Meet Your Clinician-Led Team
Same clinician.
Every visit.

Lead Clinician
Crystal Troup, NP
Nurse Practitioner · 15+ years
Crystal doesn't treat
lab numbers. She
treats people.
Crystal Troup is the lead clinician at Tier1 Optimal — a licensed Nurse Practitioner with over 15 years of clinical experience across primary care, hormone optimization, and metabolic health. She's licensed in Ontario, Canada and has built her practice around a single principle: every patient deserves more than a prescription.
Her patients don't get passed between providers. They don't repeat their history every visit. They don't wait three months for follow-up. Crystal builds a comprehensive picture of your health on day one and follows it forward — adjusting your protocol based on real data and your real experience.
Crystal specializes in clinician-led testosterone replacement therapy, women's hormone replacement, HGH optimization, GLP-1 medical weight loss, and sexual health protocols. Every patient at Tier1 Optimal — across every plan — sees Crystal. Same clinician. Every visit.
Licensed
Ontario, Canada
Experience
15+ Years
Specializes In
Hormone & Metabolic Health
Sees Patients
Across All Plans
“I don't treat lab numbers. I treat people. The numbers tell me where to start — but your experience tells me if we're getting it right.”
First visit
Free consult with Brett
Walk through pricing, insurance, and what the first 90 days look like. No pressure. No cost.
Book Free ConsultSkip ahead
Book directly with Crystal
Ready to start clinical care? Crystal's clinical appointments run through our EHR (Practice Better). Your first month is collected at booking — includes your initial consultation with Crystal.
Book with CrystalNote: Crystal's calendar is strictly for scheduled clinical appointments. For any general questions, pricing, insurance coverage, or non-clinical help — please reach Ava (our 24/7 AI concierge) at (289) 434-0509 or Brett at (905) 802-9603.
Getting to Know Crystal
Why patients love working with Crystal.
Crystal has 15+ years of clinical experience and specializes in hormone optimization. Unlike most telehealth clinics where you get a rotating cast of providers, Crystal is your clinician every single visit. She knows your history, your protocols, and your goals personally. That continuity is rare and it's what delivers results.
Women's hormone health has been underserved for too long. Too many women are told their symptoms are normal. They are not.
— Crystal Troup, NP
Clinic Manager · ~10 years personal TRT experience
Brett's been
where you are.
Brett Beauchamp is the Clinic Manager at Tier1 Optimal. He runs operations — but more importantly, he's been a patient himself for nearly a decade. Brett figured out hormone optimization the hard way: bad providers, bouncing between pharmacies, gaps in care, dosing he had to puzzle out on his own.
That's why Tier1 Optimal exists. Brett built the patient experience he wished he'd had — fast access to a real clinician, structured care, no waitlists, medication mailed to your door, and someone who actually picks up the phone when you have a question.
Before Tier1 Optimal, Brett played professional hockey and has been a competitive athlete his entire life. He currently bench presses 555 pounds and is actively training toward 606 — which would set the Canadian record in powerlifting. Brett doesn't just manage the clinic — he lives the lifestyle. Nearly a decade of personal TRT experience, combined with elite-level training, gives him a perspective that most clinic managers simply don't have. When Brett tells you optimization works, he's speaking from experience.
Have questions before you commit? Talk to Brett directly. He can walk you through exactly what to expect, the insurance conversation, what your first 90 days look like, and whether Tier1 Optimal is the right fit for you.
If you have questions and want to call directly, you can reach me at (905) 802-9603.
“I spent years figuring this out the hard way. Tier1 Optimal exists so you don't have to.”

Clinic Manager
Brett Beauchamp

Always Available
Ava
Always available · Phone, text, and email
Meet Ava.
Tier1's 24/7 AI concierge.
Hi! I'm Ava — Tier1 Optimal's AI concierge. I'm the friendly voice on the other end when you call, the quick text reply when you have a question, and the one keeping your care running smoothly behind the scenes. I'm available 24/7 — no voicemail inbox, no waiting until Monday.
It means I never forget your name, never miss a follow-up, and I'm always available when you need help. I handle all the administrative side of your care: scheduling appointments with Crystal, sending reminders before bloodwork is due, helping you find a lab nearby, processing payments and DocuSign packets, and connecting you with Brett when you need him.
What I don't do: clinical decisions. Those belong to Crystal — she's your clinician for everything medical. But for everything around your care? I've got you.
Our Story
Built because too many people
are being underserved.
Tier1 Optimal exists because too many people are being underserved by a system that makes them wait months for basic care. We genuinely want to help people get better, get their lives back, feel energized again, and be able to show up for their families and partners. That is why we built this — one clinician, one patient at a time, with the speed and quality that people deserve. Tier1 Optimal combines licensed clinical expertise, comprehensive labs, and ongoing monitoring into one streamlined experience.
"This is not about vanity. This is about function. Energy. Clarity. Drive. Quality of life."
What We Stand For
Five non-negotiables.
Customer Experience
The best patient experience you've ever had.
We know what it's like to deal with healthcare providers who don't call back, clinics that make you wait months, and customer service that feels like an afterthought. That's exactly why we built Tier1 Optimal differently. From the moment you reach out, every interaction is designed to be fast, personal, and genuinely helpful. Brett answers the phone. Crystal knows your name. Your medication shows up on time. Questions get answered the same day. This is what healthcare should feel like.
Same clinician. Every visit.
Ready to meet Crystal?
Pick a time that works for you. Your first month covers your initial consultation and clinical assessment.
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.