Services
Precision hormone & metabolic optimization—built for high-performing adults.
Based in Warren, OH, serving Youngstown, Boardman, Poland, and Canfield, with telehealth across Ohio (when appropriate).
Fuel by Design is a wellness and hormone optimization clinic in Warren, Ohio offering lab-led programs for men and women who want more energy, better recovery, improved metabolic health, and a plan that’s tailored—not generic. Explore TRT optimization, BHRT for perimenopause/menopause, medical weight loss with a muscle-preserving focus, and longevity/performance optimization with ongoing support.
Our Services
Male TRT Optimization
Start from: $299 (Initial Consultation)
Comprehensive labs + clinical assessment
Understand what’s driving fatigue, low drive, stubborn weight, and slower recovery with a lab-led evaluation.
Personalized protocol design
A plan tailored to your goals, history, and lifestyle—built for sustainable performance support.
Ongoing optimization & follow-ups
Regular check-ins and adjustments based on response and objective markers (not guesswork).
Pricing note: $299 covers the initial clinical consultation. Labs, medications, and ongoing care vary by plan and clinical needs.
Female BHRT (Perimenopause & Menopause)
Start from: $299 (Initial Consultation)
Symptom + lab-led clarity
Connect sleep, mood, weight changes, and brain fog to patterns we can actually evaluate.
Personalized BHRT planning
Individualized options based on clinical assessment—education-first, no hype.
Monitoring & refinement
Ongoing support and adjustments as your body and season of life change.
Pricing note: $299 covers the initial clinical consultation. Labs, medications, and ongoing care vary by plan and clinical needs.
Medical Weight Loss & Metabolic Optimization
Start from: $299 (Initial Consultation)
Metabolic + hormone evaluation
Identify blockers like insulin resistance patterns, stress load, and hormone-related slowdowns.
Muscle-preserving strategy
A plan built around nutrition, activity, recovery, and body composition—not just the scale.
Medication-assisted options (when appropriate)
Clinically guided options may be included based on eligibility and goals.
Pricing note: $299 covers the initial clinical consultation. Labs, medications, and ongoing care vary by plan and clinical needs.
Longevity & Performance Optimization
Start from: $299 (Initial Consultation)
Advanced labs + risk patterns
A deeper look at performance and longevity markers to guide smarter decisions.
Personalized longevity protocol
Built around energy, cognition, resilience, and recovery—tailored to you.
Long-term refinement
Ongoing optimization so your plan evolves with your goals, training, and workload.
Pricing note: $299 covers the initial clinical consultation. Labs, medications, and ongoing care vary by plan and clinical needs.
Led by Alexis Valentino, NP
Alexis Valentino, NP, is passionate about helping high-performing adults achieve balanced hormones, better metabolic health, and optimized long-term performance.
Clinical Focus Areas
- Male Testosterone Optimization
- Female Hormone Optimization (Perimenopause & Menopause)
- Weight Loss + Metabolic Performance
- Longevity / Semi-Invasive Therapies
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.