Marek Health Guided Optimization
Coach-led telehealth for hormones, GLP-1 weight care, peptides, and custom labs, with partnered-provider consults in all 50 states
Visit types
Video
Coverage
50 US regions
Lab partner
Marek Diagnostics (marekdiagnostics.com)
About
Guided Optimization® is Marek Health's video-only telehealth program for clients who want lab-guided hormone, metabolic, weight, peptide, and preventive care. The flow pairs a health-coach intake with a custom Marek Diagnostics panel, then a partnered licensed provider reviews results and sets the treatment plan. Monthly coach check-ins keep the program moving between provider visits, while medications and supplements ship from 503A/503B pharmacies. The service is available to US residents in all 50 states, with medication availability varying by state rules.
What to Know
Signature approach
The program runs on a coach-plus-provider cadence. The coach handles intake, monthly check-ins, adherence, and lifestyle support; the partnered provider handles diagnosis, prescribing, and six-month treatment-plan reviews. Labs come through Marek Diagnostics, scoped to the client's symptoms and goals, then feed into medication, supplement, nutrition, and training recommendations delivered remotely.
What sets them apart
- Monthly coach continuity. A named health coach remains the main touchpoint between six-month provider consults, which gives clients a place to take adherence, side-effect, nutrition, and supplement questions.
- Case-scoped lab work. Marek Diagnostics panels are built around the client's symptoms, goals, and physiology, with written interpretation before the provider consult.
- Pharmacy fulfillment. Prescribed medications ship from FDA-registered 503A/503B compounding pharmacies, useful for hormone, peptide, GLP-1, and adjunct protocols.
Before You Book
- Start with labs. The $299 intake is only the first step; the required initial lab panel starts at $450/yr - Local coordination. Keep an annual in-person physical on file and plan for a local blood draw. - Six-month rhythm. Follow-up labs and provider consults typically run every six months, with monthly coach check-ins between. - State rules matter. Some medications, peptide options, or day-supply rules vary by state; confirm availability during intake. - Communication style. Email is the main between-visit channel.
How it works
- 1
Health coach intake
Video call with a Marek health coach to walk through symptoms, history, and goals and frame the protocol direction before any labs run.
- 2
Custom Marek Diagnostics panel
Lab panel built around your physiology and goals, covering hormones, metabolic markers, vitamins, and add-ons your case supports. Results return in roughly 14 days with a written review.
- 3
Provider consult and treatment plan
A partnered licensed provider reviews the labs with you on video, answers questions, and writes the treatment plan when treatment is appropriate.
- 4
Shipments and monthly coach check-ins
Medications and supplements ship from FDA-registered 503A/503B compounding pharmacies. Your coach handles monthly check-ins between provider visits to keep nutrition, lifestyle, and dose adherence on track.
Care delivery
Remote care includes
13Hormone optimization (TRT/HRT)
Weight management (GLP-1 medications)
Hair loss prevention
Sexual health and erectile dysfunction treatment
Peptide therapies
Sleep optimization protocols
Cognitive performance protocols
Heart health protocols
Fertility support
Thyroid optimization
Comprehensive diagnostic lab panels
1-on-1 health coaching
Supplement dispensary access
Needs local coordination
2Annual physical exam (required every 12 months from a local MD, DO, PA, or NP)
Blood draw at lab location for diagnostic panels
US coverage
Availability
Available in all 50 US regions
Pricing
From
$299
The $299 intake covers coach onboarding, lab review, and the provider consult; the required first lab panel starts at $450 and treatments bill separately.
Pricing detailsBilling cadence, medication costs, insurance, cancellation, and refund notes.
First step: $299 intake plus a required $450+ first lab panel, before medication or supplement costs. There is no set monthly subscription; clients pay as labs, provider consults, medications, and supplements are ordered. Follow-up labs and provider consults usually repeat about every six months, while shipped medications and supplements vary by protocol. Marek is self-pay; insurance billing is unavailable. HSA/FSA cards are often accepted, but reimbursement support is limited to invoices and lab requisitions. CPT/ICD-10 codes and Letters of Medical Necessity are unavailable.
Additional details
Medication and prescribing detailsFine-print prescribing, pharmacy, and state-professional-corporation details.
Clinical prescribing runs through partnered licensed providers. They decide eligibility for TRT, HRT, GLP-1s, and peptide therapies using labs, history, symptoms, and goals. Clients need an annual in-person physical with a local MD, DO, PA, or NP, plus follow-up labs and provider consults about every six months. State pharmacy rules can affect medication access, days supplied, or imported ingredients, so confirm scope during intake.
Team
Derek MPMD
Marek Health co-founder and MPMD creator who turned hormone, training, and performance education into a telehealth platform
Marek Health
Daniel Fink, MD
TRT and injury-recovery peptide therapy from a University of Michigan-trained physician with environmental medicine board training
Marek Health
Steven Campbell, MD
Functional medicine and metabolic optimization from Marek's triple board-certified medical director
Marek Health
Stefan Flores, MD
Emergency-medicine trained optimization physician focused on hormones, metabolic health, and athletic performance
Marek Health
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