Find a path back to feeling like you.
Fatigue, lower libido, changes in muscle, brain fog, belly fat, or low motivation? Start with a careful evaluation of what may be contributing.
Explore men’s care ↗Personalized care for men and women. Explore hormone therapy and medical weight management with a team that takes the time to understand you.
Take our 2-minute Hormone Self-Assessment. Explore the symptoms you’ve noticed and create a personal discussion guide for your next visit.
Symptoms can have many causes. This quiz cannot measure hormones or determine whether treatment is appropriate. Your answers stay in this page and are not sent to the clinic.
Fatigue, lower libido, changes in muscle, brain fog, belly fat, or low motivation? Start with a careful evaluation of what may be contributing.
Explore men’s care ↗Hot flashes, night sweats, mood changes, weight changes, poor sleep, or low energy? Understand the options to discuss during perimenopause and menopause.
Explore women’s care ↗Start with a conversation. Together, we’ll explore care that fits your symptoms, health history, and goals.
Evaluation and individualized treatment for adults with a medical need, informed by symptoms, blood work, and your medical history.
Understand hormone care ↗Explore clinician-guided options, including semaglutide and tirzepatide, alongside a plan for nutrition and activity.
Explore GLP-1 treatment ↗A range of vitamin, nutrient, and other services. Talk with our medical team about availability, suitability, and your specific needs.
View additional services ↗Explore semaglutide and tirzepatide with personalized medical guidance at Optimal T CB. For men and women ready to discuss their next step.
These prescription medications act on hormone pathways involved in appetite and fullness. They can help eligible patients manage weight alongside nutrition and physical activity.
Book a weight loss consultation ↗Review your health history, current medications, and weight management goals with a clinician.
Discuss eligibility, medication choice, costs, potential benefits, and risks before deciding on treatment.
Follow your prescribed plan and review progress, tolerability, and next steps at follow-up visits.
Your provider will assess your health, weight-related conditions, and treatment history. These medications are not suitable for everyone. The specific product, eligibility criteria, formulation, and availability must be confirmed with the clinic. Results vary and weight management may require ongoing care.
Common effects include nausea, vomiting, diarrhea, constipation, and abdominal discomfort. Serious risks can include pancreatitis, gallbladder problems, dehydration-related kidney injury, and severe allergic reactions. Low blood sugar risk can increase with certain diabetes medicines. These medications carry a boxed warning about thyroid C-cell tumors observed in animals; the human risk is unknown. They should not be used with a personal or family history of medullary thyroid carcinoma or MEN 2. Tell your provider about pregnancy plans, all medications, and planned anesthesia. Review the full prescribing information for your specific medication.
Ask about current treatment options and pricing: 712-256-5544. A prescription requires an individual medical evaluation; no specific outcome is guaranteed.
Learn more: NIDDK medication guide ↗ · Semaglutide prescribing information ↗ · Tirzepatide prescribing information ↗
Changes in energy, mood, or sexual health can have many causes. Our approach considers your symptoms and medical history together with laboratory testing.
Discuss your symptoms with our team ↗Symptoms alone do not diagnose low testosterone. A qualified medical provider must determine whether testing or treatment is appropriate.
Schedule your initial visit to discuss symptoms and health history. For testosterone evaluation, blood work helps your provider assess your hormone levels. Testosterone lab results typically return within 24–48 hours.
Your provider reviews your results, symptoms, and overall health, then discusses treatment options, risks, costs, and next steps. Treatment is offered only when medically appropriate.
Follow-up visits and monitoring help your provider review your response and adjust care when needed. Your treatment and visit schedule are determined individually.
Contact us to confirm current prices, available services, and treatment eligibility.
A first step toward understanding your symptoms.
Take the first step toward discussing your weight management goals and treatment options.
Treatment eligibility requires an individual medical evaluation. Medication and ongoing treatment costs are separate.
Schedule your first visit ↗Please confirm current offers and self-pay rates with the clinic. Weight loss and additional services are priced separately; call for details.
Your provider can explain which services may be appropriate, along with their evidence, risks, and alternatives.
Prescription treatment requires an individual medical evaluation. Ask the clinic about current availability, the specific medication offered, and ongoing monitoring.
Additional listed services include Megatrim, Sermorelin, Tesamorelin, Inner Beauty, Brainstorm, and Hangover Shot. Contact the clinic to confirm current availability, ingredients, regulatory status, and clinical suitability. A listing here is not a recommendation or a promise of benefit.
Talk through your priorities, medications, and health history. Your clinician decides whether blood work or other evaluation is needed.
Discuss findings, possible causes, treatment alternatives, risks, and costs. Ask your treating clinician about their license, credentials, and relevant hormone-care experience.
If treatment is appropriate, agree on a plan and monitoring schedule together. Care may include nonhormonal options; a prescription is not guaranteed.
Learn why symptoms and appropriate testing both matter—and why hormones are only one possible explanation.
Read the guide ↗Understand FDA-approved options, compounded preparations, and why the delivery method does not remove every risk.
Read the guide ↗There is no single timeline. It depends on the cause of your symptoms, the treatment, and your health. Your clinician can discuss realistic goals and when to review progress. Improvement is not guaranteed, and persistent symptoms may need a different evaluation.
Pricing varies by treatment plan. Contact Optimal T CB at 712-256-5544 to discuss current fees and what your plan includes. Women’s hormone therapy is offered on a self-pay basis.
No. New patients should schedule an appointment. Use the consultation link or call 712-256-5544. Existing patients do not need to schedule their follow-up appointment.
The clinic provides hormone and weight loss services for adult men and women. Eligibility and treatment options depend on your individual medical evaluation.
You’ll discuss your symptoms, goals, and medical history. Your provider may order blood work and explain the next steps. Allow approximately 30–40 minutes for an initial evaluation, and confirm timing when booking.
No. Lab results alone do not establish medical necessity. Your provider considers your symptoms, examination, medical history, and appropriate testing before recommending treatment.
Testosterone injection visits may be scheduled every 7–10 days. Your provider will determine the right schedule for your treatment. Confirm visit length and timing directly with the clinic.
Every treatment has potential risks and may not be suitable for everyone. Discuss benefits, side effects, alternatives, fertility considerations, and monitoring with your clinician. Individual results vary and are not guaranteed. Seek emergency care for chest pain, trouble breathing, weakness on one side, or slurred speech.
Questions about your options? Our team can help with scheduling, pricing, and what to expect.
610 Veterans Memorial Hwy, Suite A
Council Bluffs, IA 51501
Fax: 346-888-4377
| Monday | 8am–2:30pm · 3:15–6pm |
| Tuesday | Closed |
| Wednesday | 8am–2:30pm · 3:15–6pm |
| Thursday | 9am–2:30pm · 3:15–5pm |
| Friday–Sunday | Closed |
Please call to confirm our current location and hours before visiting. New patients require an appointment.