Excel Medical
Redefining Aging through Virtual Innovation

Small signs of aging often lead to a bigger question: Is decline inevitable?

For many, the signs of aging appear subtly; a little less energy, a few extra pounds. Over time, it can feel like this is just how life is. But what if it doesn’t have to be?

Excel Medical, the first telemedicine hormone replacement therapy (HRT) clinic in America, has spent nearly two decades forging a better way forward. Drawing on unmatched experience, it developed advanced, patient-focused protocols that prioritize personalized care and optimize treatment outcomes. Trusted by thousands across all 50 states, it leads with innovation, clinical expertise and a steadfast commitment to helping every patient feel their best.

“Our passion has always been in the hormone replacement space, an area we know inside out,” says Craig Larsen, CEO.

Larsen’s entrepreneurial foresight was crucial in transforming an early brick-and-mortar clinic into a category-defining national leader. Recognizing the untapped potential of telemedicine in hormone health, he pioneered its integration long before it became an industry standard. This long-term vision continues to shape Excel Medical’s evolution.

Every treatment is grounded in science and tailored to the individual, from male vitality to female hormone balance. It offers personalized solutions for men experiencing age-related hormonal decline, women navigating perimenopause and beyond and younger women dealing with imbalances like PCOS or thyroid issues. The clinic’s programs are designed to restore balance, improve daily function and help patients feel like themselves again, often better.

The foundation of this approach is rigorous science. Excel Medical’s programs are developed with unmatched depth and precision under the expert guidance of Medical Director Dr. Peter Fotinos, who brings over 20 years of clinical and research experience. His expertise ensures that every treatment plan is evidence-based and clinically sound, delivering targeted, effective care for individuals.

Reclaiming Vitality through Hormonal Balance

Excel Medical approaches care through three distinct hormonal health pathways, each rooted in a deep understanding of how hormone imbalances impact the body across different life stages. Its approach rejects a one-size-fits-all solution, focusing on personalized care to achieve the best results.

The first is male aging. Typically beginning around 35, this category focuses on men experiencing symptoms related to decreasing testosterone and other hormonal shifts, although a subset of men may begin noticing these changes in their late 20s or early 30s. This age marks the point where signs of hormonal decline often become more noticeable, impacting energy, mood, libido and overall well-being. Excel’s providers are highly trained in identifying subtle imbalances and devising regimens that restore hormonal equilibrium and enhance the quality of life.

Excel Medical has been a key driver in the evolution of subcutaneous testosterone microdosing, an advancement in hormone therapy that replaces traditional intramuscular injections with small, daily doses delivered via insulin needles. The innovation mimics the body’s natural hormonal rhythm, minimizes side effects and improves patient adherence, leading to significantly higher satisfaction. Once met with skepticism, this method is widely adopted and continues to be refined and optimized by the experts at the forefront of its development.

The impact of its approach can be seen in the stories of real patients, like Bob, a longtime friend of Larsen. Bob began noticing the effects of aging—fatigue, weight gain and muscle loss—but was initially hesitant about HRT. After enrolling in Excel Medical’s program, he experienced a rapid improvement in his health; enhanced mental clarity, increased energy and a restored sense of vitality. His results sparked a change of mind among his friends, many of whom had previously dismissed the benefits of HRT.

“After eight years of trying to convince them, it only took one person experiencing real results independently for the rest to believe,” says Larsen.

Bob’s story highlights a common misconception in the industry; fears about the safety of hormone therapy or its association with bodybuilders.

Another example is Dave, a former athlete whose demanding lifestyle initially masked the signs of hormonal imbalance. When he received troubling lab results, including high cholesterol and early indicators of diabetes, he turned to Excel Medical. Through a personalized plan incorporating microdosing and targeted diagnostics, Dave lost over 30 pounds, regained muscle tone and saw a dramatic improvement in his confidence and overall well-being. His journey reflects the effectiveness of a holistic approach to health that focuses on addressing both the symptoms and underlying causes.

Excel Medical specializes in treating women through every stage of hormonal change, from the early shifts of premenopause to the more defined transitions of perimenopause and postmenopause. While many associate these changes with the mid-40s and beyond, hormonal fluctuations often begin earlier, typically in a woman’s 30s to early 40s. During this time, levels of progesterone, testosterone and thyroid hormones may start to decline, contributing to fatigue, mood swings, sleep disruption and weight management challenges. Excel Medical’s individualized treatment plans are designed to address these subtle but impactful shifts, helping women maintain balance, energy and overall well-being throughout the menopausal journey.

The clinic also supports younger women, generally under age 45, who face hormone-related conditions such as PCOS, insulin resistance, Hashimoto’s disease and hypothyroidism. Though distinct in diagnosis, these conditions often share a common thread; hormonal imbalance. Excel Medical’s comprehensive protocols target the root causes rather than just the symptoms, enabling women to feel more in control of their health and day-to-day functioning. Care can begin as early as age 12 or 13 in brick-and-mortar locations. Telemedicine services start at 18 to ensure legal clarity and continuity of care.

Defining the Gold Standard in Hybrid HRT

Excel Medical’s ascent as a virtual HRT pioneer stems from a well-crafted strategy shaped by early clinical innovation and foresight. Its journey began with in-person hormone therapy clinics, launched before hormone therapy gained widespread popularity.

Ahead of the curve, Excel Medical offered virtual care for ED medication as early as 2018, demonstrating a proactive focus on delivering safe, effective telehealth services well before the pandemic made remote care the norm.

In the early 2020s, it further cemented its position in the industry by launching six physical clinics in North Carolina and Florida to comply with the Ryan Haight Act, which restricts remote prescribing of controlled substances. This hybrid approach allows Excel Medical to see patients in person before switching them to virtual care, ensuring a smooth transition to scalable hormone therapy delivery.

When regulations shifted during the pandemic, Excel Medical was prepared to provide high-touch, virtual care on a large scale. With licensing, clinical systems and compliance protocols already in place, it was able to quickly launch a thoughtfully prepared model.

Preventive Strategies for Healthy Aging

Excel Medical is reframing the role of hormone therapy— from a reactive treatment for fatigue and weight gain to a proactive strategy for safeguarding long-term health. While many patients begin treatment to address common signs of aging, its clinical team is guided by a broader objective; preventing serious, age-related diseases before they start.

Decades of clinical research show that optimized hormone levels significantly lower the risk of Alzheimer’s disease and other dementias, osteoporosis, cancer and heart disease. That’s why Excel Medical views hormone therapy not just as a path to feeling better today but as a frontline tool in modern preventive medicine.

Building on this foundation, the clinic is expanding into advanced diagnostics, offering early screening for high-risk conditions. This evolution gives patients a powerful advantage: the ability to identify silent threats early and take decisive action before symptoms emerge.

With this expanded scope, Excel Medical redefines what it means to age well.