Ask Ronin
Clarity, Support, and Guidance Every Step of the Way
Whether you are considering hormone therapy, weight loss support, or IV hydration, we know starting something new can come with questions. This page is here to give you answers so that you can feel confident, informed, and supported from the start.
Index of Topics
Hormone Therapy for Men
Curious about how hormone therapy works for men or what symptoms it can treat? This section answers common questions about TRT, safety, expected results, and more.
Videos
Are you a candidate for testosterone replacement therapy?
When is testosterone not the right answer?
How safe is testosterone?
Should you take testosterone on your own?
How long before you feel the effects?
FAQs
What is testosterone replacement therapy (TRT) and how does it work?
TRT is a medical treatment that restores testosterone levels in individuals with clinically low testosterone. It works by supplementing the body with bioidentical testosterone — most commonly through injections, topical gels, or pellets — helping rebalance hormones and relieve symptoms like fatigue, low libido, and brain fog.
What are the common signs of low testosterone in men?
Common symptoms of low testosterone include low sex drive, erectile dysfunction, reduced muscle mass, fatigue, mood changes, and mental fog. These changes can develop gradually, which is why proper lab testing and clinical evaluation are key to diagnosis.
Is testosterone therapy safe for long-term use?
When properly monitored, TRT can be a safe and effective long-term treatment. At Ronin Vitality, we conduct thorough evaluations and regular lab work to ensure your therapy remains in balance and to minimize potential risks such as elevated red blood cell counts or hormone imbalances.
How is testosterone administered at Ronin Vitality?
We offer testosterone through intramuscular injections. Men should expect to visit our clinic about once a week for these injections.
Will testosterone therapy help with energy, mood, or weight loss?
Yes, many men on TRT report increased energy, improved mood, better sleep, and a boost in motivation and body composition. While results vary, restoring testosterone often supports other wellness goals, especially when combined with healthy lifestyle habits.
How soon will I start feeling the effects of TRT?
Some men begin noticing subtle improvements in energy and mood within 2 to 4 weeks. Full benefits — such as improved libido, muscle strength, and cognitive clarity — typically develop over 3 to 6 months with consistent treatment and follow-up care.
Who is not a good candidate for testosterone therapy?
TRT may not be appropriate for individuals with prostate or breast cancer, uncontrolled sleep apnea, high hematocrit levels, or certain cardiovascular risks. At Ronin Vitality, we carefully screen every patient to ensure safety before initiating treatment.
Hormone Therapy for Women
Curious about how hormone therapy works for women or what symptoms it can treat? This section answers common questions about TRT, HT, safety, expected results, and more.
Videos
Our hormones change with age
Is testosterone right for women also?
FAQs
What is hormone therapy for women and how does it work?
Hormone therapy (HT), often referred to as hormone replacement therapy (HRT), involves supplementing declining hormones — mainly estrogen (estradiol) and progesterone — during perimenopause and menopause. It helps alleviate symptoms like hot flashes, mood swings, and sleep issues while supporting long-term health like bone density and cardiovascular function.
How is hormone therapy administered at Ronin Vitality?
We tailor each treatment plan using options like oral pills, transdermal patches or creams, injections, and vaginal therapies. The method we choose depends on your symptoms, medical history, and personal preferences — all with safety and results in mind.
What is the difference between bioidentical and synthetic hormones?
Bioidentical hormones are chemically identical to the hormones your body naturally produces, and they are often better tolerated with fewer side effects than synthetic alternatives. At Ronin Vitality, we use FDA-approved bioidentical estradiol and progesterone to ensure both safety and effectiveness.
Why do I need both estrogen and progesterone?
For women with a uterus, combining estrogen with progesterone is important to protect the uterine lining and reduce the risk of endometrial cancer. Progesterone also offers additional benefits like improved sleep, reduced anxiety, and a calming effect on the nervous system.
Is hormone therapy safe for women?
When started around the time of menopause and closely monitored, hormone therapy is safe for most healthy women. We take a personalized, evidence-based approach, using the lowest effective dose and monitoring labs and symptoms regularly to minimize risks.
Who should not take hormone therapy?
HT may not be recommended for women with a history of breast cancer, blood clots, stroke, or uncontrolled high blood pressure. At Ronin Vitality, we conduct thorough evaluations to determine if hormone therapy is right for you and to explore safe alternatives if needed.
Can women really benefit from testosterone therapy?
Yes. While testosterone is often thought of as a male hormone, it plays an important role in women’s health — especially related to libido, energy, and mental clarity. For some postmenopausal women experiencing distressing low sexual desire, carefully monitored testosterone therapy can offer meaningful improvement.
Is testosterone therapy safe for women?
When prescribed appropriately and monitored closely, testosterone therapy is safe for the right candidate. At Ronin Vitality, we use low, physiologic doses to stay within the natural female range and follow patients closely to minimize side effects and ensure optimal results.
What symptoms might testosterone therapy help improve?
Testosterone therapy may help improve low libido, fatigue, reduced motivation, and feelings of disconnection from intimacy or self. It is not a blanket solution — but for the right woman, it can restore vitality and emotional connection.
What are the possible side effects?
Side effects can include mild acne, increased facial or body hair, or changes in mood — especially if dosing exceeds optimal levels. That is why we start low, go slow, and adjust based on both labs and how you feel.
Is testosterone therapy FDA-approved for women?
Currently, there are no FDA-approved testosterone products specifically for women in the United States. However, many respected medical organizations support off-label use for postmenopausal women with hypoactive sexual desire disorder, provided treatment is guided by a qualified clinician.
Medical Weight Loss
Wondering how medical weight works, including injections like semaglutide? This section breaks down how they help with appetite control, fat loss, side effects, and what kind of results to expect.
Videos
Why you should work with a professional for weigh loss drugs
FAQs
What is semaglutide and how does it work?
Semaglutide is a medication that mimics a natural hormone in your body called GLP-1 (glucagon-like peptide-1). It helps regulate blood sugar, reduce appetite, and slow down digestion — helping you feel fuller for longer and ultimately eat less.
Is semaglutide only for people with diabetes?
Originally approved for type 2 diabetes, semaglutide is now FDA-approved for weight loss under the brand name Wegovy®. It is safe and effective for people without diabetes who struggle with excess weight or obesity and meet clinical criteria.
How much weight can I expect to lose on semaglutide?
In clinical studies, patients lost an average of 10-15% of their body weight over several months with semaglutide, combined with lifestyle changes. Individual results vary, but many notice steady, sustainable progress starting within the first few weeks.
How is semaglutide administered?
Semaglutide is given as a once-weekly injection, usually self-administered at home after proper training. At Ronin Vitality, we provide ongoing support and check-ins to ensure dosing, results, and comfort are always optimized.
What are the most common side effects?
The most common side effects are mild and include nausea, constipation, bloating, or fatigue — especially when first starting or increasing the dose. These symptoms usually improve as your body adjusts, and we offer tools to help ease them.
Who is a good candidate for GLP-1 injections?
You may be a good candidate if you have a BMI over 30 — or over 27 with a weight-related condition like high blood pressure or insulin resistance. We’ll assess your full health history and goals to see if semaglutide is right for you.
When is semaglutide not recommended?
Semaglutide isn’t suitable for people with a personal or family history of thyroid cancer, pancreatitis, or certain gastrointestinal conditions. We take a careful, individualized approach to determine safety before starting any treatment.
IV & Wellness Injections
Get the details on vitamin infusions, immune boosters, and fast-acting injections. Learn what each one does, how often you can get them, and how they support your overall health.
Videos
What is IV therapy?
FAQs
What is IV therapy and how does it work?
IV therapy delivers hydration, vitamins, minerals, and nutrients directly into your bloodstream — allowing for faster, more efficient absorption than oral supplements. It is a quick way to nourish your body at the cellular level.
What are the benefits of IV therapy?
IV therapy can boost energy, support immune function, improve hydration, accelerate recovery from illness or fatigue, and help you feel more balanced overall. Some formulas can also support skin glow, metabolism, and stress resilience.
What is in Ronin Vitality’s IV drips?
Our IV blends include key nutrients like vitamin C, B-complex vitamins, magnesium, zinc, amino acids, and antioxidants like glutathione. Each infusion is curated to match your individual needs and wellness goals.
How long does an IV therapy session take?
Most infusions take 30 to 60 minutes. You’ll relax in a comfortable setting while your body receives the hydration and nutrients it needs — often with immediate, noticeable results.
How often should I get IV therapy?
Many clients benefit from monthly IVs for general wellness, while others may receive them weekly during times of stress, illness, or fatigue. We’ll guide your schedule based on your personal health goals.
Is IV therapy safe?
Yes, IV therapy is safe when administered by trained professionals. At Ronin Vitality, your infusion is handled by experienced providers, and we conduct a health review to make sure it’s appropriate for you.
Who should avoid IV therapy?
While most people tolerate IV therapy well, it may not be suitable if you have certain kidney conditions, heart issues, or are severely dehydrated due to an underlying medical emergency. We’ll evaluate your health history before proceeding
What is NAD+ and what does it do in the body?
NAD+ stands for nicotinamide adenine dinucleotide. NAD+ is a coenzyme found in every cell of the body. It plays a vital role in energy production, DNA repair, and cellular function — helping your body stay energized, focused, and resilient as you age.
What are the benefits of NAD+ therapy?
NAD+ therapy may support mental clarity, reduce brain fog, boost energy, improve mood, aid in recovery from stress or illness, and slow signs of aging. Many people also report enhanced focus, sleep quality, and emotional well-being.
How is NAD+ administered at Ronin Vitality?
We deliver NAD+ intravenously (IV) for optimal absorption, bypassing the digestive system. Infusions typically take 1–2 hours depending on the dose, and our team ensures your comfort throughout the session.
Who is a good candidate for NAD+ therapy?
NAD+ therapy is great for individuals experiencing fatigue, brain fog, burnout, or those simply looking to support longevity and cellular health. It’s also used by people recovering from illness, stress, or substance detox.
How often should I receive NAD+ therapy?
For best results, we may recommend a series of weekly sessions at first, followed by maintenance treatments monthly or as needed. Your provider will customize your plan based on your goals and how you respond.
Are there any side effects of NAD+ infusions?
NAD+ is very well tolerated. Occasionally, people may experience mild flushing, warmth, or pressure in the chest during the infusion, which is easily managed by slowing the drip rate.
Can NAD+ help with aging or cognitive decline?
Research suggests NAD+ levels decline with age, contributing to fatigue and cognitive changes. Replenishing NAD+ may support brain health and longevity by improving mitochondrial function and reducing oxidative stress.
Aesthetic Services
If you’re considering microneedling, Botox, or PRF/PRP treatments, this is the place to start. We answer questions about downtime, results, and how these treatments fit into a wellness approach.
Videos
What is Botox?
FAQs
What is microneedling and how does it work?
Microneedling is a non-invasive treatment that uses tiny, controlled needles to create micro-injuries in the skin. This stimulates your body’s natural collagen and elastin production, improving skin texture, firmness, and overall tone.
What concerns does microneedling treat?
Microneedling helps reduce fine lines, acne scars, large pores, sun damage, and uneven skin tone. When used on the scalp, it can also stimulate dormant hair follicles — especially when paired with PRF (platelet-rich fibrin) or peptides.
How is PRF or peptides used with microneedling?
PRF and peptides enhance the healing and regenerative effects of microneedling. PRF, drawn from your own blood, is rich in growth factors, while peptides signal your skin to repair and rebuild faster — leading to more dramatic, longer-lasting results.
How many microneedling sessions will I need?
Most clients see noticeable results after 3-6 sessions spaced about 4-6 weeks apart, depending on the area treated and your goals. Hair restoration treatments may require a longer series for optimal results.
Is there any downtime after microneedling?
You may experience redness and mild swelling for 24-72 hours after treatment, similar to a light sunburn. Most patients resume normal activities within a day or two, and makeup can usually be worn after 24 hours.
Is microneedling painful?
A topical numbing cream is applied before the procedure, making the experience very tolerable. Patients typically describe it as a light scratching or prickling sensation rather than pain.
Who should avoid microneedling?
Microneedling may not be recommended if you have active acne, open wounds, skin infections, or certain autoimmune disorders. We will review your full health history before treatment to ensure it is safe and effective for you.
What is Botox and how does it work?
Botox is an FDA-approved injectable that temporarily relaxes the muscles responsible for expression lines like crow’s feet, forehead lines, and frown lines. By reducing muscle movement, Botox smooths the skin and prevents future wrinkles from forming.
What areas can Botox treat?
Botox is most commonly used on the forehead, between the brows (glabellar lines), and around the eyes. It is also used medically to treat conditions like migraines, jaw clenching (TMJ), and excessive sweating.
How soon will I see results from Botox?
You will typically notice results within 3-5 days, with full effects visible at 10-14 days. The skin looks smoother and more refreshed without a “frozen” appearance when administered with precision and care.
How long do Botox results last?
Most Botox results last 3-4 months. With consistent treatments, some people may find they need injections less frequently as the muscles learn to relax over time
Is there any downtime after Botox?
There is no real downtime. You may have slight redness or swelling at the injection sites for a few hours. Most clients return to normal activities the same day but should avoid lying down or exercising for 4 hours afterward.
Does Botox hurt?
The injections are quick and cause only minimal discomfort — often described as a tiny pinch. We can use ice or numbing cream for added comfort if desired
Who should not get Botox?
Botox may not be suitable if you are pregnant, breastfeeding, or have certain neurological conditions. During your consultation at Ronin Vitality, we will review your health history to ensure it is a safe choice for you.
Peptides
Peptides can help with recovery, performance, and aging, but what are they, really? This section helps demystify how peptide therapies work and who they may be best for.
Videos
What are peptides?
FAQs
What are peptides?
Peptides are short chains of amino acids that act as building blocks for proteins in the body. They play an important role in cell signaling, helping to regulate a variety of functions like hormone production, tissue repair, metabolism, and immune response. In wellness medicine, specific peptides can be used to target certain health goals.
What can peptide therapy help with?
Different peptides serve different purposes. Some can support weight loss and fat metabolism, others help improve sleep, increase muscle mass, boost collagen production for skin health, or support recovery after injury. At Ronin Vitality, we match the right peptide therapy to your unique needs.
How is peptide therapy administered?
Most peptides are given as small, painless subcutaneous injections (just under the skin), though some can be taken orally or as creams. Our providers will walk you through the safest and most effective method for your treatment plan.
How long does it take to see results?
Results depend on the peptide being used and your health goals. Some people notice benefits like better sleep or improved energy within a few weeks, while others may see gradual changes in body composition or skin health over several months.
Is peptide therapy safe?
When prescribed and monitored by a qualified provider, peptide therapy is generally considered safe with minimal side effects. The biggest risks come from unregulated or improperly dosed products, which is why working with a licensed clinic like Ronin Vitality is essential.
Our Values and About Us
Videos
What to expect during your visit
What do patients think?
We will develop a wellness plan
We get to know you every week
We will spend time with our patients
Ronin Vitality will be a comfortable place
We are careful about your health decisions
The services we offer
FAQs
Do you accept private insurance or Medicare?
Because we offer a concierge, custom service based upon the individual needs of our patients, we can only accept cash (or card) payments from our customers. Our pricing is meant to be accessible to as many customers as possible.
Have Questions?
Whether you’re ready to book your first visit or just want to learn more, we’re here to support you. Reach out — give us a call during business hours or send us an email anytime. Our team is happy to answer your questions, ease concerns, and guide you every step of the way.
For appointments/questions:
(702) 202-6516
For questions, email: