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Our Mesa Eastmark office is a nurse practitioner-led wellness clinic in the Eastmark community of southeast Mesa. The office sits on Point Twenty-Two Boulevard near the Banner Health Center at Eastmark, with easy access from Loop 202 for patients across Queen Creek, Apache Junction, and Gold Canyon.
Testosterone replacement therapy is medically supervised hormone treatment for men whose testosterone levels have dropped below the healthy range. The TRT program at our Mesa Eastmark office is led by Chad Dance, FNP-C, MSN, MS, whose five-plus years of ICU experience at a Level II trauma center shaped how the clinic approaches every service. Labs before prescriptions. Honest evaluations. Clinical rigor instead of wellness marketing.
The TRT menu at Keystone Mesa Eastmark covers injections, long-acting hormone pellets, transdermal gels, and patches. Four delivery forms instead of one. Most clinics carry one option, sometimes two. Carrying all four means we can match the therapy to the patient rather than the other way around.
To schedule, call (480) 485-9677 or request an appointment online
Testosterone is produced mainly in the testicles. It is responsible for body and facial hair, muscle tone, bone density, and deeper voice. It also influences sperm production, sex drive, and where fat deposits accumulate on the body.
As men age, their testosterone levels naturally decrease. Estrogen levels tend to rise. This decrease in testosterone is called andropause, sometimes referred to as male menopause. Some men experience low testosterone earlier due to hypogonadism, a condition in which the testes cannot produce the required amount of testosterone.
Signs of low testosterone include:
These symptoms overlap with many other conditions. That is why lab work matters. The testosterone therapy guidelines from the Endocrine Society recommend measured baseline testosterone before any prescription. Prescribing TRT without measured levels is not medicine, it is guessing. At our Mesa Eastmark office, we test before we treat.
Our Mesa Eastmark patient base is different from our Gilbert location. We see a wider age range here, including a significant number of patients from the Sunland Springs active adult community, where the average age skews older than typical wellness clinics see.
That changes how we approach TRT. A 38-year-old executive in Eastmark who has noticed his energy dropping over the past two years has a different clinical picture than a 68-year-old retiree in Sunland Springs whose testosterone has been trending down for a decade while he manages Type 2 diabetes and a stent. Both can benefit from TRT. The monitoring approach, dose targeting, and follow-up cadence differ. Chad's ICU background makes both patient types manageable in the same clinic.
We see men from across Mesa, Queen Creek, Apache Junction, Gold Canyon, and the surrounding master-planned communities. Most of our Queen Creek patients choose our Mesa Eastmark office over driving further north or west because the location is closer and the parking is easier.
Clinically, TRT is appropriate for adult men with confirmed low testosterone on lab testing who are experiencing symptoms consistent with androgen deficiency. Men with normal testosterone levels are usually not appropriate candidates, and that gets said directly during the consultation rather than papered over.
Men with a history of prostate cancer, breast cancer, severe untreated sleep apnea, uncontrolled heart failure, or elevated hematocrit require additional evaluation before we would consider starting TRT. The American Urological Association position on testosterone deficiency sets the clinical thresholds we use for evaluation. This screening matters especially at our Mesa Eastmark office where we see a significant number of older patients from Sunland Springs and Mountain Vista cardiology referrals. Chad's ICU background handles this complexity in a way wellness-only practices cannot.
Testosterone can be delivered in several ways. Each has trade-offs in cost, convenience, blood-level stability, and side-effect profile. At Keystone Mesa Eastmark, we offer all four.
Weekly or biweekly intramuscular injections are the most common form of TRT worldwide. Testosterone cypionate and testosterone enanthate are the two most common formulations. Injections deliver a predictable dose, produce measurable results quickly, and cost less than pellets or gels.
The trade-off is that testosterone levels can peak and trough between injections. Some men feel the drop as they approach their next dose. For most patients, weekly (rather than biweekly) injections smooth this out. Self-injection is straightforward. We teach the technique during your first visit.
Bioidentical hormone pellets are the size of a grain of rice. They are inserted under the skin in the hip area during a short in-office procedure. Each pellet releases small amounts of testosterone directly into the bloodstream, mimicking the human body's natural release process. One insertion typically lasts three to six months.
Pellets appeal to Sunland Springs and Cadence patients who prefer to not think about weekly injections. The trade-off is higher upfront cost and a less flexible dose. Once pellets are in, we cannot easily adjust them. That is why we usually recommend patients start on injections, dial in their optimal dose, then convert to pellets if they prefer the convenience.
Daily topical gel is applied to the shoulders, upper arms, or abdomen each morning. Absorption is steady, blood levels are consistent, and there are no needles involved. Branded versions include Androgel and Testim.
The trade-off is transfer risk. Skin-to-skin contact with a partner or child shortly after application can transfer testosterone. Patients with young children or intimate partners often need to work around this by covering the application site or timing carefully. Cost is generally higher than injections.
Adhesive skin patches deliver a consistent dose over a 24-hour period. Applied and replaced daily on the arm, back, or thigh. Patches produce very stable blood levels, similar to gels but without the transfer risk.
The main downside is skin irritation. Some men develop rashes at the patch site. Patches are also more visible and less discreet than the other options.
You do not have to choose alone. That is the point of seeing a provider.
Your provider will review your medical history, prior TRT experience if any, your comfort with self-injection, whether you have young children or an intimate partner, your insurance situation, and your goal timeline. From there, the recommendation is the delivery form most likely to work for you.
For most men starting TRT, we begin with weekly injections. They are affordable, adjustable, and produce measurable results within four to six weeks. Once we identify the right dose and confirm you tolerate the medication well, we can discuss switching to pellets or gels for convenience.
This is the conversation that does not happen at a clinic that only offers one form. We can recommend the right delivery method because we carry the toolkit.
For a broader overview of our hormone replacement program, see our main HRT page.
Pricing for every TRT delivery form is on the services pricing page. Injection programs are the most affordable starting point. Pellets and gels cost more upfront.
Insurance coverage for TRT varies. Some plans cover Androgel or Testim when prescribed for clinically diagnosed low testosterone. Most do not cover compounded injections or bioidentical pellets. Keystone is an out-of-network practice and does not bill insurance directly. Patients use HSA, FSA, or financing through Cherry.
Your first visit takes about 45 minutes. Your provider reviews your medical history, performs a basic physical exam, and orders baseline lab work including total testosterone, free testosterone, estradiol, hematocrit, and PSA.
For Queen Creek patients, the drive to our Eastmark office is usually under fifteen minutes. The parking is straightforward and our office is on the ground floor with easy access.
Once labs are in, you return for a second visit to review results and discuss options. If your labs confirm low testosterone and there are no contraindications, we can start you on TRT at that visit. We do not prescribe testosterone without seeing the labs.
Follow-up labs are drawn at six weeks and again at three months after starting. Once your levels stabilize, follow-up is every three to six months.
Chad Dance, FNP-C, MSN, MS, is the lead Family Nurse Practitioner overseeing the men's hormone replacement program at our Mesa Eastmark office. Two master's degrees, board-certified Family Nurse Practitioner, with over thirteen years of combined nursing and NP experience.
Before becoming a nurse practitioner, Chad spent more than five years as an ICU nurse at a Level II trauma center in Idaho, caring for critically ill medical, surgical, neurological, and open-heart surgery patients. That background is particularly relevant at our Mesa Eastmark office, where the patient mix includes older men from Sunland Springs and Mountain Vista Medical Center's cardiology patient base. Managing TRT in patients with complex medical histories is not a med-spa skill set.
Chad is fluent in Spanish, both conversational and medical. Spanish-speaking patients can request a Spanish-language appointment when booking. Habla español.
Our Mesa Eastmark office at 10706 East Point Twenty-Two Boulevard serves men across the southeast Valley. Most commonly:
From within Mesa: Eastmark, Mulberry, Mountain Ranch, Sunland Springs, Cadence, Blossom Rock, and Residence communities. Drive times are five to fifteen minutes for almost all of southeast Mesa.
From Queen Creek: under fifteen minutes from most addresses, often under ten. Queen Creek is one of our primary service markets.
From Apache Junction and Gold Canyon: about twenty minutes via Highway 60.
If you would prefer our Gilbert testosterone replacement program instead, our Gilbert office at 3076 East Chandler Heights Road offers the same delivery forms and the same provider model. Choose whichever drive is shorter for you.
10706 E. Point Twenty-Two Blvd, Suite a106, Mesa, AZ 85212
Located on the NW corner of E. Point Twenty-Two Boulevard, Warner Road, and S. Signal Butte Road, in the heart of the Eastmark community. Get Directions
Phone: (480) 485-9677
Injection programs are the most affordable starting point at our Mesa Eastmark office. Pellet insertions cost more per visit but last three to six months. Gels and patches fall in the middle. The services pricing page lists every delivery form and program length. HSA, FSA, and financing through Cherry are accepted.
Yes. Our Mesa Eastmark office is physically located in the Eastmark community at 10706 East Point Twenty-Two Boulevard, near the Banner Health Center at Eastmark. We offer the full TRT program from this location, including injections, pellets, gels, and patches.
Symptoms of low testosterone include fatigue, low sex drive, loss of muscle tone, mood changes, and trouble concentrating. These overlap with many other conditions, so symptoms alone are not enough for diagnosis. Blood work is required. We order total testosterone, free testosterone, and related labs during your first visit.
Injections are administered weekly or biweekly, are lower-cost, and allow flexible dose adjustments. Pellets are inserted every three to six months, are more convenient, but cost more and cannot be easily adjusted once placed. Most men start on injections to identify the right dose, then convert to pellets if they prefer the convenience.
Most patients notice improvements in energy and mental clarity within two to three weeks. Sex drive and libido typically improve by weeks three to six. Muscle tone and body composition changes are measurable at three to six months. Bone density and cardiovascular improvements develop over the first year.
Yes. Queen Creek is one of our primary service markets at our Mesa Eastmark office. Most of Queen Creek is within fifteen minutes of our Eastmark location, often under ten. Many of our TRT patients drive from Queen Creek because we are closer than competing wellness clinics further west.
Common side effects include mild acne, oily skin, water retention, and elevated hematocrit (red blood cell count). Most are manageable with dose adjustment. Rare but serious risks include worsening of undiagnosed prostate cancer and cardiovascular events, which is why baseline labs and screening matter. Men with active prostate cancer, severe untreated sleep apnea, or uncontrolled heart failure are not candidates for TRT.
Yes. Exogenous testosterone suppresses natural sperm production. Men who want to preserve fertility should discuss this with their provider before starting TRT. Alternative protocols using HCG, clomiphene, or enclomiphene can raise testosterone while preserving fertility. We offer these protocols when appropriate.
No. Family Nurse Practitioners are licensed independent providers in Arizona. New patients schedule directly. Bring any relevant recent lab work from previous providers, and we will review it during intake.
Good candidates are adult men with confirmed low testosterone on lab work who are experiencing symptoms of androgen deficiency. They want a provider relationship with ongoing monitoring rather than a mail-order prescription. They understand TRT is a long-term therapy. They want honest evaluation and appropriate follow-up.
Call (480) 485-9677 or request a consultation online. Same-week appointments are typically available at our Mesa Eastmark office.
Keystone Medical Wellness, Mesa Eastmark
10706 E. Point Twenty-Two Blvd, Suite a106
Mesa, AZ 85212
(480) 485-9677
