What We Offer

Our Services

Comprehensive, root-cause care built on 15+ years of clinical expertise across multiple specialties.

At Prevent & Sustain Medicine, every service is grounded in real clinical depth. With a background spanning ICU and critical care, nephrology, urology, and emergency medicine, your provider brings a rare breadth of experience to the evaluation and management of complex, often-dismissed symptoms.

We don't treat conditions in silos. We look at the full picture — hormones, metabolic health, vascular function, urological concerns, and more — to find and address the root cause of how you feel.

Services What We Treat

Hormone Optimization

Hormonal imbalance affects energy, mood, weight, sleep, libido, and cognitive function — yet it's often overlooked or undertreated. We use advanced lab testing and personalized protocols to restore hormonal balance for both men and women, addressing the root cause rather than masking symptoms.

Comprehensive hormone panels (thyroid, sex hormones, adrenal markers)
Bioidentical hormone replacement therapy (BHRT)
Hormone replacement pellet therapy
Testosterone optimization for men and women
Ongoing monitoring and dosage adjustments
Lifestyle and nutritional guidance for hormonal health
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Perimenopause & Menopause Care

Too many women are told their symptoms are "just aging" or "just stress." With personal experience navigating hormonal changes and a clinical background that spans thousands of complex cases, we provide validation, thorough evaluation, and real solutions for the symptoms that disrupt your daily life.

Hot flashes, night sweats, and sleep disruption
Mood changes, anxiety, and brain fog
Weight gain and metabolic shifts
Vaginal dryness and decreased libido
Bone density and cardiovascular risk evaluation
Hormone replacement therapy — estrogen, progesterone, testosterone, and bioidentical pellets
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Peptide Therapy

Peptides are short chains of amino acids that signal specific biological processes in the body. We use targeted peptide protocols to support tissue repair, immune function, metabolic health, and overall vitality — offering a cutting-edge complement to traditional treatments.

Growth hormone-releasing peptides for recovery and body composition
Immune-modulating peptides
Peptides for gut healing and inflammation
Cognitive and neuroprotective peptides
Personalized peptide stacking protocols
Ongoing assessment and protocol adjustments
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Weight Loss & Management

Sustainable weight management requires understanding the underlying factors — hormonal imbalance, metabolic dysfunction, inflammation, and more. We develop individualized plans that combine medical intervention with lifestyle strategies, addressing why the weight is there rather than simply prescribing a diet.

Metabolic and hormonal testing
Medical weight loss protocols
GLP-1 receptor agonist therapy (when appropriate)
Thyroid and insulin resistance evaluation
Nutritional counseling and lifestyle modification
Ongoing support and accountability
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Sexual Dysfunction

Sexual health is deeply tied to overall wellbeing, yet it's one of the most under-addressed areas in conventional medicine. Drawing on extensive experience in urology, we provide a judgment-free, thorough evaluation of the hormonal, vascular, and psychological factors that affect sexual function in both men and women.

Erectile dysfunction evaluation and treatment
Low libido assessment for men and women
Hormonal contributors (testosterone, estrogen, DHEA)
Vascular and neurological screening
Medication review and adjustment
Peptide and hormonal therapy options
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Pelvic Floor Dysfunction

Pelvic floor issues affect millions of people but are frequently dismissed or inadequately managed. With a clinical background in both urology and women's health, we offer comprehensive evaluation and treatment for pelvic floor conditions that impact quality of life.

Urinary incontinence and urgency
Pelvic pain and pressure
Overactive bladder evaluation
Non-surgical pelvic floor strengthening treatment
Compounded treatments for painful intercourse
Coordination with pelvic floor physical therapy
Hormonal and pharmacological management
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Interstitial Cystitis & Bladder Pain

Interstitial cystitis (IC) and chronic bladder pain are complex conditions where patients often go undiagnosed for years, being repeatedly treated for UTIs that just keep coming back. Those recurrent UTIs are not the root cause — they're a symptom of something deeper. With years of specialized urology experience, we approach IC with a multi-faceted strategy — addressing inflammation, triggers, and the interconnected systems that contribute to flare-ups and chronic discomfort.

Thorough symptom and history evaluation
Advanced urine molecular testing (billable through insurance or available at a low cash price)
Emergency in-office bladder cocktails for flare-ups
Dietary and trigger identification
Pharmacological and nutraceutical management
Pelvic floor coordination
Inflammation and autoimmune screening
Chronic pain management strategies
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Advanced Lab Testing

Standard lab panels often miss the full picture. With a foundation in critical care and nephrology — where precise lab interpretation is essential — we order and analyze advanced panels that go far beyond the basics. This is how we uncover what's actually happening beneath the surface when you've been told everything is "normal."

Comprehensive metabolic and hormone panels
Thyroid deep-dive (TSH, Free T3, Free T4, antibodies)
Inflammatory and autoimmune markers
Micronutrient and vitamin analysis
Insulin resistance and metabolic syndrome screening
Renal function and cardiovascular risk panels
Salivary cortisol testing to follow 24-hour patterns (much more comprehensive than a one-time lab draw)
Gut microbiome and parasitic infection testing
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IV Therapy

Our IV therapy menu delivers vitamins, antioxidants, and amino acids directly into the bloodstream for maximum absorption and fast results. From immune support to circulation and cellular repair, each infusion is formulated with clinical-grade ingredients and backed by evidence.

Myers' Cocktail — multivitamin and mineral infusion
Tri-Immune Boost — glutathione, vitamin C, and zinc
Glutathione — master antioxidant therapy
NAD+ — cognitive and cardiovascular support
Circulate — blood flow and microcirculation blend
All infusions include 1 liter of fluids
View Full IV Therapy Menu →
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Injections

Targeted intramuscular injections that deliver essential vitamins, amino acids, and nutrients directly into the muscle for rapid absorption. From energy and immunity to beauty and athletic recovery, our injection menu offers quick, effective options to complement your wellness plan.

Vitamin B12 — energy, mood, and red blood cell support
Vitamin D3 — immune system, bone, and mood support
Biotin Glow — skin, hair, and nail enhancement
Performance Recovery — athletic recovery and muscle support
Super B Solution — comprehensive energy and metabolism boost
View Full Injections Menu →

Ready to take the next step?

Book your initial consultation and start getting the answers — and the care — you deserve.

Schedule Your Consultation