Three months, doctor-led
Men's Programme
Less energy, more belly, worse sleep, a shorter fuse — and nothing about your life has actually changed. It is rarely one value behind this. Usually it is three that interact. This programme finds out which.
CHF 2,200 · three months · laboratory included
Starting point
It is rarely the testosterone.
And when it is, it is rarely the cause.
Men arrive with a remarkably consistent story. The energy is gone, the belly fat arrived, sleep is worse, recovery after training takes longer. And the internet offers the same answer everywhere.
But in most cases low testosterone is a consequence, not a cause. Visceral fat raises aromatase activity and lowers free testosterone. Sleep restriction lowers it measurably within a week. Alcohol, chronic stress, an undiagnosed thyroid disorder and insulin resistance do the same. Substituting alone treats the symptom and leaves the mechanism running.
So this programme does not begin with a prescription. It begins with the question of which three things are interacting in your case — and in what order they can be unwound.
One point that is routinely skipped: erectile dysfunction in men under sixty is an early vascular marker. The penile arteries are narrower than the coronaries and become symptomatic sooner. Anyone presenting with it gets a cardiometabolic assessment here first — not just a prescription.
At a glance
- Price
- CHF 2,200, laboratory included
- Duration
- three months
- Appointments
- first consultation, review, two follow-ups
- Laboratory
- baseline profile and repeat at 12 weeks
- Measurement
- body composition tracked over time
- Outcome
- written report and plan
The laboratory profile
The hormonal axis —
and everything acting on it.
Hormonal axis
Total testosterone, SHBG and free testosterone derived from them, LH and FSH to distinguish primary from secondary causes, estradiol, prolactin, DHEA-S.
The question: is the problem in the testis, in the signalling above it — or not in the hormone system at all?
Metabolism
Fasting insulin, glucose, HbA1c, triglycerides relative to HDL, uric acid, liver values.
The question: how much of the picture is explained by insulin resistance and visceral fat?
Cardiovascular
ApoB, Lp(a), hs-CRP, homocysteine, blood pressure.
The question: what is the state of the vascular system — particularly relevant where erectile symptoms are present.
Thyroid and cofactors
TSH, fT3, fT4, TPO antibodies, ferritin in the context of hs-CRP, vitamin D, B12, zinc, omega-3 index, full blood count and haematocrit.
The question: is something missing that limits energy and recovery — and is the thyroid genuinely unremarkable?
By age and history
PSA, kidney values, electrolytes. PSA is measured only after discussion and a shared decision, never automatically.
Process
Three months, four appointments.
First consultation
60 minutes: history, sleep, training, alcohol, stress, medication. Clinical examination, blood pressure, body composition. The laboratory profile is then defined.
Review and plan
45 minutes: the values in context, the written report and the order of measures — with target ranges.
Follow-up at 6 weeks
Short review: what is working, what is not, what gets adjusted. Body composition measured again.
Repeat at 12 weeks
Laboratory recheck of the relevant values and a closing consultation. Measuring again rather than assuming.
Indication
When it makes sense – and when it doesn't.
It makes sense if you …
- have had less energy and drive for months with no obvious reason
- are gaining waist circumference although diet and training have not changed
- sleep worse and recover more slowly
- notice erectile symptoms and want to know what sits behind them
- have a family history of heart attack or diabetes
- are already taking testosterone and want an independent assessment
Not the right route if …
- you want a testosterone prescription rather than an assessment
- you have acute symptoms — those belong in a regular assessment first
- you are trying to conceive and fertility is the primary question
- you are under urological or cardiological care that should continue there
- you already have current results and only the interpretation is missing — the second opinion is enough
To be clear
What this is not.
- Not a testosterone clinic. Hormone therapy is considered only where the indication is established, after the cause has been assessed, and with proper discussion of fertility, haematocrit and long-term effects. It is not this programme's default route.
- No anti-ageing promise. We do not issue a biological age and do not claim to halt ageing.
- Not a supplement subscription. If a preparation makes sense we say so — and equally, what you can stop taking.
- Not a substitute for urology or cardiology. Where specialist assessment is indicated, we refer.
- Not a training plan. We set requirements for protein, resistance training and sleep, but we do not replace a coach.
Costs
One price for three months.
| Men's Programme · 3 months, laboratory and recheck included | CHF 2,200 |
| Any medication | separately, on prescription |
This is a private service. You receive an itemised invoice suitable for submission to your supplementary insurance. Some policies contribute to preventive services; whether and how much depends on your contract and is to be clarified directly with your insurer.
If the assessment reveals a medically indicated need for treatment — hypertension, a thyroid condition or diabetes, for example — that runs in the regular way through basic health insurance. Separately, and not on top of the CHF 2,200.
Frequently asked
Good to know.
Is this a testosterone clinic?
No. Low testosterone is frequently a consequence of visceral fat, poor sleep, alcohol, stress or an undiagnosed thyroid disorder — not the cause. We establish what is actually behind it first. Hormone therapy is considered where the indication is established, but it is not the default route.
I already take testosterone. Is the programme still useful?
Often especially then. We assess independently whether the indication holds, whether the dose is right, and whether the monitoring that belongs with it is being done — haematocrit, estradiol, PSA and the question of fertility. The conclusion may also be that we advise stopping.
From what age does this make sense?
Typically from the mid-thirties, when energy, body composition and sleep change without any change in lifestyle. There is no fixed age limit.
Is PSA measured?
Only after discussion and a shared decision. PSA screening has advantages and disadvantages, and both belong in the conversation before the value is measured, not after.
What if nothing is found?
Then that is what the report says, with reasoning — and we discuss the most plausible explanation instead. Often it is sleep, alcohol, training stimulus and recovery. That needs no prescription, but it does need a plan.
How does this differ from The Baseline?
The Baseline is a one-off assessment of where you stand. The Men's Programme adds the hormonal axis, runs over three months and measures again at the end. If you only want to know where you stand, The Baseline is enough.
Find out what it actually is, first.
CHF 2,200 for three months, laboratory and repeat measurement included. Zurich HB and Baar.
The Men's Programme is a private medical service and is not billed through Swiss basic health insurance. Medically indicated investigations and treatments are unaffected. Hormone therapy is provided only where the indication is established, with individual discussion of benefits, risks and effects on fertility, and with the necessary monitoring. This page does not replace a medical consultation.
