The Optimized NP

The Optimized NP

By Jeremiah Velasquez FNP-BC, AGACNP-BCBusinessHealth & FitnessFitness
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The Optimized NP episodes

  • Unlocking the Power of Testosterone for Women Alixa’s Transformative Journey

    In this episode of Hormones Happen, host Jeremiah sits down with Alixa, a passionate advocate for women’s hormone health, to discuss the life-changing role of testosterone replacement therapy (TRT) in women’s lives.

    Alixa shares her personal journey navigating perimenopause and how testosterone therapy transformed her energy, mood, body image, and relationships. Together, they break down the stigma, address common misconceptions, and highlight why women often face more barriers than men when seeking proper hormone support.

    From the science of individualized dosing to the emotional impact on mental health and intimacy, this episode sheds light on how testosterone can restore balance and empower women to reclaim their well-being.

    What you’ll learn in this episode:

    • Why “normal” hormone levels aren’t always optimal for women’s health
    • How testosterone improves energy, mood, and mental clarity
    • The impact of testosterone on libido and relationships
    • Why dosing for women looks very different than for men
    • Why injections are often more effective than creams
    • How education breaks down fear and misinformation around TRT
    • Why women must advocate for their health and find providers who truly listen

    How to get in touch with Alixa

    Instagram: www.instagram.com/alixawinns

    TikTok: www.tiktok.com/alixawinn

    Get in touch!

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    34 min
  • Dustin Ortiz on GLP-1s: Weight Loss, Mental Clarity & Lifestyle Transformation

    What happens when you combine cutting-edge medicine with real lifestyle changes? In this episode, Dustin Ortiz opens up about his powerful health transformation using GLP-1 medications. From skepticism to success, Dustin walks us through how diet, exercise, and mental clarity shaped not just his weight loss—but his entire quality of life.

    We dig into the realities behind GLP-1s, the psychological impact of dieting, and why true health goes far beyond just the number on the scale. This isn’t just a conversation about medication—it’s about redefining what sustainable health looks like.

    What you’ll learn in this episode:

    • How Dustin lost significant weight with GLP-1s while embracing lifestyle changes
    • Why skepticism about new medications can spark deeper learning and self-advocacy
    • The critical role of diet—from keto to carnivore and beyond—in health outcomes
    • Why individualized approaches matter more than cookie-cutter solutions
    • How dietary changes improve mental clarity and energy
    • The trade-off between longevity and quality of life—and which truly matters most
    • The importance of weight-bearing activities for bone health
    • Why reducing processed foods creates outsized health benefits

    Get in touch!

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    40 min
  • From Aesthetics to Hormones: JaNae Hill on Testosterone, Peptides & Taking Control of Your Health

    🎧 Episode Summary:

    In this episode of Hormones Happen, host Jeremiah sits down with JaNae Hill, nurse practitioner and founder of Mountain Muscle, to unpack her evolution from aesthetics to hormone optimization. From testosterone and HCG to cutting-edge therapies like Kyzatrex and peptides, JaNae shares real-world insights on how personalized hormone replacement therapy can transform energy, weight management, and overall wellness—for both men and women.

    📊 Key Stats & References:

    • Over 40% of women over 40 have symptoms of testosterone deficiency, yet most go untreated.
    • Peptides like BPC-157 have shown promising results in tissue healing and gut repair (National Institutes of Health).
    • GLP-1 medications like semaglutide can lead to up to 15% body weight loss over time—but require monitoring and lifestyle support.

    How to get in touch with JaNae at Mountain Muscle

    Website: mountainmuscle.us

    Instagram: Mountainmuscleaesthetics

    Get in touch!

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    34 min
  • Stronger Bodies, Smarter Healthcare with Dominic Hernandez

    ✍️ Episode Summary

    In this episode of Hormones Happen, host Jeremiah sits down with athlete and nurse Dominic Hernandez to explore how fitness and healthcare collide. From the physical demands of nursing to the shortcomings of our current medical system, Dominic shares how staying fit shapes his career and outlook. The conversation dives into the science of peptide therapy for injury recovery, the role of nutrition in reversing chronic conditions, and why small, consistent lifestyle changes can lead to transformational health. Whether you’re a healthcare professional, weekend warrior, or someone just starting their health journey, this episode delivers both motivation and practical tools to take control of your wellness.

    📊 Stats & Insights to Reference

    • Nurses walk an average of 4–5 miles per shift, making fitness essential for performance.
    • Studies have shown that peptides like BPC-157 can support soft tissue healing and recovery.
    • Nearly 1 in 10 Americans has type 2 diabetes, but lifestyle changes can dramatically improve outcomes.
    • Preventive healthcare spending makes up less than 3% of U.S. health expenditures.

    Get in touch!

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    35 min
  • From Stigma to Strength Anastasiya Lyudkevich's Vision for Men’s Hormone Optimization

    ✍️ Episode Summary

    In this episode of Hormones Happen, host Jeremiah sits down with Anastasiya, founder of Invite Wellness, for a powerful conversation on testosterone replacement therapy (TRT) and the barriers men face in getting the care they need. From insurance red tape to outdated stigmas, they unpack why telehealth is revolutionizing men’s hormone optimization—and how women like Anastasia are leading that charge. You’ll learn why personalization is key, how HCG supports TRT, and what symptom resolution really means for your energy, mood, and confidence.

    📊 Key Stats & References

    • Up to 40% of men over 45 experience symptoms of low testosterone, yet less than 10% receive treatment
    • A 2022 study in JAMA Network Open shows that individualized TRT significantly improves quality of life and energy levels in middle-aged men
    • HCG is increasingly used alongside TRT to prevent testicular atrophy and support fertility (source: Urology Times)

    How to get in touch with Anastasiya at Invite Wellness

    Website: https://invitewellnesshealth.com/

    TikTok: https://www.tiktok.com/@invitewellnessllc?_t=ZT-8zo3mwsPlte&_r=1

    Instagram: https://www.instagram.com/invite_wellness?igsh=NWFmcTl4ZXp6Zm9s&utm_source=qr

    Get in touch!

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    46 min
  • Redefining Healthcare Kris Love on Direct Primary Care, Patient Freedom & Real Results

    Episode Summary

    In this episode, Jeremiah sits down with Kris, a trailblazing nurse practitioner who left the traditional system to embrace the freedom and impact of Direct Primary Care (DPC). They dive into how this model offers affordable, personalized healthcare without the red tape—making it easier than ever for patients to take control of their health. From hair loss treatments to chronic care, Kris shares the real-world wins (and challenges) of running a DPC clinic, all while building deeper, trust-driven relationships with patients. If you're tired of rushed appointments and cookie-cutter medicine, this episode will open your eyes to what healthcare should feel like.

    Credible DPC Stats & Data Points

    • Growth of DPC clinics:
      • As of 2024, there are over 1,600 Direct Primary Care practices across the U.S., serving hundreds of thousands of patients — a 240% increase since 2017. (Source: DPC Frontier Mapper, 2024)
    • Cost savings for patients:
      • Patients enrolled in DPC report annual healthcare cost savings of 20% to 40%, due to fewer ER visits, reduced specialty referrals, and lower prescription costs. (Source: American Academy of Family Physicians)
    • Provider availability:
      • DPC patients get 2–4x more face-to-face time with their provider compared to traditional insurance-based care. (Source: Journal of the American Board of Family Medicine, 2022)
    • Patient satisfaction:
      • 91% of DPC patients report being “very satisfied” with their care, citing better communication, faster access, and stronger relationships with their provider. (Source: Milliman White Paper, 2021)

    How to reach out to Kris and become a patient

    Become a patient: https://virtualwellnesssolutionsllc.com/

    Get in touch!

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    33 min
  • Endogenous vs. Exogenous Hormones Explained Simply

    Episode Summary:

    Ever wondered how your body really makes hormones—and what happens when you add more? In this eye-opening episode, we unpack the difference between natural (endogenous) and supplemental (exogenous) hormones, how they affect men and women differently, and what HRT means for fertility, menstrual cycles, and long-term vitality. We’re breaking down the science and the stigma.

    Key Stats & Credible References:

    • Up to 40% of men over 45 have low testosterone (The Journal of Clinical Endocrinology & Metabolism)
    • Female HRT can regulate or pause menstrual cycles depending on the type and dose of therapy (ACOG)
    • HRT doesn’t automatically cause infertility—but it can suppress fertility while on therapy

    Get in touch:

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    16 min
  • From Addiction to Accomplishment: Dr. Rob Archuleta’s Journey to “Suffer Well”

    In this powerful episode, Dr. Rob Archuleta opens up about his raw and inspiring journey from addiction to recovery—and how the pain that once held him back became the fuel for his success. Through his book, Suffer Well, Dr. Archuleta blends personal experience with practical recovery strategies, demonstrating that growth arises from struggle and that lasting change begins with self-awareness.

    He delves deeply into what it truly means to suffer well—embracing discomfort, building momentum, and transforming pain into purpose. From conquering food addiction to rediscovering strength through fitness, Dr. Archuleta proves that resilience is not about avoiding hardship—it’s about using it to rise higher.

    The episode also touches on his upcoming mission: completing 50 Murphs in 50 days to raise funds for the Challenge Athletes Foundation—a testament to his belief that discipline, service, and suffering for a cause can transform both the self and the world around you.

    If you’ve ever faced adversity, doubted your purpose, or needed a reminder that pain can be your greatest teacher—this conversation is for you.

    Get the book Suffer Well by Dr. Archulta here!

    Audible: https://www.audible.com/pd/Suffer-Well-Audiobook/B0DWG5GNVF?source_code=ASSORAP0511160006&share_location=pdp

    Amazon: https://www.amazon.com/dp/B0DSV9XB3F?ref=cm_sw_r_ffobk_cso_sms_apin_dp_NBQ0R0H0FTC6SAEW8VJ6&ref_=cm_sw_r_ffobk_cso_sms_apin_dp_NBQ0R0H0FTC6SAEW8VJ6&social_share=cm_sw_r_ffobk_cso_sms_apin_dp_NBQ0R0H0FTC6SAEW8VJ6&bestFormat=true

    Get in touch!

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    47 min
  • PCOS, Tirzepatide, and Taking Her Life Back: Danielle’s Radical Health Reboot

    Episode Description:

    Danielle didn’t just lose weight—she reclaimed her energy, her mindset, and her future. In this raw and powerful episode, she opens up about battling PCOS, the emotional weight of failed diets, and the turning point that led her to try Trizepatide. From overcoming fear around medication to embracing microdosing and reshaping her lifestyle, Danielle shares the unfiltered truth about what it takes to transform from the inside out. Along the way, she busts myths about GLP-1 medications, explains why investing in your health is smarter than staying stuck, and reveals how this journey is shaping her future in nursing. If you’ve ever felt like giving up on your health, this episode will show you what’s possible when you choose to fight for yourself.

    Credible Stats:

    • Women with PCOS are up to 5x more likely to struggle with insulin resistance (NIH).
    • GLP-1 medications, such as tirzepatide, can lead to a 15–20% total body weight loss with lifestyle support (NEJM, 2022).
    • 70% of GLP-1 users report improvements in mental clarity and energy within 3 months (internal patient data / anecdotal evidence).

    Get in touch:

    Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Website: https://steelcity-trt.com/

    Facebook: www.facebook.com/profile.php?id=61556820675433

    Instagram: https://www.instagram.com/steel_city_hrt/

    LinkedIn: https://www.linkedin.com/company/105480676/admin/dashboard/

    YouTube: https://www.youtube.com/@Steel_City_HRT

    TikTok: https://www.tiktok.com/@steel_city_hrt

    Pintrest: https://www.pinterest.com/SteelCityHRT

    34 min
  • Burned Out in Healthcare? Here’s Why I Quit & Started My Own Clinic

    In this raw and unfiltered episode of Hormones Happen, I open up about the moment I realized I could no longer survive the traditional healthcare system—and what finally pushed me to take the leap into starting my own cash-based clinic.

    If you've ever cried before a shift, felt suffocated by bureaucracy, or questioned whether burnout was just part of the job... this episode is for you.

    I walk you through:

    ✅ Why I left a “secure” government healthcare job

    ✅ How I launched my clinic with under $10K

    ✅ What it really means to take care of patients—without insurance companies dictating care

    ✅ How to stop overthinking and just start

    ✅ Why autonomy isn’t a luxury—it’s a necessity

    Whether you're an NP, PA, MD, DO—or just someone who knows there has to be more—this story will remind you that you're not stuck… and that building something better is absolutely possible.

    🎧 Listen on your favorite platform:

    🔗 Spotify: https://open.spotify.com/show/0m1DcHmFgvVDxpVBSXs5qH?si=678c177e4a2b4a23 🔗 Apple Podcasts: https://podcasts.apple.com/podcast/id1782802247

    🔗 RSS Feed: https://media.rss.com/hormoneshappen/feed.xml

    🌐 Explore everything Steel City HRT offers: 🔗 Linktree: https://t.mtrbio.com/steel-city-hrt-and-weight-loss

    Timestamps:

    00:00 – Intro: Why this episode hits hard

    02:15 – What finally broke me in government healthcare

    05:45 – How I launched my clinic for under $10K

    08:30 – What I wish someone told me about insurance

    11:00 – The mindset shift that changed everything

    14:20 – Final advice for anyone on the fence

    👉 Subscribe for bi-monthly episodes that empower you to take control of your health, your career, and your life. #ClinicStartup #HealthcareBurnout #EntrepreneurJourney #HormonesHappen #Telehealth #NoInsurance #NPJourney #HealthcareFreedom #fyp #foryoupage

    28 min

About The Optimized NP

From the publisher's feed

Most people spend their whole lives outsourcing the three things that matter most: their health, their money, and their relationships. They trust the system, follow the script, and wonder why they…

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