Proudly Canadian
Tier1 OptimalTier1 Optimal

HGH · Ontario, Canada

The long game.

Growth hormone declines with age — affecting energy, recovery, body composition, sleep, and vitality. Crystal Troup, NP provides structured assessment with comprehensive labs and personalized protocols.

Crystal Troup, NP — Lead Nurse Practitioner at Tier1 Optimal

Your dedicated clinician: Crystal Troup, NP

15+ years · Licensed in Ontario, Canada · Same clinician, every visit

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Crystal Troup, NP reviewing patient bloodwork at Tier1 Optimal

Lead Clinician

Crystal Troup, NP

15+ years · Ontario, Canada

Your Clinician

HGH requires careful monitoring.
Crystal provides it.

Growth hormone protocols are not set-and-forget. Crystal reviews your IGF-1 levels, metabolic panel, and clinical response at every quarterly check-in. She adjusts your protocol based on how your body is actually responding — not just a single number.

This is not anti-aging marketing or bodybuilding doses. This is clinical assessment, evidence-based protocols, and careful monitoring.

The numbers tell me where to start. Your experience tells me if we are getting it right.
Crystal Troup, NP

The Difference

The white glove
experience.

A clinician-led, coordinated white glove premium clinical experience with 24/7 AI concierge support so you never have a disruption in treatment, never miss an appointment, and always feel supported.

White Glove Onboarding

From the moment you enroll, Brett personally walks you through onboarding, intake forms, scheduling, and everything you need to get started. You don't have to figure anything out.

White Glove Clinical Care

Crystal sees you personally at every appointment. Same clinician, every visit. No handoffs. No rotating providers. Your protocol is built for YOUR body, reviewed at every visit, and adjusted based on how you actually feel.

White Glove Coordination

Appointments scheduled in advance. Prescription refills coordinated before you run out. Bloodwork requisitions sent to your email. Lab locations looked up for you. The administrative work is handled so you can focus on feeling your best.

White Glove Follow-Through

After every appointment: check-ins. After every bloodwork: a clear protocol update. After every change: someone confirming it's working. This is how optimization is supposed to work.

Clinician-Led

Genotropin or Omnitrope —
personalized to your protocol.

Clinician-led, pharmaceutical-grade human growth hormone delivered right to your door, with quarterly monitoring to optimize your results.

HGH injection pen device

The Problem

14% per decade after 30.
It shows up in how you feel.

Growth hormone production peaks in your 20s and decreases roughly 14% every decade after age 30. By 40, most adults are producing significantly less than their body needs for optimal function.

Persistent fatigue despite adequate sleep
Increased body fat, especially midsection
Loss of lean muscle despite training
Slow recovery from workouts or injury
Poor deep, restorative sleep
Thinning skin, slow wound healing
Decreased bone density
Reduced exercise capacity
Brain fog & declining sharpness
Feeling older than your age

Many of these symptoms overlap with low testosterone and thyroid dysfunction. That's exactly why Crystal runs a comprehensive panel — not just one marker.

The fog lifted. The energy came back. I feel like I'm operating at full capacity for the first time in a decade.
Tier1 Optimal Patient

Self-Assessment

How many of these hit home?

Take the 2-minute assessment.

Treatment Options

Two clinical
protocols.

Crystal selects pharmaceutical-grade recombinant HGH based on your bloodwork, goals, and clinical profile.

Option 01

Genotropin (Somatropin)

Recombinant HGH · Daily SubQ

Identical to what your body produces naturally. Administered via daily subcutaneous injection using a pen device. The gold standard for GH replacement in adults with documented deficiency. Crystal monitors IGF-1 levels, metabolic markers, and clinical response to dial in the precise dose.

Option 02

Omnitrope (Somatropin)

Biosimilar · Daily SubQ

Biosimilar growth hormone with established clinical evidence and regulatory approval. Same mechanism as Genotropin at a different price point. Crystal determines which option fits your clinical profile and goals.

HGH therapy is typically not covered by workplace insurance. Brett can walk you through out-of-pocket costs before you enroll.

What Crystal Tests

One IGF-1 number
isn't enough.

Crystal's HGH assessment panel is comprehensive and includes — but is not limited to — the following markers:

IGF-1 (primary GH marker)
Complete metabolic panel
Fasting glucose & HbA1c
Thyroid (TSH, free T3, free T4)
Liver & kidney function
Lipid panel
Complete blood count
Testosterone & sex hormones

★ The White Glove Difference

HGH protocols require coordination — lab timing, dosing adjustments, pharmacy follow-through, insurance navigation. We handle all of it. You just focus on your results.

What You're Actually Getting

DIY vs. Tier1.

Managing on Your Own

No dedicated clinician. You're on your own.

Tier1 Optimal

Crystal Troup, NP — same clinician, every visit. 15+ years.

What to Expect

Your first
90 days.

  1. 01

    Weeks 1–3

    Sleep deepens first.

    Improved sleep quality is often the first noticeable change. Deeper, more restorative sleep. Some patients report more vivid dreams.

  2. 02

    Weeks 3–6

    Energy & recovery shift.

    Energy begins improving. Recovery from workouts noticeably faster. Skin may begin to feel different — slightly thicker, more hydrated.

  3. 03

    Weeks 6–12

    Body composition visible.

    Reduced midsection fat. Improved muscle tone. Exercise capacity and endurance improving. Cognitive sharpness returning.

  4. 04

    90-Day Mark

    Crystal reviews & adjusts.

    Crystal reviews your IGF-1 levels and full metabolic panel. Adjusts your protocol based on how your body is responding. Issues your next 90-day prescription.

How It Works

Three steps.
No waitlists.

01

Choose Your Plan & Book

Select the membership that fits your goals. Your first month is collected when you book — that's not a sign-up fee, it's your membership starting immediately. Includes your initial consultation and assessment.

02

Initial Consultation with Crystal

Your first clinical appointment with Crystal Troup, NP. She reviews your medical intake, discusses your goals and symptoms, and orders your comprehensive bloodwork panel.

03

Ongoing Care & Optimization

Crystal prescribes in 90-day cycles, so you see her quarterly for bloodwork review, protocol adjustments, and progress check-ins. Same clinician, every visit.

Pharmaceutical-grade medication mailed directly to your door in discreet packaging.

Health is not the absence of disease. It is the presence of vitality.

HGH FAQ

Common questions about HGH optimization.

HGH optimization involves restoring growth hormone levels that have declined with age. Crystal uses comprehensive lab work — including IGF-1 levels — to assess your current status and prescribes evidence-based protocols to support recovery, body composition, sleep quality, and overall vitality.

Recovery, performance, longevity

Get your HGH assessed properly.

Comprehensive panel. Evidence-based protocol. Quarterly monitoring with Crystal. From $125/mo.

Not ready for an annual commitment? We also offer a flexible month-to-month plan — no contract, cancel anytime. See all plans →

Book Your Free Consultation

Welcome to Tier1 Optimal — book a time below.

Pick a slot that works for you. No credit card required for the free consultation with Brett.

Choose Your Plan

Questions? Call Ava · 905-802-9603