Male Excel operates as a telehealth-focused men's health clinic serving patients throughout North Carolina from its Charlotte base, with Dr. Peter Fotinos leading clinical protocols for hormone optimization and sexual health restoration. The practice concentrates specifically on testosterone replacement therapy and erectile dysfunction treatment, delivering care through virtual consultations that eliminate the need for in-person office visits while maintaining rigorous monitoring standards. This model allows men across the state to access specialized hormone therapy without geographic limitations, with prescription fulfillment coordinated through partnered pharmacies and regular follow-up conducted via secure video platforms.
The testosterone replacement therapy programs at Male Excel utilize multiple delivery methods including subcutaneous injections, topical gels, and transdermal creams, with treatment protocols individualized based on baseline hormone panels, symptom profiles, and patient preference. Dr. Fotinos evaluates candidates through comprehensive metabolic panels that assess total testosterone, free testosterone, estradiol, SHBG, thyroid function, and lipid markers before initiating therapy. For erectile dysfunction management, the clinic prescribes oral PDE5 inhibitors, evaluates vascular health factors, and addresses underlying hormonal deficiencies that may contribute to sexual dysfunction. Treatment plans incorporate cardiovascular risk assessment and prostate monitoring through PSA testing, following established safety protocols for long-term androgen therapy.
Dr. Peter Fotinos brings clinical experience in hormone replacement and men's health optimization to the Male Excel practice model, overseeing patient care through structured telehealth protocols. The virtual consultation format includes initial video assessments lasting 30-45 minutes where providers review symptoms, medical history, current medications, and treatment goals. Patients complete laboratory testing at local draw stations with results reviewed before finalizing treatment recommendations. Follow-up appointments occur at 6-week intervals initially, then quarterly once stable dosing is achieved, with providers adjusting protocols based on symptom response and follow-up lab values. This approach maintains clinical oversight while offering scheduling flexibility for working professionals.
Patients beginning treatment with Male Excel can expect an onboarding process that starts with online intake forms, progresses to laboratory testing orders, and culminates in a telehealth consultation to review results and discuss treatment options. The clinic provides detailed injection training videos for patients choosing self-administered testosterone, along with written protocols for dosing schedules and injection technique. Prescription medications ship directly to patient addresses, with the clinic coordinating refills based on treatment timelines. Monitoring includes symptom tracking through patient portals, scheduled lab work every 3-6 months depending on treatment phase, and dose adjustments made collaboratively between patient and provider based on both subjective improvements and objective markers.
The telehealth delivery model distinguishes Male Excel within the Charlotte men's health landscape, removing barriers related to clinic hours, commute time, and scheduling constraints that often prevent men from seeking hormone therapy. The practice accepts patients throughout North Carolina, with some protocols available to out-of-state residents depending on licensing and regulatory requirements. By focusing exclusively on testosterone optimization and erectile dysfunction rather than offering broad primary care services, the clinic maintains specialized expertise in androgen therapy management, including addressing common complications like estrogen elevation, hematocrit increases, and fertility preservation concerns. This narrow clinical focus allows for streamlined care pathways and provider familiarity with the nuanced adjustments required for successful long-term hormone replacement outcomes.
Dr. Peter Fotinos
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