Improved quality of life, better sexual health, and long-term wellbeing

Hormones impact your overall health, mood, vitality, energy, strength, and mental clarity. Balance your hormones once and for all with an expert provider that you trust.

Conditions treated

  • Common symptoms include:

    • Mood swings

    • Weight gain

    • Brain fog

    • Hot flashes

    • Poor sleep

    • Vaginal dryness

    • Night sweats

    • Heart palpitations

    • Headaches

    • Joint pain

    • Pain during intercourse

    • Decreased libido

    • Chronic fatigue

  • Common symptoms include:

    • Weight gain

    • Fatigue

    • Irregular cycles

    • Acne

    • Hair loss

    • Excessive hair growth

    • Hair thinning

    • Sleep issues

    • Absent periods

    • Oily skin

  • Common symptoms include:

    • Decreased libido

    • Erectile dysfunction

    • Chronic fatigue

    • Brain fog

    • Loss of motivation

    • Muscle loss

    • Increased body fat

    • Weight gain

    • Mood swings & irritability

    • Poor sleep

    • Bone loss

    • Hot flashes

Services offered

Otto’s clinicians blend evidence-based tools with your personal preferences to design a program that achieves lasting results.

GLP-1 Medications

HRT + TRT + BHRT

Access to high-quality, affordable bioidentical hormone replacement therapy and testosterone replacement therapy. This may include injections, gels, creams, patches, and capsules.

Exercise

Exercise

Work with your provider to build a customized plan for adding movement to your life sustainably and reliably. Understand the tools and techniques to achieve optimal fitness.

Supplements and herbs

Supplements

Receive medical-grade supplement recommendations tailored to your specific goals and needs.

Meal

Nutrition

Food is medicine. Receive personalized nutrition plans, including recipes and grocery lists, that take into consideration your dietary preferences, restrictions, and specific health goals.

Coaching

Coaching

Expect ongoing accountability and support from a provider that you trust. This might include weekly check-in texts, monthly visits, or tracking & data sharing.

Infusions

Infusions

Add additional therapies to your wellness plan, such as Vitamin B12 injections and lipotropic shots.

How it works

  • Take a brief intake survey

    Share information about your health history, lifestyle, and goals.

  • Receive a curated list of providers

    The connection between you and your provider matters. Based on your background and goals, we'll suggest a shortlist of clinicians for you.

  • Schedule a consultation

    A consultation gives you the chance to meet with a provider and determine if there's a fit. At Otto, most providers offer a free 15-minute introductory call.

  • Attend your first appointment

    Once you've decided on the right fit for you, your provider will conduct a comprehensive onboarding. This will include reviewing your medical history, a detailed lifestyle assessment, and in-depth testing as necessary.

  • Start with a personalized treatment plan

    Your care plan may include medications, exercise regimens, meal plans, stress management techniques, and supplements.

    If eligible, your medications will be shipped directly to your home.

  • Receive ongoing support

    Build a long-lasting relationship with your provider to maintain your hormonal balance. Expect accountability, frequent check-ins, side effect support, care plan updates, medication management, and free resources. Many providers offer unlimited access.

SOME QUICK STATISTICS

Polycystic ovary syndrome (PCOS) affects an estimated 8–13% of reproductive-aged women, yet up to 70% of cases remain undiagnosed.

World Health Organization

41% of men were told as children that men should not complain about health issues.

Cleveland Clinic

More than 80% of women experience menopausal symptoms, such as hot flashes, night sweats, palpitations, and migraines.

Peacock et al., 2023

Frequently asked questions

  • No, Otto's clinicians work outside of insurance. You will receive direct access to your clinician and to medications (if indicated) without insurance coverage.

  • We partner with vetted, high-quality, FDA-inspected pharmacies to dispense medications. These pharmacies are held to strict compliance standards. They perform full stability, sterility, and potency testing on each batch. Certificates of analysis are available upon request.

  • If you are interested in hormonal balance supported by an expert clinician without medications, our clinicians offer that as well. This approach consists of targeted nutrition changes, exercise regimens, sleep optimization, stress management, and weight management.

  • This depends on your clinical profile and care needs. Some patients will benefit from lifelong hormone replacement.