LPWWC · First Responder & Friends
FIRST
RESPONDER.
You show up for others.
Your care should show up for you.
Hormone evaluation and treatment options for first responders, service members, veterans and the people they refer.
Start with a $49 provider lab review. Choose eligible insurance-billed bloodwork or a $99 cash panel. Treatment membership comes only after clinician review.
Invited by someone who serves? You’re welcome here too.
Testing → Review → Care
Simple to Start.
Designed Around You.
Choose labs
$49 provider review. Add the $99 cash panel, or request separate lab/insurance billing.
Complete bloodwork
The clinic confirms a supported draw site and required tests. Existing results require clinical acceptance.
Provider review
Your history and results inform whether treatment, further tests or another evaluation is appropriate.
Your treatment options
If approved, deliberately select an appropriate management, medication or local care pathway.
Learn first. Decide with your provider.
One Evaluation.
More Ways to Manage Your Care.
Your provider helps determine which, if any, treatment is right for you. Browsing these options does not enroll you or authorize a prescription.
Injectable testosterone
Intramuscular injection
Testosterone cypionate is an injectable prescription option. Your provider determines whether it is appropriate, the formulation and the monitoring plan.
Testosterone cream
Topical application
A prescribed topical formulation may be considered following evaluation. Compounded preparations are not FDA-approved products.
Enclomiphene
Oral capsule
An oral option for clinician discussion where prescribing and pharmacy availability support it. It is not an FDA-approved drug and is not automatically appropriate when testosterone is not indicated.
Retail & branded options
Prescription-specific
Xyosted and Kyzatrex are offered exclusively through the $39/month Prescription Management Program. Provider management and prescription coordination are covered; medication is purchased separately.
Local pellets
In-clinic procedure
Pellets require an in-person procedure and clinician evaluation. This pathway is offered for discussion at the Laramie clinic only.
Existing product imagery is illustrative; packaging may differ. Brand options are information-only, not included-drug guarantees.
After evaluation and approval
Annual membership. Convenient monthly payments.
Prescription Management and Medication Included are 12-month memberships billed monthly. Treatment memberships are not sold at the outset. The initial $49 provider review and optional $99 cash laboratory panel remain separate.
$39 / month
Billed monthly under a 12-month membership
Annual contract total: $468 across 12 monthly payments. Not an upfront charge.
Your pharmacy. Your choice.
Provider visits, routine lab reviews and prescription management. Medication, pharmacy charges and bloodwork are paid separately.
Clinical approval + separate patient acceptance required. No membership billed now.
$99 / month
Billed monthly under a 12-month membership
Annual contract total: $1,188 across 12 monthly payments. Not an upfront charge.
Care and eligible medication.
Management and eligible provider-selected injectable testosterone, cream or enclomiphene through an approved fulfillment route. Bloodwork is separate.
Clinical approval + separate patient acceptance required. No membership billed now.
$299 / 90 days
Separate local treatment · every 90 days
Four scheduled treatment intervals: $1,196 over 12 months. Not an upfront charge.
In-person care in Laramie.
Clinician-evaluated pellet pathway at LPWWC in Laramie only. Exact medication, procedure and follow-up inclusions require confirmation before purchase.
Clinical approval + separate patient acceptance required. Exact inclusions pending; not available for checkout.
Explore without enrolling
Compare Your Care Options
A pharmacy-paid prescription and a medication-included membership have different responsibilities. Explore them side by side.
Prescription Management
$39 / month
12-month membership · billed monthly
$468 · 12 payments; not an upfront charge
Provider visits, routine lab reviews and prescription management. Medication, pharmacy charges and bloodwork are paid separately.
Arranged with your pharmacy; paid separately
Testosterone prescription to a local pharmacy
Administration depends on the prescribed formulation
Product imagery pending
Provider management and prescription coordination under the $39/month, 12-month membership. Your provider determines the testosterone prescription; medication is not included.
Prescription coordination with your local pharmacy. Purchase the medication separately; pharmacy charges, copays and shipping are not included.
Your clinician determines suitability, formulation and monitoring. Pharmacy coverage and availability require confirmation.
Medication Included
$99 / month
12-month membership · billed monthly
$1,188 · 12 payments; not an upfront charge
Management and eligible provider-selected injectable testosterone, cream or enclomiphene through an approved fulfillment route. Bloodwork is separate.
Standard eligible medication shipment included; supply/dating must be confirmed
Compare monthly membership payments
Annual membership. Convenient monthly payments.
Annual contract total: $468 across 12 monthly payments; not an upfront charge.
Annual contract total: $1,188 across 12 monthly payments; not an upfront charge.
Membership-payment comparison only: the initial $49 provider review, optional $99 cash laboratory panel, other bloodwork, separately paid pharmacy charges and office services are excluded. Medication fulfillment schedules do not change monthly membership billing. Pellets are billed separately every 90 days, not as monthly installments.
Every responsibility in view
At a Glance
| Your care | Prescription Management | Medication Included | LPWWC Testosterone Pellets |
|---|---|---|---|
| Payment | $39 / month | $99 / month | $299 every 90 days |
| Billing schedule | 12-month membership · billed monthly | 12-month membership · billed monthly | Separate treatment · four scheduled 90-day intervals |
| 12-month total (not upfront) | $468 · 12 payments; not an upfront charge | $1,188 · 12 payments; not an upfront charge | $1,196 · 4 payments; not an upfront charge |
| Initial review | Required $49 evaluation | Required $49 evaluation | Required $49 evaluation |
| Cash bloodwork | Optional $99 cash panel; $148 with review | Optional $99 cash panel; $148 with review | Optional $99 cash panel; $148 with review |
| Insurance bloodwork | Lab billed separately; responsibility varies | Lab billed separately; responsibility varies | Lab billed separately; responsibility varies |
| Membership timing | Only after clinician evaluation and approval | Only after clinician evaluation and approval | Only after clinician evaluation and approval |
| Medication | Patient pays pharmacy separately | Eligible medication included | Exact pellet inclusions awaiting confirmation |
| Format | Local pharmacy testosterone prescription, Xyosted auto-injector or Kyzatrex oral capsules | Eligible injection, cream or enclomiphene | In-clinic pellet procedure |
| Pharmacy / shipping | Arranged with your pharmacy; paid separately | Standard eligible medication shipment included; supply/dating must be confirmed | Never shipped for home implantation |
| Home or clinic | Home or separately billed local support where supported | Home or separately billed local support where supported | Laramie-only procedure |
| Bloodwork included | No · separately paid or billed | No · separately paid or billed | No · separately paid or billed |
| Follow-up | Clinician-directed visits and routine lab reviews | Clinician-directed visits and routine lab reviews | Clinician-directed visits and routine lab reviews |
| Portal communication | Through an approved secure clinical channel | Through an approved secure clinical channel | Through an approved secure clinical channel |
| Extra services | Office administration / additional tests separately billed | Office administration / additional tests separately billed | Office administration / additional tests separately billed |
Prescription Management
- Payment
- $39 / month
- Billing schedule
- 12-month membership · billed monthly
- 12-month total (not upfront)
- $468 · 12 payments; not an upfront charge
- Initial review
- Required $49 evaluation
- Cash bloodwork
- Optional $99 cash panel; $148 with review
- Insurance bloodwork
- Lab billed separately; responsibility varies
- Membership timing
- Only after clinician evaluation and approval
- Medication
- Patient pays pharmacy separately
- Format
- Local pharmacy testosterone prescription, Xyosted auto-injector or Kyzatrex oral capsules
- Pharmacy / shipping
- Arranged with your pharmacy; paid separately
- Home or clinic
- Home or separately billed local support where supported
- Bloodwork included
- No · separately paid or billed
- Follow-up
- Clinician-directed visits and routine lab reviews
- Portal communication
- Through an approved secure clinical channel
- Extra services
- Office administration / additional tests separately billed
Medication Included
- Payment
- $99 / month
- Billing schedule
- 12-month membership · billed monthly
- 12-month total (not upfront)
- $1,188 · 12 payments; not an upfront charge
- Initial review
- Required $49 evaluation
- Cash bloodwork
- Optional $99 cash panel; $148 with review
- Insurance bloodwork
- Lab billed separately; responsibility varies
- Membership timing
- Only after clinician evaluation and approval
- Medication
- Eligible medication included
- Format
- Eligible injection, cream or enclomiphene
- Pharmacy / shipping
- Standard eligible medication shipment included; supply/dating must be confirmed
- Home or clinic
- Home or separately billed local support where supported
- Bloodwork included
- No · separately paid or billed
- Follow-up
- Clinician-directed visits and routine lab reviews
- Portal communication
- Through an approved secure clinical channel
- Extra services
- Office administration / additional tests separately billed
LPWWC Testosterone Pellets
- Payment
- $299 every 90 days
- Billing schedule
- Separate treatment · four scheduled 90-day intervals
- 12-month total (not upfront)
- $1,196 · 4 payments; not an upfront charge
- Initial review
- Required $49 evaluation
- Cash bloodwork
- Optional $99 cash panel; $148 with review
- Insurance bloodwork
- Lab billed separately; responsibility varies
- Membership timing
- Only after clinician evaluation and approval
- Medication
- Exact pellet inclusions awaiting confirmation
- Format
- In-clinic pellet procedure
- Pharmacy / shipping
- Never shipped for home implantation
- Home or clinic
- Laramie-only procedure
- Bloodwork included
- No · separately paid or billed
- Follow-up
- Clinician-directed visits and routine lab reviews
- Portal communication
- Through an approved secure clinical channel
- Extra services
- Office administration / additional tests separately billed
The first step is testing
Your Labs.
Clear Payment Choices.
The required provider lab review is $49 either way. Bloodwork is separately paid or billed; your provider may request additional tests.
Insurance requested
$49 review
Laboratory bills separately. Coverage, copay, deductible and patient responsibility vary.
Cash blood panel
$148 total
$49 review + $99 cash blood panel. Exact analytes and draw arrangements require clinic confirmation.
Educational laboratory comparison
Biomarker Optimization Calculator
These source-project optimization ranges are unverified and have not been approved as LPWWC treatment targets. Use the units shown; no unit conversion is performed. Your laboratory’s reference ranges, test method, age and clinical context may differ. Scores and illustrative graphs are not diagnoses or treatment recommendations. Your entries remain on this page only; they are not saved, sent or shared with the evaluation questionnaire.
Estradiol (BHRT)
Optimal: 80–150 pg/mL
The primary female estrogen, central to many BHRT conversations.
Postmenopausal optimization range shown
Progesterone
Optimal: 8–20 ng/mL
Supports cycle regularity, sleep, and mood.
Total Testosterone (Female)
Optimal: 60–120 ng/dL
Present in women in smaller amounts; can be associated with libido, energy, and muscle tone.
Free Testosterone (Female)
Optimal: 3–6 ng/dL
The bioavailable portion of testosterone in women.
DHEA-S
Optimal: 200–350 µg/dL
An adrenal hormone precursor that naturally declines with age.
Free T3
Optimal: 3.8–4.3 pg/mL
The active thyroid hormone involved in energy and metabolism.
Primary thyroid optimization marker
TSH
Optimal: 0.3–2 mIU/L
A pituitary signal that reflects thyroid activity.
Vitamin D
Optimal: 60–100 ng/mL
A hormone-like nutrient involved in immunity, mood, and bone health.
A1C
Optimal: 4.8–5.3 %
A three-month average of blood sugar, often reviewed for metabolic health.
Metabolic optimization range
Optimization Snapshot
Enter your most recent labs to see how they compare to the optimization ranges shown.
Loading alignment visualization…
This tool is educational only. It does not diagnose, treat, or replace medical advice, and it does not guarantee eligibility for any program or medication. The ranges shown are informational reference points, not treatment targets. A licensed provider must review your labs and symptoms before any treatment decision is made. Using this tool does not create a provider-patient relationship.
Want a provider to review your labs?
Start an online assessment to see whether labs and a licensed provider consultation may be a fit. Eligibility, labs, and provider approval are determined individually.
Evidence with context
Research, Not Promises
Guidelines and studies explain how evaluation works. None predicts your response or replaces individual medical care.
Clinical practice guideline · 2018
Testosterone Therapy in Men With Hypogonadism
Endocrine Society · Bhasin et al.
Symptoms and signs must be considered alongside consistently low testosterone. Repeat morning testing and the laboratory method matter.
Clinical guideline · 2018 · guideline reviewed for updates
Evaluation and Management of Testosterone Deficiency
American Urological Association
A total testosterone level below 300 ng/dL is a supporting threshold, not a diagnosis by itself. Two early-morning measurements and symptoms/signs are part of evaluation.
Evidence-based clinical practice guideline · 2018
Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline
Bhasin et al. · JCEM
Fertility intentions, relevant history, adverse effects and ongoing monitoring inform decisions. Discuss fertility before testosterone treatment.
Regulatory safety communication · 2025
FDA issues class-wide labeling changes for testosterone products
U.S. Food and Drug Administration
FDA announced labeling changes following TRAVERSE and blood-pressure studies, including blood-pressure warnings.
Randomized, double-blind, placebo-controlled trial (TRAVERSE) · 2023
Cardiovascular Safety of Testosterone-Replacement Therapy
Lincoff et al. · New England Journal of Medicine
Testosterone was noninferior to placebo for the primary major cardiovascular-event endpoint. Higher incidences of atrial fibrillation, acute kidney injury and pulmonary embolism were observed.
Harmonization of cohort measurements · 2017
Harmonized Reference Ranges for Circulating Testosterone Levels in Men
Travison et al. · JCEM
Reference ranges depend on measurement and reference population. Your own laboratory report provides important context.
Source registry prepared October 19, 2026; clinic medical review is pending. No “clinically approved” status is implied.
Questions worth bringing to your visit
Learn Before You Decide
Understanding Total and Free Testosterone
LPWWC · FIRST RESPONDER
Lab units, methods and reference ranges.
Reviewed guide content / downloads not yet available.
Why Your Symptoms and Lab Results Both Matter
LPWWC · FIRST RESPONDER
What a number can—and cannot—tell you.
Reviewed guide content / downloads not yet available.
What a Testosterone Evaluation Includes
LPWWC · FIRST RESPONDER
Testing, review and next-step decisions.
Reviewed guide content / downloads not yet available.
Injectable Testosterone: Care and Monitoring
LPWWC · FIRST RESPONDER
Questions about administration and follow-up.
Reviewed guide content / downloads not yet available.
Testosterone Cream: How the Format Differs
LPWWC · FIRST RESPONDER
Application, transfer and formulation questions.
Reviewed guide content / downloads not yet available.
Fertility and Testosterone: Questions to Ask
LPWWC · FIRST RESPONDER
Bring reproductive priorities into the discussion.
Reviewed guide content / downloads not yet available.
Oral Testosterone and Auto-Injectors
LPWWC · FIRST RESPONDER
Understand separately paid pharmacy options.
Reviewed guide content / downloads not yet available.
Monitoring, Safety and Long-Term Follow-Up
LPWWC · FIRST RESPONDER
Keep testing and clinical care connected.
Reviewed guide content / downloads not yet available.
Home delivery or local support
Care That Fits
Where You Are
Eligible medication may be shipped through an approved pharmacy. Quarterly quantities depend on prescription, formulation and product dating.
LPWWC stocks medication for approved nurse-administered injections; you don’t need to bring a personal vial. Administration visits are separately billed. Pellets are Laramie-only.
1277 N 15th St · Laramie, WY 82072
(307) 745-8991
Straightforward answers
Before You Get Started
Who is this program for?
First responders, military personnel, veterans and their referred friends or family can explore the program. Eligibility and supported care location require review; no agency endorsement is implied.
Is the $49 review a membership?
No. It is the initial provider laboratory review. No monthly treatment membership is purchased at the outset.
Can I use insurance for bloodwork?
Where the laboratory and your plan support it, you can request insurance billing. The $49 provider review remains due; deductibles, copays and noncoverage are possible. Coverage is not guaranteed.
What does the $99 cash panel include?
The clinic must confirm the exact included analytes and supported draw locations before online purchase. Additional tests may be required and are not automatically included.
Can I use recent lab results?
Your clinician determines whether outside results meet the required workup and whether more testing is needed. Selecting recent results does not automatically waive bloodwork or the review.
When does treatment billing begin?
Only after required evaluation, an authorized clinician decision, your deliberate treatment choice and a separate verified payment authorization. No treatment is approved by this page or questionnaire.
How are memberships billed?
Annual membership. Convenient monthly payments. Prescription Management is $39/month and Medication Included is $99/month, each billed monthly under a 12-month membership. Annual contract totals are $468 and $1,188, respectively—not upfront charges. LPWWC Testosterone Pellets is separate at $299 every 90 days; four scheduled treatment intervals total $1,196 over 12 months. The initial $49 review and optional $99 cash laboratory panel are separate.
Are Xyosted or Kyzatrex included?
Xyosted and Kyzatrex are available exclusively through the $39/month Prescription Management membership, which covers provider management and prescription coordination. Patients purchase medication separately through the applicable pharmacy or fulfillment provider. The $99/month Medication Included program is limited to injectable testosterone, testosterone cream and enclomiphene; it does not include Xyosted or Kyzatrex.
Does the $99 membership include bloodwork?
No. Eligible medication and standard applicable fulfillment may be included, but bloodwork, the initial review and optional office administration are separate.
Do I bring my own vial for clinic injections?
No. LPWWC stocks medication for approved nurse-administered injections in this program. Administration visits are separately billed; cash fees and eligible insurance arrangements must be confirmed.
Can medication be shipped every 90 days?
Quarterly fulfillment is intended where prescription quantity, pharmacy rules and product dating support it. A 90-day supply is not guaranteed for every formulation.
Where can I receive pellets?
At LPWWC in Laramie only. The $299 per 90-day pathway remains unavailable for purchase until exact medication and procedure inclusions are confirmed.
Will everyone qualify for treatment?
No. Review may lead to additional testing, another evaluation, referral or no medication. Symptoms or a single laboratory value do not guarantee a prescription.
What is shared with my referral contact?
This experience does not disclose your answers or treatment status to a referral contact or employer. Do not enter employer rosters or another person’s health details.
What are cancellation and refund terms?
The clinic must confirm the applicable evaluation and treatment terms before online payment is enabled. No cancellation or refund policy is invented here.
Start With Clarity.
Not a Subscription.
Choose your lab pathway and review the $49 evaluation fee. Treatment remains a separate clinician-led decision.