Clear questions.
Considered answers.
Short explanations of the care process, clinical evidence and next steps. These answers are educational, not an individual treatment recommendation.
The care process
Does connected care mean a treatment stack?
No. Hormone, metabolic, sleep and body-composition findings inform one evaluation, but each treatment requires its own indication and risk–benefit decision.
Does booking guarantee treatment?
No. A licensed provider evaluates suitability. Further testing, a different pathway, referral or no medication may be recommended.
Where are visits available?
Houston in-person visits and video visits for patients who live in Texas and are located in Texas during the visit. Some tests and procedures require in-person care.
Does the clinic bill insurance?
The Tide is self-pay and does not bill insurance. HSA/FSA eligibility depends on the individual plan.
Testosterone care
Is one testosterone result enough?
No. Clinical findings, medical history and consistently low levels confirmed with repeat morning testing inform evaluation. A threshold alone is not a diagnosis or target.
What does the study graph show?
Published group medians from men aged 65+ in the Testosterone Trials Sexual Function study: baseline versus during the one-year treatment period. It is not a month-12 endpoint, clinic result or individual prediction.
How does fertility affect decisions?
TRT can reduce sperm production. Fertility plans require explicit discussion; alternative hormone approaches do not guarantee fertility or pregnancy outcomes.
Peptide & metabolic care
Are all peptide preparations FDA-approved?
No. Approval belongs to a specific product and indication. Compounded preparations are not FDA-approved, and manufacturer-product research does not establish compounded-product equivalence.
Is growth hormone a general sleep or physique treatment?
No general benefit is promised. GH-axis evaluation is distinct from replacement treatment. Confirmed adult GH deficiency is a specialist endocrinology pathway.
Why include ongoing review?
Weight and metabolic care may combine nutrition, activity and indicated medication. Follow-up reviews progress, tolerability and whether the plan remains appropriate; no result is guaranteed.
Visits & costs
What is the first consultation fee?
$49 for a targeted visit, in Houston or by video for patients who live in Texas and are located in Texas during the visit. The $349 Comprehensive Consult is a separate two-visit in-person assessment; a conditional $199 recent-labs option requires clinic confirmation.
Is the free call a medical visit?
No. The free 15-minute team call covers general service and process questions. Provider evaluation and clinical decisions take place at a separately priced consultation.
Does an intake request reserve an appointment?
No. Contact details and appointment confirmation are separate steps. You pick a time in the clinic scheduler after submitting your details.
Start with a conversation.
Houston clinic. Texas telehealth.