Clinical guidance on this page reflects current FDA labeling and American Urological Association guidance.

Last reviewed: August 2026  ·  Next scheduled review: February 2027

Often Treated Alongside TRT

Low testosterone rarely shows up by itself. These are the three things men on testosterone therapy most often end up addressing next.

Metabolic Health & Weight Loss

Low testosterone and insulin resistance drive each other — excess body fat raises aromatization to estrogen, and higher estrogen further suppresses testosterone. That’s why your quarterly panel includes A1c and a lipid panel. If those numbers are off, treating testosterone alone leaves the loop intact.

Physician-led weight loss in Spokane

Recovery & Sleep

Testosterone improves how you build muscle. It doesn’t fix how you recover from training or how you sleep — and poor sleep suppresses testosterone on its own. Some patients add peptide therapy to address recovery and sleep quality alongside their protocol.

Peptide therapy options

Hormone Therapy for Women

The most common question we get from men a few months into treatment is whether their wife or partner can be seen too. Yes — Dr. Belkoff treats perimenopause and menopause with the same lab‑driven, physician‑managed approach.

Hormone therapy for women in Spokane

START YOUR TRT JOURNEY

Ready to Feel Like Yourself Again?

Book a free consultation with Dr. Cody Belkoff, DO at our Liberty Lake clinic. We'll review your symptoms, run the right labs, and build a TRT plan around your biology — not a template. Serving men in Spokane, Spokane Valley, Liberty Lake, Coeur d'Alene, and Post Falls.

Prime Body Solutions

2110 N Molter Rd, Suite 119

Liberty Lake, WA 99019

(509) 601-4700

Mon–Fri: 8:00 AM – 5:00 PM

Sat–Sun: Closed

primebody solutuons logo

Prime Body Solutions proudly serves patients in Spokane, Spokane Valley, Liberty Lake, Post Falls and Coeur d'Alene with medically supervised weight loss, semaglutide and tirzepatide programs, and hormone replacement therapy. Proud member of the Greater Spokane Chamber of Commerce

© Prime Body Solutions. 2026. All Rights Reserved.