Five clinical services — all built from your actual bloodwork. No guessing, no generic protocols, no one-size-fits-all prescriptions. Your biology drives every recommendation.
Comprehensive hormone panels that go far beyond the basic testosterone screen. Carlo reviews your full hormonal picture — including free testosterone, SHBG, estradiol, LH, FSH, thyroid function, and cortisol — and builds a protocol that addresses what your biology actually needs, including TRT where clinically indicated.
A 54+ marker comprehensive panel that covers what your primary care doctor skips. Carlo reviews every result in the context of your goals — not just flags it against a population reference range — and explains exactly what each number means for your performance, body composition, and long-term health.
Pharmaceutical-grade peptides — prescribed, monitored, and dosed based on your bloodwork. Carlo prescribes compounds with established safety and efficacy profiles through licensed compounding pharmacies. The difference between clinically supervised peptide use and grey-market self-administration is not subtle.
Supplements built from what your bloodwork shows is actually deficient or suboptimal — not a generic wellness stack. Every recommendation is clinically relevant, third-party tested, and dosed to your labs. Carlo curates products through Optimantra with practitioners-only access to what retail shelves won't carry.
Not a meal plan — a biological map. Carlo's professional culinary background means he doesn't just prescribe macros: he builds nutrition protocols that are practical, sustainable, and timed to your biology. Every recommendation traces back to specific markers in your bloodwork.
Direct-pay. No insurance. No hidden fees. Contact us or book a free 10-minute call to learn about current pricing.
Direct-pay · No insurance · HSA/FSA may apply · Superbill available
Everything athletes and performance-focused patients ask before the first consultation.
No. This is a direct-pay practice — no insurance accepted. Contact us or book a free discovery call to learn about current pricing. Lab work is billed separately through the lab and may be covered by your insurance depending on your plan. HSA/FSA funds typically apply to consultation fees. Superbill available upon request for potential out-of-network reimbursement.
NY, NJ & FL only. Carlo is licensed in New York and all consultations take place via secure online video under NY · NJ · FL telehealth law. If you're not currently located in NY, NJ, or FL, you are not eligible to be seen as a patient through this practice.
Yes. Peptides are legal when prescribed by a licensed practitioner — which is the entire point of this practice. The compounds Carlo prescribes are sourced from licensed compounding pharmacies, dosed based on your bloodwork, and monitored quarterly. This is the distinction between clinical peptide therapy and buying grey-market compounds with no medical oversight.
Your primary care doctor manages disease. This practice optimizes health in people who are already healthy but want to perform better, recover faster, and age more intentionally. The panel Carlo orders is 54+ markers — far more than a standard annual physical. And the consultation is specifically about understanding what those markers mean for your training, body composition, and long-term performance goals.
Depends on the protocol. Energy and sleep improvements are often noticeable within 2–4 weeks. Body composition and strength shifts become measurable at 60–90 days. The quarterly follow-up is built around this timeline — you retest your labs and see the numbers move alongside the subjective improvements.
Yes — and you should. Bring whatever you have. Carlo will review it in the consultation and let you know if additional markers are needed before building your protocol. If your existing labs are recent and comprehensive enough, you can often move directly to protocol design in your first visit.
A 30-minute online consultation with Carlo Pepia, ACNP-BC. Bring your bloodwork — leave with a complete personalized protocol covering hormones, peptides, supplements, and nutrition.
Online consultations · NY · NJ · FL · Direct-pay, no insurance accepted
The information on this site is for educational purposes only and does not constitute medical advice. Services provided are not a substitute for emergency medical care. Individual results may vary.