A real TRT clinic on Route 96 — not an 800 number. One nurse practitioner who knows your name, your labs, and your goals. Lab-guided TRT, in person or by telehealth across New York.
National telehealth funnels treat a man in Ithaca exactly like a man in Phoenix. They shouldn't. Where you live shapes your sleep, your sunlight, and how you spend your body — and all three move testosterone. Here's how this corner of New York actually factors in.
Cayuga Lake skies stay overcast deep into spring, and December gives us barely nine hours of daylight. Short days and low vitamin D pile onto the same symptoms as low T — flat mood, no drive, dragging through the afternoon. We test for what’s actually behind it instead of guessing.
Gorge trail running, sculling on the inlet, cycling 79 and 96, lifting through winter, skiing Greek Peak. Men here aren’t chasing a stock photo — they want strength, recovery, and stamina back. We dose to your training and goals, then track the numbers that prove it’s working.
Faculty and grad-student burnout, Cayuga Medical shift work, trades and dairy schedules that fight your circadian rhythm — all of it suppresses testosterone and wrecks sleep. We look at the whole picture, because “tired and foggy” usually has more than one cause.
Common low testosterone symptoms.
Founder & Nurse Practitioner · Men's Health & TRT
Matthew founded Homesteady Health to practice medicine without the clock and the profit-over-patient mindset of corporate care. Across more than 25 years he’s practiced family medicine in the Alaskan bush, worked trauma and the ER in fast-paced Philadelphia, and built urgent-care clinics there. Today he serves on the board of Region 2 of the Nurse Practitioner Association of New York, where he was named NP of the Year in 2025. He’s also a Finger Lakes lifer who runs, grapples, plays basketball, and spends a lot of his time coaching — plus hunting, fishing, and out on Cayuga Lake. He understands the active life his patients live because he lives it too — and gives them the continuity of care he always wished he’d had.
Years in healthcare
Years as a Nurse Practitioner
Board-certified · family practice
Board member · Region 2
Homesteady Health is a Direct Primary Care practice — membership medicine built on time, access, and continuity. For testosterone therapy, that model isn’t a side note; it’s the advantage. Good TRT lives or dies on the follow-through: in-house labs, steady monitoring, and dose adjustments made by the same clinician who already knows your history. A rushed, insurance-driven appointment can’t deliver that, and a faceless online TRT mill won’t. What you get here is a focused men’s-health practice with the infrastructure built around exactly the ongoing, lab-guided care that real testosterone therapy requires.
Straightforward, lab-guided, and built to fit a working schedule — whether you come into Trumansburg or handle it from your kitchen table.
Start with a real conversation — in person or virtual — about your symptoms, history, and what you want back.
An in-house draw checks your testosterone and rules out the other causes hiding behind the same symptoms.
If TRT fits, we tailor it to you — injections, oral options, or enclomiphene for men who want to protect fertility.
Medications and supplies arrive at your door. No pharmacy line, no front-desk small talk about it.
Regular check-ins and dose adjustments with the same provider, with your numbers tracked the whole way.
One consultation to find out where you stand. Then a single monthly membership that covers the care, the meds, and the access — no claims, no coding, no surprise bills.
Drive into the Trumansburg office if you're nearby. If you're not, go fully virtual — New York telehealth lets us cover the entire state, Syracuse and Rochester included.
1859 Trumansburg Rd · ~10 minutes from Ithaca, on the west shore of Cayuga Lake.
Full TRT management from home, with labs drawn close to you — anywhere in NY.
Before TRT I was always tired, unmotivated, and just didn't feel like myself — even though I ate well and trained regularly. The change has been incredible. More energy, better mood and focus, getting stronger, sleeping better. Matthew's check-ins made the whole thing smooth and reassuring.
No. If you’re nearby, come into the Trumansburg office on Route 96. If you’re farther out — anywhere in New York, including Syracuse and Rochester — we handle the whole thing by telehealth, with labs drawn close to home.
Not necessarily. There are ways to restart your body’s own production, though low-T symptoms often return. We also offer options that don’t change your natural processes and don’t require a lifetime commitment — we’ll talk through what fits your goals.
Not necessarily. We have options that raise testosterone without causing sterility, including enclomiphene — a good fit for men who still want to have children.
Yes. Enclomiphene is an excellent option for raising testosterone, and one we use often for the right candidates.
Many men notice better energy, mood, and focus within the first few weeks. Physical changes like muscle gain and fat loss usually take a few months. We track your labs the whole way so progress isn’t a guess.
It might be — low vitamin D, short daylight, and seasonal low mood overlap heavily with low-T symptoms, and so do thyroid issues and poor sleep. That’s exactly why we run real lab work instead of assuming. You get the actual answer, not a default prescription.
No. Our membership covers everything — visits, treatment supplies, and medications — for one flat monthly fee. No claims, no surprise bills.
TRT is safe when monitored by a qualified provider. We’ll review any potential risks during your consultation and keep a close eye on your numbers throughout treatment.
