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TRT · Ontario, Canada
Crystal Troup, NP reviews your bloodwork and builds a protocol tailored to your body. Pharmaceutical-grade testosterone mailed to your door. 90-day cycles. Many prescription medications, including testosterone, may be covered up to 100% by your workplace insurance.
Your dedicated clinician: Crystal Troup, NP
15+ years · Licensed in Ontario, Canada · Same clinician, every visit
Lead Clinician
Crystal Troup, NP
15+ years · Ontario, Canada
Your Clinician
Crystal Troup, NP reviews every bloodwork panel, adjusts every protocol, and follows up with every patient. 15+ years of experience in Ontario, Canada. She is your dedicated clinician from enrollment through every 90-day cycle.
Comprehensive panels — total and free testosterone, SHBG, estradiol, LH, FSH, CBC with hematocrit, metabolic panel, liver, kidney, lipids, PSA, thyroid. A single number without context is clinically insufficient.
“Every patient deserves more than a prescription. They deserve a clinician who listens, a protocol built on real data, and support that doesn't stop.”
The Difference
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.
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.
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.
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.
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.
Pharmaceutical-grade
Clinician-optimized pharmaceutical-grade testosterone, personalized to your results, mailed to your door in discrete packaging. No gaps in your protocol.
Recognize Yourself?
Brain fog, low energy, mood swings, declining libido, difficulty building muscle, increased body fat, poor recovery, disrupted sleep. Nearly 40% of Canadian men over 45 have low testosterone.
Many men experiencing low mood and fatigue are prescribed antidepressants when the underlying issue may be hormonal.
“I didn't realize how bad I felt until I started feeling good again.”
Self-Assessment
Take the 2-minute assessment.
Insurance Note
People managing TRT independently spend more — and skip the monitoring. With Tier1 Optimal, you get Crystal, pharmaceutical-grade medication, 90-day cycles, and often a lower total out-of-pocket cost.
“When you find out your prescription medication is covered by insurance and the whole process takes days instead of months — signing up is a no-brainer.”
Patient Experience
For three years, James felt like he was slowly losing himself. The energy he used to have — the drive to train, to lead at work, to be present with his family — had quietly disappeared. He was irritable for no reason. His sleep was broken. He couldn't focus through a meeting without his mind going blank. His doctor suggested he was stressed, maybe depressed, and wrote a prescription for an antidepressant.
It didn't help. If anything, he felt more disconnected.
A friend mentioned Tier1 Optimal. James was skeptical — he had never considered that his hormones might be the issue. But the process was simple: he chose a plan, completed the intake, and booked his first appointment with Crystal.
“Crystal asked me questions no doctor had ever asked. She actually listened. She didn't rush me. She ordered bloodwork that covered everything — not just the basics.”
When the results came in, Crystal walked him through every number and built a protocol specifically for his profile. Within weeks, the fog started to clear. By the 90-day mark, James described it as feeling like someone had turned the lights back on.
James is now in his second year with Tier1 Optimal. Crystal still manages his protocol. He sees her quarterly, gets his bloodwork done, and his medication arrives at his door. His workplace insurance covers the cost of his testosterone.
“If you're on the fence — stop waiting. This was the best decision I've made for my health in a decade.”
This is an individual patient experience. Results vary. All treatment is subject to clinical assessment and medical eligibility. Tier1 Optimal does not guarantee specific outcomes.
You would not run a high-performance engine on the wrong fuel. Your body is no different.
The Solution
01
Get into the optimal range — energy, drive, recovery, mood.
02
No referrals. Care within days, not months.
03
Structured quarterly care. Monthly on Tier1 Pro.
04
Many men pay nothing out of pocket for testosterone.
Insurance Note: Many workplace insurance plans cover testosterone prescriptions up to 100% with a valid clinical prescription. Brett can help you verify your coverage before you enroll.
★ The White Glove Difference
TRT 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
Managing on Your Own
No dedicated clinician. You're on your own.
Tier1 Optimal
Crystal Troup, NP — same clinician, every visit. 15+ years.
Managing on Your Own
Tier1 Optimal
Clinician
No dedicated clinician. You're on your own.
Crystal Troup, NP — same clinician, every visit. 15+ years.
Bloodwork
Most people skip it or get basic panels.
Comprehensive bloodwork panel every quarter. Crystal reviews every result.
Medication Quality
Unknown sources. Unknown purity. Unknown dosing.
Pharmaceutical-grade, pharmacy-dispensed, clinician-dosed.
Monitoring
None. No one is tracking your health.
Structured 90-day cycles. Crystal monitors, adjusts, and follows up.
Delivery
Questionable online orders.
Mailed discreetly to your door. Including controlled substances.
Insurance
You probably don't even know it's covered.
We help you find out. Often covered up to 100% by workplace insurance.
Monthly Cost
$200–400+ for medication alone, no oversight.
From $125/mo for the complete clinical experience.
The whole protocol
Q1
Q2
Q3
Q4
Comprehensive panel including but not limited to: hormones, metabolic, thyroid, liver, kidney, CBC, and PSA where indicated. Crystal reviews every result.
How It Works
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.
Your first clinical appointment with Crystal Troup, NP. She reviews your medical intake, discusses your goals and symptoms, and orders your comprehensive bloodwork panel.
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.
Better together
When one partner optimizes their hormones, it can highlight imbalances in the other. If your partner is experiencing low energy, mood changes, weight gain, or low libido — Crystal treats both men and women. Ask about our Couples Plan and save 20%.
Learn About the Couples PlanYour TRT Protocol
What you actually receive. Three core options Crystal selects from, based on your bloodwork and clinical profile.
Treatment Options
Crystal selects the form that fits your body, schedule, and clinical profile.
Option 01
Injectable · 1–2× per week
The most widely prescribed form of TRT. Long-acting injectable with a well-established safety record. Crystal sets your dose and frequency based on bloodwork, sensitivity, and clinical response.
Option 02
Long-acting injectable
Similar profile to cypionate with slightly different release kinetics. Crystal will recommend whichever fits your lab response and lifestyle.
Option 03
Topical · Daily
Daily transdermal option for patients who prefer to avoid injections. Requires care to prevent skin-to-skin transfer to family members.
Option 04
Alongside TRT
Preserves natural production and testicular function alongside testosterone replacement. Often added for fertility-conscious patients.
My only regret is not starting sooner. Every month I waited was a month I didn't have to lose.
— Tier1 Optimal Patient
TRT FAQ
TRT is a clinician-supervised treatment that restores testosterone levels to an optimal range in men whose natural production has declined. Crystal prescribes pharmaceutical-grade testosterone based on comprehensive bloodwork and monitors your response every 90 days.
Built for driven adults
Comprehensive bloodwork. Pharmaceutical-grade medication. Crystal as your dedicated clinician. 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
Pick a slot that works for you. No credit card required for the free consultation with Brett.
Questions? Call Ava · 905-802-9603