Physician-Led TRT · Liberty Lake, WA

Testosterone Replacement Therapy in Spokane, Spokane Valley & Liberty Lake

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.

  • Labs included — every 90 days
  • Price never changes with your dose
  • In-person in Liberty Lake · telehealth WA & ID

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.

Self-Check

Do You Have Low Testosterone?

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.

Low Testosterone Screening Questions

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.

Book My Free Consultation

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.

How We Actually Evaluate Testosterone
There is no single number that decides this.
Free T
The number most clinics skip

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.

7–10 a.m.
Timing changes the result

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.

90 days
Where the decisions get made

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

How TRT Works at Prime Body Solutions

Four steps, starting with a free visit. You will know your numbers and your plan before you spend a dollar on treatment.

Day one · free

Free Consultation

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.

Within days

Morning Baseline Labs

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.

Results visit

Your Protocol, Explained

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.

Every 90 days

Recheck and Adjust

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

What $150 a Month Actually Covers

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.

Prime Body Solutions — Liberty Lake

$150 / month

Flat. Same price at any dose.

  • Your testosterone — injection, cream, or oral capsule
  • Quarterly labs included: total and free testosterone, sensitive estradiol, PSA, CBC, and CMP
  • Direct access to Dr. Belkoff between visits, at no extra charge
  • Dose changes never change your price
  • In-person visits at our Liberty Lake clinic
  • Telehealth follow-ups anywhere in Washington or Idaho
  • Compounded through a licensed 503A pharmacy
  • No contract, no prepaid package, cancel any month
Book My Free Consultation

Typical TRT Clinic

$250–$400 / month

For a comparable physician-led program with monitoring bundled in.

  • Budget programs advertise $99–$150, then bill $200–$400 per lab panel separately
  • Ancillary medications commonly added at $40–$150 per month
  • Higher doses frequently move you into a higher price tier
  • Quarterly comprehensive monitoring often not included
  • Physician access usually limited to scheduled visits
  • Frequently telehealth only, with no in-person clinic
  • Rotating NPs or PAs rather than one named physician
  • Prepaid 3, 6, or 12-month packages common
  • Shipping billed per shipment at some programs
The number that actually matters is the first year

Monthly pricing hides where the money goes. Here is twelve months of therapy plus four quarterly panels, counted honestly on both sides.

Prime Body Solutions
$1,800

Twelve months at $150. Four quarterly lab panels included. Nothing further billed for dose changes or physician messaging.

Physician-led clinic, labs bundled
$3,000–$4,800

Twelve months at $250–$400, before any ancillary medication or dose-tier increase.

“$99 a month” program
$1,988–$2,788

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

TRT at Prime Body Solutions — Quick Facts

What it costs
Testosterone replacement therapy at Prime Body Solutions costs $150 per month. That price includes your testosterone, your quarterly lab monitoring, and direct access to your physician, and it does not change when your dose changes.
Where the clinic is
Prime Body Solutions is at 2110 N Molter Road, Suite 119, Liberty Lake, WA 99019 — just off Interstate 90 at Exit 296. That is roughly 18 minutes east of downtown Spokane, 8 minutes from the Spokane Valley Mall, and 12 minutes west of Post Falls, Idaho.
Who provides care
Cody Belkoff, DO, a board-certified osteopathic physician licensed in Washington and Idaho, personally manages every hormone patient at the clinic — every lab review and every dose decision.
What labs are included
Quarterly monitoring includes total testosterone, free testosterone, sensitive estradiol, PSA, a complete blood count, and a comprehensive metabolic panel, drawn every 90 days at no additional charge. Baseline testing is broader and also included.
Treatment options
Prime Body Solutions prescribes subcutaneous injection, intramuscular injection, FDA-approved oral capsules (Kyzatrex®), and topical cream or gel. Fertility-preserving options such as enclomiphene, clomiphene, or hCG are prescribed off-label for men who want to preserve fertility.
Insurance and contracts
Prime Body Solutions is a cash-pay clinic and does not bill insurance. There is no contract and no prepaid package — membership can be cancelled in any month.
Who we serve
Men travel to the Liberty Lake clinic from Spokane, Spokane Valley, Liberty Lake, Post Falls, and Coeur d’Alene. Established patients can complete follow-up visits by telehealth anywhere in Washington or Idaho.
How to start
Start with a free consultation — no charge and no obligation. Morning baseline labs follow within days, then a results visit where Dr. Belkoff reviews every number with you and sets the protocol.

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 Lab Testing

What We Actually Test

“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.

Always drawn Only when clinically indicated

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
Why the sensitive estradiol assay matters

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.

All of this is in your $150

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.

Treatment Options

Ways to Take Testosterone

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.

Most common

Subcutaneous Injection

Once or twice weeklyInsulin-gauge needle
Steadiest levels

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.

Traditional

Intramuscular Injection

Typically weeklyLarger gauge, into muscle
Some peaks and troughs

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.

FDA-approved

Oral Capsule — Kyzatrex®

Twice daily, with foodNo needle
Depends on meal timing

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.

Needle-free

Topical Cream or Gel

DailyNo needle
Absorption varies widely

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.

Off-label

Fertility-Preserving Options

Enclomiphene · clomiphene · hCG
Raises your own production

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.

How we choose yours

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 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. Testosterone therapy can suppress sperm production, raise red blood cell counts, and worsen existing sleep apnea. Whether any of these treatments is appropriate for you is determined after an examination and lab work. This page is educational and is not medical advice.
Full Disclosure

Risks, Side Effects & Who Shouldn’t Take Testosterone

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.

Common & Manageable

Expected, monitored, and usually resolved with a dose adjustment. Tap any item.

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.
Testosterone converts to estrogen. Some men experience water retention, mood changes, or breast tenderness. Managed by dose adjustment first, medication second.
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.
Usually early, and usually temporary.
Mild redness or soreness at the site.

Serious Considerations

Discuss each of these with Dr. Belkoff before you start. Tap any item.

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.
Testosterone can worsen existing obstructive sleep apnea. We screen for it.
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.
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

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.

  • Untreated or active prostate cancer, or breast cancer
  • Men actively trying to conceive
  • Untreated severe sleep apnea
  • Hematocrit above the safe threshold at baseline
  • Uncontrolled heart failure
  • An elevated PSA that has not been evaluated
The question everyone asks
What about heart risk?
For years
A cardiovascular warning sat on the label
February 2025
The FDA removed it
At the same time
A blood pressure warning was added

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.

Hear it straight from Dr. Belkoff

Two practicing physicians interview him on Testosterone 101 — generational testosterone decline, TRT versus enclomiphene, and what lifestyle actually changes.

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

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.

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 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.

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.

What that actually looks like, side by side

Typical TRT program

Prime Body Solutions

Who adjusts your dose

Whoever is on the queue that week — often a rotating NP or PA
Dr. Belkoff, DO — the same physician every time

Quarterly lab monitoring

Billed separately, or quietly skipped
Included in your $150, every 90 days

A question between visits

A support ticket, answered by whoever picks it up
Message your physician directly, at no extra charge

Delivery method

Usually one option — whatever the program stocks
Injection, cream, oral, or fertility-sparing — switch any time

When your dose goes up

Frequently moves you into a higher price tier
Your price does not change. Ever.

Seeing someone in person

Telehealth only — there is no clinic to walk into
A real clinic in Liberty Lake, plus telehealth in WA and ID
And everything else that comes with being our patient

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.

Nutrition & Diet Planning

Protein and macro targets built around what you actually eat, then adjusted as your labs and body composition move.

InBody Composition Analysis

Lean mass, fat mass, and body water measured directly — so you can tell whether the scale moved because you gained muscle or lost it.

Unlimited Visits

Come in as often as you need. There is no per-visit fee and no cap on how many times you see your physician.

Add-On Labs at Member Pricing

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

Who You’ll Actually See

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.

Dr. Cody Belkoff, DO, board-certified osteopathic physician who manages testosterone replacement therapy at Prime Body Solutions in Liberty Lake, Washington

Dr. Cody Belkoff, DO

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.

Doctor of Osteopathic Medicine Licensed in WA & ID Manages every hormone patient
Kelly Belkoff, BSN, RN, lead registered nurse handling follow-up care at Prime Body Solutions in Liberty Lake, Washington

Kelly Belkoff, BSN, RN

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.

BSN, with honors Messages, InBody & lab orders

Dr. Belkoff handles — personally

  • Your free consultation and full history
  • Reading every lab panel, baseline and quarterly
  • Choosing your medication and delivery method
  • Every dose decision and every adjustment
  • Any clinical question about your protocol

Kelly handles

  • Answering your messages between visits
  • InBody body composition testing and tracking
  • Placing your lab orders
  • Scheduling your 90-day draws
  • Getting results in front of Dr. Belkoff quickly

“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.

What Inland Northwest Patients Say About Dr. Belkoff

Verified Google reviews from Prime Body Solutions patients across Spokane, Spokane Valley, Liberty Lake, Post Falls, and Coeur d’Alene.

5.0 ★★★★★ 85+ verified reviews
on Google
★★★★★

“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
CW
Craig & Jannae W.
Verified Google review
★★★★★

“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
HW
Henry W.
Verified Google review
★★★★★

“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 visit
EP
Eric P.
Verified Google review

Reviews 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.

Spokane · Spokane Valley · Liberty Lake · North Idaho

Serving Men Across the Inland Northwest

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 →

WA | ID Spokane Exit 281 15 mi ~18 min Spokane Valley Exit 289 · Pines Rd 7 mi ~8 min Liberty Lake Exit 296 OUR CLINIC Post Falls Idaho Exit 5 8 mi ~12 min Coeur d’Alene Idaho Exit 12 15 mi ~22 min ← WEST EAST →
Distances measured along Interstate 90 from Exit 296. Drive times are typical off-peak.

Spokane, WA

18 min

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.

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 are minutes from Pavillion Park, Rocky Hill Park, and Trailhead Golf Course — and right off Exit 296.

Post Falls, ID

12 min

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

Coeur d’Alene, ID

22 min

West on I-90, about 15 miles. Serving men from downtown Coeur d’Alene, 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 Washington or Idaho.

Prime Body Solutions

2110 N Molter Rd, Suite 119
Liberty Lake, WA 99019
I-90 Exit 296 · (509) 601-4700

Common Questions

TRT Questions Men in Spokane Ask Us

Tap any question to open the answer.

Getting Started

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:

  • Total testosterone, free testosterone, and SHBG
  • Sensitive estradiol — the LC/MS assay, not the standard test built for women
  • LH and FSH, to separate a testicular cause from a pituitary one
  • PSA, CBC with hematocrit, and a comprehensive metabolic panel
  • TSH (with free T3 and free T4 added if the TSH is abnormal), lipids, A1c, DHEA-S, and vitamin D

Prolactin is added when your LH and FSH point toward a pituitary cause. We do not guess — we measure.

Cost & Logistics

$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.

Treatment

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.

Safety

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.

Still have a question?

Bring it to the free consultation. No charge, no obligation, and you will be talking to the physician — not a coordinator.

Book My Free Consultation

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 review your symptoms, run the right labs, and build a plan around your biology — not a template.

  • Free consultation, no obligation
  • $150 a month, flat
  • Labs included every 90 days

Already a patient? Book your hormone follow-up — no consultation needed.

Prime Body Solutions

2110 N Molter Rd, Suite 119
Liberty Lake, WA 99019

Hours
Monday – Friday, 9:00 AM – 5:00 PMSaturday and Sunday: closed
Freeway
I-90 Exit 296Free parking in front of Suite 119
Serving
Spokane · Spokane Valley · Liberty Lake · Post Falls · Coeur d’AleneTelehealth follow-ups across WA and ID

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: 9:00 AM – 5:00 PM

Sat–Sun: Closed

© Prime Body Solutions. 2026. All Rights Reserved.