Dr. Rob A. Kominiarek, DO

Dr. Rob A. Kominiarek, DO, FACOFP, operates Renue Health in Miamisburg, Ohio, delivering hormone optimization, sexual health restoration, and regenerative medicine services to patients throughout the Dayton metropolitan area and via telehealth across Ohio, Florida, and North Carolina. Board certified by the American College of Osteopathic Family Physicians, Dr. Kominiarek applies osteopathic principles to functional medicine, addressing hormonal imbalances, metabolic dysfunction, and age-related decline through evidence-based protocols that extend beyond conventional symptom management. His practice focuses on identifying root causes of fatigue, weight gain, reduced libido, and cognitive changes that often stem from suboptimal hormone levels in both men and women.

Renue Health's treatment portfolio centers on bioidentical hormone replacement therapy tailored to individual laboratory findings and symptom profiles, with particular emphasis on testosterone optimization for men experiencing andropause and comprehensive hormone balancing for women navigating perimenopause and menopause. The clinic addresses sexual health concerns including erectile dysfunction and diminished libido through hormone correction, peptide therapies, and regenerative approaches that target vascular health and tissue function. Dr. Kominiarek integrates cardiovascular risk assessment into hormone protocols, recognizing the interconnection between hormonal status, metabolic health, and cardiovascular function. Peptide therapy options support tissue repair, immune function, and metabolic optimization as adjuncts to hormone replacement, though specific peptide selections vary based on patient goals and clinical presentation.

Dr. Kominiarek's osteopathic training informs his whole-person approach to hormone optimization, examining lifestyle factors, nutritional status, stress physiology, and sleep quality alongside laboratory markers. His board certification through the American College of Osteopathic Family Physicians reflects advanced training in family medicine with an osteopathic philosophy that views the body as an integrated unit. Patients receive detailed interpretation of hormone panels including testosterone, estradiol, progesterone, thyroid function, cortisol patterns, and metabolic markers, with treatment plans adjusted based on symptomatic response and follow-up testing. The clinic's regenerative medicine services complement hormone therapy by addressing musculoskeletal concerns and tissue healing that impact overall vitality and functional capacity.

Patients at Renue Health in Miamisburg report attentive communication from both Dr. Kominiarek and the office manager, with accessibility via phone and email facilitating ongoing treatment adjustments and questions between scheduled visits. The hybrid consultation model allows initial assessments and complex cases to be managed in-person at the Ohio location, while follow-up appointments and routine monitoring can occur via telehealth for patients in Ohio, Florida, and North Carolina. This flexibility accommodates working professionals and patients managing chronic conditions requiring regular oversight without frequent travel. New patients undergo comprehensive intake including detailed health history, symptom assessment, and baseline laboratory work before receiving personalized treatment protocols, with follow-up intervals determined by treatment phase and individual response patterns.

Renue Health distinguishes itself through Dr. Kominiarek's integration of osteopathic medicine with functional and regenerative approaches, creating treatment plans that address hormonal optimization within the broader context of metabolic health, cardiovascular function, and overall well-being. The practice serves patients seeking alternatives to conventional management of age-related decline, metabolic syndrome, and sexual health concerns, with particular expertise in bioidentical hormone replacement therapy customized to male and female physiology. Multi-state telehealth availability extends access to Dr. Kominiarek's specialized services beyond the Miamisburg area, while maintaining the option for in-person evaluation when hands-on assessment or advanced procedures are indicated. The clinic's focus on detailed communication and individualized attention supports patients through the optimization process, from initial consultation through ongoing maintenance and adjustment phases.