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Timothy W. Mackey, D.O. · FL License OS9185 · NPI 1730235797
Physician-led care. Google rating and BBB rating shown as of October 2026.
NovaGenix prescribes testosterone injections for men with confirmed low testosterone after a physician evaluation and lab testing. Treatment is managed by Dr. Timothy W. Mackey at our Jupiter office, 609 N. Hepburn Ave., Suite 106, and by telehealth for eligible patients located in Florida. Injectable TRT programs start at $129 per month, including medication and injection supplies.
Key points
NovaGenix prescribes both testosterone cypionate and testosterone enanthate. They are both long-acting injectable forms of testosterone and are used in similar ways for TRT; the choice depends on availability, tolerance and Dr. Mackey's assessment. Compounded: Most patients receive compounded cypionate or enanthate from a licensed compounding pharmacy. Compounded medications are not FDA-approved. Brand-name: Brand-name testosterone can be prescribed when you and Dr. Mackey prefer it. Read more in compounded vs. brand-name testosterone.
| Compare | Cream or gel | Injections (cypionate or enanthate) | Oral (Kyzatrex) |
|---|---|---|---|
| Routine | Once daily on the skin | One, two or three times per week, as prescribed | Twice daily with meals |
| Needles | None | Yes | None |
| Skin-transfer precautions | Yes | None | None |
None of these is best for every man. Dr. Mackey considers your routine, lab results and budget. See oral testosterone, TRT cost and pricing and cream vs. injections.
Testosterone injections are one option for men whose symptoms and repeat blood tests both point to low testosterone. They are not appropriate for everyone, and a low number on one test is not enough on its own. Testosterone injections may not be appropriate for men with prostate or breast cancer, untreated severe sleep apnea or elevated hematocrit, or for men who are actively trying to conceive. A consultation with a physician to review your past medical history, labs, and signs and symptoms is important to determine whether you are eligible. Testosterone therapy can suppress sperm production. If fertility matters to you, ask about enclomiphene or hCG.
Injectable TRT programs at NovaGenix start at $129 per month, including the prescribed medication, injection supplies, physician oversight and follow-up as described in your plan. There is no separate fee for coming to the office for injections, and no startup fee. A sharps container for needle disposal is not included. Lab panels are $125 per standard panel and are billed separately, or recent labs from your own physician can be used. Individualized plans that add medications such as hCG or extra testing can cost more. NovaGenix is a direct self-pay practice and does not bill health insurance. NovaGenix will work with a patient to create a superbill if requested. See the full TRT cost breakdown →
Both routes are used at NovaGenix, and Dr. Mackey and the patient decide together. Subcutaneous (SubQ) injections use a small needle into the fatty tissue under the skin; intramuscular (IM) injections go into a muscle. NovaGenix patients typically inject one, two or three times per week. Your schedule is personalized to your labs, symptoms and response, and it may change after follow-up testing. You can learn to inject in person at our Jupiter office or by telehealth, or come to the office for your injections. For step-by-step technique, see our guide to how to administer testosterone injections safely.
Testosterone therapy requires ongoing monitoring. NovaGenix patients have labs every 6 to 12 months, or as Dr. Mackey deems necessary, and patients can request labs at any time. Possible effects that monitoring watches for include rising hematocrit (red blood cell concentration), changes in estradiol, blood pressure changes, prostate (PSA) changes, acne, fluid retention or breast tenderness, reduced sperm production and testicular size, and injection-site soreness. Read the full list of testosterone therapy side effects →
NovaGenix has one office, at 609 North Hepburn Ave, Suite 106, Jupiter, FL 33458. Patients come from Jupiter, Palm Beach Gardens, West Palm Beach, Lake Worth, Stuart and Hobe Sound, and from further away through online TRT for eligible patients located in Florida.
Care at NovaGenix is directed by Timothy W. Mackey, D.O., Medical Director, Florida osteopathic physician license OS9185, NPI 1730235797. NovaGenix has operated in Jupiter since 2016 and holds a Florida Health Care Clinic Establishment Permit, No. 6018496.
Injectable TRT programs at NovaGenix start at $129 per month, which includes the prescribed medication and injection supplies. A sharps container is not included. Lab panels are billed separately at $125 per standard panel, and individualized plans that add medications or extra testing can cost more. There is no startup fee.
Most NovaGenix patients receive compounded testosterone cypionate or enanthate prepared by a licensed compounding pharmacy. Brand-name testosterone can also be prescribed. Compounded medications are not FDA-approved; Dr. Mackey will explain the difference and help you choose.
It depends on your labs, symptoms and how you respond. NovaGenix patients typically inject one, two or three times per week, and the schedule is set by Dr. Mackey and adjusted based on follow-up testing.
Both routes are used. Subcutaneous injections go into the fatty tissue under the skin with a small needle; intramuscular injections go into a muscle. Dr. Mackey and the patient decide together which route fits best.
Yes. Patients can come to our Jupiter office for injections at no separate fee, and we can train you in person to inject at home if you prefer. Telehealth patients can be trained by video.
No. Testosterone is a prescription medication. Every NovaGenix patient completes a physician evaluation and lab testing before treatment is considered, and not everyone who requests TRT is a candidate. Telehealth care is available only to eligible patients located in Florida.
Yes. Medication and injection supplies are shipped to eligible Florida patients. You will need your own sharps container for safe needle disposal.
Call or text NovaGenix at 561-277-8260, or complete the new-patient form.
This page is for educational purposes and does not replace individualized medical advice. Submitting a form does not create a physician-patient relationship or guarantee treatment. If you are experiencing a medical emergency, call 911.
Written by the NovaGenix Editorial Team · Medically reviewed by Timothy W. Mackey, D.O., Medical Director · Last medically reviewed: November 13, 2026
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MEET YOUR PHYSICIAN
Medical Director · NovaGenix Health & Wellness
Dr. Mackey leads physician-directed hormone care at NovaGenix in Jupiter, Florida. He reviews your symptoms, health history and lab results to help you understand your options and build an individualized care plan.
Get to know Dr. Mackey →Learn what you want to know about hormone therapy by scheduling a free consultation.
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609 N Hepburn Ave Ste 106, Jupiter, FL 33458
Monday - Friday: 9:00 am - 5:00 pm | Saturday-Sunday: Closed
