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Feel like yourself again, backed by real labs, not guesswork

Personalized hormone and metabolic care built around your data. Lab testing, physician-guided treatment, and ongoing coaching to help you perform at your best.
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Functional Health Coaching • Lab based treatment Plans • Guided Medical Care Nutrition & Lifestyle, Supplementation, and Activity Support.

Backed by trusted certifications and medical standards

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Tired of feeling "off"

but not getting real answers?

Constant fatigue no matter how much you sleep
Weight that won't move despite dieting
Low drive, mood swings, or lack of motivation
Brain fog affecting focus and performance
Digestive issues like bloating or constipation
Feeling drained even after a full night's sleep
Find Out What’s Actually Going On

Takes 2 minutes. Get personalized insights based on your symptoms

1st Optimal Functional Health

Functional Health Coaching, Powered by Functional Medicine
1st Optimal brings functional health coaching and functional medicine together in one connected approach. Our medical team uses advanced testing, clinical evaluation, and personalized treatment protocols to identify the factors affecting your hormones, metabolism, energy, weight, recovery, and long-term health. Your functional health coach then helps turn that clinical plan into realistic changes in nutrition, exercise, sleep, stress management, and daily habits.

Your plan is not static. We monitor your symptoms, laboratory results, progress, and treatment response to continually optimize your care. When medication or hormone therapy is appropriate, our team works to find the most effective dose, timing, and protocol for your needs. Ongoing coaching, education, and accountability help you apply the plan consistently, while follow-up testing and clinical oversight allow us to adjust it as your body and goals change. Because apparently handing someone a prescription and wishing them luck is not much of a healthcare strategy.
Functional health coaching
Lifestyle and Habit Changes
Personalized Nutrition
Exercise and Strength Planning
Sleep and Recovery Support
Stress Management
Accountability and Education

Functional medicine

Advance Laboratory Testing
Comprehensive Health Evaluation
Personalized Treatment Protocols
Hormone and Metabolic Care
Medicine and Dosing Optimization
Ongoing Clinical Monitoring

For Women

Perimenopause, menopause, hormone balance, weight loss, and energy optimization with personalized treatment plans
Explore women's care

For Men

Testosterone therapy, peptide optimization, weight loss, and performance-focused care built around your labs.
Explore men's care
Men's

Testosterone
Men's

Weight
Loss
Men's

Peptides
Men's

Gut
Health
Men's

Testosterone
Men's

Weight Loss
Men's

Peptides
Men's

Gut Health

How It Works

Book Your Consult
Talk with our team about your symptoms, goals, and health history
Complete Your Lab Testing
Quick, hassle-free testing either at home or through a local lab near you
Get Your Personalized Plan
Your provider reviews your results and builds a treatment plan tailored to your body
Ongoing Coaching and Support
Track progress, adjust treatment, and stay supported every step of the way
Treatment timelines vary, but many patients begin noticing improvements within the first few weeks
Start with a Consultation

Real Results From Real Patients

Trusted by patients across the U.S.
Flat mood
Sharp & driven
Cognitive clarity, ambition, and performance restored
PG
Patrick G.
Low T
Normal
Reached goal weight and improved metabolic health in 5 months
MR
Marcus R.
438
291 lbs
Lost 150 lbs in 12 months with a personalized plan and ongoing support
JP
Jessy P.
Low Hormones
High Energy
"Through detailed blood work and expert guidance, 1st Optimal helped me address underlying hormone deficiencies. The result was renewed energy, improved well-being, and a new lease on life."
JL
Julie L.
Waiting Weeks
Same-Day Answers
"The process was surprisingly fast and efficient. From lab results to a detailed consultation, 1st Optimal provided the clarity and support I needed without the usual delays."
VL
Vanessa L.
Training Hard
Recovering Smarter
"1st Optimal helped me recover faster, reduce soreness, and maintain higher energy levels. The difference showed up not just in how I felt, but in how I performed."
JG
Junior G.
Quick Fixes
Sustainable Energy
"1st Optimal helped me move beyond temporary solutions with a personalized health strategy. The result has been better recovery, improved performance, and lasting energy."
JG
Justen G.
Data
Dominance
"By tailoring every aspect of the plan to my lab results, 1st Optimal helped me unlock better focus, faster recovery, and measurable physical results."
RW
Ryan W.
Below Par
Performing Better Than Ever
"Since starting with 1st Optimal, I've seen improvements across the board—from recovery and sleep to energy and overall well-being. I simply feel better every day."
JA
Jeff A.
Brain Fog
Clarity
"1st Optimal helped me understand what was happening and guided me every step of the way. The results have been life-changing, I feel amazing and more like myself than ever before."
BD
Brandy D.

Watch Real Patient Stories
and Transformations

Common Questions Before You Get Started

View More Questions
1st Optimal specializes in telehealth medical services, including lab tests, hormone replacement therapy, peptide treatments, and weight loss solutions tailored to your needs through a membership-based model. We focus on enhancing performance, managing hormones, and effectively achieving weight loss.
Hormone replacement therapy (HRT) and Testosterone replacement therapy (TRT) may be suitable if you’re experiencing symptoms like chronic fatigue, mood swings, or low energy. Our team will conduct thorough testing to determine if HRT/TRT is the right path for you through a complimentary discovery call.
To begin your journey, book your intake call. After assessing your needs, we’ll guide you through diagnostic testing and create a personalized treatment plan to optimize your health.
Your membership includes all medical oversight and consultations, shipping costs, and medical supplies. You also have access to our treatments and services at a reduced members-only rate and receive priority booking and services.
During your consultation, our medical team will review your medical history, discuss your symptoms, and recommend appropriate treatments based on your goals. Whether it’s hormone therapy, weight loss, or other wellness solutions, we ensure a comprehensive approach to your health.

Not sure where to start?

Take our quick 2-minute health quiz and we'll guide you toward the right labs and next steps
Take a Quiz
Book A Call Instead

A smarter, lab-driven approach to your health

We combine functional medicine and health coaching to align your biology with your daily habits. Every plan is built from your labs, symptoms, and goals.
Medical oversight you can trust
Licensed providers guide your care and ensure every treatment is safe, compliant, and based on your lab results
Coaching that keeps you on track
Work with experienced health coaches to improve nutrition, lifestyle, and long-term results
Plans built for your body
Custom protocols based on your labs, symptoms, and goals, with ongoing adjustments as you progress

The 1st Optimal Podcast

Explore expert conversations on hormones, metabolism, weight loss, peptides, gut health, and longevity. Get practical insights to help you feel better, age stronger, and take control of your health.

Hormones After 40: What Your Doctor May Be Missing | Testosterone, GLP-1s & Functional Medicine

What if your labs are “normal,” but you still don’t feel like yourself? In this episode, we sit down with Marielle Elliot, Nurse Practitioner with 1st Optimal, to talk about hormone optimization, functional medicine, testosterone, GLP-1 medications, peptides, gut health, and why individualized care matters. Marielle shares her own experience struggling to get answers about her hormones, including being told she was too young to need testing. She also opens up about later being prescribed far too much testosterone by another clinic.

Latest Episode
1 month ago 25:30

The Longevity Blueprint: Peptides & Metabolic Health with Jim LaValle

3 months ago 1:19:48

Why Muscle Is the Key to Better Health and Fat Loss I Coach Joe Wachs

2 months ago 01:13:26

Why Some Patients Heal Faster — Dr. Cassie Smith Reveals the Truth

6 months ago 01:15:01

The Hormone Reset That Actually Works — Shauna Theresa Butler Explains

7 months ago 49:03

Why Most People Fail at Fitness — The Mindset Fix You Need with Coach Travis Wallace

7 months ago 01:02:25

Why Gut Health Affects Your Hormones, Brain Fog, Energy and Weight Loss with Dr. Cassie Smith

3 months ago 53:33

The Hidden Reason Your Knees, Hips & Back Keep Hurting with Dr. Mani Veerappan

4 months ago 57:56

Food Noise Was Blocking Her Weight Loss Until This Changed - A Client Story: Kristy Olendorf

4 months ago 26:24

What Your Poop REALLY Reveals About Your Gut Health — Liz Roman, BC-HPP

4 months ago 1:15:05

Stop Wasting Time in the Gym! The BFR Method That Actually Builds Strength - Dr. Michael MacPherson

4 months ago 58:25

Resources & education

Optimal Reading

Heart Palpitations During Perimenopause: Hormones, Thyroid, or Something Else?
  • Women’s Health & Hormones

Heart Palpitations During Perimenopause: Hormones, Thyroid, or Something Else?

You’re lying in bed when suddenly your heart feels like it skips a beat. Then it pounds. Maybe it races for 20 seconds and settles down. Or you feel a strange flutter in your chest while sitting at your desk, driving, or waking up in the middle of the night. If you’re in your 40s […]

Read More
Progesterone in Perimenopause: What It Does, When It Drops, and Why Symptoms Change
  • Women’s Health & Hormones

Progesterone in Perimenopause: What It Does, When It Drops, and Why Symptoms Change

One month, your period arrives right on time. The next, it comes eight days early. You sleep well for two weeks, then suddenly start waking up at 3 a.m. Your breasts feel sore. Your patience disappears. Your period is heavier than usual. And then the next month, everything feels almost normal again. This unpredictability is […]

Read More
Grip Strength and Longevity: What Your Hand Strength Says About Healthy Aging
  • Functional Health & Longevity

Grip Strength and Longevity: What Your Hand Strength Says About Healthy Aging

You probably do not think about your grip strength very often. Until a jar becomes harder to open. Your suitcase suddenly feels heavier. Deadlifts start slipping out of your hands. Or carrying groceries takes more effort than it used to. But grip strength is about much more than your hands. Researchers increasingly use handgrip strength […]

Read More
Blood Flow Restriction Walking After 60: What the Research Really Shows
  • Functional Health & Longevity

Blood Flow Restriction Walking After 60: What the Research Really Shows

Walking is one of the most accessible forms of exercise available. But what if a 10-minute walk could place a greater training stimulus on your muscles without requiring heavy weights or high-impact exercise? That question is behind a growing area of research known as blood flow restriction training, or BFR. One randomized controlled trial involving […]

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Perimenopause Brain Fog: Why Your Memory and Focus Feel Different
  • Women’s Health & Hormones

Perimenopause Brain Fog: Why Your Memory and Focus Feel Different

You walk into a room and forget why you went there. A familiar word suddenly disappears mid-sentence. You reread the same email three times because nothing seems to stick. You open your laptop to complete one task, get distracted by another, and 20 minutes later wonder what you were originally doing. For many women in […]

Read More
GLP-1 Maintenance After Goal Weight: Do You Stay on Semaglutide or Tirzepatide?
  • Peptide Therapy

GLP-1 Maintenance After Goal Weight: Do You Stay on Semaglutide or Tirzepatide?

Reaching your goal weight on a GLP-1 medication can feel like crossing the finish line. But from a metabolic standpoint, it may be closer to entering a new phase of treatment. Once the scale reaches the number you were working toward, several questions usually come next: Do I stay on the medication? Should my dose […]

Read More
Read More Articles

Your Labs Won't Check Themselves

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