Call organization(813) 328-2335

Defy Medical

53783 reviews$$1 clinic · Telehealth · 14 specialists · 2 diagnostics

Why do I feel this way?

Hybrid hormone and longevity care by Tampa clinic and US telehealth for TRT, BHRT, GLP-1s, peptides, sexual health, labs, and primary care

About

Defy Medical is a Tampa-based, self-pay hormone and wellness practice with a national telehealth model. Its core programs cover testosterone replacement, bioidentical hormone therapy, menopause care, GLP-1 weight loss, peptide therapy, sexual health, thyroid therapy, hair loss, and related wellness protocols. The Tampa clinic supports in-person services, while the company also operates a $39 primary-care telehealth sidecar and TestDefy, a direct-to-consumer LabCorp storefront with $299 men's and women's hormone panels. Justin Saya, MD, is the medical director and lead practicing physician, with a larger care team of physicians, physician assistants, and nurse practitioners.

Reviews

trustpilot
53783 reviews
google
4.5425 reviews

What to Know

Signature approach

Defy starts hormone and longevity care with comprehensive labs and a recent physical exam before prescribing. The initial consult can run up to an hour by video, with a provider reviewing symptoms, history, lab values, and goals before building a protocol. Follow-up labs and consults typically happen at three months, then every six months once the protocol is stable. Medications, supplies, and refills are managed through the patient portal and partner pharmacies.

What sets them apart

  • Lab-led telehealth model. Defy requires lab work and a recent physical exam before prescribing, which makes it more clinically structured than questionnaire-only telehealth. - Men's and women's hormone depth. TRT sits beside BHRT, perimenopause, menopause, FSD, and women's hormone panels, giving the practice real depth on both sides of hormone care. - Three product shapes under one brand. Patients can use ongoing hormone care, $39 primary-care telehealth, or direct LabCorp testing through TestDefy. - One Tampa clinic for in-person needs. The physical clinic supports IV therapy, ketamine, PRP, shockwave, pellets, blood draws, and physical exams that cannot happen by video.

Before You Book

  • Price the full stack. Visits, labs, medications, optional consults, and add-ons are separate costs. Ask for the total expected first-year cost before starting.
  • Understand testosterone rules. TRT uses Schedule III controlled-substance prescribing, so telemedicine rules can change and may affect future access.
  • Check lab access by state. TestDefy lab ordering is blocked in NY, NJ, PA, RI, and MA, and lab work is required for hormone care.
  • Use Tampa for procedure-based care. Pellets, PRP, shockwave, ketamine, IV therapy, cosmetic injections, and some physicals or blood draws are in-person only.
  • Plan refills early. Reviews point to occasional pharmacy and refill-timing friction, so do not wait until the last dose to start renewal steps.

Services

Hormone Optimization

4 offerings
  • Testosterone Replacement Therapy (TRT) — injectable, topical, nasal gel, in-clinic pellets

  • Bioidentical Hormone Replacement Therapy (BHRT) for women — Estradiol, Estriol, Progesterone, Testosterone, DHEA, Pregnenolone

  • Perimenopause and menopause therapy

  • Thyroid hormone replacement (T3, T4)

Weight Loss

4 offerings
  • GLP-1 medications — Semaglutide, Tirzepatide, Liraglutide

  • Lipotropic injections (LIPO-C)

  • Vitamin B12 and amino acid blends

  • Appetite suppressants and topical spot-treatment creams

Peptide Therapy

3 offerings
  • AOD-9604, BPC-157, TB-500, Tesamorelin

  • CJC + Ipamorelin, Epithalon, GHK-Cu

  • IGF-1 LR3, Kisspeptin

Sexual Health

4 offerings
  • Erectile dysfunction — Sildenafil, Tadalafil, Vardenafil, PT-141, Trimix, Bimix, Quadmix

  • Female Sexual Dysfunction — BHRT, PT-141, vasodilators, topical libido creams, Oxytocin

  • Shockwave therapy for ED (Tampa clinic only)

  • PRP injections for ED and FSD (Tampa clinic only)

Lab Testing (testdefy.com)

5 offerings
  • Men's Complete Hormone Health Panel ($299 LabCorp)

  • Women's Complete Hormone Health Panel ($299 LabCorp)

  • Heart Health, Thyroid, Weight Loss, and STD panels

  • Single-marker LabCorp tests from $20 (CBC, CMP, PSA, Vitamin D)

  • Getlabs mobile phlebotomy add-on

Primary Care Telehealth

4 offerings
  • $39/visit acute primary care via primarycare.defymedical.com

  • Sinus, UTI, GERD, allergies, sports injuries, rashes

  • Hypertension, pre-diabetes/diabetes, and cholesterol follow-up

  • Medication refills (no controlled substances)

Tampa-Only In-Clinic

5 offerings
  • IV therapy and injectable nutrition

  • Ketamine therapy for treatment-resistant depression and PTSD

  • PRP injections (hair, ED, FSD, joint)

  • Cosmetic injections and skin treatments

  • In-office HRT physicals and blood draws

Hair Loss

3 offerings
  • DHT-control prescriptions (Finasteride class)

  • Circulation-agent prescriptions (Minoxidil class)

  • PRP injections (Tampa clinic only)

Service tags

Hormone OptimizationWeight ManagementPeptide TherapySexual HealthAdvanced DiagnosticsIV Therapy & InfusionsRegenerative TherapiesHair Loss TreatmentAesthetic & Anti-Aging ProceduresHybrid

Pricing

Starting at

$39

Primary Care telehealth visit ($39/appointment plus medication cost)

Typical annual investment

$1,800/yr - $3,000/yr

Membership range estimate before any optional add-ons.

What this range includesMembership tiers, testing cadence, and common add-on examples.

Hormone-optimization patients typically run $1,800/yr - $3,000/yr all-in. TRT for men averages under $250/mo in year one (covers consults, comprehensive labs, and medications) and under $200/mo thereafter — roughly $2,400/yr - $3,000/yr in the first year and $1,800/mo - $2,400/mo ongoing. BHRT for women averages under $200/mo year one and under $150/mo after, landing closer to $1,800 - $2,400 GLP-1, peptide, ED/FSD, thyroid, and hair-loss programs are portal-quoted on top.

In practiceAdd-ons, payment details, and coverage limits.

Public anchors: Primary Care is $39/visit. Performance consultations are $95 individual or $125 couples. The flagship men's and women's hormone panels are $299/mo TRT averages under $250/mo in year one and under $200/mo after; BHRT averages under $200/mo in year one and under $150/mo after. Quoted after intake: GLP-1s, peptides, thyroid, ED/FSD, hair-loss protocols, and medication costs are priced through the patient portal after intake. How to budget: Defy is self-pay and fee-for-service, with separate charges for visits, labs, medications, and optional add-ons. There is no subscription or insurance billing.

Primary Care Telehealth

$

$39

On-demand telemedicine for acute issues (sinus, UTI, allergies, GERD), follow-up for hypertension and diabetes screening. No controlled substances. No HRT through this channel. Booking on the dedicated subdomain primarycare.defymedical.com.

Who it’s for

Patients who want fast, fee-for-service primary-care visits without insurance and without a hormone-optimization commitment.

Hormone Optimization & Longevity

$$

$250/mo

Comprehensive intake, blood testing, prescriber consult, and ongoing dose adjustments for testosterone replacement, female hormone therapy and menopause care, GLP-1 weight loss, peptide therapy, sexual health (ED/FSD telemed prescribing), thyroid therapy, and hair loss. Medications shipped via Defy's network of partner pharmacies through defymedicalstore.com.

Who it’s for

Patients seeking ongoing hormone optimization or longevity prescriptions outside of insurance.

Lab Testing (testdefy.com)

$

$20

Direct-to-consumer LabCorp blood draws — single markers (CBC, CMP, PSA, Vitamin D, etc.) and panels (Men's/Women's Complete Hormone Health $299 Heart Health, Thyroid, Weight Loss, STD). Optional Getlabs mobile phlebotomy add-on at $125 No mandatory clinician review — optional consult with Defy's care team available.

Who it’s for

Patients who want to order their own lab work without a provider gatekeeper, then optionally bring results to a Defy consult.

Care model

Treatment Protocol

Insurance: Self Pay

Frequently asked questions

Does Defy Medical accept insurance?

No. Defy Medical is self-pay and fee-for-service. Patients pay per visit, lab, medication, or add-on, and the practice does not accept or communicate with insurance companies.

Which states does Defy Medical serve?

Defy describes its main telehealth practice as US-based prescribing care. Primary Care covers 49 jurisdictions, excluding Idaho and Mississippi. TestDefy lab ordering is unavailable in New York, New Jersey, Pennsylvania, Rhode Island, and Massachusetts.

Where do medications come from?

Hormone, peptide, and sexual-health prescriptions route through Defy's patient portal to partner pharmacy vendors for shipment. Primary Care prescriptions are sent to the patient's local pharmacy when clinically appropriate.

What labs does Defy use?

Defy uses LabCorp and Quest for clinical labs, and TestDefy uses LabCorp for direct-to-consumer panels. Getlabs mobile phlebotomy is available as a paid add-on for some lab orders.

How much does TRT cost at Defy Medical?

Defy states that TRT averages under $250/mo in the first year, including medications, labs, and consults, and under $200/mo after the first year.

Can I order labs without a Defy clinician consult?

Yes. TestDefy sells LabCorp panels directly. The men's and women's complete hormone panels are $299 with optional paid interpretation through Defy's care team.

Which services require the Tampa clinic?

Pellets, PRP, shockwave therapy, ketamine, IV therapy, cosmetic injections, and some physical exams or blood draws require the Tampa clinic. Most hormone and prescription-management care is handled by telehealth.

Locations

Defy Medical clinic photo

Defy Medical Tampa

$$
Tampa, FL, USA

In-person IV therapy, ketamine, PRP, shockwave, cosmetic injections, blood draws, and HRT physicals

Hormone OptimizationWeight ManagementPeptide TherapySexual Health

Telehealth

Team

Robin Cozine, APRN, FNP-C portrait

Robin Cozine, APRN, FNP-C

Nurse PractitionerVirtual + In-Person

BHRT, medical weight loss, IV/injectable wellness, and aesthetic-procedure experience from a multi-state FNP-C

Hormone OptimizationMetabolic Health

Defy Medical

Ben Walker, APRN, DC portrait

Ben Walker, APRN, DC

Nurse PractitionerVirtual + In-Person

Hormone optimization and integrative care from a dual-credentialed APRN/DC with decades in chiropractic and prescribing care

Hormone OptimizationFunctional Medicine

Defy Medical

Beth Bray, APRN portrait

Beth Bray, APRN

Nurse PractitionerVirtual + In-Person

Hormone replacement and integrative wellness from an APRN with orthopedic, oncology, primary-care, and holistic-care experience

Hormone OptimizationFunctional Medicine

Defy Medical

Caleb Calkins, MD portrait

Caleb Calkins, MD

Staff PhysicianVirtual + In-Person

Family-medicine physician focused on hormones, metabolism, nutrition, fitness, GLP-1s, and root-cause wellness

Hormone OptimizationMetabolic Health

Defy Medical

Corbin Burns, PA-C portrait

Corbin Burns, PA-C

Physician AssistantVirtual + In-Person

Hormone optimization and TRT from a PA-C with emergency-medicine and behavioral-health experience

Hormone OptimizationFunctional Medicine

Defy Medical

Morgan Bulawa, PA-C

Physician AssistantVirtual + In-Person

Bioidentical hormone therapy PA-C with Exercise Science, collegiate soccer, and HRT-pharmacist family roots

Hormone OptimizationMetabolic Health

Defy Medical

Justin Saya, MD portrait

Justin Saya, MD

Medical DirectorVirtual + In-Person

Medical Director and lead practicing physician for Defy's hormone, menopause, TRT, and telehealth care model

Hormone Optimization

Defy Medical

Kristian Schoppaul, APRN, FNP-C portrait

Kristian Schoppaul, APRN, FNP-C

Nurse PractitionerVirtual + In-Person

Hormone replacement care from an FNP-C with ER, ICU, oncology, cardiology, pediatrics, and sports-medicine experience

Hormone OptimizationMetabolic Health

Defy Medical

Elizabeth Thara, APRN, FNP-C portrait

Elizabeth Thara, APRN, FNP-C

Nurse PractitionerVirtual + In-Person

Women's health, hormone therapy, and weight-management care from an FNP-C with a decade in labor and delivery nursing

Hormone OptimizationMetabolic Health

Defy Medical

Marisa Palles, PA-C, MPAS portrait

Marisa Palles, PA-C, MPAS

Physician AssistantVirtual + In-Person

Hormone optimization PA-C with a Defy patient-services background, endocrinology interest, and symptom-plus-lab approach

Hormone OptimizationMetabolic Health

Defy Medical

Megan Kershner, MSN, APRN, AGNP-C, MSCP portrait

Megan Kershner, MSN, APRN, AGNP-C, MSCP

Nurse PractitionerVirtual + In-Person

Menopause Society Certified APRN focused on HRT, menopause care, Biote pellets, and adult-gerontology care

Hormone Optimization

Defy Medical

Melissa Faulk, PA-C portrait

Melissa Faulk, PA-C

Physician AssistantVirtual + In-Person

Men's health and hormone replacement from a PA-C with Army, flight-surgeon, orthopedic trauma, and cardiology experience

Hormone OptimizationMetabolic Health

Defy Medical

Michelle Maiolo, FNP-BC portrait

Michelle Maiolo, FNP-BC

Nurse PractitionerVirtual + In-Person

Hormone, nutrition, and exercise-focused FNP-BC with 20+ years across nursing, pain management, and addiction medicine

Hormone OptimizationMetabolic Health

Defy Medical

Mike Linkous, PA-C portrait

Mike Linkous, PA-C

Physician AssistantVirtual + In-Person

TRT and integrative hormone care from a PA-C with sports orthopedics, family medicine, pain management, and personal TRT experience

Hormone OptimizationFunctional Medicine

Defy Medical

Diagnostics

Directory listings are for informational purposes only. Inclusion does not constitute endorsement. Verify credentials and qualifications independently.