Men's Health Programs
Feel like yourself again — without the waiting rooms. A quick provider evaluation, medication shipped straight to your door, and ongoing support whenever you need it.
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Three Programs, One Simple Model
1. TRT Injection Optimization
Testosterone injection therapy for men with confirmed low testosterone, dosed and monitored by your provider.
2. Enclomiphene Optimization
A daily oral option that raises testosterone while preserving natural production and fertility.
3. Erectile Performance Optimization
Combination sildenafil/tadalafil therapy for on-demand performance plus extended coverage.
Not sure which one's right for you? Take our 60-second quiz →
Not Sure Which Program Is Right for You?
Answer a few quick questions and we'll point you toward the program that fits your goals best.
What's Included — TRT & Enclomiphene
Both programs run on the same 90-day cycle, so switching or combining them later is straightforward:
- Initial evaluation by provider
- Baseline & follow-up blood work each 90-day cycle
- 90 days of medication shipped directly to you
- Dose adjustments based on labs and how you're feeling
- Direct access to your doctor via telehealth or email — no call center
- Secure messaging between visits
Don't have recent labs?
You can get your testosterone levels checked here before starting the program.
Check Your LevelsUnderstanding Your Options
TRT and Enclomiphene both raise testosterone, but they work in different ways. Here's a closer look at each:
Common symptoms include low energy, reduced sex drive, difficulty building or keeping muscle, brain fog, and low mood. Low testosterone is confirmed with a blood test — typically a morning total testosterone level, sometimes repeated to confirm before starting treatment.
TRT replaces testosterone directly, typically as a weekly or biweekly injection. Because it supplies testosterone from outside the body, it's a direct, predictable way to bring levels into a healthy range. It can reduce your body's own natural production and fertility while you're on it, which is why it's most often chosen by men who aren't focused on preserving fertility right now.
Enclomiphene is a daily pill that works upstream — it signals your pituitary gland to produce more of your own testosterone, rather than supplying it externally. Because it stimulates your body's natural production instead of replacing it, it generally preserves fertility and testicular function, which makes it a common choice for men who want to keep the option of having children open.
As a general guide: if preserving fertility matters to you, or you'd rather take a daily pill than give yourself injections, Enclomiphene is usually the better fit. If you want the most direct, well-established route and injections don't bother you, TRT is a great option. Your provider will confirm what's right for you based on your labs and goals — or take the quick quiz above and we'll point you in the right direction.
Yes. Low testosterone and erectile difficulty often overlap, and many patients run the Erectile Performance program alongside TRT or Enclomiphene. Your provider can help you decide if that combination makes sense for you.
Clear & Easy Pricing
TRT Injection Optimization
every 90 days
- Provider evaluation & labs
- 90-day medication supply, shipped
- Direct access to your doctor via telehealth or email
- Secure messaging
Enclomiphene Optimization
every 90 days
- Provider evaluation & labs
- 90-day medication supply, shipped
- Direct access to your doctor via telehealth or email
- Secure messaging
The oral program runs slightly higher than the injection program — the medication itself costs more. This is a self-pay program, consistent with our direct primary care model; we don't bill insurance for it.
How It Works
- Book Your Discovery Call — Fill out the form below and we'll set up a telehealth visit with your provider.
- Evaluation & Labs — Discuss your goals and history. If you don't have recent labs, you can get tested through VitaFix Optimization Labs before your visit.
- Medication Ordered & Shipped — Once your provider approves your plan, your medication ships directly to your door.
- Ongoing Access — Continued access to your provider by telehealth or email, plus secure messaging for dose adjustments and refills.
Erectile Performance Optimization
A combination sildenafil & tadalafil capsule — pairing sildenafil's stronger on-demand effect with tadalafil's extended duration of action (up to ~36 hours). It's a different option than clinics that only prescribe one medication on its own, and it's a compounded formula unique to us.
- Initial evaluation by provider
- Medication prescribed if appropriate
- Lifestyle counseling — blood pressure, diabetes, cardiovascular risk, smoking, exercise
Easy Follow-Ups & Easy Refills
Need more? Just email us. We'll ask a few quick follow-up questions to make sure everything's still on track, then charge the card on file and get your next package on its way — no need to book a new visit every time.
Pricing
per 30-tablet package
- Initial provider evaluation
- 30-tablet supply of your compounded formula
- Direct access to your doctor via telehealth or email
- Secure messaging
Erectile Performance: Common Questions
Sildenafil (the active ingredient in Viagra) and tadalafil (the active ingredient in Cialis) are usually prescribed on their own. Our compounded capsule combines both in one dose, so you get sildenafil's stronger on-demand effect together with tadalafil's longer window of effectiveness — a combination you generally can't get at a retail pharmacy.
Sildenafil typically starts working within 30–60 minutes. Tadalafil takes a bit longer to kick in but stays active much longer — up to about 36 hours. The combination is designed to give you both a faster onset and extended coverage.
Not routinely. Your provider will review your blood pressure, medications, and cardiovascular history during your evaluation, and may recommend labs if something in your history warrants a closer look.
Many blood pressure medications are fine to combine with this program, but a few — nitrates and, in some cases, alpha-blockers — are not. Your provider will review everything you're currently taking before prescribing anything.
Let your provider know. Response can vary from person to person, and your dose or approach can often be adjusted at your next follow-up.
Who shouldn't take this
- Do not use if you take nitrates in any form (including nitroglycerin, or recreational "poppers") — combining them with sildenafil or tadalafil can cause a dangerous drop in blood pressure.
- Use with caution if you're on an alpha-blocker for blood pressure or an enlarged prostate.
- Not recommended if you have unstable angina, a recent heart attack or stroke, or severe uncontrolled heart failure.
- Use with caution with significant liver or kidney impairment, or uncontrolled high or low blood pressure.
- Tell your provider about any history of sudden vision or hearing loss, or eye conditions like retinitis pigmentosa.
This list isn't exhaustive. Your provider will review your full history to confirm this program is safe and appropriate for you.
Every plan is personally overseen by your provider
You're not handed off to a call center. Your provider reviews your history and labs, helps you choose the right program, and stays involved through dose adjustments and check-ins — the same provider from your first visit to your last refill.