GLP-1s · Hormones · Longevity Find my protocol →

Live optimal.Live optimal.

Physician-led GLP-1, hormone, and longevity protocols.
Delivered to your door.

  • Every order reviewed & prescribed by a U.S.-licensed physician
  • Compounded at licensed 503A pharmacies
  • Free discreet shipping to all 50 states
  • No insurance, no hidden fees, cancel anytime
OPTML compounded GLP-1, TRT, and NAD+ vials and pills
For women

GLP-1s

Start now → Athletic couple seated post-workout in OPTML's warm-lit studio
For men

TRT & enclomiphene

Start now →

Prescribed and overseen by a U.S.-licensed clinical team

Licensed in all 50 states · LegitScript Certified · Meet your care team
Included with every protocol
  • Free physician consultation
  • Board-certified physicians
  • Ongoing provider support
  • Free discreet shipping
  • Discreet packaging
  • Cancel anytime
  • No insurance needed
  • Licensed in all 50 states

What we treat

The OPTML Score · 60 seconds

Are you optimal?

One number for how optimized you really are, scored against optimal ranges, not just “normal.”

Your report, in 60 secondsLive · 30 lab panels
Optimizingreal upside ahead
Sleep
Opt82
Hormones
Low54
Metabolism
Avg71
You 5592 optimized
Get your OPTML Score → Free · 60 seconds · no email to see your score
How it works

Personalized care, made effortless.

Science-backed treatment, delivered discreetly, with ongoing support every step of the way.

Man taking online health visit on phone
01

Place your order

Pick your treatment and check out online in minutes. No insurance needed.

optml care chat with U.S. licensed physician
02

Doctor consultation

A U.S. licensed physician reviews your case and writes your protocol if you’re a fit.

optml branded shipping box on countertop
03

Delivered + ongoing care

Ships free, in discreet packaging. Your care team is a message away anytime.

Private & secure

Your data is encrypted and always protected.

Physician-led

U.S. licensed physicians at every step.

Science-backed

Rooted in science. Backed by results.

Discreet delivery

Ships to your door in unbranded packaging.

Labs by OPTML

Get your labs.
Go for your optimal.

Physician-ordered blood panels drawn at Quest or Labcorp, anywhere in the country. Results in 2 to 3 business days, every marker with the range it is measured against.

Start my labs Not sure which one?
OPTML blood collection tube, orange capBaseline
43blood markers
Physician-ordered blood panel

Optimized Health, Men's

Hormones, thyroid, metabolic and a full blood count. The depth a standard physical never goes to.

Get started Learn more
OPTML blood collection tube, orange capBaseline
40blood markers
Physician-ordered blood panel

Optimized Health, Women's

The same baseline, built around female hormones: estradiol, progesterone, DHEA-S and FSH.

Get started Learn more
OPTML blood collection tube, green capTracking
49blood markers
Physician-ordered blood panel

Longevity, Men's

Everything in the baseline plus inflammation, cortisol and advanced lipids. Built to compare year over year.

Get started Learn more
OPTML blood collection tube, green capTracking
48blood markers
Physician-ordered blood panel

Longevity, Women's

Inflammation, cortisol, advanced lipids and RBC magnesium, tracked year over year.

Get started Learn more
OPTML blood collection tube, red capFlagship
98blood markers
Physician-ordered blood panel

The Apex Panel

98 markers across 30 lab panels. Heavy metals, thyroid antibodies and a complete urinalysis, the tests nothing else runs.

Get started Learn more
OPTML blood collection tube, green capMonitoring
4blood markers
Physician-ordered blood panel

TRT Panel

Total testosterone, LH, hematocrit and PSA. The focused check for men already on therapy.

Get started Learn more
OPTML blood collection tube, green capMonitoring
28blood markers
Physician-ordered blood panel

GLP-1 Comprehensive

Metabolic, liver, lipids and B12, so you can see what a GLP-1 is doing beyond the scale.

Get started Learn more
OPTML blood collection tube, green capMonitoring
28blood markers
Physician-ordered blood panel

Enhanced Metabolic

Adds amylase and lipase to the metabolic picture. Pancreas enzymes almost nobody runs until it hurts.

Get started Learn more
Compare all eight panels side by side →
200K+
Patients treated across our provider network
98%
Satisfaction rate across our provider network
24–48hr
Blood panel orders approved
24/7
Provider support

Meet your care team

Every OPTML patient is seen by a U.S. licensed physician. No nurse-practitioner-only protocols. No pharmacy-on-autopilot.

← Swipe · Scroll →

Dr. Takashi Nakamura, MD, FACEP
Dr. Takashi Nakamura
MD · FACEP

Chief Medical Officer. Board-certified emergency medicine physician with 11+ years of clinical practice.

Dr. Laurie J. Mercier, MD
Dr. Laurie J. Mercier
MD · Family Medicine

Medical Director. Board-certified family physician with 30+ years of clinical experience.

Dr. Stephen MacDade, MD
Dr. Stephen MacDade
MD · Emergency Medicine

Board-certified emergency medicine physician with 10+ years of clinical experience. Telehealth, acute care, and men’s health.

Dr. Scott Sanderson, MD
Dr. Scott Sanderson
MD · Emergency Medicine

Board-certified emergency medicine physician with a background in military medicine. Aesthetic and regenerative care.

Kimberli Hastings, MSN, RN, NP
Kimberli Hastings
MSN · RN · NP

Family Nurse Practitioner specializing in family medicine and mental health. Clinical experience since 2019.

Board-certified U.S.-licensed clinicians, available in all 50 states. See the full care team →

Curious what being a patient is actually like? See inside OPTML →

Free · No login · No email

15 free tools built on peer-reviewed research.

Calculators, scores, and decoders grounded in published clinical formulas — Mifflin-St Jeor, Hodgdon-Beckett, the Greene Climacteric Scale, standard clinical reference ranges, and more. Decode your labs, score your symptoms, model your dose, project your savings — in under a minute.

Most popular this week

Start with these.

See all 19
Start here

Find My Protocol

60-sec personalized plan
SymptomsLabsGoalsProtocol
For women

Perimenopause Score

Greene Climacteric Scale
23 / 63 · Moderate
Labs

Lab Decoder

Turn labs into answers
41 biomarkers
95% optimized
3 flagged · protocol matched

Complete a 5-minute online health questionnaire. A licensed provider reviews your information and, if appropriate, prescribes treatment. Your medication ships to your door in discreet packaging, with shipping included. You can message your provider anytime.

Yes. All treatments are prescribed by US-licensed healthcare providers and dispensed from FDA-regulated pharmacies. Your provider is available for follow-ups and adjustments throughout your treatment.

No. Our pricing is transparent and all-inclusive. You pay one monthly price that covers your provider consultation, medication, and shipping. No insurance required, no copays, no surprise bills.

Changes are commonly noticed within 2-4 weeks on GLP-1 medications. Individual results vary. Appetite suppression often begins within the first week. TRT patients typically feel improvements in energy and mood within 3-6 weeks. Individual results vary.

Your provider will work with you to adjust your treatment plan. If a medication isn't right for you, they can recommend alternatives. You can cancel anytime, no long-term contracts.

Absolutely. All health information is HIPAA-protected. Medications arrive in plain, unmarked packaging. Your treatment is completely confidential.

← Back
Weight Management

Semaglutide

A GLP-1 receptor agonist that works with the body’s natural appetite signaling. One injection per week, prescribed and titrated by a U.S. licensed physician after intake review. Compounded preparations are not FDA-approved.

Get Started
Semaglutide vial
Why it works

The science is simple

⚙

Evidence-Informed

Protocols grounded in published clinical research, prescribed and overseen by U.S.-licensed physicians.

⏱

Once a Week

One small injection per week. No daily pills. No complicated routines.

♥

Beyond Weight Loss

Improves blood sugar, cardiovascular markers, and inflammatory biomarkers.

Couple hiking

How it works

Semaglutide mimics GLP-1, a natural hormone that regulates appetite. You feel full sooner. Cravings disappear. Weight comes off steadily.

  • Slows gastric emptying, you stay full longer
  • Reduces appetite signals in the brain
  • Improves insulin sensitivity
  • Steady, predictable rate of weight reduction

Ready to start?

5-minute questionnaire. Provider review. Free discreet shipping.

Get Started
← Back
Weight Management

Tirzepatide

The first dual GIP and GLP-1 receptor agonist. Two pathways. One injection per week. The most modern class of weight-management medication.

Get Started
Tirzepatide vial
Why Tirzepatide

Next-generation weight loss

⚡

Dual Action

Acts on both GIP and GLP-1 receptors. Pharmacology stated as fact, not a claim of outcomes.

📈

Physician-titrated

Dose is adjusted by your U.S. licensed physician based on your bloodwork, not a template.

♥

Monitored panel

Your physician reviews A1c, lipids, and blood pressure at recommended intervals on protocol.

Experience the difference

See if Tirzepatide is right for you. Quick online consultation.

Get Started
← Back
Longevity

NAD+

The coenzyme your cells need for energy, repair, and healthy aging. NAD+ levels drop 50% between ages 40-60. Restore them with subcutaneous injections.

Get Started
NAD+
Two delivery methods

Choose your protocol

💉

Subcutaneous Injection

Higher bioavailability. Maximum NAD+ levels. Self-administered at home in seconds, weekly or twice-weekly.

⚡

Cellular Energy

Essential for mitochondrial function and ATP production.

🔄

DNA Repair

Activates sirtuins and PARPs for genomic stability.

🧠

Cognitive Clarity

Sharper focus, better memory, enhanced brain energy.

Invest in your cells

Start your NAD+ protocol. Subcutaneous injections — $179/mo or $489 every 3 months.

Get Started
← Back
Hormone Optimization

Testosterone Replacement

Tired all the time? Feeling weaker? Brain fog that won't lift? Low testosterone affects everything. Our lab-driven TRT protocols are tailored to your body.

Get Started
Testosterone optimization
Symptoms

Sound familiar?

😢

Constant Fatigue

You sleep 8 hours and still feel exhausted. Coffee isn't cutting it anymore.

😤

Brain Fog

Can't focus. Can't remember things. Feel like you're operating at 60%.

💪

Losing Muscle

Working out but getting weaker. Gaining fat where you never used to.

Lab bloodwork

Everything starts with labs

No guessing. Every TRT protocol starts with comprehensive bloodwork. Your provider designs your protocol, then monitors and adjusts based on regular lab results.

  • Comprehensive pre-treatment blood panel
  • Individualized dosing for your body
  • Regular follow-up labs and adjustments
  • PSA and hematocrit monitoring

Get your energy back

Start with labs. Get your protocol. Feel the difference.

Get Started
← Back
Hormone Optimization

Enclomiphene

Want higher testosterone without shutting down your natural production? Enclomiphene stimulates your body's own T through the HPG axis. Fertility preserved. One daily pill.

Get Started
Enclomiphene capsules
Benefits

Testosterone, naturally

🔐

Fertility Safe

Unlike TRT, enclomiphene maintains and may improve sperm production.

⚡

Natural Production

Your body makes the testosterone. We just tell it to make more.

💊

One Daily Pill

No injections. No complicated protocols. Simple oral dosing.

Boost T naturally

Find out if enclomiphene is right for your goals.

Get Started
Prescribed by U.S. physicians No insurance
Lab Panels · By OPTML

The definitive read on your health.

Comprehensive physician-ordered panels, drawn at any Quest or Labcorp patient service center in the country, outside Hawaii and North Dakota. Your full results, every marker, in 2 to 3 business days.

98 markers CLIA-certified labs HSA / FSA eligible

Find my protocol Find my panel →
98
Biomarkers analyzed
3,800+
U.S. draw locations
12
Organ systems mapped
Your Health Score
87% Optimal
Total Testosterone Optimal
645 ng/dL
3001000
Fasting Glucose Optimal
82 mg/dL
JanFebMarAprMayJun
C-Reactive Protein Low
0.6 mg/L
03.0
Vitamin D Optimal
58 ng/mL
20100
Ferritin Optimal
142 ng/mL
30300
Clinical Standards
CLIA-certified labs HIPAA-compliant records LegitScript verified Board-certified oversight
The Library

From 4 markers to 98. Pick the depth that fits your goal.

Eight panels. One for every stage of optimization — from focused therapy tracking to a complete annual deep-dive.

0 markers TRT Panel $75 For men on testosterone therapy 0 markers GLP-1 Comprehensive $99 For patients on semaglutide / tirzepatide Most ordered 0 markers Optimized Health from $199 The standard starting panel 0 markers Longevity from $229 Advanced inflammation + cortisol Flagship 0 markers The Apex Panel $599 Every system, one blood draw
Not sure which panel is right for you? Take the 30-second match quiz
Find your panel · 30-second match

Answer 2 questions. We’ll match you to the exact panel you need.

Most patients overspend or under-test. This points you to the panel that gives you the most signal for your specific goal — not the most billable one.

Step 1 of 2

What are you optimizing?

Step 2 of 2

Which describes you?

Your match
Side-by-side compare

See what’s in every panel. Side by side.

Every major body system covered by each panel, at a glance. The Apex Panel covers every row.

Body systemTRT PanelGLP-1 ComprehensiveEnhanced MetabolicOptimized Health · Men'sOptimized Health · Women'sLongevity · Men'sLongevity · Women'sApex Panel
Heart & Lipids
Hormones — Testosterone
Hormones — Estrogen
Hormones — Adrenal
Thyroid
Prostate
Metabolic
Pancreas
Liver & Kidney
Blood Health (CBC)
Inflammation
Vitamins & Minerals
Heavy Metals
Urinalysis (complete)
Autoimmune
Total markers425283838454398
Price$75$99$119$199$229$229$249$599

Body-system coverage is a high-level grouping. Each panel page lists the exact markers tested.

Labs by OPTML · The Full Library

Eight panels. One that’s right for you.

Most new patients begin with Optimized Health. If you’re on TRT or a GLP-1, start with the matched targeted panel. Longevity adds inflammation, cortisol, and advanced cardiovascular markers. The Apex Panel covers it all.

Foundation · Targeted

For TRT patients

TRT Panel

For men on testosterone therapy. Tracks the four numbers your physician needs to titrate your dose safely.

$75 / panel
  • Testosterone, Total (Immunoassay)
  • Hematocrit (CBC)
  • Luteinizing Hormone (LH)
  • PSA, Total
Order panel
For GLP-1 patients

GLP-1 Comprehensive

For patients on semaglutide or tirzepatide. Tracks metabolic health, insulin sensitivity, and nutrient status while on therapy.

$99 / panel
  • Comprehensive Metabolic Panel + GGT
  • Hemoglobin A1c, Insulin, Triglycerides
  • Lipid Panel (Standard)
  • Vitamin D 25-Hydroxy, Vitamin B12
Order panel
For long-term GLP-1

Enhanced Metabolic

GLP-1 Comprehensive plus pancreatic enzymes. For patients on long-term GLP-1 therapy who need ongoing pancreatic monitoring.

$119 / panel
  • Comprehensive Metabolic Panel + GGT
  • Amylase & Lipase (pancreatic enzymes)
  • Insulin, Triglycerides, Lipid Panel
  • Vitamin D, Vitamin B12
Order panel

Comprehensive · Sex-specific

Most ordered · Men
Optimized Health

Optimized Health, Male

The standard starting panel for men. Full hormones, metabolic, lipids, thyroid, and prostate.

$199 / panel
  • Testosterone (Free, Bioavailable, Total)
  • SHBG, Estradiol, LH, TSH
  • PSA Free & Total, Cholesterol
  • CBC, CMP, Hemoglobin A1c
Order panel
Most ordered · Women
Optimized Health

Optimized Health, Female

The standard starting panel for women. Full hormones (incl. ultrasensitive estradiol), metabolic, thyroid.

$229 / panel
  • Testosterone (Free, Total via MS), SHBG
  • Estradiol Ultrasensitive (LC/MS), Progesterone
  • FSH, LH, TSH, DHEA-S
  • CBC, CMP, Cholesterol, A1c
Order panel
Advanced · Men

Longevity, Male

Optimized Health plus advanced inflammation, cortisol, vitamin D, and red-cell magnesium, for patients tracking trends year over year.

$229 / panel
  • Testosterone (Free, Bioavailable, Total via MS)
  • Homocysteine, hs-CRP, Cortisol
  • Vitamin D, HbA1c, Magnesium (RBC)
  • Lipid Panel with Ratios, VLDL, A1c, CMP, CBC
Order panel
Advanced · Women

Longevity, Female

Optimized Health plus advanced inflammation, cortisol, DHEA-S and red-cell magnesium, for patients tracking trends year over year.

$249 / panel
  • Estradiol, DHEA-S, Cortisol
  • Homocysteine, hs-CRP, Cortisol
  • Vitamin D, HbA1c, Magnesium (RBC)
  • Lipid Panel with Ratios, VLDL, A1c, CMP, CBC
Order panel
Labs by OPTML · The Flagship Panel

The panel most people never get.

98 markers across 30 lab panels, drawn in a single sitting at any Quest patient service center in the country, outside Hawaii and North Dakota. The most detailed picture of your health available outside a hospital admission — with the reference range each marker is measured against. No membership. No subscription.

98 markers · 30 lab panels · one blood draw

The Apex Panel

The panel most people never get.

No diagnostic outside a hospital admission goes deeper. 98 markers across every major organ system — heart, hormones, metabolism, heavy metals, thyroid antibodies, autoimmune — in a single blood draw. No membership, no waiting room.

Physician-ordered panel A U.S.-licensed physician releases the order
Normal-range context Every number with optimal-vs-typical context
2-3 day turnaround Results returned with full protocol & plan
Cash-pay friendly HSA / FSA accepted · no insurance hassle
  • Heart & cardiovascular
  • Hormones (full panel)
  • Metabolic & insulin
  • Thyroid (full)
  • Liver & pancreas
  • Kidney & urinalysis
  • Inflammation & immunity
  • Heavy metals (lead, mercury)
  • Vitamins & nutrients
  • Prostate (PSA, free PSA)
  • Stress & aging markers
  • Autoimmune (RF, TPO, Tg)
CLIA-certified labs Single blood draw 98 markers Every major organ system
$599
one-time · no subscription
Learn more about the Apex Panel Order it now →
  • Drawn at any Quest Diagnostics patient service center nationwide, outside Hawaii and North Dakota
  • CLIA-certified labs · Lab-direct results
  • Results returned to you
  • Cash-pay · HSA / FSA accepted
Explore the ranges

Where do your numbers actually sit?

Pick a marker. Slide to see how values are commonly described — from below standard reference to optimal-band targets.

Total Testosterone · published reference

500 ng/dL

Mid-Normal Band

Around the population average for adults in published reference data.

Total Testosterone 500ng/dL
100 ng/dL1200 ng/dL

Educational reference only. Reference ranges vary by laboratory and individual context. Not a prediction of any individual reading.

Explore the library

Eight panels. One matches your goal.

Targeted · comprehensive · flagship — each panel is physician-ordered and drawn at any Quest or Labcorp patient service center in the country, outside Hawaii and North Dakota.

The System

A guided path from lab draw to protocol.

No menus. No guessing. You complete a short medical intake, a physician orders the right panel, and you receive a personalized protocol based on your results.

01

Take the assessment

A 4-minute intake covering symptoms, history, medications, and goals.

02

Physician orders labs

A licensed U.S. physician reviews your intake and orders the appropriate panel.

03

Draw at Quest or Labcorp

Walk into any of 3,800+ locations. No appointment. Usually in and out in 15 minutes.

04

Receive your protocol

Every marker returned with normal-range context — premium panels, not a portal of unread numbers.

Drawn at a lab near you

Draw at any Quest or Labcorp.

Walk into any Quest or Labcorp patient service center. Drop your ZIP and we’ll show you the real ones nearest you.

3,800+ locations in our lab network

The next step

Your numbers. Delivered direct.

Pick the panel that fits your goals. We order the lab work, you draw at a Quest or Labcorp patient service center, results return within 2-3 business days.

Find my protocol
Eligibility confirmed after intake. No charge until you qualify. Not sure which panel is right for you? Take the 30-second match
Questions

What to expect.

Direct answers to the questions patients ask most often before starting.

Is this covered by insurance?

No. OPTML is a cash-pay system, prices shown are final. Many patients use HSA or FSA funds.

Where do I get my blood drawn?

At any location in our lab network (3,800+), which is Quest and Labcorp plus BioReference in New York and New Jersey. Not Hawaii or North Dakota, where the network has no location. We do not offer at-home or mobile blood draws. In New York and New Jersey, BioReference is available as well. Your physician sends the order electronically before you walk in.

How soon will I get results?

Results return within 2-3 business days of the draw. You receive every marker with normal-range context — clear numbers, no gatekeeping.

What do I actually get back?

Your full lab report, usually in 2 to 3 business days, listing every marker with the reference range it is measured against. A U.S.-licensed physician reviews your intake and releases the lab order, and the report comes back to you.

Weight-loss medication disclaimer

OPTML offers compounded semaglutide and tirzepatide, prescribed and overseen by U.S.-licensed physicians. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. OPTML is not associated with, endorsed by, or affiliated with the manufacturers of FDA-approved branded weight-loss medications, and does not sell or supply those branded products. Anyone interested in an FDA-approved branded medication should consult a licensed healthcare provider or pharmacist. Individual results vary; no specific result is promised, and weight management requires ongoing medical guidance.

The complete GLP-1 guide

The whole picture in one sitting: who it suits, what the labs decide, what the first year actually looks like. Every clinical claim is cited.

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guide to keeping muscle

How to protect lean mass while losing weight on a GLP-1.

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