the biology of strength and focus

Reclaim the biology that fuels your confidence, focus, and resilience. Over time, stress, sleep disruption, and shifting hormones can dull drive and vitality; rebalancing these systems restores the sense of strength and steadiness that makes performance sustainable.

A fit man running in the mountains

testosterone LEVELS DROP AS YOU AGE. We can change that.

An estimated 1.4 million men in Canada between the ages of 40 and 62 (one in four) experience andropause, or testosterone deficiency—sometimes called "male menopause.”

Men lose about 1% of their testosterone every year after 30, on average, yet standard healthcare rarely tests for it—let alone treats it proactively. In fact, one in four physicians are uncomfortable with the diagnosis and treatment of testosterone deficiency, according to a 2021 report in the Canadian Urological Association Journal. Instead, symptoms like low energy, depression or low libido are brushed off as “normal aging.”

Things are starting to change. It seems like another “T clinic” is starting up every month, enrolling men in testosterone therapy. But it’s a bit like the Wild West out there. Some clinics perform only surface level analysis, or offer virtual care with a lack of follow up, symptom tracking or dosing adjustments.

Summa is different. Our physician-led team performs a deep dive on each patient. We look at root causes of dysfunction—after all, low T can be a result of poor sleep stemming from psychological problems, for example, or other health-related issues. We also perform rigorous safety screening.

Summa combines evidence-based medicine with a personalized approach to reverse the trajectory of decline and protect long-term health.

This is a major investment in your health. Do it right.

    • Primary causes: Issues with the testes themselves

      Aging, conditions like Klinefelter’s syndrome, acquired injury, or past infections (e.g. mumps) can impair testosterone production

    • Secondary causes: Brain-level dysfunction
      Disruptions in the hypothalamus or pituitary gland (from trauma, tumors, genetic syndromes) reduce signals (LH, FSH) needed to trigger testosterone production

    • Lifestyle and metabolic factors:
      Obesity (increased aromatase activity), chronic alcohol intake, opioids, steroid use, stress, sleep disruption or chronic disease can lower testosterone or accelerate decline

  • Low testosterone isn’t just about sexual function—it affects every part of life:

    • Low sex drive and erectile challenges

    • Fatigue, low energy, and poor sleep

    • Reduced muscle mass, more body fat

    • Low mood, focus, and cognitive drag

    • Long-term risks: Greater chances of anemia, bone loss, diabetes, increased body fat and cardiovascular decline

    • Diagnosis first: We start with blood testing, advanced hormone panels, and health review to pinpoint cause.

    • Tailored plans: Treatment is matched to goals—energy, performance, body composition, fertility. Our treatments are proven, scientific ways to boost your testosterone, keep you in balance, and keep you healthy. Other treatments give you too much testosterone or too little, and don’t take into account the half-life of the injection. Ours is calibrated for your exact needs, and leaves you feeling your best, every week.

    • Responsible care: We monitor labs, hematocrit, prostate markers, and adjust dosing for safety and effectiveness.

Ready for your best version?

If you're feeling off—tired, flat, or out of sync—it could be more than just stress or age. A morning testosterone test and a focused consultation can clarify what’s driving the change—and what solutions fit. Book a free intake consultation today.

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