Men's bioidentical hormone therapy
You optimize everything else. Now optimize the machine.
The Domain
You train. You perform. You invest in every edge available to you.
The single system that governs energy, cognition, body composition, drive, and recovery, your hormonal axis, is ready to be quantified and optimized.
This is that practice.
What We Optimize
- Testosterone & androgenic function
- Energy & fatigue
- Cognitive clarity & brain fog
- Body composition & weight
- Muscle mass & strength
- Libido & sexual function
- Erectile function
- Sleep quality
- Mood & emotional resilience
- Stress & cortisol management
- Hair preservation & growth
- Skin health & aging
- Bone density
- Joint integrity & recovery
- Metabolic efficiency
- Cardiovascular performance
- Preventive medicine & longevity
Conditions We Treat
- Andropause (male menopause)
- Low testosterone (hypogonadism)
- Metabolic syndrome
- Insulin resistance & type 2 diabetes
- Dyslipidemia
- Non-alcoholic fatty liver disease
- Adrenal dysfunction
- Hypothyroidism & Hashimoto's
- Growth hormone deficiency
- Osteoporosis & osteopenia
- Erectile dysfunction
- Male pattern fatigue
Hormones We Prescribe
- Testosterone
- Estradiol
- DHEA
- Thyroid (Desiccated, T3 & T4)
- Growth Hormone (HGH)
- Melatonin
- GLP-1 Agonists
Custom-compounded by our Ontario pharmacy partner. Individually dosed. Physician-titrated. Learn more about BHRT.
The Process
How It Works
I Discovery · 15-minute introductory call. No cost. We determine fit.
II Assessment · Comprehensive history, symptoms, goals. Advanced labs: total & free testosterone, SHBG, estradiol, PSA, CBC, metabolic panel, thyroid, cortisol, insulin. Well beyond standard panels.
III Protocol · 60-minute consultation. Results reviewed. Vis Viva Score calculated. Individualized protocol prescribed.
IV Continuity · Follow-up labs at 4–6 weeks. Dosing refined. Quarterly reassessment. Score tracked over time. Direct physician access throughout.
Getting Started
Vis Viva Onboarding
$895
Visit 1 (60 min)
Comprehensive clinical assessment, full Sensus baseline, treatment initiation, Virtus testing plan.
Visit 2 (30 min, at 4–6 weeks)
Pulsus review (bloodwork results), first dose titration, early clinical response assessment.
Included
Custom blood requisition & review of blood analysis
Written prescription (no additional Rx fee)
Custom-compounded prescription & pharmacy concierge
Free delivery via FedEx / Purolator to your door
Billed Separately
Laboratory costs (bloodwork, OHIP where possible)
Compounded hormone medications (billed through pharmacy)
Functional testing (VO2 max, DEXA, external referrals)
This is a private medical practice. Consultations are not covered by OHIP.
Lab work ordered through OHIP where possible.
HSA-eligible. METC-eligible.
Annual
Continuity Program
$3,500 / year
Scheduled Consultations & Follow-Ups
Comprehensive assessments, quarterly reviews, and brief check-ins throughout the year.
Prescription Management
Year-round Rx management, pharmacy concierge, refills coordinated.
Blood Analysis
Custom requisitions and physician review at every reassessment.
Vis Viva Score Tracking
Ongoing optimization across Sensus, Pulsus, and Virtus domains.
HSA-eligible. METC-eligible.
Begin
Book a Discovery Call
A confidential conversation with our physician and founder.
inquiries@manussolis.com · Yorkville, Toronto