Men's Wellness & Hormone Optimization in Chicago
Low energy, low drive, weight that won't move — usually isn't just "getting older."
Refine Him is a physician-led men's wellness program that finds the biological reason you feel off — testosterone, metabolism, sleep, stress — and builds an ongoing plan to fix it. Hormone optimization, peptides, metabolic and weight care, tracked over time. Three membership levels: Foundation, Optimize and Prime.
- Physician-Led
- Testosterone & Hormones
- Ongoing Membership

What is Refine Him?
Refine Him is Refine by Tulsi's physician-led men's wellness program in Chicago. It addresses the biological drivers behind low energy, low libido, weight gain, poor sleep and brain fog — with lab testing, physician-supervised testosterone and hormone optimization, peptide therapy, and metabolic and weight care, tracked over time through Refine OS. It's an ongoing membership with three levels — Foundation, Optimize and Prime, from $349/month — and it's designed to work alongside your primary care, not replace it.
It's probably not just age
Men are told to tough it out — that fatigue, a fading sex drive, stubborn belly fat and foggy focus are just what your 40s and 50s feel like. Often, they're not. They're signals.
Most of these symptoms trace back to hormones, metabolism and sleep — things a physician can measure and actually do something about.
Refine Him starts with real testing, not assumptions, then builds a plan that's monitored and adjusted over time. Physician-led, honest about what will help, and clear that it complements your primary care rather than replacing it.
The systems behind how you feel
One connected plan across the areas that actually move the needle for men.
Testosterone & hormones
Physician-supervised hormone optimization for men with symptoms and lab-confirmed low levels — tested, monitored, and adjusted, never guessed.
Weight & metabolism
Stubborn weight and metabolic health, addressed with medical weight loss and GLP-1 options when clinically appropriate.
Libido & sexual wellness
Physician-led care for drive, performance and confidence as part of whole-body health — see sexual wellness.
Energy & recovery
Support for energy, training recovery and resilience, including peptide therapy and NAD+ therapy where appropriate.
Muscle & body composition
Preserving and building lean muscle and improving body composition — tracked with DEXA and InBody, not just the scale.
Sleep, mood & focus
The basics that quietly drive everything else — sleep quality, stress, mood and mental sharpness, addressed as part of the plan.
Tested, treated, tracked
Every membership follows the same physician-led method — the level you choose sets how deep it goes.
Real diagnostics
Comprehensive labs — testosterone and hormones, metabolic and cardiovascular markers — plus body-composition testing to establish exactly where you stand.
A physician-built plan
Your doctors design a plan from what your data shows: hormone optimization, peptides, metabolic and weight care, prescribed only where it's appropriate for you.
Tracked with Refine OS
Your markers are followed over time with Refine OS, so you can see progress and your plan gets adjusted as you respond.
Choose your level
Every level includes physician oversight and a plan that evolves with your labs. Not sure which fits? Book a consultation and we'll tell you honestly.
- HSA / FSA Eligible
- No Long-Term Contracts
- Cancel Anytime
- Physician-Led
For men starting to take control
Foundation
The essential first step — know your numbers and get a plan.
$349/ month
What's included
- Consults Quarterly physician consults
- Lab panel Baseline hormone & metabolic labs
- Hormones Personalized hormone optimization plan
Most Popular
For men ready to fix energy, drive & weight
Optimize
Hormones, metabolism and performance, working together.
$799/ month
Everything in Foundation, plus
- Consults Bimonthly physician consults
- Lab panel Advanced lab testing panel New
- Hormones Testosterone & hormone optimization
- Peptide Peptide therapy protocol New
- GLP-1 GLP-1 metabolic support New
- Discount 10% off longevity & aesthetic treatments New
For men who want peak performance
Prime
Concierge-level optimization and longevity, dialed all the way in.
$1,599/ month
Everything in Optimize, plus
- Consults Concierge provider access between visits New
- Lab panel Comprehensive longevity lab panel
- Hormones Testosterone & hormone optimization
- Peptide Advanced peptide therapy protocol
- GLP-1 Full GLP-1 metabolic program
- NAD+ Monthly NAD+ IV or at-home kit New
- Discount 20% off longevity & aesthetic treatments
All memberships include ongoing physician oversight and access to Refine OS. Testosterone and other therapies are prescribed only after evaluation and lab confirmation, where clinically appropriate.
Physician-led, start to finish

Dr. Tulsi Kotecha, MD
Board-certified in Internal Medicine and Aesthetic Medicine and trained at University College London and the University of Bristol, Dr. Kotecha built Refine around regenerative and longevity medicine — and around honest, data-led care for every patient.

Dr. Laura Ruof
Dr. Ruof leads Refine's longevity and hormone-optimization programs, integrating advanced diagnostics with evidence-based strategies for metabolic health, energy, sleep and long-term vitality.
Don't wonder if it's working — watch it work.
Refine OS is the longevity platform behind every plan at Refine. It turns your bloodwork, body composition, wearable data and how you actually feel into one Longevity Score and a biological age — read alongside your physician, across the six systems that drive how you age.
- Bloodwork
- InBody
- DEXA
- Oura ring
- Symptoms
Your care team activates access at your first consultation, once baseline labs are drawn. Refine OS surfaces patterns for physician review — it is not a diagnosis.
Longevity Score
Illustrative — your numbers are your own.
An honest look at fit
Refine Him is a fit if you…
- Feel low energy, low drive, foggy focus or stubborn weight gain
- Want your testosterone and hormones tested and optimized properly
- Prefer a physician-led plan to an online "T" mill
- Want an ongoing, tracked plan — not a one-time visit
- Are ready to address the basics along with the medicine
It's not the right fit if you…
- Need primary or urgent care — Refine Him works alongside those, not instead
- Are looking for anabolic doses or performance-enhancing use — that's not what this is
- Want a guaranteed or overnight result
- Have new or serious symptoms that need medical work-up first
- Aren't ready for lab testing and monitoring
A consultation is the honest way to find out. Your physician will review your labs, symptoms and history — and tell you plainly whether Refine Him fits, and when something else is the better call.
From first visit to feeling like yourself
Consultation
Meet your physician, talk through your symptoms and goals, and confirm which membership level fits.
Testing
Comprehensive hormone, metabolic and body-composition testing establishes your real baseline.
Your plan
Your physician builds and prescribes a plan — hormones, peptides, metabolic care — only where appropriate.
Track & adjust
Refine OS follows your markers over time, and your plan is refined as your body responds.
Care that pairs with Refine Him
Hormone Optimization
Testosterone and hormone care, guided by symptoms and labs.
Learn more →Peptide Therapy
Physician-prescribed peptides for recovery, metabolism and vitality.
Learn more →Sexual Wellness
Physician-led care for drive, performance and confidence.
Learn more →Medical Weight Loss
GLP-1 and metabolic weight management, tracked and physician-led.
Learn more →NAD+ Therapy
IV, injection and nasal NAD+ for energy and recovery support.
Learn more →Executive Wellness
A tailored, concierge program for executives — any gender, no fixed tiers.
Learn more →Refine Longevity Club
The full physician-led longevity membership, everything connected.
Learn more →Men's wellness in Chicago, answered
What is Refine Him?
Refine Him is Refine by Tulsi's physician-led men's wellness program in Chicago. It addresses the biological drivers behind low energy, low libido, weight gain, poor sleep and brain fog — with lab testing, physician-supervised testosterone and hormone optimization, peptides, and metabolic and weight care, tracked over time. It's an ongoing membership with three levels: Foundation, Optimize and Prime.
Who is Refine Him for?
It's for men who feel persistently low on energy, drive, focus or fitness and want a physician to find out why and do something about it — rather than being told it's just age. It suits men who want testosterone and hormones tested and optimized properly, prefer physician-led care over an online prescription mill, and are ready for an ongoing, monitored plan.
How is Refine Him different from Executive Wellness?
Refine Him is our structured men’s wellness membership, with set tiers — Foundation, Optimize and Prime — and a focus on men’s hormones, metabolism and vitality. Executive Wellness is a tailored, concierge-style program for high performers of any gender, built around your goals rather than fixed tiers. If you want a clear men’s membership with defined pricing, Refine Him is the fit; if you want a bespoke executive program, see Executive Wellness. A consultation helps you choose.
Do you offer testosterone therapy (TRT)?
Yes, where it's appropriate. Testosterone and hormone optimization is offered only to men with symptoms and lab-confirmed low levels, after a physician evaluation, and it is monitored with ongoing labs. Your physician will review the benefits, risks and alternatives with you. It is not offered for anabolic or performance-enhancing use.
How do the Foundation, Optimize and Prime memberships differ?
Foundation is the essential starting point — physician consults, baseline hormone and metabolic labs, and a personalized plan. Optimize adds advanced testing, testosterone and hormone optimization, peptide therapy, GLP-1 metabolic support and a treatment discount. Prime adds concierge access, comprehensive longevity labs, an advanced peptide protocol, a full GLP-1 program, monthly NAD+, and a larger discount. Your consultation confirms which level fits.
Does this replace my primary care doctor?
No. Refine Him is designed to work alongside your primary care, not to replace it, and it is not a substitute for primary or emergency care. It focuses on optimization and longevity; you should keep your primary care physician for general health, screenings and any acute or serious medical needs.
What about weight loss and GLP-1 medications?
Metabolic health is a core part of the program. When clinically appropriate, your plan can include medical weight management and GLP-1 medications alongside hormone optimization, nutrition and muscle-preserving strategies — always physician-prescribed and monitored, not a one-size-fits-all prescription.
How much does it cost and how do I start?
Memberships start at $349 per month for Foundation, with Optimize and Prime offering more at higher levels; exact inclusions are confirmed at your consultation. Some therapies and labs may be billed separately. To start, book a consultation and your physician will review your goals and recommend the right level.
Feel like yourself again — with a plan built on your numbers.
Book a consultation to get your labs, meet your physician, and find out which Refine Him membership fits. Honest, physician-led, and built to work alongside your regular care.
(618) 298-8574Chicago, IL 60614
Chicago, IL 60647
Medical disclaimer: Refine Him is a physician-supervised men's wellness and optimization membership. It is not primary care, not urgent or emergency care, and not a substitute for either — it is designed to work alongside your primary care physician. This page is general educational information, not medical advice or a guarantee of outcome. Testosterone and hormone therapy, peptides, GLP-1 medications, NAD+ and other treatments are provided only after medical evaluation and lab confirmation and only where clinically appropriate; benefits, risks and monitoring are reviewed with your physician, and NAD+ is not FDA-approved to treat or prevent disease. Results vary by individual. Please consult a qualified physician about your health, and seek primary or emergency care for acute or serious needs.