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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.

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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

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
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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
Patrick G.
Low T
Normal
Reached goal weight and improved metabolic health in 5 months
Marcus R.
438
291 lbs
Lost 150 lbs in 12 months with a personalized plan and ongoing support
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."
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."
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."
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."
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."
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."
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."
Brandy D.

Watch Real Patient Stories
and Transformations

Common Questions Before You Get Started

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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
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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.

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

Most people don’t need another extreme diet or complicated workout plan. They need the right structure, better data and a plan they can actually follow. In this episode of the 1st Optimal Podcast, Joe Miller sits down with transformation coach Joe Wachs to talk about what really drives long-term fat loss, muscle growth and better health.

Latest Episode
20 hours 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

5 months ago 49:03

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

5 months ago 01:02:25

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

1 month ago 53:33

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

2 months ago 57:56

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

2 months ago 26:24

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

2 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

Is Your Gut Sabotaging Your Fat Loss Goals? Becca Chilczenkowski Shares How to Fix It!

3 months ago 1:37:13

Reclaim Your Energy and Life: Coach Tim Washburn’s Proven Recovery Methods

3 months ago 43:35

Resources & education

Optimal Reading

The Four Physical Tests That May Matter More Than a Biological Age App
  • Functional Health & Longevity

The Four Physical Tests That May Matter More Than a Biological Age App

A biological age score can be fascinating. You enter your data, connect a wearable, complete a blood test, or submit a biological sample. Then an algorithm tells you that although you are 47 years old, your body is supposedly 42.6. That number feels precise. But precision does not automatically make it useful. If you want […]

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Morning Fatigue vs. Afternoon Crashes: What the Pattern May Suggest
  • Functional Health & Longevity

Morning Fatigue vs. Afternoon Crashes: What the Pattern May Suggest

You wake up tired even though you spent eight hours in bed. Or maybe your morning feels fine, but around 2:00 or 3:00 p.m., your energy suddenly disappears. These two experiences often get lumped together as “fatigue.” But when your fatigue occurs may provide useful clues about what is driving it. Morning fatigue can point […]

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  • 1st Optimal Podcast

Muscle Is the Number One Currency: Joe Wachs on Structure, Labs, and Fat Loss That Actually Holds

The line that stopped the room Twelve seconds into the episode, before the intro, before the handshake, Joe Wachs says this: “Muscle is the number one currency in the world. You can’t buy it. It’s hard earned through hard work and grit, but it’s the best thing you have because it’s going to keep you […]

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Obesity, Sleep Apnea and GLP-1 Treatment: How the Conditions Connect
  • Peptide Therapy

Obesity, Sleep Apnea and GLP-1 Treatment: How the Conditions Connect

Obesity and obstructive sleep apnea often create a self-reinforcing cycle. Excess body fat can narrow the airway and worsen breathing at night, while fragmented sleep can make appetite control, metabolic health and sustainable weight loss more difficult. Newer obesity medications have added another option to the treatment conversation. In December 2024, the U.S. Food and […]

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TRT Monitoring Schedule: Labs, Blood Pressure, PSA and Follow-Up
  • Men’s Health & Hormones

TRT Monitoring Schedule: Labs, Blood Pressure, PSA and Follow-Up

Testosterone replacement therapy, commonly called TRT, should never be a “prescribe it and forget it” treatment. Safe and effective TRT requires scheduled laboratory testing, blood pressure monitoring, symptom reviews and appropriate prostate screening. These checkpoints help your provider determine whether treatment is improving how you feel without pushing testosterone, hematocrit, blood pressure or other health […]

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Metabolic Adaptation After Weight Loss: Is Your Metabolism Really “Broken”?
  • Metabolic Health

Metabolic Adaptation After Weight Loss: Is Your Metabolism Really “Broken”?

Losing weight can feel straightforward at first. You reduce calories, improve your food choices, become more active, and the scale starts moving. Then something changes. The same plan that helped you lose weight suddenly produces slower results. Hunger increases. Energy drops. Workouts feel harder. Your daily steps may decline without you realizing it. Eventually, the […]

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