Frequently Asked Questions
Everything you need to know about our services, your first visit, and what to expect — answered by our clinical team.
Medically reviewed by Dr. Jamie Lynn Jaqua, MD · Board-Certified in Pediatrics & Pediatric Emergency Medicine · Vitality Texas
General
Vitality Texas is a physician-led clinic, not a wellness spa and not a telehealth prescribing service with a doctor's name on the paperwork. Dr. Jamie Lynn Jaqua, MD sees patients, reads their labs, and owns the treatment decisions. That distinction shapes most of the answers on this page: what we will prescribe, what we will not, and where we stop and refer you elsewhere.
Almost everything we treat is a long-term relationship rather than a single visit. Hormone therapy, GLP-1 weight management and growth hormone peptides all require baseline labs, dose adjustment over weeks to months, and repeat monitoring. If you are looking for a one-off prescription with no follow-up, we are the wrong clinic. If you want a physician who will retest and change course when the numbers say so, read on.
Testosterone Replacement Therapy (TRT)
Testosterone replacement is the most consequential thing we prescribe, and the questions below reflect that. Two points frame everything else. First, a symptom list is not a diagnosis — fatigue, low libido and brain fog have a long differential that includes sleep apnea, depression, thyroid disease, anemia, iron deficiency and simple sleep deprivation. Treating a normal testosterone level will not fix any of those, so we test before we treat and we investigate low results rather than just replacing them.
Second, TRT is a commitment with real trade-offs. It suppresses your own production while you are on it, it can raise hematocrit, and it can reduce sperm count. None of that makes it a bad treatment — it makes it a treatment that needs monitoring. Dr. Jaqua treats with injectable testosterone cypionate only, at physiological doses, with repeat labs. If your goal is performance enhancement rather than correcting a documented deficiency, we are not the clinic for that.
Medical Weight Loss
GLP-1 medications are the most effective pharmacological weight loss tools available, and also the most oversold. What they do reliably is reduce appetite and food preoccupation, which makes a calorie deficit sustainable in a way willpower alone rarely is. What they do not do is change body composition on their own, protect lean mass, or hold weight off after you stop. Most weight lost is regained within a year of discontinuing, which is why we treat this as ongoing metabolic care rather than a course of injections.
One regulatory point matters before you read further: the compounded semaglutide and tirzepatide we prescribe are preparations made by licensed 503A compounding pharmacies for an individual patient. They are not generic versions of Ozempic, Wegovy, Mounjaro or Zepbound, they have not been through FDA review, and they are not FDA-approved. Any clinic describing a compounded GLP-1 as generic or FDA-approved is telling you something untrue.
HGH Peptide Therapy
Every peptide on our menu is prescribed off-label. None of them holds FDA approval for the uses described here, they are compounded by licensed 503A pharmacies, and the long-term safety data in healthy adults using them for age-related decline is limited. Off-label prescribing is lawful and routine in American medicine, but you are entitled to know which category a medication sits in before you agree to it, so we say it plainly rather than in the footnotes.
The effect size is also worth setting expectations on. Growth hormone secretagogues like Sermorelin and CJC-1295/Ipamorelin work by signalling your pituitary rather than injecting growth hormone directly, so the response stays within physiological range and remains subject to your own feedback control. That is the safety advantage — and the reason results are more modest than growth hormone marketing implies. Improved sleep quality and recovery are the most consistently reported changes. Dramatic body recomposition is not.
IV Therapy & Injectable Vitamins
IV therapy is the service most likely to be oversold in this industry, so here is our position. Where IV genuinely beats oral is fluid volume when the gut is not cooperating, and micronutrient delivery when you are actually deficient or when oral absorption is capped. Where the evidence thins out is IV micronutrient infusions in healthy, non-deficient adults — the trial data is limited, and surplus water-soluble vitamin is largely excreted. When patients feel markedly better after a drip, rehydration is usually the most plausible explanation.
A liter of IV fluid is also a real physiological intervention rather than a wellness accessory. In heart failure, chronic kidney disease, cirrhosis with fluid retention or any history of fluid overload, the volume itself carries risk, and those patients need clearance before booking. Every infusion here is ordered and supervised by a physician for that reason. Nothing on our IV menu detoxes anything — your liver and kidneys do that — and we will not tell you otherwise.
Still Have Questions?
Our team is happy to answer anything we didn't cover here. Book a free consultation or give us a call.
This page is for general information and does not constitute medical advice. Compounded semaglutide and tirzepatide are not FDA-approved, and the peptides described here are prescribed off-label at the physician's discretion following individual evaluation. Nothing here replaces a consultation, and none of it is a substitute for emergency care.
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