Personalized women’s hormone care from a functional medicine team built for women whose symptoms have been dismissed, overlooked, or masked by conventional medicine.
Our care team will review your symptoms and help identify what’s driving how you feel.
If you’ve been struggling with symptoms that your general practitioner can’t explain or have felt dismissed, a functional medicine approach guided by a women’s hormone health practitioner may be what you need.
Waking up tired no matter how much rest you get often linked to estrogen and progesterone imbalance, affecting sleep architecture.
Eating well and exercising, yet the scale won’t budge, metabolism shifts and hormones decline, often overriding effort alone.
Words disappearing, difficulty concentrating, mental fatigue and the mid-afternoon energy crashes. Estrogen directly supports these neurotransmitter functions.
Irritability or anxiety that feels disconnected from circumstances, often progesterone deficiency affecting GABA receptor function
Sudden waves of heat disrupting sleep and daily life; the hypothalamic thermostat is dysregulated by declining estrogen.
Gut health directly impacts estrogen, metabolism and recirculation. A disrupted microbiome can compound hormonal imbalance significantly.
The flat, disconnected feeling, low energy for everything that used to matter. Often testosterone and growth hormone driven in women.
Standard labs came back fine, but you still feel terrible. “Normal range” and “optimal” are two different things. Your labs may be missing the full picture.
I founded 1st Optimal because I saw a gap in the healthcare system where high performers, like busy professionals and athletes, weren’t receiving the tailored care they needed to truly optimize their health.
Traditional medicine often focuses on treating symptoms rather than proactive wellness, and I knew there had to be a better way. With my background in healthcare operations and business development, I built 1st Optimal to bridge the gap between conventional healthcare and modern wellness strategies, offering personalized, evidence-based solutions that empower people to take control of their health and performance.
At 1st Optimal, we provide comprehensive lab testing, expert medical oversight, and customized treatment plans designed to help individuals optimize their hormones, energy, and overall vitality. Whether it’s testosterone replacement therapy (TRT), peptide therapy, weight loss solutions like GLP-1 medications, or longevity protocols, our approach is all about helping high achievers perform at their peak every day.
I’m passionate about educating people on the importance of proper diagnostics and long-term health strategies that go beyond simply managing symptoms. Our mission is to help individuals feel their best so they can achieve their greatest potential, both professionally and personally.
- Amber Miller
Weight, hormones, and energy restored within months
"Food really dominated everything. Turning off the food noise was key, and I got to a place where I could feel in control. I would recommend 1st Optimal because they're not going to tell me no. They offer solutions. I feel like I've got my life back."
Kristy O.
Weight loss & hormone optimization
