Optimal Bio

Optimal Bio has served the Greenville, SC community since 2012 under the medical direction of Dr. Greg Brannon, a board-certified obstetrician-gynecologist (FACOG) who transitioned his practice focus to hormone optimization and preventative medicine. The clinic operates from its Greenville location with a clinical model centered on comprehensive laboratory assessment and individualized bioidentical hormone replacement therapy protocols for both men and women experiencing symptoms of hormonal decline or imbalance.

The clinic's treatment approach begins with detailed hormone panels that measure total and free testosterone, estradiol, progesterone, thyroid function (TSH, Free T3, Free T4), DHEA-S, and cortisol levels to establish baseline hormonal status. Dr. Brannon prescribes bioidentical hormones in multiple delivery systems including subcutaneous pellet implants, topical creams, sublingual troches, and injectable formulations depending on patient preference and clinical indication. For men presenting with low testosterone symptoms such as fatigue, decreased libido, or loss of muscle mass, the clinic offers testosterone replacement via pellets or injections with monitoring protocols that include hematocrit, PSA, and estradiol conversion markers. Women experiencing perimenopausal or postmenopausal symptoms receive individualized combinations of bioidentical estradiol, progesterone, and testosterone tailored to symptom relief and metabolic goals. The clinic also addresses thyroid dysfunction with both synthetic and natural desiccated thyroid preparations when laboratory findings and clinical presentation warrant intervention.

Dr. Brannon's background as a practicing obstetrician-gynecologist for over two decades informs his understanding of female hormonal physiology across the lifespan, while his additional training in functional and regenerative medicine allows him to address male hormone optimization and age-related hormonal decline in both sexes. The clinic's medical team conducts in-person consultations at the Greenville office, where initial appointments typically include a comprehensive health history, physical examination, and discussion of symptoms in relation to laboratory findings. Follow-up visits occur at intervals determined by treatment modality—pellet patients typically return every 3-4 months for reimplantation, while patients on topical or oral hormones may have more frequent monitoring during dose optimization phases.

Patients at Optimal Bio can expect a structured treatment timeline that begins with an initial consultation and laboratory draw, followed by a results review appointment where Dr. Brannon presents findings and discusses treatment options. The clinic utilizes both national reference laboratories and specialized hormone testing companies to ensure accurate measurement of hormone metabolites and free hormone fractions. For pellet insertion procedures, patients receive local anesthesia and the subcutaneous implant is placed in the gluteal fat pad during a brief in-office procedure. The clinic provides specific pre- and post-procedure instructions, including activity restrictions for 48-72 hours following pellet placement to ensure proper integration. Patients report symptom improvement timelines ranging from 2-4 weeks for pellet therapy and 4-8 weeks for topical preparations as hormone levels stabilize.

Optimal Bio operates exclusively through in-person visits at its Greenville location, requiring patients to schedule appointments for consultations, laboratory review, and pellet procedures. The clinic does not currently offer telehealth services, maintaining a practice model that emphasizes hands-on assessment and in-office procedures. This approach allows Dr. Brannon to perform physical examinations, conduct pellet insertions, and review laboratory data face-to-face with patients. The clinic's longevity in the Greenville market since 2012 reflects an established patient base and consistent clinical protocols, with the practice focusing specifically on hormone optimization rather than expanding into broader functional medicine services. Patients seeking hormone replacement therapy in the Upstate South Carolina region have access to a clinic with over a decade of specialized experience in bioidentical hormone protocols under the direction of a physician with formal obstetrics and gynecology training.