OptimalHormones
A2Z is a telehealth clinic for men with symptoms of low testosterone. We serve Arizona (live, booking now) and Utah (opening soon — join the list). Comprehensive labs first, one licensed provider at every visit, medication shipped to your door. $149/month covers the TRT program — provider visits, your medication, delivery, and initial labs.
Video Consult
A free video visit with a licensed provider in your state.
Labs at a Local Site
Comprehensive bloodwork ordered to a draw site near you.
Protocol From Your Numbers
Your provider builds your plan from your labs and symptoms — or tells you TRT isn't right.
Medication Shipped
Delivered to your door. Follow-up labs and visits to titrate your dose.
Six Ways To Optimize
Each therapy targets a different lever of how a man feels and performs — prescribed from your real lab panel, not a generic menu. Most men start with TRT and stack the rest as their numbers and goals warrant.
Testosterone Replacement Therapy (TRT)
Core ProgramThe foundation everything else builds on. Bioidentical testosterone dosed from your lab panel to restore energy, drive, and lean muscle.
Explore this therapyEnclomiphene
Fertility-SparingRaise your T without closing the door on kids. An oral therapy that boosts your body's own testosterone while preserving natural fertility.
Explore this therapyhCG
Preserves FertilityKeep what TRT works hard for. Maintains testicular size, function, and fertility pathways so you don't sacrifice one goal for another.
Explore this therapyDaily Tadalafil
24-Hr ReadinessAlways ready — never planning around a pill. A micro-dosed daily PDE-5 inhibitor for continuous erectile readiness, vascular flow, and prostate support.
Explore this therapySermorelin
Deep Sleep & RecoveryThe recovery and sleep you've been missing. A growth hormone secretagogue that prompts your pituitary to release its own GH for deep sleep and repair.
Explore this therapyTirzepatide
Medical Weight LossQuiet the food noise and finally lose the weight. A dual GLP-1/GIP medication that suppresses appetite and preserves lean muscle — the reset that makes your TRT results visible.
Explore this therapyWhere We Treat
Arizona (live now) and Utah (opening soon). Every city page links to its state hub and neighboring cities.
Why altitude changes the TRT conversation in AZ & UTBooking consults with a licensed Arizona provider.
Not yet accepting patients. Join the list to be notified.
Start With Labs, Not a Guess
Last reviewed 2026-10-04 by Lauren Orta, FNP-C, Family Nurse Practitioner. This page is clinical content and is reviewed on a regular schedule.
A free video consult with a licensed provider in your state. We order comprehensive labs, read them against your symptoms, and build a protocol — or tell you honestly if TRT isn't the right answer.
$149 per month covers the TRT program: provider visits, your medication, delivery to your door, and initial labs. Enclomiphene, tadalafil, sermorelin, hCG, and tirzepatide are separate standalone products priced separately.