CANADIANS: Doctor-Led TRT Clinic Launches in Kitchener, Waterloo, Cambridge & Guelph – True North Metabolic Sets New Men’s Health Standard

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* TRT may be appropriate for men with persistent symptoms and repeatedly low morning testosterone levels. The clinic counsels on realistic goals: improved sexual function, energy, strength, and sleep quality, while monitoring for potential risks such as erythrocytosis, blood pressure or lipid changes, fertility suppression, acne, edema, or sleep apnea exacerbation.


* True North Metabolic’s protocol schedules labs at predictable intervals: early rechecks and then at regular intervals. Monitoring includes hematocrit/hemoglobin, testosterone levels timed to route, PSA where indicated, lipids, and blood pressure. The clinic also screens for obstructive sleep apnea and explores fertility-preserving alternatives when family planning is a priority. Adverse effects are managed through dose adjustment, route changes, or coordinated specialty referral when needed.





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Physician-led TRT program adds structured assessment, monitoring, and treatment options for men across Kitchener-Waterloo, Cambridge, and Guelph, Ontario.


KITCHENER, ONTARIO, CANADA, November 1, 2025 /EINPresswire.com/ -- True North Metabolicannounced the expansion of its physician-led Testosterone Replacement Therapy (TRT) service for residents of Kitchener-Waterloo, Cambridge, and Guelph, Ontario, delivering a clear, evidence-based pathway from assessment to ongoing care. The program centralizes men’s health evaluation, lab timing guidance, therapy selection, and structured monitoring to help patients achieve symptom relief while maintaining safety.




Service information is available at:

• Men’s Health overview:
TRT Clinic in Kitchener-Waterloo | Testosterone Testing & Treatment | True North Metabolic

• TRT service page: Testosterone Replacement Therapy in Kitchener-Waterloo | True North Metabolic




A Physician-Led, Mechanism-Focused Approach

True North Metabolic’s care model emphasizes the mechanisms behind hypogonadism and the practical realities of daily treatment. Patients begin with a structured intake that documents symptoms (libido, energy, sleep, mood, body composition), medical history, and medications, followed by targeted morning labs and confirmatory testing when indicated. The clinic’s protocol aligns therapy with physiology—beginning only when diagnostic criteria are met—and pairs treatment with scheduled follow-ups to evaluate benefits, side effects, and adherence.




Why TRT, and For Whom

TRT may be appropriate for men with persistent symptoms and repeatedly low morning testosterone levels. The clinic counsels on realistic goals: improved sexual function, energy, strength, and sleep quality, while monitoring for potential risks such as erythrocytosis, blood pressure or lipid changes, fertility suppression, acne, edema, or sleep apnea exacerbation. Patients in Kitchener-Waterloo, Cambridge, Ontario and Guelph, Ontario receive individualized care plans that consider work schedules, training demands, and family-building timelines.




Therapy Options Tailored to Daily Life

The clinic offers multiple TRT routes and helps men choose the option that matches their routine, personal preferences and monitoring preferences:


Topical gel (once daily):
convenient and steady levels; requires transfer precautions and consistent application.


Intranasal gel (three times daily): rapid on/off kinetics with low transfer risk; ideal for flexible dose titration.


Injections:

Shorter-acting (cypionate/enanthate):
weekly or twice-weekly dosing, intramuscular or subcutaneous; cost-effective with predictable levels.

Long-acting undecanoate (IM): infrequent clinic dosing with stable levels and observation period.


Oral testosterone undecanoate (capsules): limited availability; considered case-by-case with counseling on cost and expectations.




The TRT program integrates lifestyle modifications so patients see durable improvements beyond the prescription.




Safety, Monitoring, and Follow-Up


True North Metabolic’s protocol schedules labs at predictable intervals: early rechecks and then at regular intervals. Monitoring includes hematocrit/hemoglobin, testosterone levels timed to route, PSA where indicated, lipids, and blood pressure. The clinic also screens for obstructive sleep apnea and explores fertility-preserving alternatives when family planning is a priority. Adverse effects are managed through dose adjustment, route changes, or coordinated specialty referral when needed.




Care That Extends Beyond Testosterone

Men often present with overlapping concerns—weight gain, metabolic risk, and hair loss—that affect confidence and long-term health. True North Metabolic connects TRT care to additional services so patients have a single, coherent plan.
 

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Dr. Khashayar Farzam is a Canadian and American board-certified physician specializing in men’s health, obesity medicine, and performance optimization. Raised in Ajax, Ontario, he earned a BSc (Honours) in Biology from Ontario Tech University, completed medical school at the University of New England (Maine), and a Family Medicine residency at the University of Iowa.

He currently serves as a full-time Emergency Physician at the Waterloo Regional Health Network in Kitchener and as a Clinical Assistant (Adjunct) Professor at McMaster University’s medical school. He is a Diplomate of the American Board of Obesity Medicine and previously worked as a general physician in Waterloo, Ontario. Dr. Farzam also provides men’s health eConsults for family physicians across Ontario.

Outside of medicine, Dr. Farzam is an elite powerlifter, a multiple-time national and international medalist, and a two-time Guinness World Record holder. His experience in elite sport led him to found True North Metabolic, a physician-led clinic offering evidence-based medical weight loss care and men’s health services, including hormone optimization.


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Titles & Certifications

  • Canadian Board-Certified Physician (CCFP)
  • American Board-Certified Physician (ABFM)
  • Diplomate, American Board of Obesity Medicine (ABOM)
  • Clinical Assistant (Adjunct) Professor, McMaster University
  • eConsultant, OTN
  • CFO, KWEMA



Medical Career Highlights

  • Emergency Physician – Waterloo Regional Health Network (Grand River & St. Mary’s)
  • General Physician – Waterloo, Ontario (two years)
  • Former travel-medicine and minor procedures provider (Kitchener-Waterloo)
  • Reviewer – American Journal of Men’s Health
  • 30+ peer-reviewed publications
  • Clinical Mentor in the Emergency Department
  • Frequent podcast guest on men’s health and performance
  • Physician Examiner - Medical Council of Canada



Athletic Achievements

  • Team Canada – World Powerlifting Championships (2015, 2024, 2025)
  • 2024 National Champion (Powerlifting)
  • 2024 Pan American Champion
  • 2023 Guinness World Record – Most weight bench pressed in 30 seconds (male)
  • 2024 Guinness World Record – Most bodyweight bench press repetitions in 30 seconds (male)
  • Silver Medal – 2015 World Powerlifting Championships (Finland)
  • Multiple provincial, national, and federation world records
  • Former provincial/national track-and-field sprinter



Awards & Recognition

  • Numerous academic and athletic awards
  • Athlete of the Year nominee
  • Featured by CTV, CityNews, CBC, The Record, Guinness World Records, and others
  • IRDA & Literary Titan award-winning author (The Doctor’s Perspective); Available in Indigo and Amazon



Areas of Expertise

  • Physician-led medical weight loss (ABOM-guided)
  • Men’s health and testosterone replacement therapy
  • Emergency Medicine
  • Recovery care after anabolic steroid/PED use
  • Preventative health and performance optimization
 


9) Do you prescribe testosterone (TRT)?

Answer:
Yes, only for patients with laboratory-confirmed low testosterone and when benefits outweigh risks. We also evaluate for reversible causes before treatment.



10) What tests do you do before TRT?

Answer:
Typically morning total testosterone with free testosterone, LH and FSH, SHBG, prolactin, CBC, liver enzymes, lipids, ferritin, estradiol, and other tests as clinically indicated.



11) Do you help with recovery after anabolic steroid or PED use?

Answer:
Yes. We provide structured assessment, safety labs, and recovery planning.

14) Are visits covered by OHIP?

Answer:
Yes. Physician visits are OHIP-covered. Only non-insured items, such as certain forms, may have a fee. If you do not have OHIP, contact us to review options. Other premium private plans are also available.



15) Can I be a patient if I live outside Kitchener-Waterloo, Cambridge, or Guelph?

Answer:
Yes. Patients from anywhere in Ontario can attend an initial intake. Follow-ups can be virtual when appropriate.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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