You wouldn’t make a major business investment without doing your homework, and your health deserves the same level of diligence. The world of functional and performance medicine is expanding, but not all providers are created equal. Understanding a clinic’s core model is essential. Are they focused on aesthetics, like the evolve medical group in Texas? Do they operate on a direct primary care membership? Or do they use comprehensive lab testing to build personalized longevity protocols from the ground up? This article serves as your due diligence guide, breaking down the key differences between various clinics so you can make an informed, confident decision about your long-term health strategy.
A Scientific and Personalized Approach to Performance, Wellness, and Medical Integration
Introduction
Across the health and wellness landscape, a profound shift is occurring. Coaches are no longer seen solely as motivators or personal trainers. They are evolving into integral health professionals—expected to understand biomarkers, hormonal health, chronic disease risk, and individualized nutrition. At the same time, clients have become more informed and demand care that is personalized, science-backed, and medically accountable.
This convergence of client demand and coaching evolution has led to the creation of the 1st Optimal Coaching Partnership Program. Designed to empower coaches with medical-grade tools, lab-based diagnostics, and a clinical team behind the scenes, the program offers a revolutionary approach to personalized health.
Founded by Joe Miller, an authority in integrative and functional medicine, the Coaching Partnership Program bridges the gap between performance-based coaching and clinical precision. This is not a referral model. It is a collaborative health ecosystem that changes the way coaches and clients work together.
Clarifying the “Evolve Medical” Name: A Look at Different Clinics
When you’re looking for a specific type of medical care, a simple search can sometimes lead to a bit of confusion, especially when different clinics share similar names. The name “Evolve Medical” is a great example of this. You’ll find a few distinct, unaffiliated practices using this name across the United States, each with its own unique focus, services, and care model. To help you find exactly what you’re looking for, we’ve put together a clear breakdown of the main “Evolve Medical” clinics. This guide will walk you through who they are, what they do, and where they’re located, so you can easily distinguish between them.
Evolve Medical Group in Texas: Aesthetics and Wellness
This Texas-based practice is focused on helping patients improve their lifestyle through aesthetic treatments and general wellness services.
Key Services and Conditions Treated
At Evolve Medical Group, the service menu includes Peptide Therapy, skin rejuvenation, body sculpting, and Hormone Replacement Therapy. They are equipped to address specific health concerns like hormone deficiencies as well as physical conditions such as chronic knee and shoulder pain. Their approach combines aesthetic enhancements with functional wellness to provide comprehensive care for their patients, helping them look and feel their best through a variety of modern treatments.
Locations and Contact Information
This group serves clients exclusively in Texas, with four locations in the San Antonio area and two in Corpus Christi. This regional focus makes them a convenient option for residents in those communities who are seeking in-person aesthetic and wellness treatments. For specific inquiries about their services or to schedule a consultation, you can reach their main office directly at (210) 526-4633.
Evolve Direct Primary Care in Maryland: A Membership Model
Operating with a modern approach to healthcare, this Maryland clinic offers primary and urgent care through a direct-pay membership.
The Direct Primary Care Approach
You’ll find that Evolve Direct Primary Care operates on a completely different model from a typical doctor’s office. They offer both primary and urgent care services through a membership plan, with pricing that starts as low as $59 per month. This direct-pay system works outside of traditional insurance, aiming to provide more straightforward and accessible healthcare. The goal is to build a stronger doctor-patient relationship without the complexities of insurance billing for routine care.
Patient Experience and Providers
A key feature of their practice is the patient experience. Appointments are scheduled to be twice as long as the industry standard, which allows providers to spend significant, unhurried time with each person. This fosters a deeper understanding of individual health needs and contributes to highly positive feedback from patients, who often describe the care as a “game-changer.” The emphasis is clearly on quality interactions and attentive, personalized medical guidance rather than high patient volume.
Evolve Medical in Florida: Telehealth and Weight Loss
This Florida-based clinic specializes in weight loss and aesthetics, offering its services to a broad audience through telehealth.
Structured Programs and Service Delivery
Another distinct practice is Evolve Medical, which is based in Florida but serves patients across many states through a flexible telehealth platform. Their primary focus is on medically managed weight loss programs and various aesthetic services. By offering care through both online video consultations and in-person visits, they make their structured programs accessible to a much wider audience. This hybrid model provides convenience for those who prefer remote care while still offering a traditional office option.
Payment Policies and Insurance
It’s important to understand their payment policy before booking an appointment. Evolve Medical does not accept health insurance for its office visits, requiring direct payment by cash or card instead. This is a common practice in clinics offering specialized or aesthetic services. However, patients can often use their insurance plans to help cover the costs of any prescribed medications and necessary lab work, which can help manage the overall expense of their treatment plan.
Section 1: Joe Miller’s Mission and the Origin of the Program
Joe Miller’s career has always been about optimization. With certifications spanning sports performance, advanced diagnostics, hormone science, and peptide therapeutics, he has spent decades refining his approach to helping people achieve peak physical, mental, and metabolic performance.
Yet even as his work brought results, Joe encountered a consistent challenge. Most clients had access to fitness coaching or traditional healthcare—but not both in one coordinated experience. Trainers lacked access to labs. Doctors lacked the bandwidth to personalize care. Clients bounced between advice and interventions, often with conflicting messages or unclear outcomes.
Joe saw an opportunity to create something radically different. The Coaching Partnership Program was born out of his belief that coaches should not be limited by the tools of yesterday. They should be empowered with lab data, licensed medical support, and real treatment options like hormone replacement, GLP-1 therapies, and safe, effective peptide protocols.
The heart of the program is collaboration. Joe envisioned a seamless process where the coach remains the primary relationship holder but is supported by a team of clinical professionals, ensuring clients receive the most comprehensive care possible.
Section 2: How the Coaching Partnership Program Works
The 1st Optimal Coaching Partnership Program delivers a fully structured, medically supported experience that enables coaches to offer advanced services while maintaining focus on performance, lifestyle, and accountability.
1. Coach Onboarding and Agreement
Coaches begin by applying to the partnership program. Once approved, they receive access to a partner portal, HIPAA-compliant communication tools, branded materials, and onboarding training. Coaches do not act as prescribers. Instead, they serve as the client relationship manager while the medical team handles diagnostics, prescriptions, and legal oversight.
2. Client Intake and Initial Assessment
Each client completes a comprehensive health intake. This includes:
- Health history
- Family history
- Medication and supplement use
- Lifestyle habits
- Symptom tracking
- Physical activity levels
A licensed medical provider reviews the intake, ensuring clients are medically eligible for testing and possible therapies. A local or virtual physical exam is completed where required.
3. Laboratory Testing
Clients are sent at-home or in-lab test kits covering:
- Complete blood count (CBC)
- Comprehensive metabolic panel (CMP)
- Hormone panel: total and free testosterone, estradiol, progesterone, DHEA, cortisol
- Thyroid panel: TSH, free T3, free T4, reverse T3
- Insulin and glucose
- Inflammatory markers: hs-CRP, homocysteine
- Lipid panel
- IGF-1 and SHBG
- Optional: GI-MAP, DUTCH test, food sensitivities
Results return within 7 to 10 business days and are reviewed in detail by the medical team.
4. Medical Plan and Treatment Strategy
Based on client goals and lab findings, the provider designs a personalized plan that may include:
- Testosterone therapy or bioidentical hormone replacement
- GLP-1 medications such as semaglutide or tirzepatide
- Growth hormone–releasing therapies like tesamorelin or sermorelin
- Nutraceutical or supplement recommendations
- Nutrition and movement guidance supported by the coach
All prescriptions are legally reviewed and sent to the client via mail from a partner compounding pharmacy.
5. Coach Integration and Lifestyle Plan
The coach receives lab summaries and collaborates with the medical team. They design exercise and lifestyle programs aligned with the client’s treatment protocol. The coach remains the primary point of contact for weekly progress, behavioral change, and accountability.
6. Follow-Up and Reassessment
Clients are retested every 90 days. Labs, symptoms, and performance outcomes are tracked and reviewed. Treatments are adjusted as needed. This creates a continuous feedback loop that ensures evolving needs are met with evolving care.
Section 3: Evidence-Based Foundations
The Coaching Partnership Program stands on a strong foundation of research in exercise physiology, endocrinology, and functional medicine. Below are key domains where science validates the approach.
Exercise and Hormonal Balance
Research has shown that resistance training and aerobic exercise improve hormone profiles, including testosterone, cortisol, growth hormone, and insulin sensitivity. A meta-analysis in the Journal of Strength and Conditioning Research found that resistance training increases basal testosterone and improves body composition in middle-aged men. Similarly, studies in Endocrine Reviews and Exercise and Sport Sciences Reviews confirm that structured exercise positively impacts HPA axis function, reducing chronic stress and metabolic disruption.
GLP-1 Therapy for Weight and Cardiometabolic Health
GLP-1 receptor agonists like semaglutide reduce appetite, improve insulin function, lower systemic inflammation, and lead to significant fat loss. A landmark trial published in The New England Journal of Medicine showed an average of 14.9 percent body weight reduction in adults treated with semaglutide over 68 weeks. The Lancet Diabetes & Endocrinology confirmed cardiovascular benefit and inflammation reduction in non-diabetic users.
Tesamorelin and Sermorelin for Growth Hormone Optimization
Tesamorelin is FDA-approved for the reduction of visceral adipose tissue in HIV-related lipodystrophy but has also demonstrated efficacy in reducing abdominal fat, improving insulin sensitivity, and enhancing cognitive markers in the general population. A randomized controlled trial in the Journal of Clinical Endocrinology & Metabolism confirmed these effects over 26 weeks.
Sermorelin, a GHRH analog, is widely used to support growth hormone secretion, particularly in individuals with suboptimal IGF-1 levels. A 2016 review in Clinical Interventions in Aging highlighted sermorelin’s benefits on sleep quality, lean body mass, and general vitality.
Functional Medicine and Comprehensive Care
Integrating labs, coaching, and telemedicine aligns with research published in JAMA Network Open, which found that personalized, lifestyle-focused interventions produced greater improvements in energy, metabolism, and quality of life than conventional care alone.
Section 4: How Coaches Benefit
Partnering with 1st Optimal offers coaches a competitive edge through:
- Enhanced service offerings without needing to practice medicine
- Legal access to treatments previously unavailable to non-licensed professionals
- Co-branded materials and administrative support
- Higher client retention due to measurable, lab-driven results
- Professional collaboration with a team of licensed providers
- An additional income stream through shared revenue and membership models
This allows coaches to scale their business while improving the lives of their clients through smarter, safer, and more customized care.
Section 5: How Clients Benefit
Clients enrolled through the 1st Optimal coaching model experience:
- Personalized health plans based on objective data
- Reduced confusion around supplements, workouts, and diets
- Hormonal balance, improved sleep, higher energy, and sustainable weight management
- Access to medications and treatments from the comfort of their home
- The combined care of a trusted coach and medical provider
- Progress tracking through regular lab reviews and ongoing consultations
Clients feel empowered, not overwhelmed. They know their body is understood, monitored, and improved by a team that works together.
Section 6: Real-World Testimonials from Coaching Partners
Coach Jennifer – Kansas City, MO
“My clients were stuck, despite clean eating and lifting. Adding hormone testing and tesamorelin gave us a clear map. Now they recover better, sleep more deeply, and lose fat faster.”
Coach Marcus – Austin, TX
“I used to avoid talking about hormones. Now I can collaborate with the 1st Optimal team and know exactly what’s going on inside my clients. Their confidence and results have exploded.”
Coach Leila – Miami, FL
“My female clients struggled with fatigue and gut issues. GI-MAP testing and personalized supplementation transformed their digestion, and their progress finally feels sustainable.”
Coach Steve – Seattle, WA
“Clients hitting plateaus started GLP-1 therapy alongside their normal workouts. Their cravings dropped, workouts improved, and their inflammation markers actually went down.”
Coach Rachel – Chicago, IL
“I never imagined I’d have a full clinical team supporting my business. I focus on training and nutrition, and the rest is handled professionally and legally.”
Coach Omar – Phoenix, AZ
“Tesamorelin and sermorelin protocols have reduced injury rates and improved recovery in my older athletes. Their muscle mass and sleep have improved significantly.”
Coach Nina – New York, NY
“My practice grew rapidly after offering labs and telemedicine support. Clients refer others because it’s more comprehensive than any fitness plan they’ve tried.”
Coach Tom – Atlanta, GA
“Using lab data, I helped a client with prediabetes reverse his insulin resistance while gaining lean muscle. These tools make my coaching smarter and more effective.”
Coach Angela – San Diego, CA
“I used to feel helpless when menopausal clients stalled. Now we test estrogen, progesterone, cortisol—and address it with real solutions. They feel seen and supported.”
Coach James – Denver, CO
“Every 90-day lab cycle lets me fine-tune programming like never before. It’s not guesswork. It’s measured performance coaching with a medical backbone.”
Section 7: Tracking, Data, and Iterative Results
A major strength of the Coaching Partnership Program is its 90-day cycle of reassessment. This regular cadence mirrors what is supported in medical literature for tracking change and safely titrating treatment.
Clients undergo repeat labs every three months, which allows the team to measure:
- Hormone shifts (e.g., free testosterone, estradiol, thyroid)
- Inflammatory response (e.g., hs-CRP)
- Metabolic function (e.g., fasting insulin, glucose, triglycerides)
- Recovery and progress (via IGF-1, sleep quality, subjective performance)
This cycle mimics research practices in endocrinology and lifestyle medicine, where regular data checkpoints are associated with significantly better outcomes. A review in Annals of Family Medicine showed that patients receiving quarterly lab reviews paired with lifestyle coaching had a 44 percent greater improvement in HbA1c, blood pressure, and BMI compared to standard care.
This loop of testing, coaching, treating, and adjusting ensures clients evolve with their plan, not away from it.
Section 8: Safety, Accessibility, and Personalization
The 1st Optimal model is not a “one size fits all” system. It is built around precision, personalization, and inclusion across different client populations.
Age and Life Stage Adaptation
Protocols are tailored to:
- High-performing executives seeking vitality and longevity
- Women in perimenopause or menopause needing hormonal balance
- Young athletes managing inflammation and recovery
- Middle-aged individuals seeking weight loss and metabolic reversal
- Older adults improving bone density, sleep, and lean mass
Safety-First Approach
- All medication is prescribed only after diagnostic confirmation
- Providers are licensed in the client’s home state
- All communication is conducted via encrypted, HIPAA-compliant platforms
- Providers monitor labs, symptoms, and side effects throughout treatment
Clients are never treated based on symptoms alone. Clinical decisions are evidence-based and data-informed.
Section 9: Joe Miller’s Vision for the Future
Joe Miller does not believe in reactive health. He believes in preventive, proactive, personalized care. As the founder of 1st Optimal, he envisions a future where coaching and medicine are no longer separate but integrated.
His roadmap includes:
- Expanding state licensing to all 50 states
- Building education modules for coaches to understand lab data and treatment frameworks
- Launching a certification track for performance-based functional health coaching
- Collaborating with thought leaders in endocrinology, functional medicine, and exercise science to continually evolve the model
- Opening access to more advanced diagnostics including genetics, methylation, and mitochondrial function
Joe’s deeper philosophy is that when people are at their best, they uplift their families, teams, and communities. Optimization is not selfish. It is service. And that is the ethos driving every part of the 1st Optimal ecosystem.
Section 10: Frequently Asked Questions
Is this legal for coaches to use?
Yes. Coaches do not prescribe or diagnose. All medical decisions are made by licensed providers, with the coach acting as a supportive team member and primary point of contact for lifestyle and behavior.
Are labs and prescriptions included in the coaching program?
Clients pay for lab testing and treatment separately, often bundled into a monthly membership. HSA and FSA cards are typically accepted.
How are providers licensed?
The medical team only treats clients in states where they hold active telemedicine licenses. This is verified before any client is onboarded.
Are tesamorelin and sermorelin safe?
Both therapies have been studied in clinical settings. Tesamorelin is FDA-approved, and sermorelin is widely used off-label for GH optimization. All clients undergo screening and ongoing monitoring before and during treatment.
Do coaches get training?
Yes. All partners receive onboarding support, marketing materials, and optional clinical education modules to help them understand labs, treatments, and client guidance.
Is this just for weight loss?
No. While weight loss is a common goal, many clients pursue optimization for energy, mood, sleep, recovery, hormonal stability, and performance.
Can I offer this if I work remotely?
Yes. The entire model is telehealth-friendly, allowing coaches and clients to work from anywhere.
What if a client is already on hormone therapy or GLP-1 medications?
The medical team can review and adjust their plan, ensuring safety and integration with new data and goals.
How do I know this will improve client outcomes?
The program is designed around tracking, lab review, and iterative results. Unlike guess-based coaching, this model creates a feedback loop of measurable improvement.
How do I join?
Interested coaches can apply through 1st Optimal’s website and schedule a discovery call to see if it’s a good fit.
Section 11: Final Thoughts
The 1st Optimal Coaching Partnership Program represents a new era in personalized wellness. It offers a professional-grade solution for coaches who want to go beyond surface-level guidance and provide their clients with evidence-based, medically integrated care.
With the right lab testing, the right clinical support, and the right coach by their side, clients can experience more than fat loss or strength gains. They experience better sleep, emotional resilience, cognitive clarity, hormonal balance, and renewed vitality.
And for coaches, it offers a platform to scale their business, build trust, and make a deeper impact—all while staying within legal scope and supported by professionals who share the same mission.
Joe Miller’s vision was never about creating another coaching certification or supplement funnel. It was about raising the bar—for how we live, train, recover, and serve others through health.
That vision is now a reality.
To learn more or to apply, visit 1stoptimal.com and take the first step toward a coaching practice built on truth, science, and transformation.
Key Takeaways
- Integrate Medical Expertise into Your Coaching: This program provides a legal and collaborative framework to offer clients advanced, data-driven solutions like hormone therapy and GLP-1s, allowing you to address root causes while you focus on lifestyle and performance.
- Deliver Measurable, Data-Driven Results: Move beyond generic advice by using comprehensive lab data to inform your coaching. This objective approach helps clients achieve tangible outcomes in energy, body composition, and hormonal health, which builds trust and client loyalty.
- Adopt a System for Continuous Optimization: The program’s 90-day cycle of lab testing and reassessment creates a powerful feedback loop. This ensures client protocols are always aligned with their current physiology, allowing for precise adjustments that sustain progress and prevent plateaus.
