You can begin with a free 15-minute provider consultation if you are still deciding whether testosterone replacement therapy, or TRT, is worth exploring. You can ask about symptoms, treatment, costs, and how care works before completing labs or making a payment. The call carries no commitment, and you do not need to enroll afterward. Because the call does not include lab work, it does not replace a full clinical evaluation.
If you are ready for that evaluation, book the $150 new-patient visit instead. The fee covers initial lab work and a consultation with a licensed nurse practitioner, who reviews your symptoms alongside your results.
The $150 new-patient fee is a one-time charge. It is separate from Optima’s $150-per-month TRT program, which starts only if you and the provider decide to proceed with treatment. The monthly price includes medication, supplies, shipping, follow-up consultations, and follow-up labs.
Booking the $150 new-patient visit starts with choosing telehealth anywhere in Texas or an in-person appointment at the Tyler clinic. You can schedule online, and Optima coordinates the appointment and next steps based on your location.
Before the visit, you complete intake forms covering your health history, current medications, symptoms, and treatment goals. Accurate answers help your provider prepare for the consultation and identify any health factors that may affect your evaluation.
Telehealth patients receive instructions for completing lab work at a coordinated draw site in Texas. Tyler patients can complete the required steps through the local clinic. By the time you meet your provider, Optima has the intake details needed to focus the conversation on your symptoms, lab results, and options.
Optima checks total testosterone, sex hormone-binding globulin, or SHBG, and free testosterone. Total testosterone measures all testosterone circulating in your blood, including testosterone attached to proteins and the smaller unbound portion. Free testosterone measures the unbound portion available to tissues.
SHBG helps explain why the total testosterone number may not match your symptoms. The protein binds to testosterone and affects how much remains free. Two men can have similar total testosterone levels but different SHBG and free testosterone levels, so one may report fatigue, low libido, or poor focus while the other feels well.
Your provider reviews all three markers alongside your symptoms rather than treating one result as a complete diagnosis. Lab values provide useful evidence, but your health history and current concerns help determine whether TRT may be appropriate. A provider must also consider other possible causes of your symptoms before recommending treatment.
You can complete the blood draw at Optima’s Tyler clinic if you prefer in-person care. If you use telehealth elsewhere in Texas, Optima coordinates a nearby lab draw site and gives you the details. Both routes lead to the same provider review and treatment-planning process.
Your consultation brings your symptoms and lab results into one clinical picture. The provider reviews total testosterone, SHBG, and free testosterone alongside concerns such as fatigue, low libido, poor focus, low mood, weight gain, or difficulty maintaining muscle. You can explain how those concerns affect your daily life and ask questions about treatment.
You meet with Dan, NP or Travis, NP, licensed nurse practitioners who own and run the practice. Your NP remains involved during follow-up, so you do not have to repeat your history to a rotating call-center provider.
Optima does not treat one lab value as a complete diagnosis. Two men with similar results may report different symptoms, so your provider weighs both sources of information before discussing whether TRT makes clinical sense. The conversation also gives you room to discuss costs, possible side effects, fertility concerns, and what ongoing monitoring involves before you decide how to proceed.
Dan, NP, or Travis, NP builds your treatment plan by comparing your symptoms with your lab results. A single testosterone cutoff does not decide whether treatment makes sense. Your provider considers how you feel, your hormone markers, your health history, and whether TRT fits your goals.
When TRT is appropriate, Optima generally starts with injectable testosterone because your provider can adjust the dose over time. Your provider selects an initial dose and injection method based on your evaluation, with the goal of using the least amount of effective medication. You will also review the injection schedule and follow-up monitoring before treatment begins.
If your complete lab results are available during the consultation, your provider may discuss the plan during that visit. If results are still pending, Optima schedules a prompt follow-up to review them and finalize the plan. TRT may not be recommended when the full evaluation points toward another cause or a different treatment path.
Telehealth and in-clinic patients follow the same treatment steps once the provider approves a plan. Telehealth lets you complete visits anywhere in Texas, while Optima’s Tyler clinic gives you a face-to-face option. You can move between those options without changing providers or restarting care.
A licensed pharmacy ships the prescribed testosterone directly to your home with the matched injection supplies. Because testosterone is a controlled substance, you should expect home delivery rather than routine pickup at the Tyler clinic.
Before your first injection, Dan, NP, or Travis, NP explains your prescribed amount, injection schedule, and administration method. Optima also provides injection tutorial videos for intramuscular and subcutaneous injections. You can ask questions before starting instead of working through unfamiliar supplies alone.
The $150 monthly program begins when you proceed with treatment. It includes medication, supplies, shipping, follow-up consultations, and up to five follow-up lab draws per year. Your provider continues to monitor your symptoms and lab results and can adjust the plan when needed.
The $150 new-patient visit is separate from the $150 monthly TRT program. Optima charges $150 for both the initial lab work and provider consultation, while many other clinics charge $300 to $400 for the initial workup and then add a consultation fee.
Optima gives your evaluation time for a real clinical conversation. Dan, NP, or Travis, NP, reviews your symptoms alongside total testosterone, free testosterone, and sex hormone-binding globulin. The same provider can then oversee your follow-up care through statewide telehealth or at the locally owned Tyler clinic.
The optional free provider consultation keeps the process low pressure. You can ask questions before paying for labs or deciding whether you want to move forward.
The $150 new-patient fee covers your initial lab work and provider consultation. Optima charges the $150 monthly TRT program separately after you choose to begin treatment. You can complete the evaluation without committing to ongoing care.
Your start date depends on lab availability and whether your provider recommends TRT. Dan, NP, or Travis, NP, may discuss the plan during the visit or at a fast follow-up after results arrive. Medication ships to your home before your first injection.
The free 15-minute consultation gives you a chance to ask questions before paying for labs. Optima makes the call optional, so you can book the new-patient visit directly. You can choose the starting point that fits your comfort level.
Texas residents can complete the provider consultation through telehealth. Optima coordinates a nearby lab draw site and ships prescribed medication directly to your home. You do not need to travel to Tyler for routine care.
Optima’s hybrid model lets you use telehealth and in-person care within the same practice. Your named provider continues overseeing your treatment when you change visit formats. You can choose the more convenient option for each appointment.
Optima provides TRT through a self-pay model and does not accept insurance. The monthly fee includes medication, matched supplies, shipping, follow-up consultations, and eligible follow-up labs. You receive the full price before choosing treatment.
If you want answers before committing, book a free 15-minute consultation or call (903) 459-6864. If you are ready for labs and a provider consultation, schedule the $150 new-patient visit online or by phone. Choose whichever starting point feels right for you.