Hormone optimization that keeps you going.
Energy, sleep, body composition, performance. At AMS Wellness & IV, a Florida-licensed physician reads your labs with you in person and proposes options, each with an FDA-approved product behind it, that support your body's own hormone signaling, in Sarasota or Englewood.
Physician-supervised. Labs required. Every plan is decided in person.
The four stops on your hormone loopThe signal, travelling
Four stops, one loop
Every option on this page works on one of these stops. None of them replaces the hormone itself.
Your brain reads what the body needs and sends a signal down the line.
The pituitary relays it as a messenger hormone to the right gland.
The gland makes the hormone. Testosterone, growth hormone, and the rest.
The level in your blood tells the brain when to ease off or push harder. This is what your labs show.
What we do not offer: testosterone replacement, estrogen, progesterone, or hormone pellets. If your labs show something that needs your doctor's attention, we refer you to your primary care physician first.
The options, by pathway
Six options across three pathways, each with an FDA-approved product behind it. Open any one for the typical plan in practice. Whether it is right for you is a decision our physician makes with you, in person, after labs.
Options that ask your body to make more of its own testosterone rather than replacing it. We do not offer testosterone replacement, estrogen, progesterone, or pellets.
Options that support your own growth-hormone release for body composition, recovery, and sleep.
Desire, performance, and connection, for men and women, with injectable, oral, and nasal options.
hCG
Human chorionic gonadotropin
Your body's own testosterone production: energy, drive, testicular function and volume, and keeping natural fertility intact while levels come up.
A small subcutaneous injection you learn to give yourself, typically two or three times a week on set days.
- StartFirst injection in clinic with a nurse after the physician signs the order.
- RhythmTwo or three injections a week, same days each week.
- Check-inRepeat labs around weeks 6 to 8, then every 3 to 6 months.
- AdjustThe physician tunes the frequency to your labs and how you feel.
What the physician checks
Total and free testosterone, LH/FSH, estradiol, blood count; PSA for men over 40.
What to watch for
Water retention, oily skin or acne, mood swings, and estradiol drifting up. The check-ins exist to catch all of these early.
Pairs with
Runs alongside tesamorelin on many men's plans (separate injections, separate times) and does not conflict with any sexual-wellness option.
Tesamorelin
Growth-hormone-releasing hormone analog
Your own growth-hormone release: trimming stubborn abdominal fat, holding lean mass, faster recovery, and deeper sleep.
One small daily subcutaneous injection, usually in the evening, rotating sites on the abdomen.
- StartBaseline IGF-1 and fasting glucose, then the first injection with a nurse.
- RhythmDaily. Most people run it in 3 to 6 month blocks.
- Check-inIGF-1 and glucose around month 3 and at the end of each block.
- ExpectSleep changes often show first; body-composition changes tend to take 8 to 12 weeks.
What the physician checks
IGF-1, fasting glucose or A1c, blood pressure.
What to watch for
Injection-site redness, joint stiffness or fluid retention, tingling in the hands, and blood-sugar drift. Glucose is checked on purpose.
Pairs with
Commonly run with hCG for men working on testosterone signaling and body composition at the same time. Give it its own injection at its own time.
Bremelanotide (PT-141)
Melanocortin-receptor peptide
Desire and performance in men and women, working through the brain's arousal pathway rather than blood flow.
A self-injection in the thigh or abdomen about 45 minutes before intimacy.
- StartFirst use reviewed with a nurse; blood pressure checked beforehand.
- RhythmAs needed. No more than once in 24 hours, typically up to about eight uses a month.
- Check-inAt follow-up the physician asks how it worked and rechecks blood pressure.
- ExpectEffects build over the first few uses rather than all at once.
What the physician checks
Blood pressure, cardiovascular history.
What to watch for
Nausea (most common, usually early on), flushing, headache, a short-lived rise in blood pressure, and darkening of skin or freckles with frequent use.
Pairs with
Often discussed alongside sildenafil or tadalafil (desire plus blood flow) once blood pressure is checked. Pairs naturally with oxytocin.
Oxytocin
The connection hormone
Connection, closeness, and the relaxed side of intimacy for men and women. Nothing to inject.
A nasal spray or a tablet that dissolves under the tongue, taken shortly before intimacy or as a short routine the physician sets.
- StartThe physician reviews your history; a nurse shows you the spray or tablet.
- RhythmAs needed, roughly 20 to 30 minutes before, or a short routine.
- Check-inAt follow-up you review how it felt and whether the timing worked.
- ExpectSubtle rather than dramatic: many people describe it as easier to relax and connect.
What the physician checks
Blood pressure, general history.
What to watch for
Mild headache, nasal irritation with the spray, drowsiness in some people.
Pairs with
Combines easily with bremelanotide and with either oral option. No injection required.
Sildenafil
Oral PDE5 inhibitor
Erection quality and reliability when intimacy is planned ahead.
One tablet about 30 to 60 minutes before, on a lighter stomach for faster onset. The window is roughly 4 to 6 hours.
- StartThe physician reviews heart history and every medicine you take.
- RhythmAs needed, once in 24 hours.
- Check-inFollow-up to confirm it works at the level the physician set.
- ExpectWorks with arousal, not instead of it.
What the physician checks
Blood pressure, cardiovascular history, current medications.
What to watch for
Headache, flushing, stuffy nose, a blue tint to vision, upset stomach. Never combined with nitrate medicines.
Pairs with
Not combined with tadalafil; they are the same family and the physician picks one. Works with bremelanotide or oxytocin after a blood-pressure review.
Tadalafil
Long-acting oral PDE5 inhibitor
Erection reliability with a window up to about 36 hours, or a steady low-level daily routine so timing is never a question.
One tablet as needed (working within about an hour, window up to 36 hours), or a low daily routine at the same time each day.
- StartThe physician reviews heart history and medicines, then chooses as-needed or daily with you.
- RhythmAs needed, or one low daily dose at a set time.
- Check-inFollow-up to confirm the pattern is the right one.
- ExpectDaily use smooths out timing; as-needed use covers a whole weekend.
What the physician checks
Blood pressure, cardiovascular history, current medications.
What to watch for
Headache, back or muscle ache, flushing, indigestion. Never combined with nitrate medicines.
Pairs with
Not combined with sildenafil. Works with bremelanotide or oxytocin after a blood-pressure review. No conflict with hCG or tesamorelin.
No doses or prices here, on purpose. Every plan is individual and set by the supervising physician after reviewing labs from the last 30 days and your history. Some options are used differently from their approved label; when that is the case, the physician explains it with you in person before anything is decided.
Free, about three minutes
Find your hormone plan
Fourteen questions, one at a time. You get a ranked set of options, the typical plan for each, what combines, and related options from our guides to go over in store.
How it works, in person
Every step happens at our Sarasota or Englewood location. Your first visit is a consultation, not a prescription.
1Book
Choose a location and time. Bring your medication and supplement list.
2Labs, required
Bring results from the last 30 days from your primary care or treating physician, or arrive fasted and we draw them the same day.
3Physician review
Our licensed physician reads your labs and history with you. If anything in your labs or history means an option is not right for you, we refer you to your primary care physician.
4In-clinic start
If an option fits, you start it here under our physician and licensed professionals, with pre- and post-care instructions.
5Follow-up
Scheduled check-ins and repeat labs to review how you are doing and adjust the plan with the physician.
Labs are required for every hormone plan
The physician reviews real numbers with you before any option is proposed. Two ways to provide them:
- Bring results from the last 30 days from your primary care or treating physician
- Or have them drawn here the same day (arrive fasted; water is fine)
Either way, bring your medication and supplement list to every visit.
Is a hormone consultation a fit?
- You want a licensed physician to read your hormone-related labs and history with you
- You have labs from the last 30 days, or can come in fasted for a same-day draw
- You can attend in-person visits in Sarasota or Englewood
- You are 18 or older
If your labs show something that needs your doctor's attention, we refer you to your primary care physician first. Wellness support works best on a solid foundation.
Physician-supervised, every step
Every plan is reviewed and approved by a Florida-licensed physician.
Our licensed physician supervises every hormone plan at AMS. Prescription therapies are proposed by the physician after an in-person evaluation and lab review, and started here by our licensed professionals under physician order.
Common questions
Short answers here. The deeper science, sources, and a glossary of terms you will hear at your visit live in our hormone guide.
Do you offer testosterone replacement (TRT)?
No. Our options support your body's own testosterone signaling rather than replacing it. If replacement is what your labs and history call for, we refer you to your primary care physician.
Do you work with women?
Yes. Tesamorelin, bremelanotide, and oxytocin are discussed for women as well as men, and the physician reviews your labs first. More options for women are covered in our hormone guide.
Can I do this by telehealth?
No. Every consultation, start, and check-in happens in person at Sarasota or Englewood.
Can two of these be used at the same time?
Often, yes. hCG and tesamorelin are commonly run together, and a routine option can sit alongside an as-needed one. Sildenafil and tadalafil are never combined. The quiz above shows what pairs and what does not, and the physician confirms the set at your visit.
Why do you need labs from the last 30 days?
Hormone levels move. Recent numbers let the physician read the feedback stop of your loop as it is today, not months ago, and they are what every follow-up is compared against.
I do not see the option I am looking for.
This page covers the six options we discuss in clinic, each with an FDA-approved product behind it. Our hormone guide covers more treatment options by pathway. Read it, then bring your questions to the consultation.
AMS Wellness & IV is a physician-supervised wellness center. Our services are not a substitute for medical care and are not intended to diagnose, treat, cure, or prevent any disease. We confirm appropriateness, support wellbeing, and refer abnormal findings to your primary care physician.
All prescription therapies require an in-person evaluation and laboratory review. Some options are used differently from their FDA-approved labeling, and compounded medications are not FDA-approved. Individual results vary and are not guaranteed.
Supervising physician: Quratulain Hayat, DO, Family Medicine, Florida License OS15796.