Physician-led telehealth
Healthcare Engineered Around You
We start from how you actually feel, work out what’s driving it, and treat what’s worth treating — including when that means no prescription at all.
Physician-Led Individualized Treatments
Testosterone Evaluation
Whether your testosterone is actually low, why, and whether replacement is the right answer for you.
Weight Management
Fat loss with strength kept, built around women’s hormones, with a plan that still works when medication stops.
Performance & Recovery
Targeted testing for correctable reasons your training, energy, or recovery has changed.
Hair Preservation
Early, evidence-based treatment aimed at slowing loss and keeping the hair you have.
Training, Nutrition & Sleep
The part that isn’t a prescription. Included with every plan, because it’s what makes the rest work.
Sexual Health
Evaluating erectile function and libido, including the hormonal, vascular, and medication factors that can sit behind them.
Skincare
Evidence-based care for skin concerns that respond to treatment, and a straight answer about the ones that don’t.
PED Risk Management
Monitoring and risk review for people using or considering performance-enhancing drugs, without judgment.
How it works
-
01
Book an intake visit.
Tell us what you’re experiencing: symptoms, training, sleep, medications and supplements, what you’ve already tried, and what you actually want to be different.
If you’ve had recent bloodwork done anywhere, bring it. We’d rather read labs you already paid for than reorder them.
-
02
Get the right labs.
Testing chosen from your history and symptoms, ordered to answer specific questions. You’ll know what each test is for before it’s drawn.
You’ll get a plain-language list of what we’re checking and why before anything is drawn. Anything we can’t justify clinically, we don’t order.
-
03
Talk it through with a physician.
What the results mean, what’s reversible, what isn’t, and whether medication would meaningfully help — including what it would involve long-term if it would.
A video visit, long enough to actually go through the results. What’s low, what’s normal, what’s borderline and why borderline is a real category.
-
04
Leave with a plan.
Sometimes that’s a prescription and a monitoring schedule. Sometimes it’s training, sleep, protein, and a recheck in ninety days. Usually it’s some of both.
Written down, specific, and short enough to follow: what we’re treating and why, a small number of training, nutrition and sleep priorities, what we’re rechecking and when, and what would make us change course.
On this site, with your name, contact info, and the program you’re interested in.
You’ll get a confirmation, then reminders a day before and an hour before.
About your goals and whether the program is a fit.
From the invite: create an account, sign consents, save a card, and pay the lab fee.
For a blood draw.
You’ll get a confirmation and reminders.
Using a
link sent to your phone. You’ll talk through your medical history, your lab results, and treatment.It renews every two months.
Sent by email, with a link to book your first check-in.
With a guide on how to use it.
We ship your treatment straight to you.
If a prescription is right for you, our partner pharmacy ships it to your door, anywhere in North Carolina.
The physician you’ll be seeing
Dr. Addison DeBord came to medicine from exercise science. He worked as a personal trainer and a strength and conditioning coach before he was a physician, and he still competes as a raw powerlifter — so when you describe what a hard training block does to your sleep, appetite, and recovery, it’s a conversation rather than a translation.
The person who reviews your labs, decides what to test, and writes the plan is the physician. That doesn’t change as we grow.
Frequently asked questions
What happens on the first visit?
Schedule a call with us. We’ll talk through how you feel and order your lab work if testing is warranted. You’ll leave with orders and a clear explanation of what each one is for, and we’ll schedule your video visit with the physician to review the results.
Who is the physician?
Dr. Addison DeBord, DO. His background before medicine is in exercise science and strength coaching, and his powerlifting record is public if you want to check it. More on the About page.
Is this a real medical practice?
Yes. A licensed physician, a documented evaluation, informed consent, monitoring, and published standards of care. You can verify the license yourself with the North Carolina Medical Board.
What states can you treat me in?
North Carolina. We can only treat you where we’re licensed, based on where you’re physically located at the time of the visit.
Is there a physical clinic?
Not yet. Portal is telehealth-only for now, and we’re working toward a physical clinic. We look forward to providing in-person care in the near future.
What if I need in-person care?
We’ll tell you, and we’ll tell you where to go. Telehealth is right for a lot of this work and wrong for some of it.
How it works
What actually happens, start to finish.
No mystery process, no trademarked method. A physician evaluation, the labs that answer your questions, and a plan you understand well enough to explain to someone else.
1. Tell us what changed.
You’ll fill out an intake before the visit — symptoms, training history, sleep, current medications and supplements, prior labs if you have them, and what you actually want to be different. It takes about and it’s the part most people underestimate. Half the answer is usually in there.
If you’ve had recent bloodwork done anywhere, bring it. We’d rather read labs you already paid for than reorder them.
2. Get the right labs.
Testing is chosen from what you told us, not from a fixed panel. If you’re forty-two, tired, carrying more body fat than you’d like, and your sleep is bad, the tests that answer that are not the same tests that answer why a lifting-focused thirty-year-old stopped recovering.
You’ll get a plain-language list of what we’re checking and why before anything is drawn. Anything we can’t justify clinically, we don’t order.
Labs are billed separately. You’ll know the cost before you go.
3. Talk it through with a physician.
A video visit, long enough to actually go through the results. What’s low, what’s normal, what’s borderline and why borderline is a real category. Which of your symptoms the labs explain and which they don’t.
If treatment is on the table, you’ll hear what it involves before you decide: how it’s taken, what it costs, what we’d monitor, what the side effects are, what it does to fertility, and what happens if you stop.
If treatment isn’t the answer, you’ll hear that, and you’ll hear what to do instead.
4. Leave with a plan.
Written down, specific, and short enough to follow. A plan usually includes:
- What we’re treating, if anything, and why
- A small number of training, nutrition, and sleep priorities — not a lifestyle overhaul
- What we’re rechecking and when
- What would make us change course
Sometimes the plan is a prescription and a monitoring schedule. Sometimes it’s a protein target, two more nights of real sleep a week, and labs again in ninety days. Both are answers. You’ll get whichever one is actually yours.
When we’re not the right fit
A few situations where you should go elsewhere, and we’ll tell you at intake rather than after you’ve paid:
- You need in-person care — a physical exam, imaging, or a procedure. We’re telehealth for now.
- You’re physically located outside the states we’re licensed in.
- You’re after supraphysiologic doses, or you’ve already picked out the compound and you’re looking for someone to write it. We’re not that clinic. The physician here competes, and he still won’t do it.
- You need urgent or emergency care.
- Your situation belongs with a specialist. When it does, we’ll say so and point you to one.
Care
Five things, done properly.
We treat a narrow set of problems that overlap more than most people expect. Low energy, poor recovery, rising body fat, and low testosterone are frequently the same story told four ways.
Every service runs through the same five questions:
- 01
What’s actually driving the visit?
- 02
Is something reversible causing it — sleep, medications, nutrition, an untreated medical problem?
- 03
What’s worth measuring?
- 04
Would treatment meaningfully improve how you feel and function?
- 05
How will we know it’s working, and how will we watch for harm?
If a service can’t get a clear answer to question four, we don’t start it.
Services
Testosterone Evaluation
Confirming whether your testosterone is genuinely low, finding out why, and deciding together whether replacement is the right answer. Some men who come to us for this leave without a prescription.
What this involves →Weight Management
Fat loss with muscle preserved. Medication when it’s the right tool, always alongside a nutrition, training, and maintenance plan that outlasts it.
What this involves →Performance & Recovery
For active people whose training, energy, or recovery changed and a standard workup didn’t explain it. Targeted testing for correctable contributors — iron, thyroid, metabolic, nutritional.
What this involves →Hair Preservation
Early treatment focused on slowing loss and keeping what you have, including for men starting testosterone. Topical options first where appropriate.
What this involves →Training, Nutrition & Sleep
Not an add-on. This is the base every other service sits on, and it’s included with every plan.
What this involves →Sexual Health
Erectile function and libido, evaluated like any other symptom: what’s contributing, what’s reversible, and whether treatment would actually help.
What this involves →Skincare
Evidence-based treatment for skin concerns that respond to it, and an honest answer about the ones that don’t.
What this involves →PED Risk Management
Monitoring and risk review for people who use, or are considering, performance-enhancing drugs. Straight information, no lecture.
What this involves →Testosterone
First we find out if it’s actually low.
A medical evaluation before a prescription. If replacement is the right call, you’ll have real options. If it isn’t, you’ll hear that in month one, not year three.
TRT$125/mo + labs
Confirmed, not assumed
Morning testing, repeated when it needs to be, and read alongside your symptoms. One low number on one day isn’t a diagnosis.
The cause comes first
Sleep, body fat, alcohol, medications and illness all move testosterone. If one of them is the reason, that’s what we treat.
Watched for the long run
Blood counts, estradiol, PSA where appropriate, and how you actually feel — checked on a schedule, not when someone remembers.
Why we start with an evaluation
Low testosterone is a diagnosis, not a feeling.
Fatigue, low libido, worse recovery, less strength, more body fat, flatter mood — those symptoms are real, and low testosterone is one legitimate cause of them. It isn’t the only one, and it’s not the most common one.
Testosterone falls with age. It also falls with poor sleep, untreated sleep apnea, excess body fat, heavy drinking, some medications, chronic under-eating and overtraining. Several of those are fixable. If one is what’s happening to you, replacing the hormone treats the readout instead of the cause.
What usually brings men in
- Low energy
- Low libido
- Slower recovery
- Less strength
- More body fat
- Flat mood
- Poor focus
- Erection changes
Treatment
Treatment options
Every option here is a prescription, and every one starts with an evaluation. Your physician recommends one — or none — based on your labs, your goals, and whether you might want children.
- Prescription
Testosterone Replacement Therapy (TRT)
Replaces testosterone directly when a confirmed deficiency makes it the right call.
- Dose set for you, then adjusted from your labs
- Blood counts, estradiol and PSA monitored where appropriate
- Suppresses sperm production — fertility comes up before you start
$125/mo + labs
Start - Oral
Enclomiphene
Prompts your pituitary to signal for more of your body’s own testosterone, rather than replacing it.
- Taken by mouth
- Generally keeps sperm production going
- Compounded medication — not FDA-approved
From$75/mo
Start - Injection
HCG
Acts like the hormone that tells the testes to make testosterone and sperm.
- Often paired with TRT to help maintain testicular function and fertility
- Sometimes used on its own
- Monitored alongside the rest of your labs
From$200/mo
Start - Oral
DHEA + Pregnenolone
Two hormone precursors in one treatment, considered when your levels are low and the picture fits.
- The evidence is mixed, and we’ll say so up front
- Started as a trial, then judged by your labs and symptoms
- Not a substitute for treating a confirmed deficiency
From$50/mo
Start - Injection
Nandrolone
An anabolic steroid, considered only in select cases and only alongside testosterone.
- Never a first-line option
- Needs closer monitoring, including blood counts and lipids
- If it doesn’t fit, we’ll tell you plainly
From$150/mo
Start
Prices are for medication and are listed as starting points; your dose and plan set the final amount. Where a price says “+ labs,” lab work is billed separately.
Some medications are prepared by licensed compounding pharmacies. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Listing a treatment here isn’t a promise it’s right for you. That decision is made with your physician, after an evaluation.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for testosterone care.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we monitor
- Hematocrit and blood counts
- Estradiol
- PSA and prostate symptoms, where age-appropriate
- Lipids and blood pressure
- Energy, libido, mood and sleep
- Fertility, if it matters to you
When we’ll say no, or not yet
- Your levels are normal, or were only low once
- A reversible cause hasn’t been dealt with yet — sleep apnea, a medication, under-eating
- You’re planning children soon and TRT would get in the way
- Something needs ruling out first, like a high PSA or an elevated blood count
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →What if I don’t need testosterone?
Then we’ll tell you, we’ll tell you why, and we’ll tell you what’s actually driving your symptoms. That’s a real outcome of this evaluation, not an edge case.
What’s the difference between TRT and enclomiphene?
TRT supplies testosterone from outside, which tells your body to make less of its own — including sperm. Enclomiphene works upstream, prompting your body to make more of its own, which usually keeps sperm production going. Which fits depends on your labs, your age, and whether children are in the plan.
Will this affect my fertility?
Testosterone therapy suppresses sperm production in most men who take it, and recovery after stopping varies and isn’t guaranteed. If you might want children, that changes the conversation, and there are alternatives worth discussing. We raise this before you start, not after.
Am I on this for life?
It depends on the cause. If something reversible is suppressing your levels, the goal is to fix that. If replacement is genuinely the right answer, it’s typically long-term, and you should know that before the first dose rather than a year in.
Will I lose my hair?
Testosterone can speed up hair loss in men who are genetically prone to it. If that matters to you, we’ll build a preservation plan in from the start.
I’m already on testosterone somewhere else. Can you help?
Bring your labs and your current protocol. We’ll review whether the dose, the monitoring, and the reasoning still make sense, and whether anything is being missed. Sometimes the answer is that your current plan is fine.
Related care
Often considered together.
Weight Management
Lose fat. Keep your strength. Plan for after.
Physician-led weight care for women and men — GLP-1 medication when it’s the right tool, built around protein, strength training, your hormones, and what happens when the medication stops.
GLP-1from $125/mo + labs
Strength is the point
Muscle keeps your metabolism and your bones on your side, especially after 40. Every plan is built to protect it.
Your hormones are part of it
Perimenopause, menopause, PCOS, thyroid and birth control can all shape weight. We look at them instead of around them.
A plan for after
Maintenance is part of the first conversation, so lowering or stopping medication isn’t a cliff.
Why the scale isn’t the goal
The scale is the easiest thing to measure and the least useful thing to chase.
For many women, the change shows up in the late thirties or forties: weight settles somewhere new, strength slips, sleep gets worse, and an approach that used to work suddenly doesn’t. That isn’t a willpower problem. It’s physiology, and it deserves a medical plan.
Losing weight quickly without enough protein and resistance training costs muscle along with fat. You end up lighter but weaker, which is a large part of why weight comes back. What matters is losing fat, keeping muscle, and building habits that still work if the medication changes or stops.
What women often tell us
- Weight that won’t move
- Changes around perimenopause
- Losing strength
- Constant food noise
- Low energy
- Poor sleep
- Cravings
- Diets that didn’t last
Built for women
What we account for that most weight programs skip
- Perimenopause and menopauseShifting estrogen changes where fat is stored and how easily muscle is kept.
- PCOS and insulin resistanceOften part of the picture, and worth knowing before choosing a medication.
- Pregnancy plansGLP-1s aren’t used in pregnancy or while breastfeeding, so we plan around your timeline.
- Birth controlSome weight medications make birth control pills less reliable for a while. We check first.
- Bone and muscle healthStrength training and protein targets are part of the prescription, not an afterthought.
- Iron and thyroidHeavy periods and thyroid changes both drain energy and stall progress. We test when it fits.
Treatment
Treatment options
Medication is a tool, not the plan. If a GLP-1 fits your history, we’ll prescribe it and help you use it well. If it doesn’t, we’ll say so and work on what will.
- Prescription
GLP-1 Medication
Medications that quiet appetite and food noise and help regulate blood sugar, used alongside nutrition and strength training.
- Started low and adjusted to how you tolerate it
- Paired with a protein target and resistance training
- Not used in pregnancy — we plan around your family plans
From$125/mo + labs
Start - Included
Nutrition & Strength Plan
The part that makes medication worth taking: a protein target, a training plan you’ll actually do, and habits that outlast the prescription.
- Built from your real week, not an ideal one
- Reviewed and adjusted at follow-up
Included with every plan
- Evaluation
Metabolic & Hormone Review
Blood sugar, thyroid, iron, and where you are in your cycle or the menopause transition — the things that change what we recommend.
- Labs chosen for your history
- Explained in plain language
- Ongoing
Maintenance Planning
A plan for stepping down or stopping medication, with monitoring so you can see what holds.
- Discussed at the start, not the end
- Adjusted to how your body responds
GLP-1 pricing by dose
Your physician sets your starting dose and changes it only if it makes sense for you. The monthly price follows the dose.
| Dose | Per month |
|---|---|
| 0.5 mg | $125 |
| 1 mg | $150 |
| 1.7 mg | $200 |
| Dose | Per month |
|---|---|
| 2.5 mg | $175 |
| 5 mg | $225 |
| 7.5 mg | $275 |
Medication only. Labs are billed separately, at cost.
Prices are for medication and are listed as starting points; your dose and plan set the final amount. Where a price says “+ labs,” lab work is billed separately.
Some medications are prepared by licensed compounding pharmacies. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Listing a treatment here isn’t a promise it’s right for you. That decision is made with your physician, after an evaluation.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for weight care.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we monitor
- Weight trend and waist — not just the scale
- Strength and protein intake
- Side effects like nausea, constipation and reflux
- Blood sugar, lipids and liver markers
- Heart rate and blood pressure
- Mood, energy and sleep
When a GLP-1 isn’t the right fit
- You’re pregnant, trying to conceive, or breastfeeding
- You or a close relative has had medullary thyroid cancer or MEN2
- You’ve had pancreatitis
- There’s an active eating disorder — we’ll help you find the right care instead
- A medication or condition makes it unsafe
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →Can I take a GLP-1 if I’m trying to get pregnant?
No. These medications aren’t used during pregnancy or while breastfeeding. If pregnancy is in your plans, tell us at the start. For semaglutide, the recommendation is to stop at least two months before trying to conceive, and we’ll plan around that.
Will it affect my birth control?
It can. Tirzepatide can make birth control pills less reliable for a few weeks after you start and after each dose increase. We’ll go through your contraception before you begin and suggest a backup method if you need one.
I’m in perimenopause. Is that why nothing is working?
It may be part of it. Changing estrogen shifts where fat is stored, and muscle gets harder to keep. That doesn’t make progress impossible — it changes the plan. Strength training and protein matter more, and sleep usually needs attention too.
How much weight will I lose?
We don’t know, the range across patients is wide, and a number on a website is a sales tactic rather than a clinical estimate. What we will tell you: what typically happens with the medication we’re recommending, what we’re watching, and what we’d do if it isn’t working.
What happens when I stop?
Without a plan, weight often returns. That’s why maintenance is part of the first conversation: protein, strength, and a gradual step-down with monitoring, so you can see what holds.
Do you treat men for weight, too?
Yes. This page speaks to women because their needs are so often overlooked, but the same care is available to anyone.
Related care
Often considered together.
Performance & Recovery
You’re doing the work. Something’s in the way.
For active people whose training, energy, or recovery changed and the usual explanations haven’t held up. Targeted testing for the things that are actually correctable.
Targeted, not exhaustive
We order the tests that could change what we do. A result with no plan attached isn’t information — it’s a bill.
Correctable causes first
Low iron, thyroid changes, under-eating and poor sleep explain more stalled training than anything exotic.
Read by someone who trains
Your labs are interpreted next to your training, not in isolation.
Why a standard workup misses it
A standard workup is built to rule out disease, not to explain why your training fell apart.
That’s not a failure of the workup — it’s what it’s designed to do, and it does it well. But if you’re training seriously, sleeping badly, eating around your training, and losing ground anyway, you’re asking a different question.
Iron can be low enough to hurt your endurance while your hemoglobin still looks fine. Thyroid can be subtly off. Eating too little for your training load does a remarkable impression of low testosterone. Any of these is fixable once you find it.
Sound familiar?
- Stalled lifts
- Slower recovery
- Heavy legs
- Low energy
- Poor sleep
- Getting sick often
- Losing motivation
- Nagging soreness
Treatment
What we can do
Most of this work is evaluation. Treatment follows what we find — and sometimes what we find is that you need a deload, not a prescription.
- Evaluation
Targeted Lab Evaluation
Testing chosen from your symptoms, training load and history, so every result has a decision attached.
- Comprehensive or Advanced panel, whichever fits
- Reviewed with you, not just posted to a portal
- Evaluation & treatment
Iron Deficiency Care
Low iron stores can blunt endurance before anemia shows up. We check properly and replace iron when it’s warranted.
- Iron studies, not just hemoglobin
- Rechecked so you know it worked
- Evaluation
Thyroid & Metabolic Review
Subtle thyroid and metabolic changes can flatten energy and recovery. We look when the history points there.
- Interpreted against your symptoms
- Referred on when it needs a specialist
- Evaluation
Fueling Check
Eating too little for your training load can mimic hormone problems. We look for it before anything else.
- Calories and protein against your workload
- Practical changes, not a meal plan you’ll abandon
- Evaluation
Hormone Evaluation
When the history points to hormones, we test properly and explain what the numbers do and don’t mean.
- Linked to our testosterone evaluation
- Treated only when it’s genuinely low
Listing a treatment here isn’t a promise it’s right for you. That decision is made with your physician, after an evaluation.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for performance and recovery.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we look at
- Training load and deload history
- Calories and protein against your workload
- Sleep quantity and quality
- Iron studies and blood counts
- Thyroid and metabolic markers
- Hormones, when the history points there
When the answer isn’t medicine
- Normal variation with age and accumulated load
- Overreaching that needs a deload and better sleep
- An injury — we’ll point you to sports medicine or physical therapy
- Chest pain, fainting, or unusual breathlessness during exercise — get urgent care first
Who’s evaluating you
Read by someone who reads the labs and understands the training.
Dr. Addison DeBord came to medicine from exercise science. He worked as a personal trainer and a strength and conditioning coach before he was a physician, and he’s competed as a raw powerlifter since 2019 — currently a 611 lb squat, a 496 lb bench, and a 777 lb deadlift. The record is public: see it here.
That matters more on this page than anywhere else on the site. Under-recovery, eating too little for your training load, a program that ran too long without a deload, and genuinely low testosterone can produce an almost identical set of complaints. Telling them apart takes someone who won’t reach for the prescription because it’s the tool he happens to have.
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →Do I need to be a competitive athlete?
No. If you train regularly and something changed — strength, endurance, recovery, or energy — this is for you.
Will you just run a huge panel?
No. We don’t run large panels for their own sake. We start with your history and order what could plausibly change what we do.
What if everything comes back normal?
That’s useful too. It points us back to training load, fueling and sleep, and we’ll be specific about what to change and when to recheck.
Can you help with low iron?
Yes. We check iron stores properly, look for the reason they’re low, and replace iron when it’s warranted — then recheck to confirm it worked.
Is this about testosterone?
Sometimes. Under-recovery, under-eating, and genuinely low testosterone can look almost identical. Telling them apart is the point of the evaluation.
Related care
Often considered together.
Hair Preservation
Keeping hair is easier than getting it back.
Early, evidence-based treatment aimed at slowing loss — including for men starting testosterone, where this conversation belongs before the first dose.
Treatmentfrom $50/mo
Early matters most
Treatment is best at holding a line, so starting sooner matters more than any other single factor.
Topical first, where it fits
Applied to the scalp, which can mean less medication reaching the rest of your body.
Tracked with photos, not memory
Standardized photos every few months, so you judge progress by images instead of the mirror.
The honest version
We won’t promise regrowth. We will help you keep what you have.
Treatment for androgenic hair loss is most effective at holding a line, and least effective at redrawing one. Some men see some regrowth. Predicting who, how much, and where isn’t something anyone can do honestly at the point of sale.
What we can do is start early, choose the approach that fits your pattern and your tolerance for side effects, and track it properly so you can decide whether it’s worth continuing.
Common reasons men come in
- Receding hairline
- Thinning at the crown
- More hair in the shower
- A wider part
- Starting testosterone
- Family history
Treatment
Treatment options
We’ll start with what fits your pattern, your goals, and how you feel about side effects — and we’ll be straight about what each option can and can’t do.
- Topical
Finasteride + Minoxidil Solution
Two of the best-studied hair-loss medications, combined in one solution you apply to your scalp.
- Finasteride targets DHT, the hormone behind androgenic hair loss
- Minoxidil supports the growth phase of the hair cycle
- Used daily; it takes months to judge
From$50/mo
Start - Oral
Oral Options
Oral finasteride or low-dose oral minoxidil, discussed when topical treatment isn’t enough or isn’t practical.
- Side effects discussed openly before you start
- Your history decides whether it’s appropriate
- Included
Progress Tracking
Standardized photos at set intervals, so decisions are based on evidence rather than a bad-light day.
- Same angles, same lighting, every time
Included with every plan
- Referral
Dermatology Referral
Patchy, inflamed, scarring or sudden hair loss needs a specialist. We’ll tell you, and point you to one.
- Not everything is androgenic
- Ruled out before treatment starts
Prices are for medication and are listed as starting points; your dose and plan set the final amount. Where a price says “+ labs,” lab work is billed separately.
Some medications are prepared by licensed compounding pharmacies. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Listing a treatment here isn’t a promise it’s right for you. That decision is made with your physician, after an evaluation.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for hair care.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we monitor
- Shedding and density, in standardized photos
- Sexual side effects
- Mood changes
- Scalp irritation
- Blood pressure and heart rate, on oral minoxidil
When we’ll refer you instead
- Hair loss that’s sudden, patchy, or scarring
- An inflamed, painful, or scaly scalp
- Signs that the cause isn’t androgenic
- Heart or blood-pressure conditions that make oral minoxidil unwise
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →Will my hair grow back?
Some men see some regrowth, but we won’t promise it. Treatment is most reliable at slowing or stopping further loss, which is why starting early matters.
How long before I know if it’s working?
Plan on four to six months before judging. Some people notice more shedding in the first weeks of minoxidil; it’s common and usually temporary.
Does finasteride affect sexual function?
It can, in a minority of men. We talk through the risks before you start, check in on them, and change course if they show up.
I’m starting testosterone. Should I think about this now?
Yes. Testosterone can speed up hair loss in men who are prone to it. If hair matters to you, we’ll build preservation into the same plan rather than dealing with it later.
What happens if I stop?
The benefit fades over the following months, and hair loss resumes its natural course. Treatment works for as long as you use it.
Training, Nutrition & Sleep
The part that isn’t a prescription.
Medication works better on top of a base. Included with every plan, because leaving it out is how programs quietly stop working.
Includedwith every plan
Strength you’ll keep doing
A training template or a set of principles, matched to where you’re starting rather than where a program assumes you are.
Protein you can hit on a normal week
Food guidance built around your actual schedule, not a perfect one.
Sleep, screened properly
Snoring, waking unrefreshed and daytime sleepiness get checked, because sleep apnea quietly undermines everything else.
Our approach
We’re not going to hand you a lifestyle overhaul.
You’ve read enough of them. They don’t get done.
What you’ll get instead is a small number of specific priorities chosen for your situation, and a follow-up conversation where we look at whether they happened — and adjust if they didn’t.
Where people usually start
- Inconsistent training
- Skipped meals
- Low protein
- Late nights
- Snoring
- Weekend drift
- Too much, too fast
Included with every plan
What’s included
Specific, small, and reviewed. Every part of this comes with every plan, at no extra cost.
- Included
Resistance Training
A template or a set of principles, depending on your experience, built to protect muscle and fit your week.
- Progressions you can follow without a coach
Included with every plan
- Included
Nutrition Framework
Protein, food quality and meal structure guidance you can execute on a normal week.
- No rigid meal plans
Included with every plan
- Included
Sleep & Recovery
Sleep fundamentals, plus screening for the things that disrupt it — including sleep apnea.
- Referral for a sleep study when it’s warranted
Included with every plan
- Included
Activity Target
A daily movement target set from your actual baseline, not a round number.
- Raised gradually, if at all
Included with every plan
- Included
Follow-up Review
Two or three behavior goals, reviewed at follow-up and adjusted to what actually happened.
- Smaller goals beat abandoned ones
Included with every plan
- Included
Written Handouts
Everything we agree on, written down, so you’re not relying on memory after the visit.
- Yours to keep
Included with every plan
We’re a medical practice, not a coaching company. If you need ongoing one-to-one coaching, we’ll say so and point you toward it.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for training, nutrition and sleep.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we review at follow-up
- Whether the plan actually happened
- Training consistency
- Protein and meal structure
- Sleep and energy
- What to change next
Where we’ll point you elsewhere
- Ongoing one-to-one coaching
- Suspected sleep apnea — for a proper sleep study
- Disordered eating — to specialist care
- Injuries that need physical therapy
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →Is this an extra cost?
No. It’s included with every plan, because a prescription without it is a shorter-lived result and a worse deal for you.
Do I get a full workout program?
You’ll get a template or a set of principles, depending on your experience. Either way, it’s built to be done in the time you actually have.
Will you give me a meal plan?
Not a rigid one. You’ll get a protein target, a simple structure, and food guidance that fits your week. Rigid plans tend to last about as long as the first busy week.
What if I don’t follow it?
Then we’ll find out why at follow-up and make it smaller. A goal you’ll do beats a better one you won’t.
Related care
Often considered together.
Weight Management
Fat loss with strength kept, built around women’s hormones and a plan for after.
Performance & Recovery
Targeted testing for correctable reasons your training, energy, or recovery changed.
Testosterone
Whether your testosterone is actually low, why, and whether replacement is the right answer.
Sexual Health
A medical question like any other.
Erections and libido can change for hormonal, vascular, medication, or other reasons. A physician looks at what’s contributing before anyone talks about treatment.
Your heart is part of it
Erection changes can be an early sign of blood-vessel problems. We check, because it matters beyond the bedroom.
Medication when it fits
Proven treatments, prescribed when they’re safe for you and likely to help.
Asked plainly, answered plainly
No awkwardness and no judgment. It’s a medical conversation, and we treat it like one.
Why we look for the cause
Most of the time there’s a reason — and often more than one.
Erections depend on blood flow, nerves, hormones and the brain all cooperating. Blood pressure, blood sugar, cholesterol, sleep, alcohol, stress and some common medications can all get in the way. So can low testosterone, though less often than the internet suggests.
Treating the symptom without looking for the cause can work for a while. Finding the cause is how you avoid missing something that matters.
What men come in for
- Weaker erections
- Trouble staying hard
- Low libido
- Changes after a new medication
- Performance anxiety
- Changes on TRT
Treatment
Treatment options
Everything here starts with an evaluation. Whether medication is appropriate — and which one — is decided with your physician.
- Oral
ED Medication, As Needed
Sildenafil or tadalafil, taken before sex. Well studied, and effective for many men.
- Dose chosen for your health and your medications
- Not safe with nitrate medications
- Oral
ED Medication, Daily
Low-dose daily tadalafil, for men who’d rather not plan around a pill.
- Also used for some urinary symptoms of an enlarged prostate
- Reviewed alongside your other medications
- Evaluation
Libido & Hormone Evaluation
Low desire has many causes. When hormones may be one of them, we test properly.
- Linked to our testosterone evaluation
- Treated only when it’s genuinely low
- Evaluation
Medication & Heart Review
Blood pressure, blood sugar, cholesterol and your current medications — the common, fixable contributors.
- Sometimes the fix is changing a medication
- Referred on when it needs a specialist
Listing a treatment here isn’t a promise it’s right for you. That decision is made with your physician, after an evaluation.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for sexual health care.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we look at
- Blood pressure
- Blood sugar and lipids
- Testosterone, when it’s indicated
- Side effects of current medications
- Sleep, stress and mood
When medication isn’t safe — or isn’t first
- You take nitrate medications such as nitroglycerin
- You get chest pain with exertion or sex — that needs a heart evaluation first
- An erection lasting more than four hours is an emergency — seek care immediately
- Sudden vision or hearing loss on medication — stop it and get care
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →Is this just part of getting older?
Erection changes become more common with age, but they’re not inevitable, and they often have a treatable cause. They can also be an early sign of blood-vessel problems, which is worth knowing about.
Is it my testosterone?
Sometimes, but less often than people expect. Blood flow, medications, sleep and stress are more common causes. We test hormones when the history points there.
Can I take ED medication if I’m on TRT?
Often, yes. They work differently and can be used together. We’ll review everything you take before prescribing.
What if medication doesn’t work?
Then we look harder at the cause and the dose, and refer you to urology when there are better options there.
Is low libido treated differently from ED?
Yes. Desire and erections are related but separate. Low libido has its own list of causes — hormones, mood, sleep, medications, relationships — and we look at each.
Related care
Often considered together.
Skincare
Skin care, held to the same standard.
Evidence-based treatment for skin concerns that respond to it, and an honest answer about the ones that don’t.
Prescription strength where it helps
Retinoids and acne treatments that do more than what’s on the shelf.
A routine that gets done
A short routine you’ll keep beats a ten-step shelf you won’t.
Honest about scope
Anything that needs a dermatologist or a procedure, we’ll tell you and refer you.
Our approach
Most good skin care is boring. That’s the point.
Sunscreen, a gentle cleanser, a moisturizer, and one or two active treatments chosen for your skin do most of the work. The rest of the shelf is mostly marketing.
What we add is the prescription side — and a physician who knows when a skin problem is something else, including acne that started with testosterone.
Common concerns
- Acne
- Acne on testosterone
- Rough texture
- Sun damage
- Uneven tone
- Oily skin
- Razor bumps
Treatment
Treatment options
We’ll keep it simple: the fewest products that will make a real difference, and a plan to judge whether they did.
- Topical
Prescription Retinoid
Tretinoin, one of the best-studied topical treatments for acne and sun-related texture.
- Started slowly to limit irritation
- Takes months of steady use to judge
- Topical or oral
Acne Treatment
Topical treatments first, with oral options when acne is more widespread or stubborn.
- Chosen for your skin type and pattern
- Reviewed at follow-up
- Evaluation
Testosterone-Related Acne
Breakouts that start or worsen on testosterone, managed alongside your hormone plan rather than separately.
- Dose and monitoring reviewed together
- Linked to our testosterone care
- Topical
Tone & Pigmentation
Treatment for uneven tone and dark marks left behind by acne or sun, paired with daily sun protection.
- Sunscreen is part of the prescription
- Realistic timelines, stated up front
Listing a treatment here isn’t a promise it’s right for you. That decision is made with your physician, after an evaluation.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for skin care.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we monitor
- Irritation and dryness
- How acne responds
- Sun sensitivity on retinoids
- Side effects of any oral treatment
When we’ll refer you to dermatology
- A new or changing mole
- A rash that’s spreading or doesn’t fit
- Severe or scarring acne that may need specialist treatment
- Anything that calls for a procedure, like lasers or injections
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →Do I really need a prescription for good skin?
Not always. Many people do well with sunscreen, a gentle cleanser and a moisturizer. A prescription earns its place when there’s something specific to treat, like acne or sun damage.
Why did I break out after starting testosterone?
Testosterone can increase oil production, which makes acne more likely for some men. It’s usually manageable, and we’ll look at your hormone plan and your skin together.
Can tretinoin help with sun damage?
It’s one of the few topical treatments with real evidence for sun-related texture and fine lines when used consistently for months. It won’t reverse everything, and daily sunscreen matters more.
How long until I see a difference?
Most treatments need two to three months of steady use. Some get a little worse before they get better, which is why we start slowly and check in.
Related care
Often considered together.
PED Risk Management
Straight answers about what you’re taking.
Monitoring and risk review for people who use, or are considering, performance-enhancing drugs. No judgment, and no lecture.
No judgment
You’ll get the same care whether you started last month or ten years ago. An honest picture helps us help you.
Bloodwork on a schedule
Before, during and after — so problems show up on paper before they show up in your body.
Your heart first
Blood pressure, cholesterol and blood thickness are where serious risks build quietly.
Why monitoring matters
If you’re going to use them, you should know what they’re doing.
People use performance-enhancing drugs. Pretending otherwise doesn’t make anyone safer — it just means the monitoring doesn’t happen.
The most serious risks build without symptoms: thickened blood, rising blood pressure, worsening cholesterol, strain on the liver and kidneys, and shutdown of your body’s own testosterone. Bloodwork catches them while there’s still time to act.
Who this is for
- Currently using
- Planning a cycle
- Coming off
- Off, but not recovered
- Worried about your bloodwork
- Thinking about fertility
Treatment
What the service covers
This is monitoring and risk review. It isn’t an endorsement, and it isn’t a prescription.
- Evaluation
Baseline Risk Review
What you’re taking, how much, for how long, and where it comes from — reviewed without judgment.
- Your history, blood pressure and baseline labs
- A clear picture of where your risks sit
- Ongoing
Monitoring Bloodwork
Blood counts, lipids, liver, kidney and hormone markers on a schedule matched to what you use.
- Typically every 8–12 weeks while using
- Sooner after changes or new symptoms
- Evaluation
Heart & Blood Pressure
The risks that matter most over time, checked properly and referred on when they need a cardiologist.
- Blood pressure, lipids and blood thickness
- ECG or cardiology referral when warranted
- Ongoing
Coming-Off Plan
If you want to stop, we’ll help you plan it and monitor your body’s own hormone production as it recovers.
- Recovery tracked with labs
- Mood and energy checked along the way
- Evaluation
Fertility Check
PEDs commonly suppress sperm production. If children are in your future, we’ll check where you stand.
- Semen analysis and hormone testing
- Referral when you need a specialist
Monitoring isn’t an endorsement of any drug, dose or source. Whether any prescription is appropriate is a separate clinical decision, made like any other.
Labs
Lab work at cost, ordered for a reason.
Labs are here to answer questions about you. Most clinics mark up lab work. We don’t. You pay what the lab charges us, and there’s no fee for your physician to interpret your results.
The foundation.
Built for athletes, and for anyone who wants a deeper look at their health.
Illustrative screens.
Listed in the order that matters most for PED risk management.
Blood & organ functionAre your blood, liver and kidneys in good shape?ComprehensiveAdvanced
In both panels
- CBC
- CMP
Blood counts, including hematocrit, plus kidney and liver function.
Added in Advanced
- Cystatin C
- GGT
- Urinalysis
Adds a kidney test that isn’t thrown off by muscle mass, a liver enzyme, and a urine screen.
Heart & cholesterolDoes your cholesterol tell the whole story?ComprehensiveAdvanced
In both panels
- Lipid panel
Cholesterol and triglycerides.
Added in Advanced
- ApoB
- CRP
Adds ApoB, the particle count most closely tied to heart disease, and a marker of inflammation.
HormonesIs a hormone actually low, and where does the problem start?ComprehensiveAdvanced
In both panels
- Total testosterone
- Free testosterone
- Estradiol
- LH
- FSH
- Prolactin
Testosterone, estrogen, and the pituitary signals that control them.
Added in Advanced
- Estradiol (LC/MS)
- Progesterone
- DHEA
Adds a more precise estradiol test, plus progesterone and DHEA.
Prostate · for menWhat’s your prostate baseline?ComprehensiveAdvanced
In both panels
- PSA
PSA, typically checked before and during testosterone therapy.
Advanced
Checked the same way.
Blood sugarHow well does your body handle sugar?ComprehensiveAdvanced
In both panels
- Glucose (in CMP)
One fasting glucose reading.
Added in Advanced
- Fasting insulin
- Hemoglobin A1c
Adds your average over roughly three months, and how much insulin it takes to keep you in range.
ThyroidCould your thyroid explain how you feel?ComprehensiveAdvanced
In both panels
- TSH
A screening test for thyroid function.
Advanced
Checked the same way.
Muscle & recoveryIs hard training showing up in your results?ComprehensiveAdvanced
Added in Advanced
- Creatine kinase
Creatine kinase, which hard training raises. That matters when reading your other results.
Vitamins, minerals & ironAre you low on something that affects energy and recovery?ComprehensiveAdvanced
Added in Advanced
- Vitamin D
- Ferritin
- Magnesium
Vitamin D, iron stores and magnesium.
Tap a row to see the tests.
Advanced is a starting point, not a fixed list. Tests can be added or removed with your physician so the panel fits what you’re trying to answer.
What each test tells you
- Total testosterone
- The total amount of testosterone in your blood.
- Free testosterone
- The share that isn’t bound to proteins and is available to your tissues.
- Estradiol
- The main estrogen. It matters in men too, and it can rise on testosterone therapy.
- Estradiol (LC/MS)
- The same hormone measured by mass spectrometry, a more precise method at low levels.
- LH & FSH
- Signals from the pituitary gland that tell the body to make sex hormones. They help show where a problem starts.
- Prolactin
- A pituitary hormone that can lower testosterone and libido when it runs high.
- Progesterone
- A reproductive hormone, measured when your history makes it relevant.
- DHEA
- A hormone made mainly by the adrenal glands, which the body uses to make testosterone and estrogen.
- TSH
- A screening test for thyroid function.
- PSA
- A prostate marker for men, typically checked before and during testosterone therapy.
- CBC
- Complete blood count: red and white cells and platelets, including hematocrit.
- CMP
- Comprehensive metabolic panel: kidney and liver function, electrolytes and blood sugar.
- Lipid panel
- Cholesterol and triglycerides.
- ApoB
- A count of the cholesterol-carrying particles most closely tied to heart disease.
- CRP
- A general marker of inflammation.
- Fasting insulin
- How much insulin your body needs to keep fasting blood sugar in range.
- Hemoglobin A1c
- Your average blood sugar over roughly the past three months.
- Cystatin C
- A kidney function test that isn’t thrown off by muscle mass the way creatinine can be.
- GGT
- A liver enzyme that adds detail to the standard liver tests.
- Urinalysis
- A basic screen of the urine for kidney and urinary signs.
- Vitamin D
- Your vitamin D level.
- Ferritin
- Your body’s iron stores.
- Magnesium
- A mineral involved in muscle, nerve and energy metabolism.
- Creatine kinase
- An enzyme released from muscle. Hard training raises it, which matters when reading other results.
No markup on labs, no fee to read them.
What we monitor
- Hematocrit and blood counts
- Cholesterol and lipids
- Liver and kidney markers
- Blood pressure
- Testosterone, estradiol and related hormones
- PSA, when age-appropriate
Get urgent care if you have
- Chest pain or sudden shortness of breath
- A severe headache, weakness, or vision changes
- Yellowing of the skin or eyes
- Sudden swelling or pain in one leg
- Low mood that feels dangerous — call or text 988
How it works
Four steps, one physician.
- 01
Tell us what changed.
Symptoms, training, sleep, medications, and what you’ve already tried.
- 02
Get the right labs.
Targeted testing based on your history — the Comprehensive or Advanced panel, whichever answers your questions.
- 03
Talk it through with a physician.
What the results mean, what’s reversible, and whether medication would actually help.
- 04
Leave with a plan.
Sometimes that’s a prescription. Sometimes it’s training, sleep, and a recheck in ninety days.
- Physician video visitsTime with the physician — not a questionnaire and a signature.
- A written planTreatment, training, sleep, and what we’re rechecking.
- Labs when they’re warrantedWith the cost shown before anything is ordered.
- Scheduled monitoringRechecks on a timeline, so nothing quietly drifts.
- Training, nutrition & sleepIncluded, because it’s what makes the rest work.
- A straight answerIncluding that you don’t need treatment, when that’s the truth.
Questions
Asked often.
Something else on your mind? Ask at your intake visit and you’ll get a straight answer.
All questions →Will you judge me?
No. Our job is to keep you as safe as possible with the choices you’re making, and that only works if you can be honest with us.
Do I have to tell you everything I’m taking?
The more accurate the picture, the more useful the monitoring. Doses, compounds, timing and sources all change which risks we watch for.
How often should I get bloodwork?
Usually before you start, during use — often every 8 to 12 weeks — and after you stop. We’ll set a schedule based on what you’re taking.
Can you help me come off?
Yes. We’ll help you plan it, monitor your body’s own hormone production as it recovers, and keep an eye on mood and energy along the way.
Will you prescribe performance-enhancing drugs?
This service is about monitoring and reducing risk. Whether any prescription is appropriate is a separate clinical decision, made the same way as any other.
Related care
Often considered together.
Clinical standards
Our standards, in writing.
Most of what makes a medical practice trustworthy happens where you can’t see it. This is ours, published, so you can hold us to it.
How we decide what to test
A test earns its place by changing what we do. Before we order anything, there’s a specific question it answers and a plan for what happens if the result comes back abnormal.
That means your testing won’t look like the next patient’s. It also means we won’t be able to tell you we ran the most tests, because that isn’t a measure of anything except cost.
How we decide whether to prescribe
Four things have to be true before we write a prescription:
- 01
There’s a clear clinical reason — a diagnosis, not a preference.
- 02
The expected benefit is meaningful, not theoretical.
- 03
Reversible contributors have been looked for and addressed where possible.
- 04
There’s a monitoring plan and you’ve agreed to it.
If those aren’t all true, we’ll tell you what’s missing and what we’d need to see.
How we monitor
Starting a medication is the beginning of the work, not the end of it. For every treatment we start, there’s a defined schedule for rechecking symptoms, effect, and the safety markers relevant to that specific therapy.
If a treatment isn’t producing meaningful benefit, we stop it or change it. Continuing a medication because you’re already on it isn’t a plan.
What we won’t do
- Push hormone levels above the physiologic range to chase a symptom or a number
- Prescribe testosterone without confirming a diagnosis
- Order large panels without a clinical question attached
- Sell supplements, or earn anything on what we prescribe
- Promise a specific weight, testosterone level, amount of regrowth, or timeline
- Prescribe to patients located in states where we aren’t licensed
- Treat something that belongs with a specialist
When we refer out
A small practice that tries to handle everything handles some of it badly. We refer for .
We’ll also tell you plainly when what you need is a primary care physician managing your overall health rather than a focused practice like this one. Portal is not a replacement for primary care, and we’d rather you have both.
Your information
Book an intake visitThe physician
Dr. Addison DeBord, DO
Physician. Exercise science background. Former personal trainer and strength and conditioning coach. Competitive raw powerlifter.
A note from Dr. DeBord
I came to medicine through exercise science. Before I was a physician, I worked as a personal trainer and a strength and conditioning coach, so I spent years on the practical side of health before I learned the clinical side.
I still train, and I compete as a raw powerlifter. My best competition bench is 496 lb, and the record is public if you want to check it. I mention it because it means I know what training, eating for it, and recovering from it actually ask of you. I’m still doing all three.
The way I think about care is simple. Nutrition, training, medication, and supplements are all levers. Each one can move you toward a specific goal. The skill is knowing which ones to pull, how much, and when — and recognizing when one doesn’t need to be pulled at all.
That’s what physician-led means to me: a real medical evaluation first, then a practical plan built around your health, your body composition, your performance, and the long run.
Addison DeBord, DO
Training and credentials
- Medical degreeDO
- Undergraduate / graduateExercise Science
- Prior rolesPersonal trainer; strength and conditioning coach
- Licensed inNorth Carolina
- Competition recordPublic via OpenPowerlifting
Competing as a raw powerlifter. Photos: A&J Creative Photography.
Why the training background matters here
A lab result tells you what a number is. It doesn’t tell you whether you’re under-recovered, under-eating for your training load, or four months into a program that was never going to work. Those questions sit right next to the hormone questions, and they explain a lot of how people actually feel.
Dr. DeBord’s background covers both. Formal training in exercise science, years spent programming for other people, and his own competitive training — which means the practical side of this isn’t something he reads about.
That’s what physician-led is meant to mean here. Not a credential on a homepage. Someone who can tell a hormone problem from a training problem, and who will say which one it is.
Pricing
You’ll see the price before you commit to anything.
No membership tiers, no packages, no upgrade path, and no version of this where the good service costs more.
What’s not included, and roughly what it costs
Lab work. Billed separately, because what you need depends on your situation. You’ll see the cost before anything is ordered, and if you’ve had relevant testing recently we’ll use it rather than repeat it.
Medication. Priced separately, and only if you’re prescribed something. Starting prices are listed on each treatment page.
Anything a specialist handles. If you need dermatology, sleep medicine, or a urologist, that’s their bill.
Why it costs less than the clinics you’ve been comparing
Because the panel isn’t the product. When comprehensive testing and ongoing medication are what a business sells, the price has to carry both, and the incentive runs toward more of each.
We charge one flat fee for physician care. Labs are ordered when they answer something and billed at what they cost. There’s no add-on catalog and no supplement line.
Cheaper doesn’t mean less medicine. It means less commerce attached to the medicine.
Why this doesn’t run through insurance
In most of medicine, whether you get a test or a treatment comes down to whether your physician can demonstrate to an insurance company that you qualify. Coverage criteria are written for populations. They aren’t written about you, and they aren’t written by anyone who has met you.
Here, that step doesn’t exist. What you need is decided by your physician, from your history and your labs.
That runs both ways. Nobody has to sign off on care that’s appropriate for you. Nobody’s going to sign off on care that isn’t, either.
Questions
Questions
Including the skeptical ones. Especially those.
Getting started
- What happens on the first visit?
- Schedule a call with us. We’ll talk through how you feel and order your lab work if testing is warranted. You’ll leave with orders and a clear explanation of what each one is for, and we’ll schedule your video visit with the physician to review the results.
- How long until I’m seen?
- Do I need labs before the first visit?
- No. If you have recent bloodwork, send it — we’d rather read what you’ve already paid for. If you don’t, we’ll decide what’s worth testing after we’ve talked.
- Where do I get labs drawn?
Cost
- What will labs cost?
- You’ll always see the cost before anything is ordered.
- Do you take insurance?
- What we can tell you now: no insurance company decides what you need here. That’s settled between you and your physician.
- Can I use HSA or FSA funds?
Treatment
- What if I don’t need testosterone?
- Then we’ll tell you, we’ll tell you why, and we’ll tell you what’s actually driving your symptoms. That’s a real outcome of this evaluation, not an edge case. It’s the answer you came for either way.
- What if I do?
- You’ll get a plan, and before you start it, a straight account of what’s involved: how it’s taken, what it costs, what we monitor, what it does to fertility, and what stopping looks like.
- Will this affect my fertility?
- Testosterone therapy suppresses sperm production in most men who take it, and recovery after stopping varies and isn’t guaranteed. If you might want children, that changes the conversation and there are alternatives worth discussing. We raise this before you start, not after.
- Am I on this for life?
- Depends on the cause. If something reversible is suppressing your levels, the goal is to fix that. If replacement is genuinely the right answer, it’s typically long-term, and you should know that before the first injection rather than a year in.
- Will I lose my hair?
- Testosterone can accelerate hair loss in men who are genetically susceptible. If that matters to you, we’ll build preservation into the plan from the start.
- I’m already on TRT elsewhere. Can I transfer?
- Do you prescribe [specific compound the reader has read about]?
- We prescribe treatments with a clear clinical rationale, an appropriate monitoring plan, and evidence behind them. If you’re asking about something specific, ask directly at intake and you’ll get a straight answer rather than a hedge.
Legitimacy
- Who is the physician?
- Dr. Addison DeBord, DO. His background before medicine is in exercise science and strength coaching, and his powerlifting record is public if you want to check it. More on the About page.
- Is this a real medical practice?
- Yes. A licensed physician, a documented evaluation, informed consent, monitoring, and published standards of care. You can verify the license yourself with the North Carolina Medical Board.
- What states can you treat me in?
- North Carolina. We can only treat you where we’re licensed, based on where you’re physically located at the time of the visit.
- Is there a physical clinic?
- Not yet. Portal is telehealth-only for now, and we’re working toward a physical clinic. We look forward to providing in-person care in the near future.
- What if I need in-person care?
- We’ll tell you, and we’ll tell you where to go. Telehealth is right for a lot of this work and wrong for some of it.
Practical
- Can I cancel?
- How do I reach you between visits?
- What if it’s an emergency?
- Call 911 or go to an emergency room. Portal doesn’t provide emergency care.
Book an intake visit
A few details, then pick a time for a call with a care coordinator. Once it’s booked, a confirmation email and calendar invite go to your inbox.
- Your details
- 2Choose a time
Pick a time, .
A call with a care coordinator to talk through how you feel and what comes next. Times show in your time zone, and your details are already filled in.
Preview. Sample times only. Dr. DeBord’s live availability from Cal.com appears here once the booking link is connected.
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Visit booked
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- Intake call
- Phone
- Gender
- LocationNorth Carolina
- Interested in
We’re not licensed in your state yet.
We can’t treat you where we’re not licensed, and we’re not going to pretend otherwise. We’ll let you know at if that changes. That’s the only thing we’ll use your details for.
Visit booked
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