GET OPTIMIZED

FAQ

Find answers to our most commonly asked questions. 

Before I Start

In 2017, Chas Gessner teamed up with Dr. Garrett Wdowin to launch an in-person clinic optimizing men’s health by addressing the root cause. Since then, thousands of men, from former Navy Seals and ex-Pro athletes to everyone in between, have experienced the modernized approach toward men’s care. 

Everything starts with the At-Home Test Kit. This painless shoulder blood draw analyzes 5 of the most critical male hormone biomarkers to initiate your Vitality Rx journey. Click here to GET STARTED

– Free & Total Testosterone

– Luteinizing Hormone (LH)

– Sex Hormone Binding Globulin (SHBG)

– Estradiol 

– Prostate-specific Antigen (PSA)

We are a cash-pay practice.

Our test kit uses the revolutionary Tasso Test. This at-home shoulder blood draw offers painless hormone testing with an FDA-approved device, with CLIA-certified lab results.

Our At-Home Test kit is $149 and includes the telemed appointment.
 
For those who are eligible, our Hormone Reboot program $199 a month, and you receive:

 

✔️A single Vitality Rx compounded prescription capsule taken 3x a week containing:
  • Enclomiphene citrate (Boosts LH, which increases testosterone)
  • Anastrozole (Blocks excess test from converting to estrogen)
  • DHEA (Increases muscle mass and strength)
  • 7-Keto DHEA (Increases metabolic health)
  • Progesterone (Counteracts excess estrogen in the male body and increases sperm quality/quantity)
✔️A daily B12 sublingual (supports natural hormone production)

✔️5 clinical-grade supplement nutrients separated in daily packs and customized from your lifestyle questionnaire and labs.

✔️ Follow-up at-home test kits and telemed consults at the 2-month mark, 6-month mark, and every 6 months thereafter to monitor your progress.

 

Our Supplement only route is $69 per month.

Everything starts with the At-Home Test Kit. This painless shoulder blood draw analyzes 5 of the most critical male hormone biomarkers to initiate your Vitality Rx journey. Click here to GET STARTED.

 

From there, depending on your results, our men’s health physicians may prescribe our Hormone Reboot Program.

Our program is specifically designed to restart your body’s natural testosterone production, not replace it. This means you will never be dependent on it, we aim to reignite a. system that already exists. As such, we examine your symptoms and biomarkers at the 6-week and 6-month mark to determine the best course of action. This is not one-sized fits all.

It is important to address the total picture. A diagnosis and treatment protocol will be rendered after a careful examination of your medical history, vitals, symptoms, and comprehensive blood work.

No. Why? Replacing hormones should be seen as the last resort for men, not the first, as most men do not actually need it. Enclomiphene, our primary hormone-boosting ingredient, is the safest alternative to TRT treatment, as TRT carries high risks ranging from potential dependence to testicular shrinkage to decreased sperm production.

Yes. Oral medications are often the first line of treatment for erectile dysfunction. For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects.

Using the At-Home Test kit/Telemed

Here is a video of Chas, the founder, explaining the at-home test kit basics:  https://www.videoask.com/fsuv50duv

1. Only take and ship the test Monday-Thursday (UPS only)  * (If you ship on Friday/Saturday or use FedEx/USPS, our office will make fun of you. Don’t be THAT guy) 

 

2. Ship the test the same day you take it (UPS only)

 

3. Only take the test first thing in the morning before physical activity (food/drink is ok)

Your at-home test kit includes no-cost overnight shipping to the lab using UPS. Once the lab receives your samples, you will receive your analysis within 5 business days.

So do we, and yes, it’s as painless as possible. Pressing the button down releases a tiny needle that horizontally pierces the skin (sounds awful, but this approach reduces the incision’s depth and size). From there, it takes about 5 minutes to fill the tube. During that 5 minutes, you don’t feel anything, nor is there any pain removing the device.

Our at-home test requires an overnight fast with no exercise the morning of your blood draw. Drink at least 8-12 ounces 1 hour before your use the test kit. Dehydration will slow down your blood from filling the tube.

Testosterone would likely not be affected by ejaculation, whereas PSA would be. Look, we’re not going to tell you how to live your life, but if you’re trying to measure your PSA as accurately as possible, you might want to hold off on any bedroom stuff.

Yes! With the purchase of your At-Home Test kit, we provide access to speak directly with our men’s health physicians. This is how we deliver your results and discuss possible treatment options.

Treatments

An oral medication combining a proprietary Vitality Rx compounded prescription capsule taken 3x a week containing:

 

    • Enclomiphene citrate (Boosts LH, which increases testosterone)
    • Anastrozole (Blocks excess test from converting to estrogen)
    • DHEA (Increases muscle mass and strength)
    • 7-Keto DHEA (Supports metabolic health)
    • Progesterone (Counteracts excess estrogen in the male body and increases sperm quality/quantity)
  • A daily B-12 sublingual vitamin (vital for hormone balance, testicular health and sperm quality)
  • 5 clinical-grade supplement nutrients separated in daily packs and customized from the lifestyle questionnaire and biomarker labs.
The hypothalamus and pituitary gland control how much T the testes produce and secrete. The hypothalamus sends a signal to the pituitary gland to release gonadotrophic substances (follicle stimulating hormone and luteinizing hormone). Luteinizing hormone (LH) stimulates production.

For those who are familiar, clomiphene citrate consists of a mixture of isomers (enclomiphene and zuclomiphene), and enclomiphene citrate is a single isomer with pure estrogen antagonism.

 

Enclomiphene citrate is the purified isomer of Clomid (clomiphene citrate), a non-steroidal selective estrogen receptor modulator (SERM) that has been prescribed since 1967 to treat ovarian dysfunction in women. It has also been used off-label to treat low testosterone.

 

SERMs like enclomiphene and clomiphene act as estrogen antagonists by binding to hypothalamic estrogen receptors in the brain. This tricks the body into thinking that it’s not getting enough estrogen, thus stimulating the production of the hormones luteinizing hormone (LH) and follicle-stimulating hormone (FSH).

In addition to increasing testosterone levels, enclomiphene tablets have also been shown to increase sperm count.

In one 2013 study, enclomiphene citrate elevated sperm counts in 100% of men at three months and the six-month mark where sperm concentrations were in the 75-334 × 10(6) /mL range.

 

And in a three-month study comparing enclomiphene citrate to topical testosterone, researchers also found that while both testosterone treatments increased testosterone, those taking topical testosterone experienced a significant decline in sperm concentration. This decline rendered more than half (54%) of men in the study to become oligospermic.

The adverse effects of Enclomiphene have been extensively studied during phase ll & phase III clinical trials. The drug is generally well tolerated with minor side-effects occurring rarely. 

  • Headache (was observed in 3.3% of patients)
  • Common Cold (was observed in 1.7% of patients) 
  • Nausea (was observed in 2.1% of patients) 
  • Hot flush (was observed in 1.7% of patients)
  • Diarrhea (was observed in 1.9% of patients)
  • Joint pain (was observed in 1.2% of patients) 
  • Dizziness was observed in 1% of patients)

Studies have shown that Enclomiphene citrate can boost testosterone production by 1.5-2.5x without dependence, testicular shrinkage, or infertility. 

Andropause, or male menopause (“man-opause”) is the name given to the gradual drop in T-levels that typically affect men between the ages of 40 and 55. Low T, also known as hypogonadism, affects an estimated 13 million men in the U.S.

 

This decline in male hormones is a natural phenomenon; no man can avoid it. Due to lifestyle factors including stress, poor diet, a lack of physical activity and poor sleep habits, more men under 40 are affected by low T levels.

 

Additionally, men may experience the following symptoms:

  • Decreased muscle and strength
  • Depression
  • Declining ability to concentrate
  • Lack of energy
  • Low libido
  • Weak erections

Underactive testes cause primary hypogonadism. That’s because they don’t manufacture sufficient levels of T for optimal growth and health. This underactivity can be caused by an inherited trait. It can also be acquired by accident or illness.

 

Secondary hypogonadism is caused by damage to the pituitary gland or hypothalamus. These parts of the brain control hormone production by the testes.

 

You may be affected by primary, secondary, or a mixed hypogonadism. Mixed hypogonadism is more common with increased age.

Everyone is different. It can be as quick as 2 weeks or as long as 6 weeks. Our program includes a follow-up at the 6-week mark to check your progress and at that point, we can adjust things based on how you are feeling and responding. 

We only supply single ingredient, high potency pharmaceutical grade supplements separated into daily packs for you. No more bottles.