Hormone Optimization · Men & Women

Hormone therapy for men and women. Starting with a real conversation.

You’ll talk to Kris or Dr. Lula

Tired, foggy, not yourself? It starts with a conversation and a full lab panel. Kris and Dr. Lula explain what your numbers mean, and only then talk about treatment. If therapy makes sense, they monitor it with you the whole way. Telehealth in MI, FL, AL and MS, or in person at our Royal Oak clinic.

Tap any that sound familiar

You're not alone. This pattern is common when hormones are out of balance. We can help.

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  • LegitScript certified
  • Board-certified providers
  • Telehealth + Royal Oak clinic
Kris Cutaj, MSPAS, PA-C, FAACM, at the reception desk of the NuHealth clinic in Royal Oak

Your clinicians

Kris Cutaj, MSPAS, PA-C, FAACM

Board-certified physician assistant

Labs first, then a plan. Kris and Dr. Lula review every result with you.

Working with Dr. Lula

Treatment paths for men & women

Pick your path. We’ll personalize the rest.

Every protocol is medically supervised. Your provider reviews your labs and picks the right protocol, alone or in combination.

Testosterone Replacement — a man in his daily routine

Testosterone Replacement

Bioidentical TRT, direct supervised therapy

Restore testosterone to optimal levels with weekly injections, gels, or patches. Direct testosterone replacement, often chosen for men with clinically low T; your provider determines the right approach from your labs.

$45/mo

3-month starter kit

Members save 15%

Prescription required. Prescribed only if a licensed provider determines it is appropriate after consultation and labs.

Best for: Men with Total T below 350 ng/dL and clinical symptoms

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What it is
Bioidentical testosterone delivered via injection, gel, or patch. Restores testosterone to optimal physiological levels.
Timeline
Many patients describe mood and energy changes in the first weeks, with libido and sexual function following over 2–3 months. Individual response varies; your provider tracks it at each check-in.
Monitoring
Regular blood panels (testosterone, estradiol, hematocrit, PSA). Dose adjusted based on labs and how you feel.
Safety: Medically supervised. Common mild side effects (acne, mood swings, elevated hematocrit) are managed with bloodwork.
Enclomiphene — a man in his daily routine

Enclomiphene

Support your own testosterone production, preserve fertility

A selective estrogen receptor modulator that stimulates your body’s natural testosterone production. Best for men who want to preserve fertility.

$115/mo

3-month starter kit

Members save 15%

Prescription required. Prescribed only if a licensed provider determines it is appropriate after consultation and labs.

Best for: Mild-to-moderate low T, fertility-conscious patients

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What it is
A SERM that signals your pituitary to produce more LH and FSH, which in turn stimulates your testes to produce testosterone naturally.
Timeline
Slower onset than TRT because it works through your own production; many patients describe gradual change over 2–4 months. Individual response varies.
Key benefit
Preserves testicular function and natural fertility. Reversible if you stop. Often a strong first option for younger men.
Safety: Milder side-effect profile than TRT for most men. Regular monitoring with lab work.
DHEA Optimization — a man in his daily routine

DHEA Optimization

Support the system that supports everything

A precursor hormone that supports testosterone production, energy, and metabolic health. Often combined with TRT or Enclomiphene as an amplifier.

$60/mo

3-month starter kit

Members save 15%

Prescription required. Prescribed only if a licensed provider determines it is appropriate after consultation and labs.

Best for: Men with low DHEA or seeking extra support for energy and recovery

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What it is
A precursor hormone made by the adrenal glands. Declines with age. Supports testosterone production, energy, and metabolic health.
Often combined
Works synergistically with TRT or Enclomiphene for compound benefits. Stand-alone for milder cases.
Benefits
Energy, mood, immune function, and general wellbeing.
Safety: Prescribed and monitored by your provider, with periodic labs to track your response.

Not sure which is right for you? Every plan starts with a free consultation. Your provider reviews symptoms and labs, then recommends the right protocol, solo or combined.

Board-Certified Providers
Comprehensive Lab Work
Evidence-Based Protocols
Telehealth Available
Michigan, Florida, Alabama, Mississippi
Personalized to Your Biology
Royal Oak, MI
Board-Certified Providers
Comprehensive Lab Work
Evidence-Based Protocols
Telehealth Available
Michigan, Florida, Alabama, Mississippi
Personalized to Your Biology
Royal Oak, MI
Your Path

Your Optimization Journey

Five steps, start to finish.

  1. 1

    Assessment & Consultation

    Complete a detailed symptom questionnaire and health history. Our licensed providers review your symptoms and discuss your goals via telehealth.

    Timeline: 30 minutes • Format: Telehealth available

  2. 2

    Comprehensive Blood Work

    Targeted labs mapped to your program: Total & Free Testosterone, Estradiol, Progesterone, SHBG, thyroid, CBC, and a Metabolic Panel. Drawn at a local lab near you.

    Timeline: 1 week • Format: Cost: Lab fees billed separately

  3. 3

    Custom Protocol Design

    Based on your labs and symptoms, we design a personalized protocol: medication, dosing, injection technique, and lifestyle recommendations.

    Timeline: 2-3 days • Format: Includes: Follow-up consultation

  4. 4

    Titration & Optimization

    Start therapy with regular check-ins every 2-4 weeks. We adjust dosing based on your response, labs, and how you feel.

    Timeline: 6-12 weeks • Format: Support: 24/7 provider access

  5. 5

    Ongoing Maintenance

    Once optimized, move to maintenance labs every 6-12 months and quarterly provider check-ins. Continuous support and monitoring for long-term health.

    Timeline: Quarterly reviews • Format: Labs: As needed

How we screen

Labs first, then a plan. Never the other way around.

Hormone therapy can help, and it has real trade-offs. Every patient is screened by a clinician before anything is prescribed, and monitored while on therapy.

When we say no

If hormone therapy isn’t safe or right for you, your clinician will tell you, explain why, and point you to the next step.

  1. Symptoms, history and goals

    A clinician reviews your symptoms, health history, medications and family plans. Testosterone therapy can affect fertility, so we ask.

  2. A full hormone panel before any prescription

    Hormone levels plus a complete blood count and metabolic labs, and PSA where it applies. Symptoms alone are not enough to prescribe.

  3. Specialist clearance when something needs it

    If your blood count, prostate screening or history raises a flag, we ask for clearance from the right specialist before starting.

  4. Ongoing monitoring

    Repeat labs and check-ins while you are on therapy, so the dose follows your numbers and side effects are caught early.

Why you feel this way.

Testosterone declines 1-2% per year after age 30. By 50, most men have lost 30-50% of peak levels. It's not aging. It's biology, and it's measurable.

In men — typical testosterone decline

675

ng/dL

Age 25

625

ng/dL

Age 35

520

ng/dL

Age 45

420

ng/dL

Age 55

350

ng/dL

Age 65

Peak TestosteroneClinical Low Range
A fit man in his mid-forties running along a coastal path at sunrise, the steady vitality that balanced hormones support
1%

Annual Decline

Testosterone naturally decreases 1-2% per year after 30

30-50%

Total Loss by 50

Most men have lost 30-50% of peak testosterone by age 50

350

Clinical Low Range

Below 350 ng/dL is considered clinically low testosterone

Lab Review

Lab review included

We map your full hormone picture before and during treatment — with dedicated panels for men and women. Your licensed provider orders and reviews every result; lab draw fees are billed separately by the lab.

Core Male Wellness Panel

Foundational hormone & health screen for men

A focused look at testosterone, estrogen balance, and the core safety markers behind a hormone program.

What's measured

HormonesScreening & Safety

Comprehensive Male Wellness Panel

In-depth hormone, metabolic & recovery workup for men

Everything in the Core panel plus metabolic, thyroid, recovery, and micronutrient markers for a complete picture.

What's measured

HormonesMetabolic & ThyroidScreening & Recovery

Female Comprehensive Hormone Optimization Panel

In-depth hormone, metabolic & recovery workup for women

A complete hormone and health picture for women — including progesterone alongside the full metabolic, thyroid, and recovery markers.

What's measured

HormonesMetabolic & ThyroidScreening & Recovery

Panels are ordered and reviewed by your licensed NuHealth provider and may be adjusted to your history and goals. Lab work is completed at a certified lab near you.

Starting points. One conversation away.

Pick the profile that sounds most like you — man or woman. The treatment isn’t different by archetype — your labs are — but the starting point is.

A sharp, confident man in his early forties by an office window in warm light, the clear-headed focus a hormone-optimization program supports

The Busy Professional

Mid-level executive, 42, who used to crush workouts but now struggles with afternoon energy crashes. Brain fog at 3 PM is killing productivity. Libido has tanked. Just wants to feel sharp again without a complicated regimen.

What he wants
No time for complex health protocols
Needs flexibility for travel
Wants proven, straightforward treatment
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What you actually get.

Not a supplement subscription. A medical program with a real provider, real labs, and real follow-through.

  1. Licensed medical providers, not a supplement service

    Every protocol is reviewed and signed by board-certified physicians and nurse practitioners who specialize in hormone health for men and women. No mail-order shortcuts.

  2. Personalized to your labs, not a cookie-cutter dose

    Your protocol is built from your hormone panel — testosterone, estradiol, progesterone, SHBG — plus CBC and metabolic labs. Not a generic recipe. Adjusted as your numbers move.

  3. Ongoing monitoring, not a prescription-and-ghost

    Monthly check-ins for the first quarter, quarterly bloodwork after. Your provider adjusts dose and adjuncts as your body responds.

  4. Telehealth in 4 states + in-person at Royal Oak

    Most visits via secure video. When you need to walk in for labs, an injection lesson, or a sit-down dose discussion, our Royal Oak, MI clinic is on Woodward.

What patients say

Real care, in our patients’ words.

Verified Google reviews from our Royal Oak, MI clinic.

5.0 · 71 reviews on GoogleView all →
VC

Vanessa Casey

a month ago

Dr. Kris and Team at Nu Health go above and beyond! They have helped me and answered all my questions while working with me. The telehealth visits are a great addition to top notch care.

Verified Google review
MT

Marsella T

2 months ago

As a nurse, I'm very particular about where I go for wellness services, and Nu Health truly exceeded my expectations. The staff is incredibly kind, professional, and knowledgeable. Their telehealth visits are seamless and very well organized.

Verified Google review
AF

Amber F

6 months ago

The PA on call was very kind and listened to all my concerns. He answered all my questions. I felt very comfortable speaking with him. I would absolutely recommend going here.

Verified Google review
VC

Vanessa Casey

a month ago

Dr. Kris and Team at Nu Health go above and beyond! They have helped me and answered all my questions while working with me. The telehealth visits are a great addition to top notch care.

Verified Google review
MT

Marsella T

2 months ago

As a nurse, I'm very particular about where I go for wellness services, and Nu Health truly exceeded my expectations. The staff is incredibly kind, professional, and knowledgeable. Their telehealth visits are seamless and very well organized.

Verified Google review
AF

Amber F

6 months ago

The PA on call was very kind and listened to all my concerns. He answered all my questions. I felt very comfortable speaking with him. I would absolutely recommend going here.

Verified Google review

Reviews snapshot 2026-05-28. Refreshed periodically from Google.

Frequently Asked Questions

Common symptoms include persistent fatigue, brain fog, low libido, difficulty building muscle, weight gain (especially around the midsection), mood changes, and reduced motivation. These often develop gradually over months or years.
TRT requires close medical supervision by licensed providers. Common mild side effects include increased hematocrit (monitored and managed with regular bloodwork), acne, or mood changes. We track labs at baseline and on a recurring schedule, and your provider adjusts the dose based on response. Protocols are personalized to your health profile and reviewed at each follow-up.
TRT: Direct testosterone replacement, commonly used for clinically low T. Works immediately but requires ongoing injections or gels. Enclomiphene: Stimulates your body's natural testosterone production. Preserves fertility. Slower onset but maintains natural function. DHEA: A precursor hormone. Supports testosterone production and energy. Often used as an add-on to amplify benefits.
Hormone optimization is gradual and individual. With TRT, many patients describe changes in mood and energy over the first weeks, with libido and sexual function following over two to three months. Enclomiphene works more slowly because it supports your own production. Individual response varies; your provider tracks your timeline with labs and adjusts along the way.
Yes. NuHealth offers bioidentical estrogen, micronized progesterone, and low-dose testosterone programs for women navigating perimenopause and menopause — hot flashes, night sweats, sleep disruption, mood shifts, low libido, and cycle changes. Every protocol starts with the Female Comprehensive Hormone Panel and is prescribed and monitored by a licensed provider.
Estrogen (estradiol) is the primary female hormone — it addresses hot flashes, night sweats, mood shifts, and vaginal symptoms. Progesterone is the calming counterpart — it supports sleep and cycle regularity, and is prescribed alongside estradiol when needed for uterine protection. Many women benefit from both; your provider decides based on labs, symptoms, and health history.
Pricing is transparent and monthly: men's programs start at $45/mo (TRT), $115/mo (Enclomiphene), and $60/mo (DHEA); women's programs start at $100/mo (Estrogen), $90/mo (Progesterone), and $100/mo (Testosterone). Every plan begins with a free consultation, and NuHealth+ members save 15%. For payment questions, call (248) 677-3232.
No. Most consultations and follow-ups happen via secure video (telehealth). Labs are done at a local lab near you. We currently serve patients in Michigan, Florida, Alabama, and Mississippi. In-office visits are optional but available if you prefer.

Your optimization starts with a conversation.

Take the 60-second Hormone Balance Assessment. We'll review your answers, match you to a program, and get you on a licensed provider's calendar. No pressure, no hype.

Start Your AssessmentCall (248) 677-3232

Or join NuHealth+ from $99/mo and save 15% on this program.