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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 week ago 25:30

The Longevity Blueprint: Peptides & Metabolic Health with Jim LaValle

2 months ago 1:19:48

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

3 weeks ago 01:13:26

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

5 months ago 01:15:01

The Hormone Reset That Actually Works — Shauna Theresa Butler Explains

6 months ago 49:03

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

6 months ago 01:02:25

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

2 months ago 53:33

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

3 months ago 57:56

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

3 months ago 26:24

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

3 months ago 1:15:05

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

3 months ago 58:25

Resources & education

Optimal Reading

NAD+ and Longevity: What We Know About Oral, Injectable and IV Options
  • Peptide Therapy

NAD+ and Longevity: What We Know About Oral, Injectable and IV Options

NAD+ Has Become a Longevity Buzzword. How Much Is Actually Proven? NAD+ has moved quickly from the laboratory into supplements, longevity clinics, IV lounges, and conversations about biological aging. You may see oral NAD+ boosters marketed for cellular energy. Injectable NAD+ may be promoted for recovery or mental clarity. IV NAD+ infusions are sometimes positioned […]

Read More
Estrogen, Testosterone and Desire: What Each Hormone Actually Does
  • Men’s Health & Hormones, Women’s Health & Hormones

Estrogen, Testosterone and Desire: What Each Hormone Actually Does

Sexual desire is often reduced to a simple hormone equation: Low estrogen = low libido. Low testosterone = low libido. Fix the hormone, and desire comes back. Human sexual function is more complicated than that. Estrogen and testosterone both influence sexual health, but they affect different parts of the sexual-response system. Hormones also interact with […]

Read More
Recovery Debt: How Stress, Training and Poor Sleep Drain Performance
  • Functional Health & Longevity

Recovery Debt: How Stress, Training and Poor Sleep Drain Performance

What Is Recovery Debt? You can follow the perfect training program and still move backward. You can eat reasonably well, exercise consistently and stay disciplined, yet notice that your workouts feel harder, your motivation is falling and your body does not seem to respond the way it once did. The missing variable may be recovery. […]

Read More
Skinspan: Can Skin Health Become a Measurable Part of Longevity?
  • Functional Health & Longevity

Skinspan: Can Skin Health Become a Measurable Part of Longevity?

What If We Measured Skin Health the Way We Measure Heart Health? For decades, conversations about aging skin have focused primarily on appearance. Wrinkles. Fine lines. Pigmentation. Sagging. Dryness. But longevity medicine is changing the question. Instead of asking only, “How young does your skin look?”, researchers are beginning to ask: “How well is your […]

Read More
Why More Caffeine Can Make Low Energy Worse
  • Functional Health & Longevity

Why More Caffeine Can Make Low Energy Worse

Feeling exhausted often leads to an automatic response: reach for more coffee. One cup becomes two. The afternoon slump triggers another coffee or energy drink. A pre-workout gets added before the gym. By the end of the day, caffeine may be doing less to solve low energy and more to reinforce the conditions contributing to […]

Read More
Thyroid Fatigue vs. Burnout: How Symptoms Overlap
  • Functional Health & Longevity

Thyroid Fatigue vs. Burnout: How Symptoms Overlap

Feeling exhausted despite getting through the day on caffeine, discipline, and willpower can make it tempting to blame one thing. Maybe it is your thyroid. Maybe you are burned out. Maybe you simply need more sleep. The problem is that thyroid dysfunction and burnout can produce remarkably similar symptoms. Fatigue, brain fog, reduced motivation, trouble […]

Read More
Read More Articles

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