About Us

One of America's Top Hormone Optimization Practices

Our Mission & History

How and why we began

Tier 1 Health and Wellness is a preventative medicine program that is 100% dedicated to our mission of promoting optimal mental, physical and sexual health throughout the aging process. The Tier 1 story began many years ago when Angie was suffering from menopause and Dr. Nichols with perplexing health symptoms. After failing to obtain solutions from our respective doctors, we embarked together on intensive research and travel to seek solutions. That led us to Dr. Neal Rouzier who gave us many answers and immensely educated us about hormone replacement therapy. We began to see great improvement in our health. Subsequently, we began to help our friends and colleagues who were suffering from various health ailments! With all the positive successes we encountered, we decided to launch Tier 1 Health and Wellness in 2010. Since then, Keith and I have helped more than 5,000 men and women from around the world to drastically improve their health well into their 40s, 50s, and beyond.

Dr. Nichols + Angie (SIGNATURE) vertical

Founders of Tier 1 Health and Wellness

Proven Science-based Solutions

For men & women over 40

Based in Chatanooga, TN (USA), Tier 1 uses solid scientific evidence from the most current clinical research to develop individualized treatment plans for each patient.

We offer men and women over 40, vital, evidence-based solutions for optimal living and we provide our patients with lots professional education to improve health; both short and long-term.

Using tele-medicine, we are able to treat and help patients from around the world in an easy and cost-effective manner.

No referral is needed!

Personalized Care

Tier 1 Health and Wellness prides itself in offering personalized care based on each patients specific biology rather than ascribing to the norm of one size fits all approach.

We specialize in offering expert care in the following areas of treatment:

Bio-identical Hormone Replacement Therapy for Men
Bio-identical Hormone Replacement Therapy for Women
Menopause Relief
Polycystic Ovary Syndrome Treatment (PCOS)
Testosterone Replacement Therapy for Men (TRT)
Testosterone Replacement Therapy for Women (TRT)
Sexual Wellness & Erectile Dysfunction

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Our Team

Medical Director

Registered Nurse

Operations Manager

Clinical Coordinator/ Human Resources Director

Cinty Ward

Corporate Accountant

Betty Smith

Billing Specialist

Elaine Adler

Master Compounder, Dispensary Director

Donald Sanderfur

Dispensary Assistant

Hannah Stepp

Patient Care Coordinator

Frequently Asked Questions

What is "hormone optimization"?

Hormone optimization is a medical approach focused on achieving and maintaining optimal levels of hormones within the body, with the goal of promoting overall health and well-being. This often involves assessing hormone levels through blood tests and tailoring treatments to restore balance, which may include hormone replacement therapy, lifestyle modifications, and dietary changes. The aim is to mitigate symptoms associated with hormonal imbalances, such as fatigue, mood swings, and decreased libido, while also potentially reducing the risk of age-related chronic diseases.

When did Tier 1 Health and Wellness begin?

Tier 1 Health and Wellness open it’s doors in 2010.

Which medical insurance plans do you accept?

Tier 1 does not accept insurance. We accept all major credit cards and convenient payment plan options.

Does Tier 1 offer an installment payment plan?

Yes! Please call our office for details.
+1 (423) 417-1700

Do you offer discounts or military, police and firefighters?

Yes! Please call our office for details.
+1 (423) 417-1700

SEE MORE FAQS

HORMONE OPTIMIZATION SPECIALISTS

FYI

Bio-Identical Hormone Therapy

The term “bioidentical hormone therapy” alludes to a pharmaceutical formulation encompassing estrogen, progesterone, or various hormones. These hormones manifest as precise replicas, chemically mirroring the endogenous hormonal compounds.

Testosterone Replacement Therapy (TRT)

Testosterone Replacement Therapy (TRT) is a medical treatment involving the administration of synthetic or bioidentical testosterone to supplement low levels of the hormone in individuals, often used to address symptoms associated with testosterone deficiency.

Pre-, Peri-, and Post-menopause

Tier 1 specializes in pre-, peri-, and post-menopause treatment. Hormone replacement therapy and lifestyle modifications play a key role in alleviating symptoms.

Evidence-Based Hormone Replacement Therapy Protocols Customized for Every Individual

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Call Us: (423)417-1700

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