What we treat
Every one of them starts the same way: a $99 consult that runs a full 60 minutes with Brittney Diffiné, PA-C. Testing is chosen afterward, for you. Care is provided by telehealth to California residents, and in person in Del Mar.

TRT
A full hormone and metabolic workup, personalized dosing, and structured follow up.

Weight loss
GLP1 support paired with muscle retention, body composition and the hormone picture underneath.

Hormone therapy (BHRT)
Symptom and lab based hormone evaluation, an individualized plan, scheduled review.

Gut and thyroid
The longer look at digestion and thyroid function, and a protocol built from it.

Sexual wellness and fertility
Hormone, libido and fertility care, with fertility preserving options discussed first.

Longevity and performance
Recovery, metabolic health and cognitive sharpness, measured and managed over time.

Hair, skin and beauty
Hair, skin and aging concerns evaluated for what is driving them internally.

IV therapy
Provider guided infusions for hydration, recovery, performance and healthy aging, in person in Del Mar.
Now offering
In person in Del Mar
Prescribed medications
What may be prescribed
Every prescription follows an evaluation and is written only where it is clinically appropriate for you. Cost varies by medication and dosing.
- Testosterone replacement therapy (TRT)TRT
- GLP1 medicationsWeight loss
- SemaglutideWeight loss
- TirzepatideWeight loss
- Bioidentical hormones for womenHormone therapy (BHRT)
- Oxytocin (nasal spray)Sexual wellness and fertility
- SermorelinLongevity and performance
- NAD+Longevity and performance
Included across every program
The parts that are not a service line
These are not sold separately. They are how the programs above are actually run.
Supplement protocol design
Evidence based recommendations matched to your labs and your goals, rather than a standard stack.
Athletic performance support
Strength, endurance and recovery managed alongside the clinical picture, with testing to back it.
Nutrition and body composition
Protein, fueling and training targets set so results are made of the right thing.
Stress, sleep and recovery
The nervous system and sleep work that most plans skip and most people need.
Supplements are dispensed through the practice dispensary. Supplement costs are separate from program fees.
Not sure which one you need?
That is what the first visit is for. Book the consult and we will work it out together.