Physician-Led TRT · Liberty Lake, WA
Physician-led care from Dr. Cody Belkoff, DO — $150 a month, flat. Your medication, your quarterly labs, and direct access to your physician are all included in that price, at any dose.
5.0 ★ Google Rating • 85+ Verified Reviews • Licensed in Washington & Idaho
$150/mo
Per Month, All-In
Your testosterone, your quarterly labs, and physician access — one price that does not change when your dose does.
90-day
Lab Monitoring Included
Total and free testosterone, sensitive estradiol, PSA, CBC, and CMP — drawn and reviewed every 90 days, included in your monthly price.
D.O.
Physician-Led Care
Dr. Cody Belkoff, Doctor of Osteopathic Medicine — every dose, every adjustment, reviewed by the physician.
Current membership pricing; not a price guarantee. Advanced or specialty testing beyond the standard quarterly panel may carry additional cost and is always quoted in advance.
This is the same set of questions physicians have used for two decades to decide whether a man’s symptoms justify measuring his testosterone. Check every statement that is true for you.
Ten statements. Answer honestly — nothing is submitted, stored, or sent anywhere. Your result appears below as you go.
Why two are marked Key. Falling libido and erectile change track more closely with androgen deficiency than anything else on this list. On this screen, either one on its own is enough to justify measuring your levels — you don’t need to check three more boxes to earn it.
0
of 10
Check the statements above that apply to you and your result will appear here.
A screening tool is not a diagnosis — and this one is deliberately over-sensitive. It is built to catch nearly every man who is deficient, which means it also flags plenty of men who aren’t. Every statement above is also caused by sleep apnea, thyroid disease, anemia, depression, or poorly controlled blood sugar. Only a blood draw separates them, and if your labs point somewhere other than testosterone, we’ll tell you that.
Questions written by Prime Body Solutions, covering the symptom domains assessed by the ADAM (Androgen Deficiency in the Aging Male) screening questionnaire described by Morley and colleagues in Metabolism, 2000. Wording is our own; we are not affiliated with the authors or Saint Louis University.
Total testosterone counts every molecule in your blood, including the large share bound to SHBG that your tissues cannot use. Free testosterone is the part that actually does the work — and it is where the real answer usually is.
Testosterone peaks in the morning and falls through the day. An afternoon draw can read meaningfully lower, which is why we time the draw instead of taking whatever number walks in the door.
Starting a dose is the easy part. Rechecking your panel every 90 days — against how you actually feel — is how the plan gets adjusted until it’s right.
“Normal” is not the same as optimal. A lab’s reference range is built from whoever happened to get tested — including men in their seventies and men who feel terrible. Landing inside that range does not mean you are where you should be. A total testosterone of 350 in a man with symptoms, high SHBG, and a low free level is absolutely someone we can optimize. If you have been told your labs were fine while you still feel wrong, you were compared to a range instead of evaluated.
The Prime Body Process
Four steps, starting with a free visit. You will know your numbers and your plan before you spend a dollar on treatment.
Sit down with Dr. Belkoff in Liberty Lake or meet by telehealth. We go through your symptoms, your history, and any labs you already have. No charge and no obligation to start.
A full baseline panel drawn in the morning, when testosterone is at its peak — total and free testosterone, sensitive estradiol, SHBG, LH, FSH, PSA, CBC, CMP, thyroid, lipids, and A1c.
Dr. Belkoff walks you through every number himself and you choose the delivery method together — injection, cream, or oral. If your labs point somewhere other than testosterone, he tells you that instead.
Labs every quarter, read against how you actually feel, with the dose adjusted until it is right. Message the physician between visits at no extra charge — it is part of the membership.
What you will not run into here. No sales consultation with a coordinator instead of a doctor. No package you have to buy before you see a single lab value. No surprise charge for a dose increase, and no separate bill for your quarterly monitoring — hormone therapy is $150 a month whether your dose goes up, down, or nowhere at all.
Transparent, All-In Pricing
TRT pricing is deliberately hard to compare, because the monthly number rarely includes the lab work. A clinic advertising $99 a month commonly bills $200–$400 for every panel on top of it, and physician-led programs that do bundle monitoring generally sit in the $250–$400 range. Here is our column with nothing left out of it.
$150 / month
Flat. Same price at any dose.
$250–$400 / month
For a comparable physician-led program with monitoring bundled in.
Monthly pricing hides where the money goes. Here is twelve months of therapy plus four quarterly panels, counted honestly on both sides.
Twelve months at $150. Four quarterly lab panels included. Nothing further billed for dose changes or physician messaging.
Twelve months at $250–$400, before any ancillary medication or dose-tier increase.
Twelve months at $99, plus four panels at $200–$400 each. The advertised price was never the price.
Comparison figures reflect published 2026 TRT clinic pricing tiers rather than any single named competitor; individual clinics vary widely. Our own pricing is current membership pricing and is not a price guarantee. Advanced or specialty testing beyond the standard quarterly panel may carry additional cost and is always quoted in advance. Verify current pricing directly with any provider you are considering.
At a Glance
Prime Body Solutions · 2110 N Molter Rd, Suite 119, Liberty Lake, WA 99019 · (509) 601-4700 · Monday–Friday, 9:00 AM – 5:00 PM (Friday by phone and telehealth)
“Comprehensive labs” means nothing unless you know what is in the panel. Here is every marker, and exactly when we draw it — a full workup before you start, and a focused safety panel every 90 days after.
Swipe the table sideways to see both columns →
| Marker | Baseline | Every 90 days |
|---|---|---|
| Hormone Panel | ||
| Total TestosteroneThe headline number — and the least useful one on its own | ||
| Free TestosteroneWhat your tissues can actually use | ||
| Estradiol — sensitive assayLC/MS method, not the standard test | ||
| Sex Hormone Binding GlobulinExplains a “normal” total with a low free level | ||
| LH and FSHSeparates a testicular cause from a pituitary one | ||
| DHEA-SulfateAdrenal androgen output | ||
| ProlactinNot routine — added only when your LH and FSH point to a pituitary cause | ||
| Safety Monitoring | ||
| Complete Blood CountHemoglobin and hematocrit — testosterone can raise red cell counts, so this is never skipped | ||
| Prostate Specific AntigenTracked against your own baseline, not just a cutoff | ||
| Comprehensive Metabolic PanelLiver, kidney, electrolytes, glucose | ||
| Metabolic & Thyroid | ||
| Lipid PanelTotal cholesterol, HDL, LDL, triglycerides | ||
| Hemoglobin A1cThree-month average blood sugar | ||
| TSH — with reflex Free T3 and Free T4Thyroid disease mimics low testosterone almost exactly. TSH runs on every baseline; free T3 and free T4 are added automatically only if the TSH comes back abnormal | ||
| Vitamin D, 25-OHCommonly low in the Inland Northwest | ||
The standard estradiol test was built for women and becomes unreliable at the far lower concentrations found in men. Plenty of clinics run it anyway and then adjust your dose — or start an aromatase inhibitor — based on a number that was never accurate at your range.
We run the sensitive LC/MS assay. It costs more. It is also the only version of that test worth making a decision on.
Your baseline workup and every quarterly panel are covered by your monthly membership. There is no separate lab bill, no per-draw fee, and no charge for reviewing the results with Dr. Belkoff.
You do not need to be sick, referred, or insured to be tested. Draws are done locally.
There is no single correct method. The right one depends on your labs, your schedule, your needle tolerance, and your fertility plans — and switching later is straightforward.
Best forMen who want the most stable levels at the lowest cost.
A small insulin-style needle into the fat of the abdomen or thigh. Nearly painless, easy to self-administer, and it produces the steadiest blood levels of any method. This is what most of our patients use.
Best forMen already comfortable with IM dosing who do not want to switch.
A larger needle into the thigh or glute, typically weekly. Long-established and effective. Some men prefer it — most find subcutaneous easier once they have tried both.
Best forMen who will not inject, or who have young children at home.
An FDA-approved oral testosterone undecanoate capsule taken twice daily with food. No needles, no skin-transfer risk, no refrigeration. Because absorption depends on food, consistency with meals matters.
We monitor: blood pressure throughout treatment. Hypertension was the most commonly reported side effect in the approval trial.
Best forMen avoiding needles who can reliably manage contact precautions.
Applied daily to the skin. No needles, but absorption varies significantly between individuals.
Real risk: testosterone can pass to a partner or child through skin contact. Requires reliable contact precautions in the household.
Best forMen who want children now or in the future.
These medications can raise your body’s own testosterone production rather than replacing it. They are prescribed off-label for this purpose.
Worth knowing: standard testosterone therapy suppresses sperm production. We raise this with every patient who may want children.
We start most patients on weekly subcutaneous injections and adjust from your follow-up labs and how you feel. If injections are not right for you, we will say so. Switching later does not change your price — every option above is included in the same $150 a month. We do not offer pellets, because once one is implanted the dose cannot be adjusted or removed.
Testosterone replacement therapy is a prescription medication with real risks. Any clinic that will not discuss them is not a clinic you should trust with your hormones.
Expected, monitored, and usually resolved with a dose adjustment. Tap any item.
Discuss each of these with Dr. Belkoff before you start. Tap any item.
Not a complete list, and not medical advice. If any of these apply to you, we will tell you so at your free consultation — and explain why.
You have almost certainly heard that testosterone causes heart attacks. That warning was on testosterone labeling for a long time, and it is where the reputation came from.
The change followed TRAVERSE — a randomized trial 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 is 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.
Two practicing physicians interview him on Testosterone 101 — generational testosterone decline, TRT versus enclomiphene, and what lifestyle actually changes.
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
Whether testosterone therapy is appropriate for you is a decision made after an examination and lab work — not from a website. Testosterone products are Schedule III controlled substances indicated for men with a diagnosed testosterone deficiency; safety and effectiveness have not been established for age-related hypogonadism. This page is educational and is not medical advice.
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.
You are 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.
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.
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.
What that actually looks like, side by side
Typical TRT program
Prime Body Solutions
Who adjusts your dose
Quarterly lab monitoring
A question between visits
Delivery method
When your dose goes up
Seeing someone in person
Your membership is not just a prescription and a lab draw. Optimizing testosterone works best alongside the things that move the same numbers — so these are included, not upsold.
Protein and macro targets built around what you actually eat, then adjusted as your labs and body composition move.
Lean mass, fat mass, and body water measured directly — so you can tell whether the scale moved because you gained muscle or lost it.
Come in as often as you need. There is no per-visit fee and no cap on how many times you see your physician.
ApoA, ApoB, Lp(a), food sensitivity panels and more — available at heavily discounted cash pricing when you want to go deeper.
Anything beyond your standard panel is quoted before we draw it. You will never find an unexpected lab charge on your account — if it costs extra, you hear the number first and decide.
Your Care Team
Not a rotating roster, not a call center, not whoever is on shift. One physician manages every hormone patient here — and the same nurse is on the other end when you message.
Physician & Owner
Board-certified osteopathic physician, licensed in Washington and Idaho. Dr. Belkoff personally manages every hormone patient in the clinic — he reads your labs, sets your protocol, and makes every dose decision himself, from your free consultation onward.
Lead Registered Nurse
Bachelor of Science in Nursing, with honors. Kelly is who you reach between visits — she answers your messages, runs your InBody body composition testing, and gets your lab orders placed so your 90-day draw is ready when you are.
Dr. Belkoff handles — personally
Kelly handles
“I manage every hormone patient in this clinic myself. Kelly makes sure nothing falls through between visits. Two people who know your chart — not whoever happens to be available.”
— Dr. Cody Belkoff, DO
Real Patients. Real Results.
Verified Google reviews from Prime Body Solutions patients across Spokane, Spokane Valley, Liberty Lake, Post Falls, and Coeur d’Alene.
“Dr Cody really listened to my concerns and goals from day one. He’s the most humble doctor I’ve ever met — his compassion and sincerity are truly comforting. Nine months in, I’ve lost over 50 lbs and started hormone therapy too. Several family members and friends have started his program because of my results.”
Added hormone therapy“Prime Body Solutions and Dr Belkoff is/are the real deal. I’m not just a client, but a vested part of a team to help me obtain optimal results in a controlled healthy way. This is an opportunity to put yourself and your health FIRST. Highly recommend!”
Treated like a teammate“Easy to schedule an appointment. Good parking, clean building in a safe area. Dr. Bellkoff explained the procedures in a way I can easily understand. Wish I could give 6 stars.”
Easy first visitReviews are shown as written by patients on Google, with spelling and punctuation left as posted. Individual results vary; testimonials are not a guarantee of outcome.
Our clinic sits at 2110 N Molter Road, Suite 119 in Liberty Lake — directly off Interstate 90 at Exit 296. Because I-90 exit numbers in Washington are mileposts, the distance from any exit is simple arithmetic.
Swipe the map sideways to see the whole corridor →
A straight shot east on I-90 from downtown. We see men from the South Hill, Browne’s Addition, North Spokane, Five Mile, and the Perry District.
Minutes from the Spokane Valley Mall. Convenient for patients in Greenacres, Veradale, Otis Orchards, Millwood, and Dishman.
We are minutes from Pavillion Park, Rocky Hill Park, and Trailhead Golf Course — and right off Exit 296.
West on I-90 from Exit 5 to Exit 296. Idaho residents are welcome — Dr. Belkoff is licensed in both Washington and Idaho.
West on I-90, about 15 miles. Serving men from downtown Coeur d’Alene, Hayden, and Dalton Gardens.
Spaces directly in front of Suite 119. No garage, no meters, no permit.
Established patients complete follow-ups by telehealth from anywhere in Washington or Idaho.
2110 N Molter Rd, Suite 119
Liberty Lake, WA 99019
I-90 Exit 296 · (509) 601-4700
Tap any question to open the answer.
You start with a free consultation — in person at our Liberty Lake clinic or by telehealth. There is no charge and no obligation to begin treatment.
If it makes sense to test, we draw a full baseline panel in the morning, when testosterone is at its peak. You then come back for a results visit where Dr. Belkoff walks you through every number and, if therapy is appropriate, you choose a delivery method together.
Nobody is asked to buy anything before they have seen their own lab values.
With morning blood work read against your symptoms — never symptoms alone, and never one number in isolation.
Most of the testosterone in your blood is bound to SHBG and unavailable to your tissues, so free testosterone frequently tells a truer story than total testosterone. We measure total T, free T, SHBG, and sensitive estradiol together, and Dr. Belkoff reads all of it alongside how you actually feel.
Timing matters too. Testosterone peaks in the morning and falls through the day, so an afternoon draw can read meaningfully lower and make a normal man look deficient.
This is the single most common reason men end up here.
A lab reference range is built from whoever happened to get tested — including men in their seventies and men who feel terrible. Landing inside that range does not mean you are where you should be.
A total testosterone of 350 in a man with real symptoms, high SHBG, and a low free level is absolutely someone we can optimize. If you were told your labs were fine while you still felt wrong, you were compared to a range rather than evaluated.
Every patient gets a full baseline panel drawn in the morning:
Prolactin is added when your LH and FSH point toward a pituitary cause. We do not guess — we measure.
$150 a month covers your testosterone, your quarterly lab panel, your visits, and direct messaging with Dr. Belkoff. Your price does not move when your dose does.
What is not included: advanced or specialty testing beyond the standard panel — ApoB, Lp(a), food sensitivity panels and similar. Those are available at heavily discounted member pricing, and they are always quoted to you before we draw them. You will never find an unexpected lab charge on your account.
That is the whole list. Compare it against a clinic advertising $99 a month, then ask what a lab panel costs there.
Insurance coverage for testosterone therapy is inconsistent. It typically demands extensive documentation and repeated low lab readings, and it often restricts which product you are allowed to have.
Running as a cash-pay membership means no prior authorizations, no gatekeeping about which delivery method you get, and no hormone treatment record sitting in your insurer’s file. It also means the price is the price, published on this page.
No. There is no contract, no enrollment fee, and no prepaid three, six, or twelve-month package. Membership is month to month and can be cancelled in any month.
Your first visit and your lab draws happen in person. After that, established patients can complete follow-ups by telehealth anywhere in Washington or Idaho — Dr. Belkoff is licensed in both states.
The clinic is at 2110 N Molter Rd, Suite 119 in Liberty Lake, right off I-90 at Exit 296, with free parking directly in front of the suite. That is about 18 minutes from downtown Spokane, 8 from Spokane Valley, and 12 from Post Falls.
Most men notice energy and mood improving within three to six weeks, and changes in libido at roughly four to eight weeks. Body composition — muscle gained, fat lost — generally takes three to six months and depends heavily on training and nutrition.
Individual response varies, which is exactly why we recheck labs at 90 days rather than assuming the first dose was right.
No. Most of our patients use a weekly subcutaneous injection with an insulin-style needle because it gives the steadiest levels at the lowest cost — but it is not the only option.
We also prescribe intramuscular injection, FDA-approved oral capsules (Kyzatrex®), and topical cream or gel. Switching methods later is straightforward and does not change your price.
We do not offer pellets. Once a pellet is implanted the dose cannot be adjusted or removed if levels run high, and with hormone therapy the ability to titrate is the entire point.
Yes — and this is worth raising before you start rather than after. Testosterone therapy suppresses sperm production, often significantly, and that can persist after stopping.
If you may want children now or later, tell us at your consultation. Medications such as enclomiphene, clomiphene, or hCG can raise your body’s own testosterone production rather than replacing it. They are prescribed off-label for this purpose, and we discuss them with every patient who may want to preserve fertility.
Yes. TRT is not a lifelong commitment by default. Many men stay on it indefinitely because of how they feel, but stopping is always an option.
If you decide to discontinue, Dr. Belkoff guides you through a structured taper and support to help your natural production recover where possible — rather than leaving you to stop abruptly on your own.
It is a prescription medication with real risks, and the honest answer is that safety depends almost entirely on monitoring.
The most common clinically significant effect is a rising red blood cell count, which is why hematocrit is on every quarterly panel. Testosterone can also raise blood pressure, worsen existing sleep apnea, and suppress fertility.
On heart risk specifically: in February 2025 the FDA removed the cardiovascular warning from testosterone labeling following the TRAVERSE trial, which found no increase in major adverse cardiac events. In fairness, that same trial reported higher rates of atrial fibrillation, acute kidney injury, and pulmonary embolism in the testosterone group. It is an evolving picture, not a settled one.
Most are dose-dependent and manageable: acne or oily skin (usually early and temporary), mild water retention, elevated estradiol in some men, and injection-site soreness.
The ones that require real monitoring are elevated hematocrit, rising PSA, increased blood pressure, and fertility suppression. Every one of those is on your quarterly panel, and the response is usually a dose or frequency adjustment made before it becomes a problem.
Yes. Dr. Belkoff was interviewed by two practicing physicians on The Modern U Podcast about generational testosterone decline, stress and hormones, TRT versus enclomiphene, and what lifestyle actually changes.
It is a straightforward, evidence-based conversation with no sales pitch — a reasonable way to judge whether he is the physician you want before spending an hour in his office.
Bring it to the free consultation. No charge, no obligation, and you will be talking to the physician — not a coordinator.
Start Your TRT Journey
Book a free consultation with Dr. Cody Belkoff, DO at our Liberty Lake clinic. We review your symptoms, run the right labs, and build a plan around your biology — not a template.
Already a patient? Book your hormone follow-up — no consultation needed.
2110 N Molter Rd, Suite 119
Liberty Lake, WA 99019
START YOUR TRT JOURNEY
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.
(509) 601-4700
Email: [email protected]
Mon–Fri: 9:00 AM – 5:00 PM
Sat–Sun: Closed
© Prime Body Solutions. 2026. All Rights Reserved.