Hormone Optimization · In-Person & Telehealth
Your Labs Say Fine.
You Feel Anything But.
Normal isn’t optimal. Let’s fix the gap.
We hear it every week: “My doctor said everything looks normal, but I’m exhausted, I can’t lose weight, and I don’t feel like myself.” At PPW, we treat the gap between acceptable and optimal — with comprehensive labs, individualized protocols, and the time to actually get it right.
Who This Is For
Who This Is For.
Hormone changes often start earlier than people realize. If you’re in your 30s, 40s, or 50s and you know something’s off — you’re probably right. Here’s who we see most.
01
Men 30+
Low energy, brain fog, poor sleep, declining strength, loss of drive — even when standard labs come back “normal.”
02
Women 30+
Perimenopause, postpartum, or just not feeling yourself. Weight that won’t budge, fatigue, mood changes, libido, sleep.
03
High Performers
Executives and professionals who can’t afford the energy tax of suboptimal hormones — and refuse to accept it.
04
Active Adults
Athletes and active people noticing recovery is slower, body composition is shifting, or drive has dropped.
What We Do Differently
Optimization,
Not Just Replacement.
Most hormone clinics read one panel, write one script, and send you on your way. We take a complete picture — full panels, symptom mapping, lifestyle factors, and your actual goals — and build a protocol around you. Then we monitor, adjust, and refine based on how you’re actually doing, not how a textbook says you should be doing.
“People don’t need to experience a steady decline in function as they age. That’s not biology — that’s a failure of the system to look hard enough.”
— Stuart Riggins, FNP · PPW Co-Founder
Comprehensive Lab Analysis
Full hormone panels, thyroid, metabolic markers, inflammation, and micronutrients — not just the handful insurance will cover. We look at the full picture to find the real driver.
Individualized Protocols
Your dose, your delivery, your monitoring schedule — built for your biology and your goals. No copy-paste templates. No "standard" doses that don’t fit you.
Integrated With Your Health
Your hormone plan coordinates with PT, performance training, nutrition, and recovery under one roof. Hormones don’t work in isolation — neither should your care.
Real Follow-Up
We don’t disappear after the prescription. Regular labs, symptom check-ins, and dosing adjustments to keep you in the optimal zone long-term.
What to Expect
How It Works.
A clear path from “something’s off” to “I feel like myself again.” Typical initial timeline is 4–6 weeks from first visit to starting therapy.
01
Consultation
A 30-minute consultation to understand your symptoms, goals, and history. No obligation, no pressure — just an honest conversation.
02
Comprehensive Labs
Full lab panel ordered and drawn. We look beyond standard markers to build a complete picture of your endocrine and metabolic health.
03
Protocol Design
A follow-up visit to review labs, align on goals, and build your individualized protocol — delivery method, dosing, and monitoring schedule.
04
Optimize & Sustain
Regular follow-ups, lab rechecks, and dose adjustments. We calibrate until you’re dialed in — and keep you there.
What We Treat
Protocols We Offer.
From TRT and HRT to thyroid optimization and metabolic support — the range of protocols you’d expect from a specialty clinic, with the integration of a performance center.
Testosterone Therapy (TRT)
Testosterone replacement and optimization for men experiencing fatigue, low drive, body composition changes, or mental fog.
Hormone Replacement (HRT)
Estrogen, progesterone, and testosterone optimization for women navigating perimenopause, menopause, or postpartum shifts.
Thyroid Optimization
Comprehensive thyroid evaluation and treatment — addressing the subclinical cases most providers overlook.
Metabolic Health
Insulin sensitivity, metabolic flexibility, and weight optimization protocols that go beyond calories-in-calories-out.
Peptide Integration
Peptide protocols that complement hormone therapy — for recovery, body composition, or longevity goals.
Telehealth Management
Remote consultations and ongoing management available across Texas, Oklahoma, Colorado, Kansas, New Mexico & Arizona.
Your Provider
Who You’ll Work With
Your Provider
Stuart Riggins
FNP · Co-Founder · Medical & Hormone Optimization
“I went through my own hormone journey fighting a system that kept telling me I was ‘normal.’ I wasn’t. That experience is why PPW exists.”
Stuart became a nurse practitioner in 2013, worked in primary care, and quickly grew frustrated with a model that prescribed medications without addressing root causes. He ran a wellness clinic in Arizona before returning to West Texas to co-found PPW — where hormone optimization, peptides, and regenerative medicine come together under one plan.
Common Questions
Frequently Asked
Questions
Is hormone therapy safe?
When properly dosed, monitored, and integrated into a broader health plan, hormone optimization has a strong safety profile. The risks come from poor monitoring, unbalanced protocols, or treating one hormone in isolation. Every PPW patient gets regular lab monitoring and symptom check-ins to ensure we stay in the optimal zone.
How long does it take to feel a difference?
Most patients notice meaningful changes within 4–8 weeks, with full optimization typically taking 3–6 months. Energy and sleep often improve first, followed by body composition, strength, and mood. Everyone’s timeline is slightly different based on starting point and biology.
Do I need to be on therapy forever?
That depends on the cause. Some patients have conditions that require long-term therapy; others can use targeted protocols to restore function and then maintain with lifestyle changes. We have that conversation openly during your consultation — no pressure to commit to anything long-term.
Can I do this remotely?
Hormone optimization and peptide therapy are available via telehealth in six states — Texas, Oklahoma, Colorado, Kansas, New Mexico, and Arizona. You’ll still need local lab draws, which we help coordinate.
Does insurance cover this?
We’re a cash-based practice, but we can provide superbills for out-of-network reimbursement. HSA and FSA cards are accepted. Financing through Practice Better is available for patients who need it.
What if my regular doctor says my labs are normal?
That’s the exact scenario we built PPW for. “Normal” lab ranges are based on the general population — not on what’s optimal for you. We look at the full picture and treat symptoms alongside numbers. If you feel off, we take that seriously.
Start Here
Ready to Feel
Like Yourself Again?
Book your consultation.
A 30-minute conversation to understand what’s going on, review your history, and map out what a hormone optimization plan could look like — in-person or via telehealth.