Heart & Vitality’s Testosterone Replacement Therapy Program was developed by Dr. Abraham Jacob after his own experience with Low T. Combining a healthy diet and exercise proved to be so effective that he opened a practice dedicated to helping men suffering from the effects of Low T. Our program is individually tailored for each of our clients, with many factors taken into consideration including the client’s current health, lifestyle and ultimate goals with their therapy.

What to Expect

While Testosterone Replacement Therapy is initially used to treat erectile dysfunction and other sexually related issues, there are many additional health benefits that our clients have experienced. Within the first two weeks of starting Hormone Replacement Therapy, our clients begin to notice the positive changes and benefits, which can initially be subtle. Some clients have seen an immediate change and continued improvement during the course of their treatments. Studies have shown that normal testosterone levels help to keep blood sugar levels at a normal level, which could prevent diabetes, as well as maintaining cardiovascular health, which could prevent heart disease or other cardiovascular issues.


  • Renewed Interest in Sex
  • Longer Lasting Erections
  • Better, Stronger Orgasms
  • Increased Energy
  • Increased Muscle Mass
  • Reduced Body Fat
  • Positive Temperament and Elevated Mood
  • Better Sleep
  • Lower Blood Sugar

Seeking Treatment?

41 Million Men  are affected by low testosterone.


Low T, or low testosterone, is a medical condition that affects men over the age of 40 when their hormone levels naturally decline. Aging causes testosterone levels to gradually decline after age 30 (decline is approximately 1-2% per year). Low T significantly diminishes a man’s quality of life, affecting his relationships and self-esteem. The symptoms associated with ropause are very similar to the symptoms of Low T.

Symptoms of Low “T”

  • Decreased Sex Drive
  • Erectile Dysfunction
  • Reduced Energy Level
  • Reduced Strength and Endurance Levels
  • Sleep Problems
  • Emotional problems including Sadness, Irritability, Difficulty Concentrating and Depression
  • Increased Breast Size and Tenderness

Causes of Low “T”

  • Primary and Secondary Testicular Hypo Function
  • Obesity
  • Aging Process
  • Excess of Blood Iron
  • Infectious Disease/li>
  • Inflammatory Diseases
  • Radiation Treatment
  • Pain Medications

Risks of Low “T”

  • Abdominal Obesity Leading to Insulin Resistance
  • Eventual Progression to Diabetes Mellitus Type II HTN and DM II
  • Development of Heart Disease


Are all men affected?

While not every man will experience Low “T” you might be surprised to learn how many men are affected. The numbers are staggering.

Am I too young? What ages can be affected?

After 30 years old testosterone declines 1%-2% per year.

How does Testosterone affect my heart’s health?

Low “T” levels lead to obesity & insulin resistance and can eventually lead to Diabetes.

Is Testing Difficult? Is it painful?

The testing is pain free and non-invasive.