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.
Functional Health Coaching • Lab based treatment Plans • Guided Medical Care Nutrition & Lifestyle, Supplementation, and Activity Support.

Backed by trusted certifications and medical standards

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

Takes 2 minutes. Get personalized insights based on your symptoms

For Women

Perimenopause, menopause, hormone balance, weight loss, and energy optimization with personalized treatment plans

For Men

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

Testosterone

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

Real Results From Real Patients

Trusted by patients across the U.S.

Watch Real Patient Stories
and Transformations

Common Questions Before You Get Started

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

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.

Resources & education

Optimal Reading

Your Labs Won't Check Themselves

Start with a consultation to review your symptoms and see if personalized, lab-based care is right for you
No credit card required to get started. Flexible plans based on your care needs.