Hormone Optimization
Physician-supervised hormone optimization and testosterone replacement therapy (TRT), individualized to your bloodwork.
Medically reviewed by Charles Kamen, MD, board-certified neurologist ·
Hormone optimization is the physician-supervised evaluation and, when clinically appropriate, treatment of hormone imbalances that affect energy, body composition, mood, libido, sleep, and overall wellbeing. As we age, hormones such as testosterone and thyroid can decline or fall out of balance — and the right response depends on your bloodwork and clinical picture, not a one-size-fits-all protocol. This page is an educational overview of hormone optimization and testosterone replacement therapy (TRT) at LiveNow Longevity: how it works, who it may help, and what physician-supervised care involves. Every plan begins with a comprehensive medical evaluation and a hormone lab panel. Dr. Charles Kamen, MD, a board-certified neurologist at LiveNow Longevity in Las Vegas, designs each hormone protocol after reviewing your labs, symptoms, and medical history. Treatment is individualized, monitored with follow-up bloodwork, and adjusted over time. Hormone optimization may be considered for both men and women experiencing symptoms consistent with hormonal decline. Hormone optimization and TRT begin with an $88 medical evaluation and are available via secure telemedicine for Nevada residents, with in-person or local lab work as needed.
What to Expect
Comprehensive hormone panel and medical evaluation before any treatment is recommended
Testosterone replacement therapy (TRT) for men with clinically low testosterone, when appropriate
Hormone optimization for women, individualized to symptoms and lab findings
Designed and monitored by a board-certified neurologist — not delegated to a mid-level provider
Follow-up bloodwork to track your response and adjust dosing safely over time
Support for energy, body composition, libido, mood, and sleep where hormone-related
Medications sourced from licensed US pharmacies
Can be integrated with peptide therapy, NAD+, and weight management protocols
Available via secure telemedicine for Nevada residents
Honest, evidence-based guidance about what is realistic for your situation
Frequently Asked Questions
What is hormone optimization?
Hormone optimization is the physician-supervised assessment and, when appropriate, treatment of hormones that influence energy, metabolism, mood, libido, and sleep — starting with lab testing to identify what is actually out of range, then an individualized plan and ongoing monitoring.
What is TRT and who is it for?
Testosterone replacement therapy (TRT) is the medically supervised use of testosterone for men with clinically low levels confirmed by bloodwork and consistent symptoms. It is not appropriate for everyone; Dr. Kamen evaluates your labs, history, and goals before recommending any protocol.
Do I need labs before starting hormone therapy?
Yes. A comprehensive hormone panel is part of the medical evaluation. Baseline labs let Dr. Kamen confirm a clinical need, identify contraindications, and track your response so dosing can be adjusted safely. We do not prescribe hormones without the bloodwork to do so responsibly.
Is testosterone replacement therapy safe?
When prescribed for an appropriate clinical indication and monitored with regular bloodwork by a licensed physician, TRT can be appropriate for many patients. Monitoring is essential, and Dr. Kamen adjusts or stops therapy based on your labs and symptom response. Individual risks are discussed during your evaluation.
Do you treat women’s hormones too?
Yes. Hormone optimization is not just for men. Women experiencing symptoms consistent with hormonal changes can be evaluated and, when appropriate, treated with individualized, monitored protocols.
Can I do hormone therapy through telemedicine in Nevada?
Yes. Secure telemedicine evaluations and follow-ups are available to Nevada residents. Baseline and follow-up labs are completed in person or through a local lab, and certain situations may require an in-person visit.
How soon will I notice changes?
Individual response varies; some patients notice changes within several weeks, while other effects develop over a few months. Results depend on your starting labs, the specific protocol, adherence, and overall health. We do not guarantee specific outcomes.
Selected Research
Peer-reviewed sources on the mechanisms discussed above. Research does not constitute a treatment recommendation; appropriateness is determined only after a medical evaluation.
Ready to start your longevity care?
Book your $88 evaluation with Dr. Kamen today, online, by phone, or by text.
Prefer to talk? Call (702) 808-2650 or text us to book.
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