Policy & Consent Addendum

Testosterone Therapy – Risks & Side Effects
By initiating testosterone replacement therapy (TRT), you acknowledge that while treatment can improve symptoms such as fatigue, low libido, poor concentration, and muscle loss, it also carries potential risks and side effects.

These may include:

Common Side Effects:

Acne or oily skin
Mood changes or increased irritability
Sleep disturbances or increased energy
Breast tenderness or swelling (gynecomastia)
Injection site discomfort

Less Common / Serious Risks:

Elevated red blood cell count (hematocrit), which may increase risk of clotting
Decreased sperm production and fertility
Fluid retention, swelling in the ankles or feet
Prostate changes, including elevated PSA
Worsening of undiagnosed sleep apnea
Ongoing labs every 2 months are mandatory to monitor these effects and guide appropriate dose adjustments. Refills will not be issued without updated labs and follow-up.

Business Hours:
Monday–Thursday: 6 PM – 10 PM
Friday: 6 PM – 9 PM

VIP Members:
Responses within 60 minutes during business hours.

Standard HRT Members:
Responses within 24 business hours.

Who are VIP members?

-Patients who are part of multi-program bundles (e.g., HRT + Weight Loss + Skin membership)

-Patients who prepay for 6–12 months of service

After-Hours & Weekends:

Please note: Our office is Closed Saturdays and Sundays.

Messages—including those via social media—will be answered on the next business day.

🚨 For medical emergencies, please dial 911 or visit your nearest emergency department.

Cancellation Policy
You may cancel your TRT membership at any time with a 7-day written notice before your next billing cycle. Cancellations must be submitted via email or secure portal message.

Please note: If notice is not given at least 7 days prior to the next billing cycle, you will be charged for the next month and cancellation will take effect the following cycle.

Refund Policy
-Enrollment fees are non-refundable.
-Monthly membership fees are non-refundable once charged, as services, coordination, and prescriptions are initiated upon billing.
-No prorated refunds will be issued for partial use of services within a billing period.
-Refunds will not be given for failure to complete labs or follow-up appointments. Access to medications and continued therapy requires compliance with the program structure.

Membership Enrollment & Fee Acknowledgment

By enrolling in the Men’s TRT Membership at Bottumzup Health & Wellness, I acknowledge a one-time $150 enrollment fee and agree to a recurring monthly membership fee of $125, or $100 if I am currently enrolled in the Weight Management Program.

This fee is charged every 30 days from enrollment.

I understand that timely payment, regular lab as outlined in membership, and follow-up visits are essential for safe and effective testosterone therapy.

I recognize that common side effects (e.g., acne, mood changes) and rarer risks (e.g., elevated hematocrit, PSA) can occur, and that ongoing monitoring allows the provider to adjust dosing as needed.

I commit to reporting any side effects promptly and maintaining my membership for uninterrupted treatment.

Effective Date: These updated Membership fees and policies took effect on July 7, 2025.

Grandfather Clause: Patients who were enrolled in the Men’s TRT Program prior to this date are waived the new consultation fee.