Restore Testosterone to a Healthy Range: XPand Optimize™ TRT in Chicago
- Lab-driven
- Medically supervised
- Ongoing monitoring
- Board-certified surgeon
Lab-driven, medically supervised testosterone replacement and hormone optimization for men. Overseen by Dr. Marc Adajar. Treatment starts with bloodwork, not guesswork, and is monitored over time.
- Board-certified surgeon, 20+ years
- Specializes exclusively in men
- Patients' Choice Award, 9 consecutive years
- Topical numbing only, immediately reversible
What XPand Optimize™ Is
XPand Optimize is testosterone replacement therapy (TRT) and broader hormone optimization for men. Low testosterone is a physiological condition. When blood tests confirm it, there is a medical way to treat it.
The aim is to restore testosterone to a healthy physiological range, the level a healthy man would have. It is not about pushing past normal or chasing a number above where the body is meant to be.
Men come to XPand Optimize for concrete reasons. Low energy. Lower sex drive. Loss of muscle. More body fat that will not shift. Low mood and poor concentration. Fewer morning erections. These can be symptoms of low testosterone, also called hypogonadism. They can also have other causes, which is why diagnosis starts with bloodwork rather than symptoms alone.
XPand Optimize is lab-driven and medically supervised. You do not start therapy until labs confirm low testosterone, and you stay on a monitoring schedule for as long as you are on treatment.
Who It Is For
XPand Optimize is for men with low testosterone confirmed on bloodwork, plus symptoms that match. Labs and symptoms together. Not symptoms alone, and not a lab number with no symptoms.
It is not for men with normal testosterone who want to push levels above normal for an edge. That is not what this program does, and it carries risk without medical benefit.
Some men are not candidates, or need to address something first. TRT may not be appropriate for men with untreated prostate cancer, untreated breast cancer, severe untreated sleep apnea, uncontrolled heart failure, or an already elevated red blood cell count (hematocrit). Men who are trying to conceive should know that TRT can reduce sperm production, and should ask about alternatives at consultation. Candidacy is confirmed through labs and an exam.
How the Program Works
XPand Optimize is built around lab data and ongoing monitoring, not a one-time visit.
Consultation
You start with a confidential consultation. Dr. Adajar reviews your symptoms, your health history, and your goals, and orders the right bloodwork.
Bloodwork and Diagnosis
Diagnosis of low testosterone is made from blood tests plus symptoms, not from how you feel alone. Initial labs typically look at testosterone and related markers so there is a clear baseline before anything starts.
Personalized Protocol
If labs and symptoms confirm low testosterone, you and Dr. Adajar set a protocol. Testosterone can be delivered by injection, topical gel, or pellets. The method is chosen at consultation based on your labs, your preferences, and what fits your routine.
Monitoring
Once you start, you stay on a monitoring schedule. Repeat bloodwork tracks testosterone along with hematocrit, PSA, and estradiol so the protocol can be adjusted and side effects caught early. Monitoring is more frequent at the start and settles into a regular cadence once your levels are stable.
Is It Safe
TRT is a regulated, medically supervised therapy. Done correctly, it is guided by labs from the first visit and monitored for as long as you are on it. That monitoring is the main safety tool.
As with any medical therapy, there are risks and side effects. These can include acne, fluid retention, an increased red blood cell count (hematocrit), reduced fertility and sperm production, testicular shrinkage, and possible effects on cholesterol. Regular bloodwork is how these are watched for and managed.
TRT is not appropriate for everyone. Men with untreated prostate cancer, untreated breast cancer, severe untreated sleep apnea, uncontrolled heart failure, or elevated hematocrit may not be candidates, or may need those conditions addressed first. These are reviewed in detail at consultation.
XPand Optimize is overseen by Dr. Marc Adajar, a board-certified surgeon, in an accredited facility. It is a medical program, not a supplement you take on your own.
What to Expect and Realistic Timeline
TRT is not a quick fix, and the changes do not all arrive at once.
Some symptoms can improve within the first several weeks. Energy, sex drive, and mood often respond earlier than other changes. Body composition takes longer. Gains in muscle and reductions in body fat build over months, and depend on your training and habits as well as your labs.
Most men see the fuller effect over roughly three to six months as the protocol is adjusted against your bloodwork. This is ongoing therapy. If you stop, the benefits fade over time as your levels return to where they were. Individual results may vary.
What It Costs
Pricing for XPand Optimize depends on your protocol, including the delivery method and your monitoring schedule, so the total is reviewed after your consultation and labs.
[TODO: confirm TRT pricing before launch]
Pricing is reviewed transparently before you start, with no obligation to proceed. Financing options are discussed at consultation.
Ongoing Care and Maintenance
XPand Optimize is ongoing therapy, not a single course. While you are on treatment, you stay on a monitoring schedule so your levels stay in a healthy range and side effects are caught early.
Monitoring bloodwork is more frequent at the start while your protocol is dialed in, then commonly settles to every three to six months once you are stable. Your exact cadence is set with Dr. Adajar based on your labs and how you respond.
- Board-certified, American Board of Surgery
- Fellow, American College of Surgeons (FACS)
- American Academy of Cosmetic Surgery
- Anti-aging medicine certification
- 20+ years in practice
- Patients’ Choice Award x9
Why Dr. Adajar and XPand
Dr. Marc Adajar, MD, FACS, is a board-certified surgeon who specializes exclusively in men. His practice spans male body contouring, sexual wellness, and total-body performance optimization through testosterone replacement therapy. He is board-certified by the American Board of Surgery, a Fellow of the American College of Surgeons (FACS), a member of the American Academy of Cosmetic Surgery, and holds additional certifications in anti-aging medicine and male genital enhancement procedures. He has been in practice for over 20 years and has received the Patients' Choice Award nine consecutive years. He oversees the XPand Optimize program.
Men choose XPand for a few reasons. The treatments are focused specifically on men. The setting is private and discreet. And the approach is conservative and medical, grounded in labs and realistic expectations rather than overpromising.
XSculpt is a men-only practice. From consultation to bloodwork to follow-up, the experience is built around male patients and the concerns they bring in. The men who come to XPand Optimize are often done wasting money on pills and gimmicks and want a real doctor running a real medical program.
The XPand Protocol™
XPand Optimize is one part of the XPand Protocol, a modular set of men's treatments. The Protocol is modular, not sequential. You choose the treatments that fit your goals. Most men start with the concern that brought them in, then decide whether the others fit.
The treatments in the XPand Protocol:
XPand Girth
Non-surgical girth enhancement using hyaluronic acid filler.
XPand Flow
Botulinum toxin to support blood flow and function.
XPand Restore
PRP to support tissue health and sensitivity.
XPand Smooth
Botulinum toxin for scrotal comfort and aesthetics.
XPand Optimize™ (TRT and hormone optimization)
Lab-driven, medically supervised testosterone and hormone optimization. The anchor program on this page.
Many men combine treatments. The XPand Performance Collection™ bundles XPand Flow, XPand Restore, and XPand Smooth for men who want to address function, sensitivity, and comfort together. Some men pair hormone optimization with the Performance Collection to work on physiology and function at the same time.
What fits you is decided at consultation, based on your goals, your labs, and what is medically appropriate.
Frequently Asked Questions
Book a Confidential Consultation
XPand Optimize is overseen in Chicago by Dr. Marc Adajar. Consultations are private, treatment is lab-driven, and pricing is reviewed transparently before you start.
XSculpt310 W Superior St, Floor 2, Ste 201, Chicago, IL 60654Last medically reviewed: May 2026. The information on this page is for general education and is not medical advice. Treatment is appropriate only after an in-person consultation, examination, and bloodwork. All treatment is overseen by Dr. Marc A. Adajar, MD, FACS, a board-certified surgeon. Individual results may vary.