Brain Fog
Stressed & Fatigue
Weight Gain
Low Libido
Poor Sleep
Mood Swings
Low Energy
Muscle Loss
Low Motivation
Feeling-Off
Personalized Medical Care for a Longer,
Higher-Performing Life
Brain Fog
Stressed & Fatigue
Weight Gain
Low Libido
Poor Sleep
Mood Swings
Low Energy
Muscle Loss
Low Motivation
Feeling-Off
Why Choose Us Optimal Health ?
1-on-1 Physician-supervised care
Telehealth-first Care
Nationwide delivery to your door
Personalized protocols based on labs
Concierge medical access
No waiting rooms, No hassles
How It Works?
1. Start Assessment
2. Lab Test (at home or local)
3. Meet Your Doctor (telehealth)
4. Review your Health Protocol
5. Medications Shipped + Concierge Support
Pricing
Email & phone access (48-hour response time)
1 lab per year (patient paid)
Personalized Treatment Plan
À la carte access to treatments
Annual video consultation
Peptides, Supplements & Sexual Wellness (Optional)
Email, Phone & Video (24-hour response time)
2 labs per year (insurance or patient-paid)
Comprehensive plan with ongoing updates
Discounted access to hormones & peptides
Monthly telehealth consultations
Referrals & coordinated Care
Email, Video & In-Person (12-hour response time)
Quarterly lab work (insurance included)
Full multimodal program
Monthly in-person or video consultations
Deep Diagnostics (Includes MRI, CT scans, CGM, dietitian consults, genetic analysis, and more)
Wearable integrations
How We Help You Feel Better?
Hormone Optimization (TRT & HRT)
Rebalance your hormones to boost energy, focus, mood, and vitality. Testosterone and hormone therapy options designed to restore your natural balance and improve long-term health.
Weight Loss (GLP-1s & Peptides)
Clinically-supported programs for safe and sustainable weight loss. Includes GLP-1 medications like Semaglutide or Tirzepatide, plus peptide support to accelerate fat loss and muscle preservation.
Peptide Therapy
Targeted peptide protocols for recovery, metabolism, immunity, and longevity. Custom blends to support your performance, healing, sleep, and cellular health.
Sexual Wellness
Restore desire, performance, and confidence. Comprehensive care for libido, ED, stamina, and hormone-related sexual health concerns.
Longevity & Prevention
Preventative care for a longer, higher-performing life. Advanced diagnostics and multimodal treatment plans to address aging at the root and stay ahead of chronic conditions.
Performance & Recovery
Unlock better energy, sharper thinking, and faster recovery. From brain fog to burnout, we offer supplements, peptides, and bio-optimization protocols to help you feel your best every day.
Mental Clarity & Mood
Address brain fog, fatigue, irritability, or low drive by targeting hormone and nutrient imbalances affecting mental health and emotional resilience.
Preventive Lab Testing & Diagnostics
Get comprehensive labs to uncover hidden imbalances in hormones, metabolism, inflammation, and more powering your personalized treatment plan.
About Us
Dr. Michael Nielsen founded Optimal Health Medical Group more than a decade ago and has become a nationally recognized authority in hormone replacement therapy, preventive wellness, and performance medicine. He graduated with honors from Wake Forest University School of Medicine in 2000 and completed his medical training at UC San Diego, where he served as Chief Resident, staff physician, and professor.
Dr. Nielsen’s character is shaped by eleven years of military service, including two combat tours in Iraq flying CH-46 helicopters with the United States Marine Corps. That foundation of discipline, leadership, and mission-driven purpose continues to define his approach to patient care.
His clinical excellence has earned widespread recognition, including Physician of the Year at Sharp Memorial Hospital, teaching awards from the VA Hospital, research and presentation awards from UCSD School of Medicine, and multiple selections to San Diego's Top Doctors list.
A published researcher and sought-after speaker, Dr. Nielsen has authored peer-reviewed articles, lectured at medical schools, appeared on national health podcasts, and served as a wellness consultant for several companies.
Dr. Nielsen has been in practice for 26 years and treated over 10,000 patients. He pioneered his own private wellness practice 12 years ago and has since built a respected reputation in hormone optimization, peptide therapies, supplementation, evidence-based comprehensive blood testing, and cutting-edge diagnostic radiology.
His mission is simple: help patients perform better, live longer, and improve their quality of life.
Michael Nielsen MD
Marine Corps Combat Veteran
Chief Resident & Professor
Physician of the Year
San Diego Top Doctor
Published Researcher
National Medical Speaker
25 Years of Clinical Experience
Treated Over 10,000 Patients
Frequently asked questions
Do you treat women too?
Yes! While many of our protocols focus on men’s health, we do support women with specific treatments tailored to their needs. If you're interested in learning more, book a call to see what options are available for you.
How soon will I feel results?
Some patients notice changes within the first couple of weeks, while others may take a bit longer depending on the treatment and individual factors. Our medical team monitors your progress and makes adjustments to optimize your results.
How do labs work?
We’ll schedule your lab work at a nearby facility — or in some cases, even offer mobile or at-home options. Once completed, our doctors will review your results and create a personalized plan based on your biomarkers.
What does the medication process look like?
After your labs are reviewed and you’ve completed a telehealth consultation, your prescriptions are sent directly to our pharmacy partner. Medications are then shipped straight to your door with discreet packaging.
Is everything done virtually?
Yes, our entire process is powered by telehealth. From your initial consultation to medication delivery and ongoing support, everything is done online or over the phone, so you never have to visit a physical clinic.
What conditions or symptoms do you treat?
We specialize in optimizing hormone health, weight management, energy, sleep, sexual health, and general performance. Every treatment plan is tailored to your individual labs and goals.
Do I need insurance?
No insurance is required. We operate outside the insurance system to provide you with personalized, transparent care at a fraction of the cost. No co-pays or hidden fees.
Can I pause or cancel treatment at any time?
Yes, you’re never locked in. If you’d like to pause or cancel, you can do so easily by contacting our team. However, we recommend working with our medical staff to adjust your plan rather than stopping abruptly.
Are there side effects?
As with any medical treatment, there may be side effects. Our licensed doctors will walk you through any risks and monitor your response to ensure safety and effectiveness.
Is this safe and legal?
Absolutely. All treatments are prescribed by licensed U.S. medical professionals and follow strict clinical protocols. Compliance, safety, and ethical standards are foundational to how we operate
Our Reviews
Stephen N., 59
5.0
As a coach and gym owner in my 50s, I've been cautious about anti-aging fads but sought Dr. Nielsen's professional advice to maintain my testosterone levels. Emphasizing the importance of integrating physical training, nutrition, and mental focus, I've seen notable improvements in strength, endurance, and overall health in just six weeks under Dr. Nielson's care. His personal athletic background and commitment to understanding my goals have been pivotal, offering a stark contrast to the typical, less relatable medical advice I've encountered elsewhere.
Verified review
Sol C, 46
5.0
After beginning a regimen of peptides to stimulate my growth hormone and testosterone, I swiftly felt a remarkable uplift in health, enhancing my cycling performance and knee recovery, reminiscent of my vitality in my early 30s. The regimen not only revitalized my physical energy and capability but also improved my emotional well-being, making me calmer and happier. It also addressed aging-related declines like low sex drive and body composition, setting new goals for muscle mass increase and fat reduction, challenging the typical effects of aging with renewed enthusiasm.
Verified review
Clint R., 45
5.0
Before discovering Optimal Health Medical, I felt stuck in mediocrity, blaming circumstances and others for my lack of success, which negatively impacted my family and career. However, since engaging with Optimal Health , my life has transformed dramatically—I've achieved remarkable success at work, leading to a major promotion, and revitalized the relationships with my wife and children, all thanks to the newfound energy and confidence gained from their treatment. The process with Optimal Health has been seamless, supported by responsive and accessible staff, making me immensely grateful for the positive changes in my life and encouraging others to take the step towards transforming theirs.
Verified review
5.0
Verified review
CONTACT US
Our Address:
7301 Girard Ave
STE 301
La Jolla, CA 92037
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