About
Fuel by Design is a wellness practice specializing in hormone optimization, metabolic health, medical weight loss, and performance-based recovery, built for high-performing adults who want a clear, data-driven plan.
Why Fuel by Design Exists
I’m Alexis Valentino, DNP, FNP-C (Nurse Practitioner) and founder of Fuel by Design, and I believe no one should feel dismissed, rushed, or confused about their health.
After years working in healthcare, I noticed a pattern: people were told their labs were “normal,” that symptoms were just stress or age, yet they still felt exhausted, foggy, overwhelmed, and stuck. Care was rushed, answers were fragmented, and too often, the real why was never addressed.
That’s why I created Fuel by Design.
Here, we slow down and look deeper. We treat the body as a whole system, not a list of symptoms, so we can stop guessing and start building a strategy that actually fits your life.
My goal is to help you feel strong, confident, and clear, not just today, but for the decade ahead.
A calm, clinical approach—built for people who lead
Fuel by Design was created for high-performing adults who want clarity, not hype. We take an educational, lab-guided approach to help you understand what may be driving symptoms like low energy, stubborn weight changes, poor sleep, or reduced resilience over time.
What to expect when you work with us
Most patients begin with a clinical consultation to review goals, history, and next steps. When appropriate, we use comprehensive labs to guide a personalized plan and ongoing optimization.
A calm, private, clinical setting
We start with clarity, listening closely, evaluating thoroughly, and using labs to guide decisions. Your plan should fit your life and evolve as your body responds.” —Alexis Valentino, NP
Credentials & Clinical Training
- Board Certified Family Nurse Practitioner — AANP
- Doctorate of Nursing Practice — Walsh University
- BHRT and weight loss specialist
Professional Memberships
- Obesity Medicine Association (OMA)
- Ohio Association of Advanced Practice Nurses
- American Association of Nurse Practitioners (AANP)
A comprehensive, data-led approach, built for real life
How we can help
01.
Male TRT Optimization
Men 35–60 experiencing fatigue, weight gain, low drive, cognitive decline
02.
Female BHRT
(Perimenopause & Menopause) Women 35–60 experiencing perimenopause or menopause symptoms
03.
Medical Weight Loss & Metabolic Optimization
Men and women with stubborn weight gain despite diet and exercise
04.
Longevity & Performance Optimization
High-performing adults seeking sustained energy, cognitive clarity, and physical resilience
Frequently Asked Questions.
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 (Perimenopause & Menopause), 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.
Fuel by Design is typically self-pay. If you have questions about payment options, our team can clarify what to expect before your first visit.
Not always. Hormone therapy is individualized and depends on symptoms, lab findings, medical history, and clinical appropriateness. We’ll review your case and discuss options so you can make an informed decision.
We ask for at least 24 hours’ notice for cancellations or reschedules. Late cancellations may have a fee, and no-shows may be charged. If labs/medications are ordered, those costs may be non-refundable once placed/dispensed.
Send Us A Message
Get In Touch
Address
1842 E Market St Ste B
Warren, OH 44483
designyourfuel@gmail.com
Phone
+ 1 (330) 536-9510