Old Town patients and the Mission Hills clinic
The City of San Diego’s community plan places Old Town San Diego west of the Mission Hills neighborhood, and the clinic’s own Mission Hills TRT page includes Old Town in its list of areas the clinic is convenient from. SDBody does not have an office in Old Town, so the Hancock Street clinic in Mission Hills is the one that serves it.
This is the testosterone section of SDBody’s Old Town hormone and wellness page, expanded. SDBody is a physician-led practice established in 2018.
Before anything is prescribed
The Mission Hills TRT page, medically reviewed by Dr. Shawn Vedamani, MD, sets out the standard. Low testosterone is a clinical diagnosis. Blood testing confirms it, typically with more than one draw, and the result is weighed against symptoms, medical history and current medications. Treatment, according to the published endocrine practice guidance the page cites, should follow consistently low readings that match the symptoms.
Men arriving at that first visit describe things like fading afternoon energy, lower libido, muscle that no longer responds to training, a thicker waistline, irritability, foggy thinking and poor sleep. Any of them can indicate low testosterone, and any can indicate something else. The pages on strength and performance and low energy and fatigue go into both.
Normal results are not a dead end. SDBody treats them as useful information and moves on to other explanations, which its page on normal labs and still feeling off describes. Some men who come in expecting a prescription leave with a different plan altogether.
What ongoing monitoring involves
SDBody describes testosterone therapy as a prescription treatment with real effects and risks, and says the FDA labeling on testosterone products reflects this. That is why monitoring sits inside the treatment itself. For Old Town patients on therapy, follow-up covers:
- Blood work at intervals that tracks red blood cell counts, hormone levels and other markers
- A symptom review at each check, so the clinician can see whether treatment is doing what it should
- Decisions on the plan. Based on those results, the clinician can keep it as it is, adjust it or stop it
SDBody includes that follow-up blood work as a standard part of care, and the monitoring schedule is explained before therapy begins.
Risks to talk through first
Before recommending care, a Mission Hills clinician goes over the patient’s own medical history and his family’s, any contraindications, the alternatives and how monitoring will work. Fertility is part of that conversation, because testosterone therapy can suppress sperm production.
How long therapy lasts is not fixed in advance. SDBody says it depends on the reason for treatment, the patient’s response, the risks, his preferences and medical guidance. Testosterone care sits within SDBody’s wider men’s hormone care, alongside DHEA, thyroid and Growth Hormone Support.
Clinicians who oversee treatment
- Dr. Shawn Vedamani, MD, Co-Founder and Medical Director. A board-certified anesthesiologist with an MD from Loma Linda University School of Medicine and more than 10 years of experience, he founded SDBody in 2018.
- Dr. Alex Roher, MD, Co-Founder. A board-certified anesthesiologist in San Diego practice since 2012 who still practices anesthesiology.
- Brooke Stearns, PA-C, Lead Medical Provider. A physician assistant with more than 9 years of experience who began in emergency medicine and now works with men and women on hormone optimization, weight management and longevity care.
Follow-up visits from Old Town
SDBody Mission Hills
1747 Hancock St Ste C, San Diego, CA 92101
Phone: (619) 772-0252
Hours
Monday to Thursday: 8am to 4pm
Friday: 8am to 3pm
Saturday and Sunday: closed
Because follow-up means returning for blood work, the 8am weekday opening at the Mission Hills clinic is useful for morning draws. Get directions to SDBody Mission Hills. Old Town patients may also choose SDBody La Jolla for their hormone care.
Old Town Testosterone Therapy FAQ
What does blood work on TRT involve?
Is follow-up blood work part of TRT at SDBody?
Can TRT be stopped once it starts?
Will testosterone therapy affect fertility?
Why test more than once before treatment?
Do Old Town patients need a referral?
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Two clinics, in person, in San Diego
Choose the location closer to you. Each clinic has its own team, hours, and services.

Mission Hills
1747 Hancock St Ste C, San Diego, CA 92101
Mon to Thu 8am to 4pm, Fri 8am to 3pm

La Jolla
7710 Fay Ave, La Jolla, CA 92037
Mon to Thu 9am to 5pm, Fri 9am to 3pm (wellness open Sat & Sun)
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