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Frequently Asked Questions

Have more questions regarding our services, or want to explore the frequently asked questions asked by patients? Read our FAQs and their detailed answers here!

Whether or not you should start testosterone replacement therapy depends on your testosterone levels. If you are facing symptoms of low testosterone, including reduced sex drive, erectile dysfunction, loss of body hair, decreased muscle mass, fatigue, and mood changes like depression or irritability, you should start testosterone treatment. Contact our expert TRT doctors to check your testosterone levels and receive expert treatment and medical support.
Yes, testosterone replacement therapy in California is covered in most insurance plans. However, it may depend on your medical needs and customized treatment plan. In many cases, the insurance providers may ask for proof of low testosterone, including lab tests, blood samples, and the clinical record of the treatment you are going through, before approving your coverage. At Optimal Clinic USA, we contact your insurance company directly and ask if TRT is covered under your current policy.
At Optimal Clinic USA, you will find one of the best testosterone replacement treatment doctors in California. Our licensed TRT doctors guide you through every step of your testosterone replacement therapy journey, from initial consultations and regular check-ins to tracking your testosterone levels and overall sexual health.
Optimal Clinic USA is a leading online testosterone replacement clinic in California. Our TRT experts know how to bring your testosterone back to optimal levels so that you can enjoy ideal sexual health and feel more confident. You will get online one-on-one consultations with our TRT doctors, lab testing in California’s top laboratories, ongoing check-ins, emotional support, and medications shipped to your doorstep.
The results after starting hormone testosterone treatment may vary from individual because of their testosterone health, medical history, type of TRT they are getting, etc. However, at Optimal Clinic USA, our patients start feeling results between 3 to 6 months. Most of the individuals feel improvement in their sex drive, sexual function, mood, and energy levels within the first month of the TRT.
The cost of Testosterone Replacement Therapy (TRT) in California can be very different for each person. It can be as low as a few hundred dollars or as high as a few thousand dollars a year. The price depends on things like the type of treatment (shots, creams, gels, patches, or pellets), how much you need, how often you take it, insurance coverage, and any additional costs. Contact us now at Optimal Clinic USA to get a free quote for your TRT services in California.
Optimal Clinic USA is a leading online testosterone treatment clinic in California. We offer online consultations with our TRT specialists, refer you to the top laboratories in California for lab work, ship your medications to your door, and track your progress through regular check-ins. Plus, our TRT services are budget-friendly compared to the market.

TRT has various health and sexual benefits. However, there are some side effects to it. Here are the most common observed health downsides of undergoing testosterone therapy:

 

  • Acne and oily skin
  • Sleep apnea
  • Increased red blood cell count (may increase risk of blood clots, stroke, or heart attack)
  • Shrinking testicles and reduced sperm count
  • Mood changes such as irritability, aggression, or mood swings
  • Enlarged breasts (gynecomastia)
Yes. TRT may improve muscle mass, strength, and fat distribution, especially when combined with regular exercise and proper diet.

Testosterone Replacement Therapy can help with ED if the main reason for the problem is low testosterone. When testosterone levels are too low, it can affect sex drive and make it harder to get or keep an erection. In that case, TRT may improve the situation.

 

However, if the cause of ED is something else, like poor blood flow, stress, anxiety, or emotional issues, TRT might not be very effective.

The number 1 erectile dysfunction treatment is the one that works best for you. After treating hundreds of patients with erectile dysfunction issues, our California ED specialists consider Sildenafil (Viagra) and Tadalafil (Cialis) to be the best medications. Generally, we start with Sildenafil and for the long term us we prescribe Tadalafil.

You can check by seeing if you still get erections in the morning or during sleep. If you do, the cause might be stress, anxiety, or other non-physical reasons. You can also try the stamp test. Wrap a ring of stamps around your penis before going to bed. If the stamps are broken in the morning, it means you had an erection during sleep.

At Optimal Clinic USA, we provide online ED treatment across California. Our doctors ask about your symptoms, health, and lifestyle. Based on your condition, we prescribe the right treatment and deliver it to your home.

Various medications and methods are used to treat the issue of penile erection. It is important to note that one treatment may work best for one patient and may not work for others. However, one of the quickest ways to get penile erections among ED patients is by using a vacuum device or erectile dysfunction ring. Among the medications, sildenafil (Viagra) is a fast way to treat ED as it increases the blood flow to the penis.

The cost of erectile dysfunction (ED) treatment in California can vary depending on the type of treatment you choose. However, here is the list of the average prices of various ED treatment options in California:

 

  • Generic Viagra or Cialis (oral pills): $20–$70 per pill
  • Yearly cost of pills (if taken regularly): $700–$1,000
  • Penile injections (like Trimix or alprostadil): $25–$100 per injection
  • Yearly cost of injections: $7,800–$8,400
  • Vacuum erection device: Around $200 (one-time)
  • Replacement rings for the Vacuum device: Around $750 per year
  • Shockwave therapy: $400–$600 per session
  • Full course of shockwave (6 sessions): $2,400–$3,600
  • Penile implant surgery (out-of-pocket): $16,000–$19,000
  • Penile implant cost with Medicare: Around $1,600
  • P-Shot or Botox injections: $1,000–$2,400
  • Stem cell therapy: $1,600–$5,000

Contact Optimal Clinic USA now and get a personalized quote for your ED therapy in California. Our team will reach out to you as soon as possible.

Optimal Clinic USA is one of the best ED therapy clinics in California. We connect you with licensed California ED specialists to help you through your penile erection treatment program. From initial consultations to ongoing support, our ED doctors ensure you get the best treatment and enjoy your peak sexual satisfaction again.
According to an article written by James Roland on WebMD, masturbation does not directly cause penis erection issues in men. The general perception that ED is the result of masturbation is a common myth. However, it may contribute to indirect causes of ED that may be the result of masturbation. These include stress, anxiety, or another psychological issue.
The major causes of erectile dysfunction in men include heart disease, high cholesterol, high blood pressure, diabetes, obesity, smoking, and other medical conditions.
In many cases, erectile dysfunction is temporary and can improve with better overall health. If ED is caused by things like certain medications, sleep problems like sleep apnea, or long hours of biking, it often goes away once those issues are treated.

However, if the cause is more serious or due to a mix of health problems, erectile dysfunction may not fully go away. Even then, treatment can still help. Lifestyle changes, counseling, medication, or surgery can make a big difference and help you have a better sex life.

Yes, making small lifestyle changes can help improve ED. Doctors often suggest eating healthy, staying active, sleeping well, and avoiding smoking or too much alcohol. These changes improve blood flow and hormone balance, which helps many men feel better even before starting any medicine.

Yes, a prescription is required for most ED medicines in California. But it’s easy to get one. Our licensed doctors at Optimal Clinic USA offer in-person or online appointments. After a short health check, they can give a prescription if the medicine is right for you. We also deliver the medicines to your home in discreet packaging.
No. Hormone Replacement Therapy (HRT) does not cause weight gain. Research shows that most women gain weight during midlife because of aging and hormonal changes, not because of HRT. Some women may feel slight bloating or fluid retention in the beginning, but this is usually short-term.
When you start HRT, your body begins to respond to the new hormone levels. The changes depend on your sex and the type of hormones used. Estrogen or progesterone therapy may reduce hot flashes, improve sleep, lift mood, and support bone strength. Testosterone therapy may increase energy, muscle mass, and sex drive.

Some people may feel mild side effects in the beginning. These can include headaches, bloating, or mood changes. These effects often fade as your body adjusts. Our expert California HRT doctors check your progress during treatment and make changes if needed.
The safest type of HRT is low-dose, body-identical (or bioidentical) hormones, given through the skin like a patch, gel, or spray. These forms lower the risk of blood clots and side effects compared to pills. For women with a uterus, taking natural progesterone along with estrogen is also safer than using synthetic versions. Our licensed HRT specialists at Optimal Clinic USA choose the safest option based on your age, health, and symptoms.

Some people should not use HRT because it may raise health risks. You should avoid HRT if you:

 

  • Have or had breast cancer
  • Have or had blood clots or a stroke
  • Have liver disease
  • Have unexplained vaginal bleeding
  • Are pregnant or might be pregnant

 

If you have any of these conditions, talk to our HRT doctor in California. They can suggest safer options or check if HRT is still possible with extra care.

According to Barbara Sparacino, MD, while taking hormone replacement therapy (HRT), there are a few things you should avoid to stay safe and get the best results:

  • Smoking
  • High alcohol intake
  • Foods high in refined sugar
  • Processed foods
  • Excess sodium
To maximize the effect of your hormone replacement treatment, adopt the given healthy lifestyle. Eat simple, balanced meals. Stay active with regular movement. Try to keep stress low. Sleep enough each night. These habits can make BHRT more helpful and keep your body feeling good overall.
Optimal Clinic USA is the leading online hormone replacement therapy clinic in California. Our team of expert HRT doctors offers personalized, doctor-led care from the comfort of your home. We focus on safe, proven treatments that match your body’s needs and ship the medications to your doorstep.

Whether you need support for menopause, low testosterone, or hormone imbalance, Optimal Clinic USA is here with care that’s simple, private, and made for real results.
The cost of HRT in California depends on various factors such as brand, dosage, form of the medication, and insurance coverage. However, the average price of HRT in California can range from $10 to over $500 per month. At Optimal Clinic USA, we help find the right treatment options for you, working with insurance to make HRT accessible to everyone.
Yes, hormone replacement therapy (HRT) can help reduce anxiety for some people, especially during menopause or hormone imbalance. Estrogen and other hormones affect mood and brain function. When hormone levels drop, you may feel more anxious or low. HRT helps bring hormones back to a normal range, which may improve mood, reduce anxiety, and support emotional balance.
Yes, hormone replacement therapy (HRT) is safe for most people when used the right way. Doctors usually give the lowest dose that works for your symptoms. Skin patches, gels, or sprays are often safer than pills. Most healthy people under age 60 who start HRT within 10 years of menopause have a low risk.

However, HRT may not be safe for people with certain health issues like breast cancer, blood clots, liver problems, or stroke history. Your doctor will check your health before starting HRT.
Yes, peptide therapy is legal in the USA, but only under certain conditions. If a peptide is approved by the FDA and prescribed by a licensed doctor, it is fully legal and safe to use. Some peptides are no longer allowed to be made by compounding pharmacies because the FDA added them to a restricted list in 2023.

Below is the list of the individuals who can be the best candidates for peptide therapy:

People with low energy, poor sleep, or slow recovery

 

  • Those with hormone imbalance, weight gain, or muscle loss
  • Older adults who want to improve focus, strength, or healing
  • Athletes looking to boost recovery and performance
  • Anyone with early signs of aging, like wrinkles, tiredness, or low drive
Peptides are always advised to be used under the strict supervision and prescription of a health specialist. When used properly, some of the peptides can be safe; patients can get maximum health benefits by using them.

For example, BPC-157 is known as one of the safest peptides for healing and recovery. Ipamorelin is also considered safe for boosting growth hormone with very few side effects. Likewise, Thymosin Alpha-1 is often used safely to support the immune system. These peptides are well-tolerated when used under a doctor’s care and proper dose.

Studies show that tirzepatide and semaglutide are the two best peptides for weight loss. Between the two, tirzepatide works better because it uses two ways to help the body lose weight.

How often you need peptide therapy depends on your health. Some people feel better after just one shot. Some may need it every day, while others only once a week. Our expert peptide doctors at Optimal Clinic USA will guide you about how often and how long you should take it.

Optimal Clinic USA is a leading peptide treatment clinic in California. Our licensed peptide therapy specialists in California ensure that you get personalized treatments to restore your peptide health. From initial consultations and lab checkups to ongoing support, our peptide doctors have your back.
Peptide therapy costs in California vary widely based on the specific peptide, dosage, treatment frequency, and clinic. On average, peptide therapy costs between $300 and $500 per month in California. Basic wellness regimens often fall at the lower end, while more advanced or frequent treatments may reach the upper range. This monthly price typically includes the peptide itself along with any necessary lab tests, consultations, and medical oversight. Contact Optimal Clinic USA to get a personalized quote for your peptide therapy in California.
Most insurance providers do not cover peptide therapy, as it is generally viewed as an optional treatment. However, in some cases, certain peptides may be covered if they are prescribed for specific medical conditions. At Optimal Clinic USA, we will contact your medical insurance provider if the peptide therapy is covered or not and guide you accordingly.
The results of peptide therapy depend on various factors, such as the type of peptide, dosage, and individual response. For muscle growth or recovery, you may notice less soreness within 2–4 weeks, with visible strength gains around 8–12 weeks. Skin and anti-aging peptides often start improving skin texture in 4–6 weeks, with visible changes like firmer skin in 2–3 months. For weight loss peptides like Semaglutide or Tirzepatide, appetite control may begin in 1–3 weeks, with noticeable fat loss in 6–8 weeks. Full benefits from most peptide treatments usually appear in 3–6 months.
People who are pregnant, breastfeeding, taking medicines, or have any health problems are advised not to undergo peptide therapy. Talk to our expert peptide treatment specialist and discover if you are eligible for our online peptide therapy in California.
Yes, medical weight loss treatments are officially approved by the FDA in the United States. These include prescription drugs like Wegovy (semaglutide), Zepbound (tirzepatide), Saxenda (liraglutide), Contrave (naltrexone/bupropion), Qsymia (phentermine/topiramate), Orlistat (Xenical/Alli), and others. These medications are approved only for adults with a BMI of 30 or higher, or 27 or higher with other health conditions such as diabetes, high blood pressure, or high cholesterol.
The safest medical weight loss procedure for many people is lifestyle-based medical weight loss programs that include doctor-guided diet, exercise, and FDA-approved medications. These non-surgical options are low risk and effective when followed correctly.

Among surgical options, laparoscopic gastric sleeve surgery is considered one of the safest and most common. It removes part of the stomach to help reduce appetite and food intake with fewer complications than older procedures like gastric bypass.

At Optimal Clinic USA, we connect you with California’s top-rated medical weight loss doctors who specialize in safe, science-backed treatments. Our team includes licensed physicians who create personalized plans using FDA-approved medications like Semaglutide and Tirzepatide, designed for your personalized health goals. We focus on results, safety, and long-term success. From your first consultation to ongoing care, Optimal Clinic USA ensures expert guidance every step of the way.

Individuals facing the following symptoms can be the ideal candidates for our California medical weight loss treatment program:

 

  • Someone who has tried to lose weight with healthy eating, exercise, and portion control but could not get lasting results.
  • Adults with a BMI of 30 or higher qualify, and those with a BMI of 27 or more may also qualify if they have health issues like diabetes or high blood pressure.
  • Teens aged 12 and up with a high BMI may be considered too.
  • People who have gained back weight after losing it with diet and exercise.
  • Those with health problems linked to extra weight, such as heart disease, sleep apnea, or high cholesterol.
  • Anyone ready to follow a long-term plan that may include FDA-approved medications.

 

At Optimal Clinic USA, our medical weight loss doctors check your full health history and give you a plan that fits your body and weight loss goals.

Optimal Clinic USA is one of the best online weight loss clinics in California. Our licensed weight loss specialists help you lose weight and meet your fitness goals. At Optimal Clinic USA, we offer online one-on-one consultations with expert doctors, examine your health through personalized tests in California’s top-rated laboratories, provide ongoing support, and ship your medications to your doorstep.
The average cost of medical weight loss treatment in California ranges from $300 to $1,200 per month. This includes medications like semaglutide or tirzepatide, plus doctor visits and follow-ups. Compounded versions of these medications are often cheaper, averaging $250 to $500 per month. Some clinics charge an initial consultation fee of $100 to $250, while ongoing support may cost an additional $100 to $300 monthly. If you’re considering surgery, the price can go up to $15,000–$25,000 depending on the procedure. Contact our expert obesity treatment doctors in California and get a personalized quote according to your health, treatment plans, and preferences.
Insurance coverage for medical weight loss treatment in California depends on your specific plan. Some insurance providers cover prescription medications like Ozempic, Wegovy, or Mounjaro, if prescribed for obesity or related conditions, but many plans do not cover them for weight loss alone. Surgical treatments like gastric bypass or sleeve are more likely to be covered if you meet certain medical criteria. Compounded medications are typically not covered by insurance. Talk to our medical weight loss experts in California. We will guide you through the insurance process for your weight loss treatment and also talk to your medical insurance provider.
Some of the best and effective injections for medical weight loss in California are Semaglutide (Wegovy or Ozempic) and Tirzepatide (Mounjaro or Zepbound).
Individual results may vary based on consistency, metabolism, and starting weight. However, most patients begin noticing weight loss within the first few weeks of starting treatment. On average, those using FDA-approved medications like semaglutide or tirzepatide can lose 1–3 pounds per week when combined with healthy lifestyle changes. Over 3 to 6 months, many patients see a total loss of 10–20% of their body weight. Our weight loss doctors will monitor your progress and adjust your plan for the best possible outcome.
Yes. Our medical weight loss program in California is designed for both men and women. At Optimal Clinic USA, we offer personalized treatment plans based on your unique health needs, goals, and medical history.
Yes, some types of hair loss can be treated naturally, but results vary from person to person. Natural treatments like rosemary oil, pumpkin seed oil, biotin, and saw palmetto have shown some success in early-stage hair thinning or pattern baldness. A 2015 study found rosemary oil worked as well as minoxidil (Rogaine) for androgenetic alopecia after six months. Pumpkin seed oil also showed positive results in a small clinical trial for male pattern baldness. These options are best used early and consistently, and results are usually mild to moderate, not as strong as medical treatments.
The “Big 3” hair loss treatments include Minoxidil, Finasteride, and Ketoconazole shampoo.

Minoxidil (like Rogaine) is a topical solution or foam that boosts blood flow to hair follicles and helps regrow thinning hair. Finasteride (like Propecia) is an oral prescription pill that blocks DHT, the hormone that causes hair loss in men. Similarly, Ketoconazole shampoo is an antifungal shampoo that may help reduce scalp inflammation and lower DHT levels on the scalp. While not FDA-approved specifically for hair loss, studies suggest it can support hair regrowth when used 2–3 times a week.

In California, most hair loss treatments don’t require blood tests, but many clinics recommend basic labs before starting. Common tests include thyroid (TSH), ferritin or iron levels, and vitamin D, as deficiencies in these can lead to hair thinning. Our hair loss doctors may also suggest a hormone panel (like testosterone or DHT) if you’re considering treatments like finasteride or have signs of hormonal imbalance.

It is normal to lose around 50 to 100 hairs each day because that is part of the natural hair cycle. This is called shedding and not hair loss, since new hair keeps growing to replace the ones that fall out. Contact our expert hair loss doctors in California if you notice more hair falling out than usual or see thinning or bald spots.
Dandruff does not directly cause hair loss, but it can lead to it if you scratch your scalp too much. Too much itching and scratching can hurt the hair roots and cause hair to fall out for a short time. This kind of hair loss usually stops once the dandruff is treated and the scalp feels better.

The following are the vitamins and nutrients that can cause hair loss when deficient in the body:

 

  • Vitamin D
  • Iron (Iron deficiency is a well-known cause of hair loss)
  • Zinc
  • Vitamin E
  • Vitamin A (though too much can also cause hair loss)
  • Vitamin C (helps with iron absorption)
  • Vitamin B12
  • Biotin (also known as Vitamin B7)
  • Folic Acid (Vitamin B9)
  • Niacin (Vitamin B3)
  • Riboflavin (Vitamin B2)
  • Omega-3 fatty acids
  • Amino acids (protein building blocks, essential for hair growth)
  • Selenium
Optimal Clinic USA is the leading hair loss therapy clinic in California. Our licensed hair loss specialists and dermatologists in California offer innovative and effective solutions to minimize the symptoms of hair loss, such as male pattern baldness, receding hairline, hair loss in females, and thinning of hair. We offer online consultations, customized treatment plans, and ship medications to your doorstep in California.

Here is a list of average costs of various hair loss treatment options in California:

 

  • Topical/oral medication: $20–$70/month (± ~ $3–9 if using discounted brands)
  • PRP therapy:                           $650–$1,000 per session; ~$2,400–$2,800 bundle
  • LLLT or microneedling: $200–$700 per session; $500–$3,000 for packages
  • FUT hair transplant:             $4,000–$10,000
  • FUE transplant:             $5,000–$20,000 (≥ $4–10/graft)
  • Robotic-assisted or Smart PRP: $3,500/session; high-tech FUE $6–$12+/graft
  • Regenerative/exosome therapy: $1,500–$4,000+ per session
No, biotin does not make new hair grow or create new hair follicles. What it can do is help improve the strength and thickness of the hair you already have. If your body is low on biotin, taking it may reduce breakage and make your hair look healthier over time. But if your hair loss is caused by something else, like hormones or genetics, biotin alone will not fix it. It works best as a support, not a cure.
Thinning hair can be reversible, but it depends on the cause. If it’s due to stress, poor diet, or certain vitamin deficiencies, hair often grows back once the problem is fixed. Thinning from hormone changes, like postpartum shedding or mild androgenetic alopecia, can also improve with the right treatment. However, if hair follicles are badly damaged or closed for a long time, regrowth may be harder. Contact our hair loss doctor or dermatologist in California for your thin hair issues. They will help find the cause and guide you on the best treatment.
  • Hormone Replacement Therapy
  • Thyroid Care