Matt is a great care giver and he also provides excellent conversation while you’re receiving care, no awkward silence like a typical healthcare visit. I got there right before my appointment and there was no wait time at all he came and saw to me immediately. The overall atmosphere was warm and welcoming. I highly recommend his practice!
Syracuse, NY
By telehealth
Testosterone Replacement Therapy in Syracuse, NY
Lab-Guided TRT by Video · Syracuse & All of New York
Testosterone therapy for Syracuse, NY, by telehealth, with the same New York-licensed nurse practitioner at every video visit.
4.9★ Google
66 ★★★★★ reviews
25+ yrs experience
FNP-BC board-certified
Medically reviewed by Matthew Simone, FNP-BC · Last reviewed: November 2, 2026
Matthew, NP · Founder
Matthew Simone, FNP-BC, treats Syracuse men for low testosterone by telehealth. His office is in Trumansburg, about 1 hour 30 minutes from downtown Syracuse.
Most of your care happens by video, and labs are drawn at a site near your home. You come to the office only when an exam is needed.
Every plan starts with labs and a full look at your health. This care is part of our men’s health and TRT program.
How it works
How telehealth TRT works from Syracuse
Most of your care happens by video, and labs are drawn at a draw site near you. You come to Trumansburg only when an exam is needed. Here is what each stage covers.
Your video consultation
Matt starts with your symptoms, such as energy, mood, sex drive, erections, strength, and sleep.
He reviews your health history and every medication you take. Opioids, steroid medicines such as prednisone, and past anabolic steroid use can all lower testosterone.
He asks whether you want children in the next few years, because that changes which treatment fits.
He also screens for conditions that rule out testosterone or need more workup first. These include prostate or breast cancer, a high red blood cell count, untreated severe sleep apnea, a clotting disorder, and a heart attack or stroke in the past 6 months.
Your baseline labs
You get a comprehensive hormonal panel, drawn in the morning when testosterone is highest. Rather than relying on a single number, it looks at the whole picture, since other things can drive the same symptoms.
Matt adds free testosterone if your total level is borderline or a condition may change SHBG, the protein that carries testosterone.
If your level is low, he checks LH. Before treatment, you also get hemoglobin and hematocrit, and a PSA if you are over 40.
Prolactin is added if LH is low or normal, FSH if fertility matters to you, and estradiol if you have breast swelling or tenderness. Labs are drawn at a draw site near you.
Your results and options
Low testosterone means a total level below 300 ng/dL on both tests, along with symptoms. A low number without symptoms, or symptoms with normal numbers, points to other causes first.
LH shows whether the problem starts in the testes or the pituitary gland. A high prolactin level needs its own workup before treatment.
If you want children soon, testosterone is not the right start, because it lowers sperm production. Medicines that help your body make more of its own testosterone, such as clomiphene or hCG, may fit instead. Clomiphene is off-label for this use.
Physical exam, when needed
Matt asks you to come to Trumansburg for an exam when your history or labs call for one.
Examples include a change in testicle size, breast swelling, or a prostate concern, such as a high or rising PSA.
If fertility matters to you, a testicular exam helps show how well your testes are working.
Starting testosterone
Testosterone is a Schedule III controlled substance. Under the DEA’s telemedicine rules, it can be started by video.
Monitoring and follow-up
After you start, Matt rechecks your testosterone to set your dose, aiming to optimize in the upper part of the normal range. Once your dose is stable, it is checked every 6 to 12 months.
Hematocrit is checked 3 to 6 months after you start, then at least once a year, and your dose is adjusted as needed.
If you and Matt choose prostate monitoring, PSA is rechecked 3 to 12 months after you start, then on the usual screening schedule.
Follow-up visits happen by video, and labs are drawn near you.
Symptoms
Signs of low testosterone worth testing
Low testosterone can look like many other problems. That is why the diagnosis starts with labs.
Energy and mood
Fatigue that sleep does not fix, low mood, or irritability. Our page on low energy and fatigue in men covers other causes.
Sexual health
Lower sex drive or erectile changes. See erectile dysfunction treatment.
Body changes
Lost strength or muscle, slower recovery from exercise, and more belly fat. See unexplained weight gain and fatigue in men.
The Endocrine Society guideline recommends diagnosing low testosterone only when symptoms match and morning blood tests are clearly low on two separate days (Bhasin, et al., 2018).
Before any prescription, Matt also checks other common causes, such as sleep apnea, thyroid problems, depression, medications, shift work, and alcohol.
Step by step
Your TRT plan, step by step
Five steps, one provider, and labs at every decision point.
1
Video consultation
Talk through your symptoms, history, and goals with Matt from home. This visit is part of the $249 men’s health evaluation.
2
Morning labs near you
Blood draws at a lab draw site in the Syracuse area, at discounted member rates.
3
Your plan, by video
Matt reviews your labs with you and explains whether treatment fits and whether any office visit is needed.
4
Delivered to your door
If treatment fits, medications and supplies ship discreetly to your home.
5
Follow-ups and repeat labs
Video follow-ups to adjust your dose, with repeat labs at a draw site near you.
Compare
A New York nurse practitioner vs an online TRT company
Online services made treatment easier to start, and many men do well with them. What varies is what comes with the prescription.
What some online services leave out
Some include lab work and an exam plan. Others route you to a different clinician each time, ignore the rest of your health, or never coordinate with your primary care provider.
What you get with Homesteady
The same nurse practitioner at every visit, a New York license, and an office you can visit. Matt reads your labs alongside your blood pressure, sleep, and medications.
Weighing your options? Our guide on how to choose a TRT clinic covers the questions to ask. Already on TRT with an online company? You can switch your care to us.
Matthew Simone, FNP-BC
Founder & Family Nurse Practitioner
- FNP-BC, board-certified family nurse practitioner
- 25+ years in healthcare, 19 as a nurse practitioner
- Family practice in the Alaskan bush, plus trauma, emergency, and urgent care
- 2025 NP of the Year, NP Association of New York
- Has served as president of NPA-NY Region 2
- Certified in menopause hormone therapy
Who's caring for you
Your provider: Matthew Simone, FNP-BC
Matthew Simone, FNP-BC, is a board-certified family nurse practitioner, licensed in New York, and the founder of Homesteady Health. His 25+ years in healthcare, the last 19 as a nurse practitioner, began in family practice in the Alaskan bush and continued through trauma, emergency, and urgent care. He helped set up and lead urgent care clinics in the Philadelphia area and locally.
The Nurse Practitioner Association of New York named him its 2025 Nurse Practitioner of the Year, and he has served as president of its Region 2. He sees every TRT patient himself, by video or in the office. The practice holds a 4.9-star rating across 63 Google reviews.
25+
Years in healthcare
19
Years as a Nurse Practitioner
FNP-BC
Board-certified · family practice
NPA·NY
Served as president · Region 2
Patient reviews
What patients say about Matt
4.9
Ratings and reviews from Google Maps
Currently sitting in their parking lot writing this, but I’m a student and had to get tested for TB in order to work a clinical position. I got extremely lost, I called telling them I was lost, and then my phone died leaving me lost for almost an hour. I came in and they were very accommodating, they even still took me in for my appointment. They were very good, gave me a moment to catch my breath, and got me right in there, gave me my test, and set me up for my follow up right away. They were very efficient with great bedside manner; I cannot apologize or thank them enough! Plus they were an absolute life saver for that appointment in the first place because my new job needed a work physical and the test so their same day appointments truly saved me. Thank you again!!!! 100% recommend!!!! Thank you Matt!!!!
Matt is great! He’s thorough and has the time and availability to listen. Just knowing he’s there and you don’t have to go to urgent care because your doctor can’t see you for days gives you peace of mind. Highly recommend.
Pricing
How much does TRT cost?
Published, flat pricing. No per-visit charges for follow-ups.
Get started
$249 one time
Men's health evaluation
- Consultation
- Discounted labs
- Exam
- Results review
Ongoing care
$149 / month
Men's Health & TRT membership
- Visits by video or in person
- Treatment supplies and medications
- Direct access to your provider
- Discounted member lab rates
| Item | Price | What it covers |
|---|---|---|
| Men’s health evaluation | $249, one time | Consultation, discounted labs, exam, and review |
| Men’s Health & TRT membership | $149 a month | Visits by video or in person, treatment supplies and medications, and direct access to your provider |
| Labs | Member rates | Discounted for members, drawn near you |
| Insurance | Not required | Insurance can still be used for outside labs, specialty care, and some prescriptions |
When you compare prices, check what is included. A low monthly price can leave out labs, the exam, or follow-up. For more detail, see what TRT costs.
Syracuse · Finger Lakes
TRT in Syracuse, with a Finger Lakes office
Most of your plan happens by video. Your consultation, results review, and follow-ups happen from home, and labs are drawn near you.
When you do come in
The office is about 1 hour 30 minutes from downtown Syracuse, by I-81 and NY 13, then NY 96 through Ithaca. From Skaneateles or Auburn, US 20 and NY 89 along Cayuga Lake take about 1 hour to 1 hour 15 minutes. Parking is free, and labs can be drawn on site.
Winter driving
Lake-effect snow can make the drive hard, so many patients use video visits in winter.
Primary care by video too
Want a primary care provider as well? See telehealth primary care for Syracuse.
Homesteady Health Direct Primary Care
1859 Trumansburg Road, Trumansburg, NY 14886
- Downtown Syracuse about 1 hr 30 min
- DeWitt about 1 hr 30 min
- Camillus about 1 hr 25 min
- Skaneateles about 1 hr 15 min
Office hours Monday to Friday, 8am to 5pm. Visits by video across New York. Drive times are off-peak estimates.
Questions · Straight answers
TRT for Syracuse FAQs
Do I have to drive to Trumansburg?
Usually not. Consultations and follow-ups happen by video, and labs are drawn near you. You can start testosterone by video under the DEA’s telemedicine rules. The office is about 1 hour 30 minutes from downtown Syracuse.
Where do I get my labs drawn?
At a lab draw site near you in the Syracuse area. We send the order, and discounted member lab pricing applies. Testosterone is checked in the morning, when levels are highest, and on two separate days to confirm a diagnosis.
How much does TRT cost?
TRT starts with a $249 men’s health evaluation covering the consultation, discounted labs, exam, and review. Ongoing care is $149 a month for the Men’s Health & TRT membership, covering visits, treatment supplies, and medications. Insurance is not required.
Is telehealth TRT legal in New York?
Yes, with a New York-licensed prescriber and a proper evaluation. Matthew Simone, FNP-BC, is licensed in New York. Testosterone is a controlled substance. You can start it by video under the DEA’s telemedicine rules.
How is this different from an online TRT company?
You see the same nurse practitioner at every visit, and there is a real office you can visit. Matt reads your labs in the context of your whole health. If you are already on TRT elsewhere, bring your records and recent labs to your consultation. See how a TRT transfer works.
How soon will I feel a difference?
Many men notice changes in energy and sex drive within a few weeks. Changes in muscle and body fat take months. Everyone responds differently, so follow-up labs and visits guide the pace of any dose change.
Will TRT affect my fertility?
It can. Standard testosterone can lower sperm production, sometimes significantly. If you want children now or later, tell Matt before you start. See fertility-friendly testosterone therapy for the options.
Who is my provider?
Matthew Simone, FNP-BC, a board-certified family nurse practitioner licensed in New York. He has 25+ years in healthcare, 19 as a nurse practitioner, and he sees every TRT patient himself.
One provider, labs near home
Video consultation · flat pricing
Testosterone therapy for Syracuse by video with Matthew Simone, FNP-BC. Lab-guided care, flat pricing, and the same provider every time.