Precision wellness. Personalized results.
Precision wellness,
weight loss support,
and hormone
optimization for
high-performing adults.
We take a root-cause approach to uncover what’s holding you back and build a plan that’s tailored to your biology, your goals, and your lifestyle.
Male TRT Optimization
Restore energy, drive, mood, and mental clarity with personalized TRT protocols built around your biology.
Learn MoreFemale BHRT
Balance hormones, improve mood, sleep, libido, and confidence with bioidentical hormone support designed for women.
Learn MoreMedical Weight Loss & Metabolic Optimization
Evidence-based weight loss solutions that support metabolism, body composition, and long-term overall health.
Learn MoreLongevity & Performance Optimization
Advanced strategies to optimize longevity, cognition, recovery, and performance so you can live and perform at your best.
Learn MoreDigital Clinic: Clarity
Not local? No problem. Our digital clinic makes expert care accessible from anywhere in Ohio and beyond.
ABOUT FUEL BY DESIGN
What is Fuel by Design?
Fuel by Design is a precision wellness and hormone optimization brand for high-performing adults who want clarity, control, and long-term authority over their health. We blend evidence-informed medical guidance with calm, confident care, delivering personalized protocols, data-driven progress tracking, and sustainable lifestyle support. Every touchpoint is intentionally designed to feel premium, private, and uncomplicated, so clients can move forward with confidence and measurable momentum.
Learn More About Us
Choose your focus
Fuel by Design supports high-performing adults who feel “off” despite doing the right things. Choose the area you want to improve—then explore a labs-first, clinician-guided path forward.
Fatigue + Low Drive
Low energy, burnout, and motivation dips that don’t match your effort or lifestyle.
Weight Gain Despite Effort
Stubborn weight changes even with training, clean eating, and consistent routines.
Poor Sleep + Brain Fog
Trouble falling asleep, staying asleep, or waking refreshed—plus mental fatigue.
Perimenopause / Menopause
Midlife changes like mood swings, hot flashes, sleep disruption, and weight redistribution.
Low Testosterone Symptoms
Lower strength, reduced libido, irritability, and slower recovery—especially under stress.
Recovery + Performance Plateaus
Sore longer, recover slower, and feel stuck even when you’re doing “everything right.”
A lab-first process built for high-performing adults.
We start with advanced diagnostics, create a personalized plan, and refine it over time so your care feels clear, strategic, and built around your biology.
How It WorksConsultation
Share your goals and symptoms. We clarify the best starting point and what to expect next.
Comprehensive Labs
We use advanced lab insights to understand root factors and guide safe, informed decisions.
Personalized Protocol
Your plan is tailored—nutrition, lifestyle, and treatment options when appropriate for you.
Ongoing Optimization
Progress tracking and adjustments during your 90-day phase, with long-term support when needed.
“Apologies for the profile picture I had to submit this on my Xbox email. That being said Alexis is amazing! I have been in the fitness industry first as an enthusiast after my car accident in 2012, to a Personal Trainer which I have been certified over 5 years now. So in a nutshell the last 14 years I have been battling a back injury and as I get older, my strength and joint longevity is crucial. I have been with Alexis for roughly 6 going on 7 months and I have seen amazing results with my TRT program! Through her guidance I have been able to take my workouts to the next level safely and efficiently. I highly recommend her for any form of hormone therapy or the more conventional therapy treatments that she offers. Her prices are fair and the service is top notch. My brain fog is gone, my energy is back to where it was when I was in my 20's and I am able to keep up with my 3 year old and maintain my intense training programs while working 7 days a week! Thank you Alexis, you have been a huge help to my longevity.”
“Fuel by Design partnered with my gym today. I had the opportunity to use the InBody scan which I have been looking for because I have been curious where I stood with muscle to fat content. The wonderful ladies at Fuel by Design helped me with the scan and gave me some great insight into what the results said. Can't wait to check them out more and try some of the other services they provide like cryotherapy or compression therapy. Again, thank you to the amazing ladies at Fuel by Design for their help and can't wait to stop by in the future!”
“I absolutely love the staff at Fuel by Design. Alexis and Gina have such good insight and are very patient. This is a must try and definitely worth investing in yourself. I was hesitant at first due to past experiences, but now I am so glad I go here and took a chance on myself. They make sure you are comfortable and explain everything. I have felt like a new person since starting. I’m just so mad I didn’t go sooner. You will not be disappointed.”
Visit Fuel by Design in Warren, OH
Fuel by Design is based in Warren, Ohio and serves high-performing adults who want a clear, clinician-guided plan for hormone optimization, metabolic health, and long-term performance. In-person appointments are available by appointment, with telehealth options across Ohio.
Address
Fuel by Design
1842 E Market St,
Suite B
Warren, OH 44483
Hours
By appointment only
Mon–Fri: 8AM–6PM
Sat: Limited VIP hours
Sun: Closed
Fuel by Design is a precision wellness and hormone optimization clinic based in Warren, Ohio. We support high-performing adults with clinician-guided programs focused on hormones, metabolic health, body composition, and long-term performance—with telehealth options available across Ohio.
We’re a strong fit for adults, typically 35–60, who feel “off” despite doing many things right—like fatigue, weight gain despite effort, poor sleep, brain fog, performance plateaus, or perimenopause/menopause shifts—and want a clear, structured plan.
Your initial consultation is a clinician-guided conversation focused on your symptoms, goals, health history, and lifestyle. If labs are recommended, we’ll explain what we’re looking for and why—then outline your most practical next steps.
The initial consultation is $299. Any recommended labs, medications, supplements, or follow-up services are discussed separately so you understand options before moving forward.
Yes. We offer telehealth across Ohio when appropriate, in addition to in-person appointments at our Warren, OH location. Availability can vary based on clinical appropriateness and state requirements.
Our core programs include Male TRT Optimization, Female BHRT, Medical Weight Loss & Metabolic Optimization, and Longevity & Performance Optimization. Each plan is personalized based on your goals and clinical review.
Every person responds differently. Many clients begin with a 90-day optimization phase to establish baselines, implement the plan, and track changes over time. Your timeline depends on your starting point, consistency, and what your body needs.
Precision wellness for high-performing adults who want clarity, control, and measurable progress—without guesswork.
Lab-First Precision
Advanced diagnostics to find the root cause.
Clinician-Guided Expertise
Led by a medical professional with advanced training.
Data-Driven Personalization
Plans tailored to your biology, lifestyle, and goals.
Ongoing Optimization
We monitor, adjust, and refine for lasting results.
Safety-First Care
Evidence-based therapies and high clinical standards.
Concierge-Level Experience
Personalized, private, and focused on you.
Led by Alexis Valentino, DNP
Alexis Valentino is a board-certified nurse practitioner with advanced training in hormonal optimization, weight management, and performance medicine.
- Doctor of Nursing Practice (DNP)
- Family Nurse Practitioner (FNP-C)
- Advanced Training in Hormone & Performance Medicine
- Precision, compassionate, and results-driven care
