Peak Performance Starts With Prevention.
From hormonal health to cardiovascular risk, we help men build the foundation for a stronger, longer life — before problems arise.
the science
Testosterone drops roughly 1% each year after 30
Starting at 30, testosterone declines by about 1% annually. These shifts affect muscle mass, energy levels, mood, and metabolic health. Recognizing them early is the key to staying strong and vital.
Truly comprehensive care.
Most TRT clinics hand you a prescription and call it a day. We're just getting started.
Health questions don't follow business hours. Your care team is always within reach.
Comprehensive lab monitoring of over 70 vital biomarkers for optimal health.
Our comprehensive nutrition and training support helps you achieve your fitness goals with personalized plans and expert guidance.
One dedicated clinician — not a rotating call center. You work with the same Direct Preventive Care clinician who knows your history, reviews your labs, and adjusts your protocol over time.
Continuously optimizing dosage for personalized treatment, ensuring safety and efficacy.
Optimize energy production, support cellular function, and enhance overall well-being.
Physician-guided male hormone therapy
Your clinician reviews your medical history and lab results to determine eligibility and guide the best treatment path — whether testosterone replacement or restoration.
Bioidentical hormone replacement therapy (BHRT) — physician-prescribed testosterone and supporting hormones, dosed to your labs to restore energy, strength, libido, and focus.
Long-acting injectable testosterone replacement providing stable, predictable serum levels.
Stimulates LH signaling to restore endogenous testosterone while preserving fertility.
everything included in your plan
Personalized TRT care starts with membership
Your Direct Preventive Care team reviews your health history, goals, and baseline labs to confirm eligibility and design a protocol personalized to you.
We track your biomarkers on an ongoing schedule to measure progress, catch issues early, and keep your protocol on target.
Your clinician reviews your labs and symptoms and fine-tunes your protocol over time to maximize results and minimize side effects.
Your dedicated men's hormone clinician guides your treatment and keeps it on track.
Comprehensive, physician-led care tailored to you, all under one simple plan.
One membership. Complete care.
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original digital longevity clinic
We built modern longevity medicine from the ground up — and made it available to everyone.
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patient satisfaction
Outstanding outcomes and exceptional service keep our patients coming back.
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average years of expertise
Our clinical and research physicians and PhDs are among the best in the field.
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peer-reviewed publications
Our team doesn’t just follow aging science — they help shape it.
Expert guidance you can rely on
Dr. Omar Cruz-Diaz, MD
MD, Board-Certified Urology & Preventive Medicine
Dr. Cruz-Diaz brings 12 years of clinical experience in urologic care and preventive medicine. His expertise spans testosterone optimization, prostate health, and integrated men’s wellness protocols. He leads Direct Preventive Care’s Men’s Hormone Health program and serves as the clinical lead for TRT safety and monitoring.
Specialties: Testosterone Replacement Therapy, Prostate Health, Men’s Preventive Medicine, Urologic Health
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Hear directly from our patients
Frequently asked questions
Men with low testosterone levels due to aging, certain medical conditions, or hormonal imbalances may be good candidates for testosterone replacement therapy (TRT). Symptoms like fatigue, decreased libido, and mood changes can indicate a need for treatment. A thorough evaluation by a healthcare professional is essential to determine if TRT is appropriate.
Testosterone replacement therapy (TRT) can help alleviate symptoms of low testosterone, such as fatigue, decreased libido, and mood changes. Many patients experience improved energy levels, enhanced sexual function, and better overall well-being. However, individual results may vary.
Testosterone therapy is included in the Direct Preventive Care membership, providing comprehensive hormonal health management as part of your personalized preventive care plan.
Yes, you may need lab work before starting treatment and periodically throughout to monitor your health and response to the medication.
Enclomiphene is a selective estrogen receptor modulator that stimulates the body's natural testosterone production, unlike traditional testosterone therapy which replaces the hormone. This can help maintain fertility and avoid some side effects associated with testosterone replacement.
Testosterone replacement therapy (TRT) can carry risks and side effects, including increased risk of blood clots, sleep apnea, acne, and mood changes. It's important to discuss these potential effects with your healthcare provider before starting treatment.
Take Enclomiphene as prescribed by your doctor. You may start to notice changes within a few weeks, but it can take several months to see the full effects.
Personalized hormone optimization
Built around your labs, symptoms, and long-term health goals — not a one-size-fits-all protocol.