A physician-led optimization program for men who've mastered the basics and are ready for what's next. Thorough. Discreet. Exclusive.
You've optimized your lifestyle, you may already be on testosterone replacement therapy. But you know there's more — and you're not interested in bro science, grey-market compounds, or providers who treat every patient the same. Obsidian's Performance Medicine program is built for men like you: driven, disciplined, and unwilling to settle.
Not every patient qualifies. We evaluate candidacy based on medical history, current treatment, lifestyle and performance objectives. This ensures the highest standard of care for every participant.
Every protocol is designed, monitored, and adjusted by board-certified urologists who focus on andrology and men's health — not nurse practitioners, not "wellness coaches."
Every therapy we offer is backed by clinical data, sourced from licensed pharmacies, and monitored with comprehensive lab work to reduce risk. No shortcuts. No compromises.
"You've already done what most men won't.
Now do what most men can't."
Each pillar addresses a specific dimension of physical performance. Your protocol is built around your labs, your physiology, and your goals — not a template.
Men with low testosterone are offered expert guided testosterone replacement therapy. Not all TRT is created equal. For men on testosterone therapy who haven't reached their body composition or performance goals, we offer targeted pharmaceutical interventions under close medical supervision. These are clinically validated compounds derived from testosterone — prescribed judiciously, monitored rigorously, and adjusted based on your evolving lab work and response.
Growth hormone secretagogues and select peptide therapies offer meaningful benefits for body composition, recovery, and cellular health. We source exclusively from licensed compounding pharmacies and maintain intensive monitoring protocols — because precision matters when the science is this nuanced.
When testosterone optimization, structured nutrition, and consistent exercise aren't enough to break through metabolic resistance, GLP-1 receptor agonist therapy can be a powerful tool. We prescribe this only when clinically appropriate — for men with legitimate metabolic challenges, not as a first-line shortcut.
Every Performance Medicine patient receives an extensive diagnostic workup that goes far beyond a standard laboratory panel. We look at what others don't — because you can't optimize what you can't see.
Free and total testosterone, estradiol, SHBG, IGF-1, thyroid function assays, insulin and pituitary hormones.
If cardiovascular risk factors are present, Coronary Artery Calcium (CAC) scoring or even CT angiography may be recommended.
Particle-level lipid analysis (LDL-P, ApoB, Lp(a)), inflammatory markers (hs-CRP), insulin resistance markers, and liver/kidney function.
Early detection of prostate cancer and other malignancies through proper cancer screening. Whole body MRI depending on risk.
This program isn't for everyone — and that's by design. We maintain strict candidacy criteria to ensure proper motivated patient selection and the level of attention that each patient deserves. This is a labor intensive journey that focuses on both performance and longevity.
Not "anti-aging" practitioners. Not wellness coaches. Board-certified urologists with decades of andrology experience focusing on men's health who treat every patient like the complex, high-performing individual they are.
Board-Certified Urologist
Board-Certified Urologist
Performance Medicine enrollment requires a physician consultation. Schedule today to discuss your goals, review your medical history, and determine your fitness for this unique program.
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