Your Questions, Answered

  • We offer simple, transparent monthly pricing based on your goals:

    • Hormone Health: $149/month

    • Medical Weight Loss: $89/month + medication cost

    • Executive Performance Program: $299/month

    Your monthly membership includes physician oversight, treatment planning, and ongoing optimization.

    Additional costs may include:

    • Medications (when prescribed)

    • Laboratory testing

    There are no long-term contracts, and you can cancel anytime.

  • Your care is comprehensive and physician-directed. Depending on your plan, it may include:

    • Detailed medical intake and goal setting

    • Advanced lab testing and interpretation

    • Personalized treatment plan

    • Ongoing follow-up visits

    • Dose adjustments and optimization

    • Direct messaging access for questions

    Everything is tailored—nothing is protocol-driven.

  • All treatments are based on:

    • Your labs

    • Your symptoms

    • Your goals and risk profile

    We do not use one-size-fits-all protocols. Every decision is made by a physician, adjusted over time, and monitored for both effectiveness and safety.

  • We do not accept insurance.

    This allows us to:

    • Spend more time with you

    • Offer truly individualized care

    • Avoid restrictions from insurance-driven protocols

    We can provide documentation if you wish to submit for out-of-network reimbursement.

  • Most patients begin noticing changes within 4–8 weeks, with continued improvement over several months.

    Common outcomes include:

    • Improved energy and focus

    • Better body composition

    • Increased strength and recovery

    • Enhanced metabolic health

    Results vary based on your starting point and consistency.

  • Safety is a priority.

    We use:

    • Evidence-based therapies

    • Regular lab monitoring

    • Ongoing physician oversight

    Your plan is continuously adjusted to ensure both effectiveness and long-term safety.

  • We focus on:

    • Hormone optimization (including testosterone and related therapies)

    • Medical weight loss and metabolic health

    • Fatigue, low energy, and performance concerns

    • Longevity and preventative health strategies

    This is not primary care—we focus on optimization.Item description

  • No — and that’s one of the best things about PPI. All visits are conducted via telehealth, so you never need to leave your home or office. There is no in-person exam component; all consultations, follow-ups, and prescription management are handled virtually.

    Currently, I am licensed to practice in North Carolina. I am actively working to expand and will soon be accepting patients in Virginia, New York, Colorado, Michigan, and Maryland. If your state isn’t listed yet, feel free to reach out — I’ll let you know as soon as we’re available in your area.

    PPI is currently licensed to see patients in North Carolina. We are actively working to expand availability and will soon be accepting patients in Virginia, New York, Colorado, Michigan, and Maryland. If you are located in one of these states and are interested in becoming a patient, you are welcome to join our waitlist.

    • Physician-led care (not protocol-driven)

    • Data-driven decisions based on labs and clinical response

    • Fully individualized plans

    • Focus on long-term optimization, not quick fixes

    You are treated as an individual—not a template.

  • There are no long-term contracts.

    However, meaningful results typically require at least 3–6 months of consistent treatment and follow-up.

    You can cancel anytime

  • Your first visit is a thorough 60-minute telehealth consultation — no rushing, no assembly line. We’ll go over your full medical history, current symptoms, lifestyle, and goals. I’ll review any relevant labs and we’ll talk openly about what’s been working, what hasn’t, and what you’re hoping to achieve. From there, I develop a personalized treatment plan just for you. Everything is done virtually via a secure video platform, so you can join from the comfort of your home or office.

  • Great question — this is one of the most common things patients ask. Lab work is done at a local lab near you (such as LabCorp or Quest Diagnostics). I’ll order your labs and you’ll go in for a simple blood draw at your convenience. Results are sent directly to me, and we’ll review everything together during your telehealth visit. No need to see a different doctor for labs — I handle the ordering and interpretation as part of your care.

Hormone Health FAQs

  • Hormone optimization therapy uses bioidentical or pharmaceutical-grade hormones to restore your body’s natural hormonal balance. At Peak Performance Institute, we assess your current hormone levels through comprehensive lab testing and create a personalized treatment plan to address deficiencies in testosterone, estrogen, progesterone, thyroid, and other key hormones.

  • Men and women experiencing symptoms of hormonal imbalance are often good candidates. This includes fatigue, low libido, weight gain, mood changes, brain fog, poor sleep, and other signs of declining hormone levels. We conduct a thorough health evaluation and lab panel before recommending any treatment.

  • Many patients begin noticing improvements in energy, mood, and sleep within the first 2–4 weeks. Optimal results typically develop over 3–6 months as hormone levels stabilize. We monitor your progress through follow-up appointments and lab work to fine-tune your protocol along the way.

  • Bioidentical hormones are designed to be molecularly identical to the hormones your body naturally produces, which generally makes them well-tolerated. As with any medical treatment, there are potential risks, which is why we carefully evaluate each patient’s health history and monitor labs regularly throughout treatment.

  • No referral is needed. You can schedule a consultation directly with our team. We’ll review your symptoms, health history, and goals to determine if hormone therapy is right for you. If appropriate, we’ll order labs and develop your personalized treatment plan from there.

  • Yes, hormonal imbalances are a common driver of unexplained weight gain, persistent fatigue, and sluggish metabolism. By restoring optimal hormone levels, many patients experience improved energy, easier weight management, better body composition, and an overall sense of vitality that they hadn’t felt in years.

Medical Weight Loss FAQs

  • We offer physician-supervised weight loss programs that may include GLP-1 receptor agonist medications (such as semaglutide or tirzepatide), metabolic testing, nutritional guidance, and ongoing monitoring. Each program is tailored to your body composition, health history, and personal weight loss goals.

  • GLP-1 medications have been extensively studied and are FDA-approved for weight management. Like any medication, they may have side effects, which is why we provide ongoing medical supervision throughout your treatment. We screen patients carefully and monitor your progress to ensure safety and effectiveness.

  • Results vary based on individual factors such as starting weight, metabolism, lifestyle, and adherence to the program. Many patients using GLP-1 medications in combination with lifestyle modifications experience significant and sustained weight loss. We set realistic, healthy goals and track your progress every step of the way.

  • While our program is designed to work alongside lifestyle changes, we tailor our recommendations to your schedule and preferences. We provide nutritional guidance and movement tips, but we focus on sustainable habits rather than rigid restrictions. Our goal is to make your weight loss journey realistic and long-lasting.

  • Weight maintenance after stopping medication requires a strong foundation of healthy habits built during the program. We work with you to develop a long-term maintenance strategy — including nutrition, activity, and lifestyle adjustments — to help you sustain your results even as you transition off medication.

  • Coverage varies depending on your insurance plan and the specific medications or services involved. Our team can help you understand your options and explore any available coverage. Many patients find our programs to be an accessible investment in their long-term health.

Executive Performance Program FAQs

  • The Executive Performance Program is a comprehensive, physician-led health optimization program designed specifically for high-performing professionals. It integrates advanced lab testing, hormone optimization, cognitive enhancement strategies, stress resilience protocols, and personalized wellness planning to help you perform at your absolute best — mentally and physically.

  • This program is ideal for executives, entrepreneurs, physicians, attorneys, and other high-achievers who are looking to optimize their health, sharpen cognitive performance, increase energy, and build resilience to stress. It’s built for those who demand excellence not just in their careers, but in every aspect of their wellbeing.

  • The program includes a comprehensive health intake and consultation, advanced metabolic and hormone labs, personalized treatment protocols (which may include hormone optimization, peptide therapy, and nutraceuticals), nutrition and lifestyle coaching, sleep optimization strategies, stress management support, and ongoing physician oversight with regular check-ins.

  • Traditional annual physicals focus on identifying disease. Our Executive Performance Program goes far beyond that — it’s focused on optimization. We conduct far more comprehensive testing, look at biomarkers related to performance and longevity, and provide proactive, personalized interventions — not just a report that says “everything is normal.”

  • Yes. Burnout and mental fatigue are often tied to hormonal imbalances, poor sleep, chronic stress, and nutritional deficiencies — all of which we assess and address. Our program is designed to help you recover your mental edge, restore sustainable energy, and build the physiological foundation for peak cognitive performance.

  • Getting started is simple — schedule a consultation through our website and one of our team members will reach out to discuss your goals and walk you through the program. From there, we’ll coordinate your initial labs and intake process so we can begin building your personalized performance plan.