Testosterone Replacement Therapy — helping neutered and spayed dogs get back on their feet

How Testosterone Replacement Therapy can benefit your neutered and spayed canine patients and offer a new revenue stream for your clinic.

Dogs who have been neutered typically have very low levels of testosterone (<0.1ng/ml) and may experience side effects due to the reduced levels. If you notice that your patient has trouble getting up, has reduced muscle mass, or is knuckling his paws after being neutered or spayed, he may be experiencing side effects from reduced testosterone levels. Other side effects of reduced testosterone can include hip dysplasia, arthritis, Intervertebral Disc Disease, or Degenerative Joint Disease. These side effects can be reduced with Testosterone Replacement Therapy (TRT), which increases testosterone levels in dogs back to normal levels, restoring healthy muscle mass and bone density as well as increasing quality of life.

A look at the benefits

The benefits of TRT are significant and side effect-free. I’ve conducted three clinical studies of TRT and found an increase in quality of life in over 140 canines with a 95% success rate. In my most recent study conducted from 2011 to 2018 of 38 spayed and neutered canines, I found that the above mentioned medical conditions improved in 36 of the 38 dogs after TRT treatments. The two canines that did not show improvement had Degenerated Myelopathy.  The findings also demonstrated that TRT was especially effective in improving mobility and energy. Currently, I’m working on expanding the benefits of TRT protocol to other clinical settings and to younger canines to help improve quality of life and increase longevity.

Integrating TRT into your practice

From a practice perspective, TRT can provide you with an additional revenue stream yielding an average of $2000 to $3000 per patient annually. Veterinarians have faced an increased competition from online retailers selling prescription pet foods, medications and nutraceuticals at reduced prices. However, TRT cannot be purchased online since it requires ongoing medical evaluation, and an IM injection of a DEA controlled substance. Therefore TRT, in addition to improving quality of life for your patients, can be a significant revenue stream for your practice.

TRT can be used to assist in physical therapy for dogs who have been spayed or neutered. It should not be used on aggressive canines, any canine taking corticosteroids, or canines with Cushings Disease or Neoplasia.

I’ve been treating patients for over 12 years with Dogosterone, my own effective and innovative TRT treatment plan on which I’ve worked over the years to simplify and improve. I believe that certification in TRT, specifically Dogosterone, is necessary to properly diagnose, determine dosage, and to safely manage patient care while receiving TRT. If you would like to get certified in Dogosterone Therapy, you can sign up for my online course curriculum and competency test which is certified by AAVSB RACE, at dogosterone.com. Upon successful completion you will have the knowledge to immediately implement TRT in your own practice. Completion of this course also includes marketing materials for Dogosterone for your practice, informational brochures for your clients, and two years of follow up consultation to assist with any questions regarding TRT.


Dr. David Bieber attended Syracuse University, where, after just two years, he was accepted to and later graduated from the University of Pisa veterinary school in Italy. In 1989, Dr. Bieber opened Sheridan West Animal Clinic, specializing in treating dogs, cats, reptiles and pocket pets. Since 2009, Dr. Bieber has focused his practice on rehabilitation for canines and felines. This includes platelet-rich-plasma therapy (PRP), stem cell therapy, Class IV Laser Therapy, pain management, and of course . . . Dogosterone™ Therapy!


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