Functional Health Meets Functional Medicine

Low energy. Disrupted sleep. Weight changes that don’t make sense. When you’re frustrated with how you feel, being told “everything looks normal” isn’t enough.


Discuss your goals and get a clear path to Optimization in a 30-Minute Virtual Call

More Answers. More Ways Forward.

From hormone therapy and functional health coaching to advanced testing, gut health, and peptides; we bring these options together in a personalized plan built for you.

Hormone Replacement Therapy

Personalized testosterone and women’s hormone care guided by comprehensive labs and licensed clinicians.

Peptide Therapy & Optimization

Explore available peptide options with clinical guidance on suitability, risks, and ongoing monitoring.

GLP-1 & Medical Weight Management

Clinician-guided weight management with medication options, nutrition coaching, and ongoing support.

Advanced Bloodwork & Diagnostics

Explore hormone, thyroid, metabolic, and nutrient markers to help inform a personalized care plan.

Gut Health Testing & Protocols

Advanced gut testing and individualized nutrition, lifestyle, and supplement guidance informed by your results.

Functional Medicine & Health Coaching

Medical care and practical coaching that connect nutrition, sleep, stress, and exercise with your health goals.

Does this sound like you?

If any of these sound familiar, this consult is for you.

Night sweats. Disrupted sleep. Lower libido.

Your body feels different, and you want to understand what’s changed.

Weight that won’t budge

You’re eating well and staying active, but the scale isn’t moving. It’s frustrating when your effort doesn’t show.

Bloating that keeps coming back

You’re tired of feeling bloated, uncomfortable, or unsure how your stomach will feel after a meal.

Low energy. Slower recovery.

You feel drained more often, and it takes longer to recover from workouts that used to feel manageable.

Unpredictable periods. Unpredictable moods.

Your cycle is changing, and you don’t know what to expect each month. You’re wondering if this could be perimenopause.

Your periods stopped. The symptoms didn’t.

Hot flashes, vaginal dryness, or ongoing sleep trouble are affecting your day. You want help navigating life after menopause

Wondering if 1st Optimal
can help you?

Start With a Conversation

What to Expect

step 1

Book a Call

step 2

Connect

step 3

Make a Plan

Why 1st Optimal?

Functional Health Coaching, Powered by Functional Medicine

Guided Medical Oversight

Virtual medical consultations with licensed providers

Unlimited coaching & care throughout your plan

Blood work interpretations & ongoing lab review

Functional Health Coaching

Guided weight loss optimization based on your labs

Lifestyle, nutrition & activity guidance.

On-going coaching support sessions

Member Benefits

No hidden fees - shipping, medical supplies, provider visits Included

Patient portal app to manage your optimization journey.

Hassle-free refills

Meet Amber Miller

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.

See Why Our Patients
Chose 1st Optimal

“I had no idea how much I needed 1st Optimal in my every day life. Since being post menopausal, finally accepted the fact I needed the trifecta hormone therapy. Dawn has been extremely helpful and amazing to work with. 1st Optimal also helped me with my psoriasis and neutropenia through the use of peptides. I feel incredible and I will always recommend 1st Optimal to be your #1choice for their peptides and most of all care for their clients.”

Shelly T.

“I am very pleased to be with 1st Optimal, As Im currently using my peptides, Im so happy with my results and the overall wellness I feel from inside out. But most importantly is the service I receive incredibly prompt, helpful, and really supportive.
I feel like I’m in great hands and would highly recommend it!”

Katherine J.

“So happy I was referred to 1st Optimal. It’s been a little over a month since starting on HRT and I’ve been sleeping through the night, not hot flashes or night sweats. I’m back to working out with no pain and I feel great.”

Blanche A.

“Joe, Amber and the whole team are amazing. White glove service, being hand held by the Dr’s and team to give you a comprehensive service for weight loss, hormone and overall health. Super professional, always keeping you informed, follow up blood tests to make sure treatment is working and to keep you within optimal ranges, no peptide farms here, only safe, sterile compounding pharmacies that deliver to your door. I can’t say enough about how this treatment has improved my physical and mental well being. Thank you 1st optimal for helping me be the best version of myself.”

Nefty D.

“Expert, personalized care. They dig deep to find what’s actually happening in the body…the root causes, not just treating symptoms.”

Autumn D.

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 free 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.

Ready to Take the First Step?

Start with a conversation about your health.
Book Your Consultation
Call (816 744-6814)
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