At 1st Optimal, we create weight loss programs tailored to your unique needs, addressing factors like hormone imbalances, metabolism, and lifestyle. Our approach combines advanced lab testing, nutrition guidance, and ongoing support to help you achieve lasting results.
Not a telehealth or telemedicine company - Functional health company. Functional Medicine With Coaching Built In Beyond Coaching. Backed by Functional Medicine.
Virtual medical consultations with licensed providers
Unlimited coaching & care throughout your plan
Blood work interpretations & ongoing lab review
Guided weight loss optimization based on your labs
Lifestyle, nutrition & activity guidance.
On-going coaching support sessions
No hidden fees - shipping, medical supplies, provider visits Included
Patient portal app to manage your optimization journey.
Hassle-free refills
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
At 1st Optimal, we take a functional medicine approach addressing the root causes behind your unique metabolic needs. Our strategies adapt to your specific phase of life, from early adulthood to perimenopause and menopause.
GLP-1s (Glucagon-Like Peptide-1 receptor agonists) are powerful, FDA-approved medications that help regulate blood sugar, reduce appetite, and support sustainable weight loss. Originally used for type 2 diabetes, they’re now a game-changer in metabolic health.
At 1st Optimal, we use GLP-1s as part of a personalized, medically supervised program to help you achieve lasting, measurable results.
How our clinical approach to GLP-1 therapy differs from standard prescriptions and why it produces better long-term results.
A holistic approach combining advanced diagnostics with sustainable lifestyle changes tailored to every stage of a woman’s life.
Root cause testing, including a comprehensive blood panel and gut health assessment. These help identify hormonal imbalances, metabolic dysfunction and thyroid issues.
Meal plans focused on whole foods, protein intake, balanced fiber and proper hydration; improving metabolism and keeping you full longer.
Achievable fitness plans adaptable to your level and lifestyle. Whether you're building muscle, improving endurance or focusing on metabolic fat burning, our treatment protocols are designed to succeed your optimal health goals.
Personalized supplementation protocols to fulfill micronutrient gaps and support metabolic function, keeping you energized and on track throughout your program.
Ongoing support and guidance from expert professionals. Whether managing hormonal fluctuations in perimenopause or metabolic slowdown, your coach navigates it with you, every step of the way.
Customized protocols based on your needs, lifestyle and symptoms. These plans are designed to using minimum effective doses of treatment when necessary, ensuring safety and efficacy with every step.
Most of our members had a lot of questions before starting. We’d rather you ask them all than stay stuck wondering. These are the most common ones.
You notice more hair in the shower. Your ponytail feels thinner. Your part looks wider in pictures, and the hair around your temples does not seem as full as it used to. Then someone tells you it is “just hormones.” Hormones may be part of the picture, but hair loss during perimenopause is rarely that […]
You walk into a room and forget why. A familiar name disappears halfway through a sentence. You reread the same email three times and still cannot process it. For many women, this sudden loss of mental sharpness feels alarming, especially when it begins during perimenopause or menopause. The reassuring news is that menopause-related brain fog […]
Menopause hormone therapy can improve some of the conditions that support weight loss, but it is not a weight-loss medication. For certain women, appropriate hormone therapy may reduce hot flashes, improve sleep, support insulin sensitivity, and limit the shift toward abdominal fat. Those changes can make a structured weight-loss plan easier to follow and may […]
Fatigue. Brain fog. Poor sleep. Anxiety. Weight gain. Irregular periods. Low libido. These symptoms are commonly associated with perimenopause, but they are not exclusive to perimenopause. Thyroid disorders, iron deficiency, sleep apnea, blood sugar problems, medication side effects, chronic stress, depression, and several gynecologic conditions can create a remarkably similar picture. Sometimes the answer is […]
Gut health and hormones are connected, but the relationship is often oversimplified. Your digestive tract produces hormones, communicates with your brain, interacts with your immune system, and helps process nutrients and compounds involved in hormone metabolism. At the same time, estrogen, progesterone, thyroid hormones, stress hormones, and metabolic hormones can affect digestion, appetite, bowel movements, […]
Author: Joe Miller, Founder of 1st Optimal Medically reviewed by: Franchell Hamilton, MD, FACS, FASMBS, DABOM Quick Answer: A 2026 systematic review found that testosterone therapy was associated with improvements in sexual desire, libido, sexual satisfaction, and satisfactory sexual experiences in women. The strongest evidence came from randomized clinical trials involving postmenopausal women. Results in […]
Unlock your FREE, personalized guide — designed to optimize your peptides for better energy, weight, and hormones.
