


Clave Health operates as a telehealth-focused hormone optimization practice serving patients throughout Nevada, with a clinical model built around bioidentical hormone replacement therapy (BHRT) for both men and women experiencing symptoms of hormonal decline. The Las Vegas-based clinic provides virtual consultations that eliminate travel requirements while maintaining comprehensive diagnostic evaluation and ongoing monitoring protocols. Their approach centers on restoring physiologic hormone levels using bioidentical formulations that match the molecular structure of endogenously produced hormones, addressing conditions including andropause, menopause, perimenopause, thyroid dysfunction, and age-related hormonal imbalances that affect energy, cognition, body composition, and sexual function.
The clinic's treatment protocols incorporate bioidentical testosterone, estradiol, progesterone, and thyroid hormone optimization based on comprehensive laboratory panels that measure total and free hormone levels, metabolic markers, and relevant cofactors. For men presenting with low testosterone symptoms—fatigue, reduced libido, difficulty maintaining muscle mass, cognitive fog—Clave Health utilizes testosterone replacement therapy delivered through multiple modalities including injections, topical preparations, and subcutaneous pellets depending on patient preference and pharmacokinetic requirements. Women's health protocols address estrogen and progesterone deficiencies associated with menopausal transition, utilizing transdermal estradiol, oral micronized progesterone, and when indicated, low-dose testosterone for libido and vitality concerns. The practice emphasizes individualized dosing adjustments based on symptom response and follow-up laboratory values rather than standardized protocols, recognizing significant inter-individual variation in hormone metabolism and receptor sensitivity.
Clave Health's telehealth delivery model provides Nevada residents access to hormone optimization without the constraints of traditional brick-and-mortar scheduling, offering video consultations that include detailed medical history review, symptom assessment using validated questionnaires, and interpretation of laboratory results with explanation of clinical significance. Patients receive prescriptions through partner pharmacies specializing in compounded bioidentical preparations when commercially available products don't meet specific dosing requirements, along with detailed administration instructions and monitoring schedules. The virtual care framework includes regular follow-up appointments timed to coincide with laboratory reassessment intervals—typically at 6-8 weeks after initiation and quarterly thereafter—allowing for iterative refinement of treatment regimens based on objective markers and subjective response.
The patient experience at Clave Health begins with an initial telehealth consultation lasting 45-60 minutes, during which providers gather comprehensive information about current symptoms, previous hormone testing if available, medical history including cardiovascular and metabolic health, and treatment goals. Following this assessment, patients complete laboratory testing at local draw stations in Nevada, with results reviewed during a follow-up video appointment where specific treatment recommendations are presented with rationale based on individual findings. The clinic provides education on expected timelines for symptomatic improvement—typically 4-8 weeks for initial effects with continued optimization over 3-6 months—and potential adjustment periods as dosing is calibrated. Patients receive direct communication channels for questions between scheduled appointments and access to clinical support for addressing concerns about side effects or treatment response.
Clave Health's Nevada-exclusive telehealth model reflects the regulatory framework governing remote prescribing of hormone therapies, ensuring compliance with state medical board requirements while providing convenient access to specialized hormone optimization care for Las Vegas residents and patients throughout the state. The practice maintains a 5.0-star rating based on patient feedback, with the virtual consultation format particularly valued by individuals with demanding schedules or those who prefer the privacy of home-based medical appointments for sensitive health concerns. This telehealth-first approach allows the clinic to focus clinical resources on thorough evaluation and ongoing optimization rather than overhead associated with physical facilities, translating to accessibility for patients seeking hormone restoration therapy without geographic limitations within Nevada.
Darryl Christian Altavas, MSN, APRN, FNP-C, BC- ADM
Nurse Practitioner – Men’s Hormone Health & Endocrinology
Darryl is a Family Nurse Practitioner specializing in endocrinology, with a focused interest in men’s hormone health, bioidentical hormone replacement therapy, and diabetes management.
Mae Carmela Altavas, MSN, APRN, FNP-C, PMHNP-BC
Nurse Practitioner – Women’s Hormone & Mental Health
Mae is a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with clinical experience in rheumatology and mental health.
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