Energy that quits before lunch. Sleep that doesn’t restore. A body that won’t respond to the work you’re putting in. These aren’t signs of getting older — they’re signs your hormones are out of range. We test, we treat, and we track until you feel like yourself again.
Bioidentical hormones, peptide options, full lab panels, and a physician who actually picks up the phone. Built for people who can’t afford to feel “fine.”
/MONTH, ALL-IN $425
Hormone decline doesn’t announce itself — it shows up as everything else first. Your primary care visit ends with “your labs look normal.” But normal isn’t optimal, and you know the difference.
Coffee stops working. Workouts don’t restore. You’re tired at 2pm and wired at 11pm.
Belly fat that won’t move. Muscle that won’t build. The same routine, completely different results.
Drive is gone. Function is unreliable. Conversations you don’t want to have with your partner — or your doctor.
Word retrieval is slower. Patience is shorter. You don’t quite recognize the person you’ve become
Waking at 3am. Night sweats. Eight hours in bed and zero hours of recovery.
Soreness lasts days. Old injuries flare. Your body’s signal-to-noise has fallen off a cliff.
We’ve had these conversations thousands of times. We don’t sell. We educate. Here’s what we tell people in the consultation room before they decide.
WHAT YOU’RE REALLY ASKING
You’re asking why two doctors can look at the same blood work and give two different answers.
WHAT WE TELL YOU
“Normal” reference ranges are population averages — they include 80-year-olds with chronic disease. A 42-yearold man with a total testosterone of 320 ng/dL is technically “in range,” but he’s in the bottom 10% of healthy men his age. He’ll feel it. Same with women: a TSH of 4.0 is “normal” until you ask why she can’t lose weight, can’t sleep, and can’t think clearly. We don’t treat lab numbers. We treat people. We pull a comprehensive panel — total and free testosterone, estradiol, SHBG, DHEA-S, cortisol curve, full thyroid (not just TSH), CBC, CMP, lipids, fasting insulin, HbA1c, and inflammatory markers — and we read it against optimal, not minimum. That’s the whole difference.
WHAT YOU’RE REALLY ASKING
You’re asking whether you’re trading a problem now for a dependency later.
WHAT WE TELL YOU
That depends entirely on what’s driving your numbers. If your low testosterone is caused by stress, sleep apnea, alcohol, or medication — we can sometimes restore it without long-term replacement. We always look for the root cause first.
If the cause is age-related decline (which it often is after 35–40), then yes — you’ll likely benefit indefinitely, the same way someone with hypothyroidism takes thyroid medication. The question isn’t “do I want to be on something forever?” It’s “do I want to feel like myself, with optimal hormone levels, for the next 30 years?”
WHAT YOU’RE REALLY ASKING
You’re asking whether you’re trading a problem now for a dependency later.
WHAT WE TELL YOU
The 2002 study used synthetic conjugated estrogens and synthetic progestins in older women, often a decade past menopause. The reanalysis years later showed the picture was far more nuanced — and that bioidentical hormones started near the onset of perimenopause have a meaningfully different risk profile.
For men, dozens of recent studies — including the TRAVERSE trial — have shown that properly-monitored testosterone therapy does not increase prostate cancer risk in screened patients. We screen aggressively before starting (PSA, mammogram referral when indicated, baseline labs), and we recheck every 3–6 months. The risk of not treating low hormones — cardiovascular disease, osteoporosis, sarcopenia, depression — is rarely discussed but very real.
WHAT YOU’RE REALLY ASKING
You’re asking whether you’re being upsold into a subscription.
WHAT WE TELL YOU
Hormone optimization isn’t a one-and-done visit — it’s a relationship. You need baseline labs, follow-up labs, dose adjustments, telehealth check-ins, and the ability to message your provider when something feels off. Pay-per-visit care punishes you for the exact behavior we want to encourage: staying engaged.
Our membership bundles everything that should be bundled.
One predictable monthly fee covers your visits, your labs, your medication coordination, your messaging, and your dose adjustments. No surprise bills. No coding games. If it doesn’t work for you, you cancel — same as any subscription.
WHAT YOU’RE REALLY ASKING
You’ve seen the ads. The price is hard to argue with. You want to know what you’re actually paying more for.
WHAT WE TELL YOU
You can absolutely get a prescription that way. What you typically don’t get: a physician who has examined you in person, a thyroid panel, a cortisol curve, dose titration based on how you actually feel, peptide therapy as an option, an estradiol management plan, an aromatase inhibitor when needed, IV nutrient support, body composition tracking, and an integrated team where your HRT physician, weight management physician, and physical therapist all share notes.
Online clinics sell a prescription. We deliver an outcome. If a $99 prescription is all you need, take it. If you’ve tried that and you’re back here because something’s off, we’re not surprised — and we can help.
WHAT YOU’RE REALLY ASKING
You’re asking why every HRT ad shows a 50-year-old man on a mountain bike.
WHAT WE TELL YOU
About half of our HRT patients are women. Perimenopause starts up to 10 years before menopause — meaning hormonal disruption can begin in your mid-30s, long before periods stop. Symptoms include sleep disturbance, weight gain (especially around the midsection), low libido, anxiety, joint pain, brain fog, and a general sense that “something is off.”
For women, we offer bioidentical estradiol (patch, cream, or pellet), micronized progesterone, low-dose testosterone (yes, women need testosterone — it’s protective for bone, brain, and libido), and DHEA when indicated. We work in coordination with your OB-GYN, not around them.
WHAT YOU’RE REALLY ASKING
You want a realistic expectation, not a marketing promise.
WHAT WE TELL YOU
Energy and sleep: often within 2–3 weeks. Mood and mental clarity: 3–6 weeks. Libido and sexual function: 48 weeks. Body composition changes: 8–16 weeks with consistent training and nutrition. Bone density and cardiovascular markers: 6–12 months on follow-up labs.
Your first follow-up labs are at 6 weeks. We adjust. We re-check. We don’t guess. If you don’t feel meaningfully better in 90 days, we owe you a different plan — and we’ll build it.
WHAT YOU’RE REALLY ASKING
You want to know what you’re really paying out-of-pocket.
WHAT WE TELL YOU
The honest answer: sometimes, partially. Many insurance plans cover the office visits and the diagnostic labs when there’s a documented clinical indication. They generally do not cover the membership concierge components, optimized peptide therapy, or compounded bioidentical hormone preparations.
Our membership is structured to be HSA/FSA eligible for the medical components, and we provide itemized superbills you can submit to your insurance for potential reimbursement. We’ll walk through your specific plan during your consultation. No surprises — you’ll know your exact monthly cost before you commit to anything.
Every tier includes physician oversight, pharmacy coordination, and direct messaging. Step up only when it makes sense for your protocol.
/MONTH
→ Initial physician consultation & physical exam
→ Comprehensive baseline hormone & metabolic panel
→ Standard bioidentical HRT protocol (testosterone, estradiol, or progesterone as indicated)
→ Quarterly follow-up labs & visits
→ Direct messaging with your care team
→ Pharmacy coordination & auto-refills
$199.00 / month
▎FOUNDATION
HRT ESSENTIALS
$199 /MONTH
BILLED MONTHLY · CANCEL WITH 30 DAYS’ NOTICE
→ Initial physician consultation & physical exam
→ Comprehensive baseline hormone & metabolic panel
→ Standard bioidentical HRT protocol (testosterone, estradiol, or progesterone as indicated)
→ Quarterly follow-up labs & visits
→ Direct messaging with your care team
→ Pharmacy coordination & auto-refills
/MONTH
→ Bi-monthly follow-up labs & titration
→ Aromatase & estradiol management when indicated
→ One IV recovery infusion per month
→ DEXA body composition scan (annual)
→ Priority booking across all Madison Medical service lines
→ 15% off Athletic Recovery Center add-ons
$249.00 / month
▎PERFORMANCE · MOST CHOSEN
PERFORMANCE HRT
$249 /MONTH
BILLED MONTHLY · INCLUDES EVERYTHING IN FOUNDATION
→ Bi-monthly follow-up labs & titration
→ Aromatase & estradiol management when indicated
→ One IV recovery infusion per month
→ DEXA body composition scan (annual)
→ Priority booking across all Madison Medical service lines
→ 15% off Athletic Recovery Center add-ons
/MONTH
→ Peptide therapy (GHRP, BPC-157, NAD+ as indicated)
→ Same-day appointment access
→ Direct mobile line to physician team
→ Quarterly comprehensive panel (140+ markers)
→ Annual VIP Physical (full-day diagnostic intensive)
→ Two IV infusions per month
$449.00 / month
▎CONCIERGE
EXECUTIVE OPTIMIZATION
$449 /MONTH
BILLED MONTHLY · FOR HIGH PERFORMERS & BUSY EXECUTIVES
→ Peptide therapy (GHRP, BPC-157, NAD+ as indicated)
→ Same-day appointment access
→ Direct mobile line to physician team
→ Quarterly comprehensive panel (140+ markers)
→ Annual VIP Physical (full-day diagnostic intensive)
→ Two IV infusions per month
20-minute conversation, in person or virtual. We listen first. You tell us what’s changed and what you’ve tried. No pressure to enroll.
Full hormone, thyroid, metabolic, and inflammatory panel — drawn in our office. Results in 72 hours, reviewed with you on a follow-up call.
Your physician designs a plan: bioidentical HRT, supporting compounds where indicated, lifestyle and nutrition guidance, and a 90-day check-in calendar.
Labs at 6 weeks. Adjustments based on how you feel and what your numbers say. We keep optimizing until you do.
I spent three years thinking I was just getting older. Six weeks into my protocol I was sleeping through the night, lifting heavier than I had at 35, and actually present with my kids again. Madison Medical didn’t fix my hormones — they gave me my life back.
Book a complimentary 20-minute consultation. We’ll walk through your symptoms, your goals, and what a real protocol could look like — with no obligation to enroll.
( 973) 966-1111 · info@madisonmedicalnj.com
S A M E- W E E K APPOINTMENTS AVAILABLE.
Effective date: January 1, 2026. By enrolling in any Madison Medical Sports & Wellness Hormone Optimization Membership (“Membership”), you (“Member”) agree to the following terms with Madison Medical Sports & Wellness, located at 345 Main Street, Madison, NJ 07940 (“Practice”).
1. NATURE OF THE MEMBERSHIP
The Membership provides access to bundled clinical services, monitoring, and care coordination as outlined in the tier you select. The Membership is not health insurance and is not a substitute for health insurance coverage. Membership fees are paid directly to the Practice and are not billed to or reimbursed by insurance carriers, though certain underlying medical services may be eligible for reimbursement through your plan.
2. MEDICAL SERVICES INCLUDED
Membership tiers include physician consultations, ordering and review of laboratory work, prescription coordination with licensed compounding and retail pharmacies, dose titration, and direct messaging with the clinical team as defined in your tier. Membership does not automatically include the cost of medications, compounded preparations, supplements, advanced imaging, surgical procedures, or services rendered outside the scope of the Hormone Optimization program.
3. ELIGIBILITY & CLINICAL DISCRETION
Enrollment is conditional on a clinical evaluation and is at the sole discretion of the supervising physician. The Practice reserves the right to decline enrollment, recommend alternative care pathways, or discontinue therapy if it determines, in its medical judgment, that the program is not appropriate for the Member.
4. FEES, BILLING & AUTO-RENEWAL
▪ Membership fees are billed monthly in advance via the payment method on file.
▪ Membership auto-renews each month until canceled in writing per Section 5.
▪ Fees are non-refundable for the current billing month except as required by applicable law.
▪ The Practice may adjust Membership pricing with at least 30 days’ written notice via email and posting on the Practice website.
▪ HSA/FSA eligibility for individual line items is the responsibility of the Member to confirm with their plan administrator.
5. CANCELLATION
Members may cancel at any time by submitting a written cancellation request (email is acceptable) to info@madisonmedicalnj.com. Cancellation is effective at the end of the then-current paid billing month. No long-term contract or cancellation penalty applies. Upon cancellation, ongoing prescription, monitoring, and messaging services through the Membership terminate; existing prescriptions remain valid through their stated expiration but will not be refilled or adjusted under the canceled Membership.
6. LAB WORK & DIAGNOSTIC SERVICES
Standard hormone and metabolic panels are included as defined in each tier. Specialty panels, advanced diagnostics, repeat testing requested outside the standard schedule, and panels ordered for a non-clinical or research purpose may be billed separately at published cash-pay or insurance rates. The Member authorizes the Practice to bill insurance for diagnostic services where coverage exists.
7. PRESCRIPTIONS & COMPOUNDED MEDICATIONS
All hormone preparations are prescribed at the discretion of the supervising physician based on Member’s labs, exam, and symptoms. Compounded preparations are dispensed by licensed 503A or 503B compounding pharmacies in accordance with state and federal regulation. The Practice does not dispense controlled substances directly. Medication costs are paid by the Member directly to the dispensing pharmacy and are not included in Membership fees unless explicitly stated.
8. RISKS, BENEFITS & INFORMED CONSENT
Hormone replacement therapy carries known clinical risks, which are reviewed and documented in a separate Informed Consent at the time of enrollment. The Member acknowledges that no medical therapy guarantees a specific outcome, that individual response varies, and that the Member is responsible for adhering to the prescribed protocol, attending scheduled labs and follow-up visits, and disclosing all medications, supplements, and changes in health status to the clinical team.
9. COMMUNICATIONS & TELEHEALTH
The Practice provides direct messaging and telehealth consultations as part of certain Membership tiers. Communications are conducted through HIPAA-compliant platforms. The Member acknowledges that messaging is intended for non-urgent clinical questions; emergencies should be directed to 911 or the nearest emergency department.
10. PRIVACY & HIPAA
The Practice protects Member health information in accordance with HIPAA and applicable New Jersey law. A separate Notice of Privacy Practices is provided to all patients at the time of enrollment.
11. NO GUARANTEE OF OUTCOMES – MADISON MEDICAL · HORMONE OPTIMIZATION
While the Practice is committed to delivering evidence-based, individualized care, the Member acknowledges that no representation, statement, or marketing material constitutes a guarantee of any specific clinical outcome. Member testimonials reflect individual experiences and should not be construed as representative of all patients.
12. MODIFICATIONS TO THESE TERMS
The Practice may revise these terms with at least 30 days’ notice. Continued enrollment after the effective date of any update constitutes acceptance of the updated terms.
13. GOVERNING LAW & DISPUTE RESOLUTION
These terms are governed by the laws of the State of New Jersey. The parties agree to attempt good-faith resolution of any dispute through direct communication first, and through mediation in Morris County, NJ before initiating any legal action.
14. CONTACT
Questions about these terms or your Membership should be directed to:
Madison Medical Sports & Wellness
345 Main Street, Madison, NJ 07940
Phone: (973) 966-1111
Email: info@madisonmedicalnj.com
By enrolling in a Madison Medical Hormone Optimization Membership, the Member acknowledges they have read, understood, and agreed to these Terms & Conditions, the Informed Consent for Hormone Therapy, and the Notice of Privacy Practices.
