Enhance energy and mental clarity with doctor-supervised TRT and peptide therapies from a board-certified MD.
10 Years of Experience
MD on Staff
10 Years of Experience
MD on Staff
Accepting new patients?
Last updated 5/16/2025 at 08:45 PM
Yes
OHMed Group, also known as Optimal Health Medical Group, is a La Jolla-based practice specializing in men’s hormone optimization. Established by Dr. Michael Nielsen, the clinic emphasizes convenience and privacy by offering telemedicine consultations and remote prescription management. Patients undergo a thorough assessment of hormone levels, followed by personalized treatment plans that commonly include testosterone replacement therapy, peptide regimens for growth hormone support, or other targeted interventions. The clinic also addresses sexual health and weight management, ensuring that any underlying hormonal issues are properly diagnosed and treated. OHMed Group’s concierge model allows patients to speak directly with medical professionals via phone or video calls, minimizing office visits. This setup has garnered praise for its accessibility and focus on individualized attention. Many men report greater vitality, improved muscle tone, and enhanced mood after starting therapy. By blending modern telehealth solutions with attentive medical oversight, OHMed Group aims to help clients live stronger, healthier lives.
Client satisfaction:
Extremely High
How we determine this score?
Every rating you see is the product of a two-step process that blends data
science with human clinical insight:
Comprehensive review sweep We
collect every publicly available patient review we can find—Google, Yelp,
Healthgrades, ZocDoc, Facebook, Instagram, TikTok, Reddit, forums, and more.
Duplicate or spam entries are filtered out, and each review is time-stamped
so that newer feedback carries more weight.
13-factor sentiment analysis + expert audit
A custom language-model pipeline scores each review across the 13 dimensions
patients care about most:
Friendliness | Professionalism | Responsiveness
| Accessibility | Clarity of Explanations | Willingness to Listen | Personalization of Treatment |
Billing Transparency | Value | Recurring Praise
| Recurring Complaints | Side-Effect Education | Diet/Nutrition Guidance
The algorithm converts raw language into numerical sentiment, flags
outliers, and spots consistent themes. Finally, a board-certified
clinician reviews the automated output to ensure medical-grade accuracy
and context.
The result is a single, easy-to-read satisfaction bar that reflects real
patient experience, not marketing copy. By combining transparent methodology,
physician oversight, and continuously updated data, we deliver a score you can
trust and that meets standards for authoritative health review content.
What people are saying
Comprehensive labs guide individualized hormone regimens, nutrition advice, and supplement plans. Dr. Nielsen explains every marker in plain language, invites questions, and tweaks doses quickly via text or same-day visits, keeping therapy agile. Patients report renewed energy, sharper mood, and fitness gains that other clinics missed, calling the out-of-pocket fee a smart investment despite insurance gaps. Minor frustrations include the months some need to reach ideal dosage, but overall value and outcomes drive strong loyalty.
Request a FREE consultation with Optimal Health
Schedule your confidential consultation today by phone or in person—no commitment
required.
Have questions before scheduling a consultation?
Treatments and services
TRT
GLP-1s
Peptides
Sildenafil
Tesamorelin
Tadalafil
Semorelin
Semaglutide
About Optimal Health
Optimal Health is directed by Dr. Michael Nielsen, who brings extensive medical expertise from both clinical practice and military service. Dr. Nielsen graduated with honors from Wake Forest University School of Medicine and served for 11 years as a flight surgeon and pilot with a Marine helicopter squadron. During his two tours in Iraq, he was awarded a Combat Action Ribbon, a Navy Achievement Medal, a Navy Commendation Medal with Combat “V” for valor, and was named the 2003 “Flight Surgeon of the Year” by the Surgeon General of the United States. After his military service, Dr. Nielsen completed his medical training at UC San Diego (UCSD), where he also served as chief resident. He was awarded Physician of the Year while working in the ER at Sharp Memorial Hospital in San Diego. He is currently an attending physician at the VA hospital in La Jolla and an assistant clinical professor at UCSD.
What Makes Optimal Health Unique
Optimal Health provides a fully virtual, physician-guided experience uniquely tailored to men's hormone health. The clinic manages all aspects of patient care—from symptom assessment and lab testing coordination to telehealth consultations and direct medication shipments. Patients benefit from a transparent and straightforward pricing model, free of hidden costs, making the treatment process clear and efficient.
Why Choose Optimal Health
Patients choose Optimal Health for its comprehensive and personalized approach to hormone optimization. Each patient’s treatment plan is individually developed by a licensed physician specializing in male hormones, ensuring medical accuracy and effectiveness. The clinic’s streamlined virtual process reduces hassle, enabling patients to quickly and easily address their health concerns.
Philosophy of Care at Optimal Health
Optimal Health believes in evidence-based, patient-focused care designed to address the underlying causes of hormonal imbalance. The clinic prioritizes personalized treatment strategies, regular monitoring, and transparent communication to ensure the best long-term results. Optimal Health aims to empower men by enhancing overall health, vitality, and quality of life through sustained improvements in mood, energy, and physical well-being.
Meet the team
Director and Clinical Chief
Dr. Michael W. Nielsen MD
Dr. Michael Nielsen graduated with honors from Wake Forest University School of Medicine and went on to serve his country for eleven years as a flight surgeon and pilot in a Marine helicopter squadron. His distinguished military career includes two tours in Iraq, earning him prestigious recognitions such as the Combat Action Ribbon, Navy Achievement Medal, and the Navy Commendation Medal with Combat "V" for valor. In recognition of his exceptional service, he was honored as the "Flight Surgeon of the Year" in 2003 by the Surgeon General of the United States.
Following his military service, Dr. Nielsen completed his residency at UC San Diego, serving as chief resident and demonstrating outstanding clinical leadership. His dedication to patient care earned him the "Physician of the Year" award while serving in the emergency department at Sharp Memorial Hospital in San Diego.
Currently, Dr. Nielsen serves as an attending physician at the VA hospital in La Jolla, providing compassionate and skilled care to veterans. He is also an assistant clinical professor at UC San Diego, where he mentors and educates future physicians. Dr. Nielsen maintains active membership with the American Academy of Anti-Aging Medicine and holds leadership roles as Director and Clinical Chief, emphasizing his commitment to excellence in medicine and education.
Client Satisfaction Analysis
We’ve collected every publicly available patient review we can find and analyzed
them across 13 dimensions.
Select to learn more
Comprehensive labs guide individualized hormone regimens, nutrition advice, and supplement plans. Dr. Nielsen explains every marker in plain language, invites questions, and tweaks doses quickly via text or same-day visits, keeping therapy agile. Patients report renewed energy, sharper mood, and fitness gains that other clinics missed, calling the out-of-pocket fee a smart investment despite insurance gaps. Minor frustrations include the months some need to reach ideal dosage, but overall value and outcomes drive strong loyalty.
Overall Hormones.org score for this clinic
96
The Overall Hormones.org Score of Optimal Health places it in the
top 78.4%
of all hormone optimization clinics in the San Diego area.
What this means
Clinic scores follow a bell curve: most clinics cluster near the middle, while
very low or very high scores become progressively rarer toward the edges.
How we determine this?
Category
Description
Weight
Review Sentiment Quality
Tone and trust language in the most recent 10-20 reviews
25%
The La Jolla clinic’s patient feedback is overwhelmingly positive in tone. Recent reviews praise the personalized care and life-changing results, with patients noting improvements in energy, mood, and overall well-being after treatment. Many reviewers explicitly commend Dr. Michael Nielsen for his attentive approach and expertise. There are no complaints or lukewarm sentiments – the tone is consistently enthusiastic and trusting.
Review Sentiment + Rating
Adjusted for inflation; not linear
10%
The clinic has a modest number of total reviews (only around 6–8 found across major platforms), but virtually all are five-star ratings. The average rating stands at a perfect 5.0 out of 5. While this flawless rating is excellent, the low review count means the sample is small. In effect, a few very happy patients dominate the feedback, which could inflate the overall perception. Adjusting for this small sample size, the clinic’s review profile is strong but based on limited data.
MD-Led Practice
Is the clinic led by a visible MD or board-certified physician?
10%
OH Medical Group in La Jolla is clearly a physician-led practice. It is headed by Dr. Michael Nielsen, an experienced and licensed MD with impressive credentials (including a background as a military flight surgeon and hospital physician). The clinic emphasizes that all consultations and treatment plans are overseen by a medical doctor. This visible leadership by a board-certified physician ensures credible, medically supervised care at the forefront of the practice.
Estimated Years in Business
Based on site language, domain age and review timeline
10%
Based on available information, the La Jolla location has been operating for roughly a decade. Patient reviews date back to around 2015, indicating the clinic has been in business for about 8–10 years. This tenure suggests an established practice with some staying power in the hormone therapy field. While not decades old, nearly ten years of operation is a solid track record for a wellness clinic, implying experience and stability.
Specialization in Hormone Therapy
Is hormone optimization a core offering or a secondary add-on?
10%
Hormone optimization appears to be the core focus of this clinic, rather than a side offering. The branding and services center on Testosterone Replacement Therapy (TRT) and related hormone health for men. From the website’s tagline (“hormone health protocols for modern men”) to the dedicated discussions of low testosterone symptoms and treatments, it’s clear HRT/TRT is a primary specialty. The clinic isn’t a general practice dabbling in hormones – it specializes in hormone therapy as a mainline service.
Provider Relationship Model
Small, consistent provider model vs high-volume or anonymous feel
10%
OH Medical Group operates on a concierge-style, personalized care model that fosters a consistent provider-patient relationship. Patients typically see Dr. Nielsen himself via scheduled video consultations, ensuring continuity with the same physician over time. The practice is small and focused, meaning you’re not shuffled between numerous providers. Reviews reflect that the doctor knows his patients and adjusts treatments in a personalized manner. This one-on-one, ongoing relationship model scores high for building trust and tailored care.
Unique Differentiators
TRT + HRT + GLP-1s + peptides = strong depth
10%
The clinic offers several notable differentiators that set it apart from a standard wellness office. It runs as a concierge medical practice – not bound by insurance – which allows for more personalized and innovative treatment plans. They emphasize telehealth convenience, with hormone consultations via video call and medications shipped directly to patients, saving time and hassle. Additionally, the practice provides at-home lab testing kits and comprehensive diagnostic panels, reflecting a commitment to advanced and convenient care. Dr. Nielsen’s exceptional background (military service, academic roles, awards) also adds a unique credibility factor. These elements (concierge approach, telemedicine, home testing, and expert leadership) differentiate the clinic from more generic “low T” centers.
Treatment Breadth
TODO: Add my description to this part
10%
The clinic offers several notable differentiators that set it apart from a standard wellness office. It runs as a concierge medical practice – not bound by insurance – which allows for more personalized and innovative treatment plans. They emphasize telehealth convenience, with hormone consultations via video call and medications shipped directly to patients, saving time and hassle. Additionally, the practice provides at-home lab testing kits and comprehensive diagnostic panels, reflecting a commitment to advanced and convenient care. Dr. Nielsen’s exceptional background (military service, academic roles, awards) also adds a unique credibility factor. These elements (concierge approach, telemedicine, home testing, and expert leadership) differentiate the clinic from more generic “low T” centers.
Billing and Insurance
Billing
Optimal Health provides clear, upfront pricing without hidden fees, ensuring transparency and predictability in billing. Patients receive detailed information about all associated costs, allowing for informed financial planning throughout their care journey.
Insurance
Patients should contact Optimal Health directly to discuss insurance coverage, claim submissions, and potential patient responsibilities.
What New Patients Can Expect at Optimal Health
New patients at Optimal Health start by checking their symptoms and discovering their hormone levels through lab tests that can be performed at a local lab. Following this, patients participate in a virtual consultation with a medical doctor specializing in male hormones. During this consultation, lab results are reviewed, and a personalized treatment plan is created. Medications are conveniently shipped directly from the pharmacy to the patient’s home, with ongoing physician support to monitor treatment effectiveness and adjust the plan as needed.
FAQs about Optimal Health
What is Testosterone Replacement Therapy (TRT)?
Testosterone Replacement Therapy (TRT) is a medically supervised treatment designed to boost low testosterone levels, commonly caused by aging or specific medical conditions. TRT aims to restore testosterone to normal levels, thereby improving quality of life and health outcomes. It can be administered through injections, gels, patches, or pellets.
What symptoms can TRT help alleviate?
TRT is used to address symptoms associated with low testosterone, such as reduced muscle mass, fatigue, low libido, and mood disturbances. It's important to note that TRT is not a one-size-fits-all solution and should be tailored to each individual's needs based on thorough medical evaluation.
How long does it take to see results from TRT?
The response time to TRT can vary significantly among individuals. Some may notice improvements in symptoms like energy levels, mood, and sexual function within a few weeks, while for others, it may take several months. The rate of response depends on various factors, including the severity of testosterone deficiency, the method of testosterone administration, and individual health factors. Continuous medical supervision is necessary to adjust dosages and methods for optimal results.
Is testosterone considered an anabolic steroid?
Testosterone is a naturally occurring anabolic steroid hormone, meaning it plays a role in building muscle mass and strength. However, in the context of TRT, it's used to restore normal physiological levels of testosterone, not to elevate them to super-physiological levels as seen with anabolic steroid abuse in sports. TRT aims to balance hormone levels to alleviate symptoms of testosterone deficiency and is not intended for bodybuilding or performance enhancement. It's important to differentiate medical use of testosterone from its misuse as a performance-enhancing drug.
What are the potential side effects of TRT?
The potential side effects of testosterone replacement can include a variety of temporary symptoms and will depend on which treatment you receive. Side effects can include acne, oily skin, lowered sperm count (which might cause infertility), increased red blood cell count, testicular shrinkage, worsening of sleep apnea, and fluid retention.
What are the benefits of TRT?
TRT can offer a range of benefits for men with clinically low testosterone levels. These benefits include increased muscle mass and strength, enhanced libido and sexual performance, improved mood and cognitive function, better control of weight and fat distribution, reduced fatigue, and potentially improved bone density.
Does TRT increase the risk of heart attacks?
Studies have shown that TRT usage does not increase the risk of heart attacks or other cardiovascular issues. Comprehensive research indicates no significant rise in cardiac diseases related to testosterone therapy.
What is Peptide Therapy?
Peptide Therapy involves the use of specific amino acid chains to stimulate the body's natural processes. These therapies can aid in rejuvenating growth hormone production, weight management, and accelerated healing, tailored to individual health goals.
What services does Optimal Health Medical Group provide?
Optimal Health Medical Group offers Hormone Replacement Therapy, Peptide Therapy, Sexual Health Enhancement, Weight Loss programs, Longevity treatments, Supplements, At-Home Lab Work, and Nutritional Coaching. Each service is designed to address specific health concerns and is tailored to individual needs.
How does the treatment process work at Optimal Health Medical Group?
The treatment process involves four steps: checking symptoms, discovering hormone levels through lab tests, consulting with a medical doctor via video call, and starting treatment with medications shipped directly from the pharmacy to the patient.
What is the cost structure for services at Optimal Health Medical Group?
Optimal Health Medical Group offers transparent, upfront pricing with no hidden fees. For example, Hormone Replacement Therapy is priced at $249.99 monthly or $599.99 for three months. Other services have their respective pricing structures as detailed on their platform.
Who leads the medical team at Optimal Health Medical Group?
Dr. Michael Nielsen, who graduated with honors from Wake Forest University School of Medicine, leads the medical team. He has extensive experience, including serving as a flight surgeon and pilot with a Marine helicopter squadron, and has received multiple awards for his service.
What is the approach to hormone therapy at Optimal Health Medical Group?
Optimal Health Medical Group utilizes 100% bioidentical hormones, which are molecularly identical to those produced by the body. This approach aims to provide a natural and consistent method for treating low testosterone.
What types of lab work are available?
The clinic offers various lab work options, including Standard, In-Depth, and Total Health evaluations, as well as at-home testing kits. These tests provide comprehensive insights into an individual's health status.
Is nutritional coaching available?
Yes, Optimal Health Medical Group provides personalized nutritional coaching. Expert nutritionists work closely with patients to create customized plans that fit their unique lifestyle and dietary needs, aiming to achieve specific health and wellness goals.
Trust and Safety Certifications
Provider License & Certifications
Michael Nielsen - California Medical Board Certification
Issuer: Medical Board of California
License No: A 79412
Medical School Name: Bowman Gray School of Medicine of Wake Forest University
Name: NIELSEN, MICHAEL WARREN
License Type: Physician and Surgeon A
Graduation Year: 2000
Primary Status: License Renewed & Current
Provider Registrations
Michael Nielsen - National Provider Identifier
NPI Number:
1255301370
Numeration Date:
2006-01-23
NPI Type:
NPI-1 Individual
Status:
Active
Clinic location
Optimal Health is conveniently located at 7301 Girard Ave Suite 301, La Jolla, CA, near the intersection of Girard Ave and Genter Street. Situated in the heart of downtown La Jolla, the clinic is steps away from popular landmarks like La Jolla Cove, Prospect Street shopping district, and the Museum of Contemporary Art San Diego. The building entrance is clearly marked; take the elevator directly to Suite 301 on the third floor.
Optimal Health in La Jolla offers convenient parking options, including street parking along Girard Avenue and nearby cross streets. Handicap-accessible spaces are available close to the building entrance. Paid parking garages are within a short walking distance, typically charging hourly rates with no validation provided. For easiest parking, arrive early and look for street spots closest to Suite 301.
Clinic Hours
Mon 9:00 AM - 4:00 PM
Tue 9:00 AM - 4:00 PM
Wed 9:00 AM - 4:00 PM
Thu 9:00 AM - 4:00 PM
Fri 9:00 AM - 4:00 PM
Sat Closed
Sun Closed
Optimal Health Medical Group at a glance
Accepting New Patients
Yes
Offers in Person Care
Yes
Offers Telehealth
Yes
Language Spoken
English
Ask Optimal Health a question
Request a FREE consultation with Optimal Health
Schedule your confidential consultation today by phone or in person—no commitment
required.