Texas physician-led, evidence-based, concierge-level care. The most comprehensive men's health program in America—integrating hormone optimization, cardiovascular health, mental clarity, and longevity medicine.

The men's health market is dominated by low-cost, cookie-cutter TRT clinics that treat patients as transactions rather than individuals. There's a massive unmet need for comprehensive, high-touch, evidence-based men's health optimization.
Vanguard integrates hormone optimization, cardiovascular health, metabolic optimization, mental health, sexual performance, and longevity medicine into a single, physician-led, concierge program.
Everything you need to optimize your health, performance, and longevity—delivered through a single, integrated program.
90-minute initial consultation, 25+ biomarker testing, personalized health dashboard with trend analysis
TRT (your choice of formulation) + HCG (fertility preservation) + Anastrozole (estrogen management) + Thyroid optimization
Daily Tadalafil included for all patients, ED treatment options, premature ejaculation treatment, libido enhancement
Statins, PCSK9 inhibitors, GLP-1 agonists, Metformin, SGLT2 inhibitors—personalized based on your needs
Depression/anxiety treatment, cognitive enhancement (Modafinil), sleep optimization, quarterly mental health check-ins
24/7 direct physician cell phone access, bi-weekly 30-minute video consultations, dedicated care coordinator
Quarterly comprehensive panels, at-home mobile phlebotomy, physician review within 48 hours
Monthly 1-on-1 coaching, personalized nutrition and exercise programming, biohacking protocols
Cancer screening, cardiovascular risk assessment, longevity protocol with FDA-approved medications
90-day results guarantee, cancel anytime, satisfaction guarantee, same-day response guarantee
Comprehensive executive health optimization with exceptional value and transparent pricing.
First 20 patients only
Most flexible option
Save $3,600/year
The ONLY clinic offering comprehensive executive health optimization—not just hormone replacement.

Every protocol is grounded in peer-reviewed research and clinical evidence. We don't follow trends—we follow science. Your treatment plan is personalized based on YOUR unique biology, symptoms, and goals.

Direct 24/7 access to your physician via cell phone. Bi-weekly video consultations. Dedicated care coordinator. Everything handled for you—from prescription refills to lab scheduling to insurance coordination.
| Feature | Vanguard | Defy Medical | Marek Health | Standard TRT |
|---|---|---|---|---|
| Price | $1,997/mo | $200-250/mo | $250-300/mo | $99-199/mo |
| 24/7 Physician Access | ✓ Cell phone | Portal only | Portal only | Portal only |
| Consultations/Year | 24 | 4 | 2 | 4 |
| Cardiovascular Optimization | ✓ Included | — | — | — |
| Mental Health Integration | ✓ Included | — | — | — |
| Longevity Medicine | ✓ Included | — | — | — |
| At-Home Lab Draws | ✓ Included | Add-on | Add-on | — |
| Health Coaching | ✓ Monthly | — | — | — |
Vanguard patients report significant improvements across all key health metrics within the first 90 days. Our comprehensive approach addresses the root causes of age-related decline—not just symptoms.

Join the exclusive group of high-performing men who have made their health a competitive advantage. Limited founding member spots available.