HRT Doctors Group

HRT Doctors Group operates as a telehealth-focused hormone optimization practice serving patients across 38 states from its Jacksonville, Florida base. Under the medical direction of Dr. Jay Flottman, a board-certified physician, the clinic concentrates exclusively on hormone replacement protocols for adults experiencing age-related hormonal decline, hypogonadism, and related endocrine imbalances. The practice structure eliminates geographic barriers to specialized hormone care, allowing patients in states where the clinic maintains licensure to access physician-supervised hormone therapy without traveling to a physical location. This telehealth model serves working professionals, individuals in underserved areas, and patients seeking continuity of care across state lines.

The clinical focus centers on testosterone replacement therapy for men with clinically diagnosed low testosterone, utilizing multiple delivery methods including injectable testosterone cypionate and enanthate, transdermal gels, and subcutaneous pellet implantation based on patient preference and metabolic profile. For women, the practice provides bioidentical hormone replacement addressing estrogen, progesterone, and testosterone deficiencies associated with perimenopause, menopause, and surgical menopause. Treatment protocols begin with comprehensive hormone panel testing measuring total and free testosterone, estradiol, progesterone, thyroid function (TSH, Free T3, Free T4), DHEA-S, and metabolic markers including lipid panels and hemoglobin A1c. Dr. Flottman's approach emphasizes identifying root causes of hormonal imbalance rather than symptom suppression alone, incorporating evaluation of sleep quality, stress response, nutritional status, and body composition changes that accompany endocrine dysfunction.

Dr. Jay Flottman brings board certification in his medical specialty to a practice model designed around accessibility and physician availability. The telehealth structure allows for more frequent monitoring touchpoints than traditional quarterly office visits, with patients able to schedule video consultations for dose adjustments, side effect management, or protocol modifications as their hormone levels stabilize. The clinic requires baseline laboratory work prior to initiating therapy and implements follow-up testing at 6-week, 3-month, and 6-month intervals during the first year of treatment to ensure therapeutic ranges are achieved without adverse effects on hematocrit, prostate markers, or cardiovascular risk factors. This monitoring intensity reflects the medical oversight necessary for controlled substance prescribing and long-term hormone modulation.

Patients beginning care with HRT Doctors Group complete an initial telehealth consultation that includes medical history review, symptom assessment using validated questionnaires for androgen deficiency or menopausal symptoms, and discussion of treatment goals. Dr. Flottman reviews previous laboratory results if available or orders a comprehensive hormone panel through national laboratory networks with local draw sites in the patient's area. Once results confirm clinical hormone deficiency matching the patient's symptom profile, a treatment plan is developed with specific dosing, delivery method, and monitoring schedule. Prescriptions are transmitted to specialized compounding or retail pharmacies, and patients receive detailed administration instructions for their chosen delivery system. Follow-up consultations occur via secure video platform, allowing Dr. Flottman to assess symptomatic response, review interval laboratory results, and adjust protocols based on individual metabolism and therapeutic response.

The multi-state telehealth licensure distinguishes HRT Doctors Group from single-state practices, providing continuity for patients who relocate or travel extensively for work. The Jacksonville headquarters coordinates all laboratory ordering, prescription management, and patient communication through a centralized system designed for remote care delivery. This operational structure allows the practice to maintain consistent protocols across its service area while adapting to individual state regulations governing telemedicine and controlled substance prescribing. For patients in Florida and the 37 additional states where the clinic holds active medical licensure, this model provides access to physician-supervised hormone replacement without the delays and limitations of traditional referral-based endocrinology, which often involves months-long wait times for initial appointments and limited follow-up availability.