Question 1

Do I need a referral to become a patient?

Accepted Answer

No, a referral is not required to schedule a consultation at Monarch Lifestyle Medicine. You can book directly with us through our online scheduling system or by calling our Rochester Hills office.

Question 2

Do you accept insurance?

Accepted Answer

Monarch Lifestyle Medicine operates as a direct-pay, concierge-style clinic. We do not process insurance directly. However, we can provide you with an itemized receipt (superbill) that you may submit to your insurance provider for potential out-of-network reimbursement. HSA and FSA funds are accepted for most treatments.

Question 3

Where is Monarch Lifestyle Medicine located?

Accepted Answer

Our private clinic is located at 1555 E South Blvd, Suite 340, Rochester Hills, MI 48307. We serve patients from across Metro Detroit, including Troy, Birmingham, Bloomfield Hills, Royal Oak, and Macomb County. Learn more about our service areas.

Question 4

What should I expect during my first consultation?

Accepted Answer

Your initial consultation involves a comprehensive review of your medical history, symptoms, and health goals with one of our board-certified surgeons. We will likely recommend specific diagnostic labs to establish your baseline before designing a personalized treatment plan. The visit typically lasts 45-60 minutes in a private, comfortable setting.

Question 5

How often will I need to visit the clinic?

Accepted Answer

Visit frequency depends on your specific treatment plan. Some therapies require weekly visits, while others, like hormone pellet therapy, may only require a visit every 3-4 months. We also offer telemedicine options for routine follow-ups to minimize travel for patients across Metro Detroit.

Question 6

What makes Monarch different from other wellness clinics in Detroit?

Accepted Answer

Monarch is led by board-certified surgeons — Dr. Hadi Khazaal, MD, and Dr. Hassan Nasser, MD. We do not use generic, one-size-fits-all protocols. Every treatment is data-driven, based on comprehensive diagnostics, and delivered in a private, elevated clinic environment. Meet our team to learn more about our physician-led approach.

Question 7

Are your treatments only for men?

Accepted Answer

No. While we have specialized programs for men's health, we also offer comprehensive wellness optimization, hormone balancing, and weight management programs for women. Explore our Monarch for Her page to learn about women's hormone optimization and wellness services.

Question 8

Do you offer telemedicine or virtual consultations?

Accepted Answer

Yes, we offer telemedicine options for routine follow-ups and certain consultations. This is especially convenient for patients who live farther from our Rochester Hills clinic. Your initial consultation is typically in-person to ensure a thorough physical assessment and lab work.

Question 9

How much do treatments cost at Monarch Lifestyle Medicine?

Accepted Answer

Treatment costs vary depending on the therapy and your personalized protocol. Because we operate as a direct-pay clinic, pricing is transparent with no hidden fees. During your consultation, your physician will provide a clear breakdown of costs for your recommended treatment plan before you commit to anything.

Question 10

Can I combine multiple treatments into one protocol?

Accepted Answer

Absolutely. Many of our patients benefit from combining therapies — for example, hormone optimization with medical weight loss, or PRP hair restoration with topical medications. Our physicians design integrated protocols tailored to your goals. You can build your own protocol to get started.

Question 11

What is testosterone replacement therapy (TRT)?

Accepted Answer

Testosterone Replacement Therapy (TRT) is a physician-supervised treatment that restores testosterone to optimal levels in men with low testosterone (hypogonadism). At Monarch, TRT is prescribed only after comprehensive lab testing and is monitored regularly to ensure safety and effectiveness. Learn more about our testosterone replacement therapy program.

Question 12

How long does it take to see results from hormone therapy (TRT)?

Accepted Answer

While individual results vary, many patients report improvements in energy, mood, and sleep within the first 3-4 weeks. Physical changes, such as increased muscle mass and decreased body fat, typically become more noticeable after 3-6 months of consistent therapy. Full optimization may take 6-12 months.

Question 13

What are the symptoms of low testosterone?

Accepted Answer

Common symptoms of low testosterone include fatigue, low sex drive, erectile dysfunction, loss of muscle mass, increased body fat, mood changes, poor sleep, and difficulty concentrating. If you're experiencing these symptoms, comprehensive lab testing can determine if hormone optimization is right for you. Take our hormone therapy quiz to learn more.

Question 14

How does hormone therapy affect fertility?

Accepted Answer

Exogenous testosterone can suppress natural production of LH and FSH, which may reduce sperm production. At Monarch, we evaluate your reproductive goals before starting treatment and offer fertility preservation planning. This includes comprehensive reproductive hormone labs and individualized care planning. Learn more about fertility preservation at Monarch.

Question 15

Is TRT safe long-term?

Accepted Answer

When prescribed and monitored by a physician, TRT is generally safe for long-term use. At Monarch, we monitor your bloodwork, hematocrit, and prostate health regularly to ensure your therapy remains safe and effective. Our board-certified surgeons adjust your protocol based on real data — not guesswork.

Question 16

Will TRT cause hair loss?

Accepted Answer

TRT itself does not directly cause hair loss, but testosterone can be converted to DHT (dihydrotestosterone), which may accelerate hair thinning in genetically predisposed men. If this is a concern, our physicians can adjust your protocol and offer hair restoration options like PRP therapy or medical topical therapy to protect your hair.

Question 17

Do you offer hormone therapy for women?

Accepted Answer

Yes. We offer hormone optimization for women, including bioidentical hormone therapy to address estrogen, progesterone, and testosterone imbalances. This can help with menopause symptoms, fatigue, low libido, and weight management. Visit our Monarch for Her page for details.

Question 18

What lab tests are required before starting TRT?

Accepted Answer

Before starting TRT, we require a comprehensive hormone panel including total and free testosterone, estradiol, DHT, DHEA, LH, FSH, SHBG, CBC, lipid panel, CMP, and PSA. This establishes your baseline and helps us identify any underlying conditions that need to be addressed. Learn more about our testosterone replacement therapy program.

Question 19

Can TRT improve sleep quality?

Accepted Answer

Yes. Low testosterone is associated with poor sleep quality and reduced REM sleep. Many patients report improved sleep within the first few weeks of TRT. However, if sleep apnea is a concern, we screen for it before and during therapy, as TRT can sometimes exacerbate it. Take our hormone therapy quiz to learn more.

Question 20

Is medical weight loss safe?

Accepted Answer

Yes, our medical weight loss programs are entirely physician-supervised. We utilize FDA-approved medications (like GLP-1 receptor agonists including semaglutide and tirzepatide) in combination with metabolic tracking and lifestyle guidance to ensure safe, sustainable results. Every protocol is tailored to your health profile.

Question 21

What is semaglutide and how does it work for weight loss?

Accepted Answer

Semaglutide is an FDA-approved GLP-1 receptor agonist that reduces appetite, slows gastric emptying, and helps regulate blood sugar. In clinical trials, patients lost an average of 15% of their body weight over 68 weeks. Learn more about our medical weight loss program to see if semaglutide is right for you.

Question 22

What is the difference between semaglutide and tirzepatide?

Accepted Answer

Semaglutide targets the GLP-1 receptor, while tirzepatide targets both GLP-1 and GIP receptors, providing a dual mechanism for appetite suppression and metabolic regulation. Tirzepatide has shown slightly higher average weight loss in clinical trials. Our physicians will recommend the best option based on your health profile and goals.

Question 23

How much weight can I lose with medical weight loss?

Accepted Answer

Results vary by individual, but patients on GLP-1 medications typically lose 10-20% of their body weight over 6-12 months when combined with lifestyle modifications. Your physician will set realistic expectations based on your starting weight, metabolic health, and commitment to the program.

Question 24

Do I have to stay on weight loss medication forever?

Accepted Answer

Not necessarily. The duration of medication depends on your goals and how your body responds. Some patients use medication short-term to reach a target weight, then transition to maintenance strategies. Your physician will work with you to develop a sustainable long-term plan.

Question 25

Is medical weight loss covered by insurance?

Accepted Answer

Monarch operates as a direct-pay clinic, so we do not bill insurance directly. However, we provide superbills you can submit for potential out-of-network reimbursement, and HSA/FSA funds can be used for most weight loss treatments. Pricing is transparent and discussed during your consultation.

Question 26

What happens if I stop taking GLP-1 medications?

Accepted Answer

If you stop GLP-1 medications without a maintenance plan, appetite may return to pre-treatment levels. That's why our program includes lifestyle guidance, metabolic monitoring, and a transition plan to help you maintain results long-term. We focus on sustainable habits, not just medication.

Question 27

Are there side effects from GLP-1 medications?

Accepted Answer

Common side effects include nausea, constipation, diarrhea, and reduced appetite, typically most pronounced during the first few weeks and dose escalations. These are generally mild and resolve as your body adjusts. Our physicians monitor you closely and adjust dosing to minimize side effects. Learn more about our medical weight loss program.

Question 28

What is the difference between PRP and Exosome therapy for hair loss?

Accepted Answer

PRP uses growth factors derived from your own blood to stimulate hair follicles. Exosome therapy uses lab-derived vesicles containing highly concentrated growth factors and RNA to promote healing and regeneration. Exosomes generally provide a stronger regenerative signal, but our physicians will recommend the best approach based on your specific condition. Compare PRP vs. exosome therapy in detail.

Question 29

Is PRP hair restoration painful?

Accepted Answer

Most patients report minimal discomfort. We apply a topical numbing agent before the procedure, and the microneedling and PRP injections are well-tolerated. The entire session takes about 45-60 minutes with no downtime — you can return to normal activities the same day. Learn more about PRP hair restoration.

Question 30

How many PRP sessions will I need for hair growth?

Accepted Answer

A typical PRP protocol involves 3-4 initial sessions spaced 4-6 weeks apart, followed by maintenance sessions every 6-12 months. Your physician will customize the schedule based on your degree of hair loss and response to treatment.

Question 31

Does scalp microneedling work for hair loss?

Accepted Answer

Yes. Scalp microneedling creates micro-channels in the scalp that stimulate collagen production and enhance the absorption of topical peptide therapies. When combined with growth factor serums, it can significantly improve hair density and follicle health. Learn about our scalp microneedling and peptide therapy program.

Question 32

What hair loss medications do you prescribe?

Accepted Answer

We offer physician-directed medical and topical therapy including finasteride, dutasteride, and minoxidil — all prescribed based on your lab work and hair loss pattern. These medications can be used alone or combined with PRP, exosomes, or microneedling for enhanced results. Explore our medical and topical therapy options.

Question 33

Are hair restoration treatments covered by insurance?

Accepted Answer

Hair restoration is typically considered a cosmetic procedure and is not covered by insurance. However, HSA and FSA funds can often be used. We provide transparent pricing during your consultation so you know the cost upfront.

Question 34

Can exosome therapy regrow hair in completely bald areas?

Accepted Answer

Exosome therapy is most effective for areas with existing but weakened follicles. For completely bald areas where follicles are no longer viable, results may be limited. Our physicians assess your scalp during consultation to determine if you're a good candidate. Compare exosome therapy vs. PRP.

Question 35

How does finasteride work for hair loss?

Accepted Answer

Finasteride works by inhibiting 5-alpha-reductase, the enzyme that converts testosterone to DHT. By reducing DHT levels, finasteride slows hair loss and can promote regrowth in men with androgenetic alopecia. It is FDA-approved for male pattern hair loss. Explore our medical and topical therapy options.

Question 36

What treatments do you offer for erectile dysfunction?

Accepted Answer

We offer a comprehensive range of ED treatments including oral medications (tadalafil/sildenafil), the P-Shot (PRP therapy), shockwave therapy, and hormone optimization. Your physician will determine the best approach based on the root cause — whether vascular, hormonal, or neurological. Explore our erectile dysfunction treatment options.

Question 37

What is the P-Shot and how does it work?

Accepted Answer

The P-Shot (Priapus Shot) uses platelet-rich plasma from your own blood to stimulate tissue repair, new blood vessel growth, and nerve regeneration in penile tissue. It's a regenerative approach that addresses the root cause of ED rather than just treating symptoms. Learn more about the P-Shot at Monarch.

Question 38

Does shockwave therapy work for erectile dysfunction?

Accepted Answer

Yes. Low-intensity shockwave therapy (LI-SWT) stimulates angiogenesis — the formation of new blood vessels — in penile tissue, improving blood flow and erectile function. It's a non-invasive, drug-free option that can provide long-lasting results. Read about our shockwave therapy program for ED.

Question 39

What causes low libido in men?

Accepted Answer

Low libido can be caused by hormonal imbalances (especially low testosterone), stress, poor sleep, depression, certain medications, metabolic issues, and relationship factors. Our physicians identify the root cause through comprehensive lab testing before recommending treatment. Learn about our low libido treatment options.

Question 40

Can hormone therapy improve sexual performance?

Accepted Answer

Yes. If low testosterone is contributing to sexual dysfunction, hormone optimization can significantly improve libido, erectile quality, and overall sexual performance. Many patients see improvements within 3-4 weeks of starting therapy. Explore our hormone therapy for men program.

Question 41

Are ED medications like tadalafil safe?

Accepted Answer

When prescribed and monitored by a physician, PDE5 inhibitors like tadalafil and sildenafil are generally safe. Our physicians review your medical history and current medications to ensure there are no contraindications before prescribing. We also offer non-medication alternatives like shockwave therapy and the P-Shot.

Question 42

How long do P-Shot results last?

Accepted Answer

P-Shot results vary by individual. Many patients experience improvements for 12-18 months after a treatment series. Some patients benefit from annual maintenance treatments. Your physician will discuss expected outcomes based on your specific condition. Learn more about the P-Shot at Monarch.

Question 43

Can shockwave therapy be combined with other ED treatments?

Accepted Answer

Yes. Shockwave therapy works synergistically with PDE5 inhibitors, the P-Shot, and hormone optimization. Many patients achieve the best results by combining therapies that address different aspects of erectile function. Your physician will design a protocol that may include multiple approaches. Explore our erectile dysfunction treatment options.

Question 44

What is regenerative therapy?

Accepted Answer

Regenerative therapy uses the body's natural healing mechanisms — like growth factors, stem cells, and exosomes — to repair damaged tissue, reduce inflammation, and promote recovery. At Monarch, we offer PRP, exosome therapy, and focused shockwave therapy (DUOLITH) for joint pain, athletic recovery, and sexual wellness. Explore our regenerative therapy services.

Question 45

What is the DUOLITH focused shockwave system?

Accepted Answer

The DUOLITH SD1 is an advanced focused shockwave system that delivers precise acoustic waves to targeted tissue, stimulating cellular repair, blood vessel formation, and collagen production. It's used for ED treatment, joint pain, and musculoskeletal recovery. Learn more about DUOLITH focused shockwave therapy at Monarch.

Question 46

Is exosome therapy safe?

Accepted Answer

Exosome therapy uses lab-purified extracellular vesicles that are rigorously tested for safety and purity. Because exosomes are acellular (they don't contain live cells), the risk of immune rejection is very low. Our physicians follow strict protocols to ensure safe, effective treatment. Compare exosome therapy vs. PRP.

Question 47

Can regenerative therapy help with joint pain?

Accepted Answer

Yes. Regenerative therapies like PRP and exosomes can reduce inflammation, promote cartilage repair, and improve joint function for conditions like osteoarthritis, tendon injuries, and sports-related wear. Many athletes use regenerative therapy to speed recovery and avoid surgery. Read about regenerative medicine for joint pain.

Question 48

How long do regenerative therapy results last?

Accepted Answer

Results vary by condition and individual. Many patients experience improvement for 6-12 months after a single treatment series, with maintenance sessions recommended as needed. Your physician will set realistic expectations based on your specific condition and treatment plan.

Question 49

Is focused shockwave therapy painful?

Accepted Answer

Most patients tolerate focused shockwave therapy well. You may feel a mild pulsing sensation during treatment. For sensitive areas, we can adjust the energy level. Sessions are typically 15-20 minutes with no downtime. Learn more about DUOLITH focused shockwave therapy at Monarch.

Question 50

How does PRP compare to cortisone injections for joint pain?

Accepted Answer

Cortisone provides rapid but temporary anti-inflammatory relief and can degrade cartilage with repeated use. PRP promotes actual tissue repair and has longer-lasting results. For chronic joint conditions, our physicians often recommend PRP over repeated cortisone injections. Explore our regenerative therapy services.

Question 51

Who is a good candidate for regenerative therapy?

Accepted Answer

Good candidates include patients with osteoarthritis, tendon injuries, chronic inflammation, sports injuries, or those seeking alternatives to surgery. A consultation with our physicians will determine if regenerative therapy is appropriate for your specific condition. Read about regenerative medicine for joint pain.

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Specialties

Clinic

Connect

Specialties

Clinic

Connect

Patient Information

Frequently Asked Questions

ClinicDo I need a referral to become a patient?

ClinicDo you accept insurance?

ClinicWhere is Monarch Lifestyle Medicine located?

ClinicWhat should I expect during my first consultation?

ClinicHow often will I need to visit the clinic?

ClinicWhat makes Monarch different from other wellness clinics in Detroit?

ClinicAre your treatments only for men?

ClinicDo you offer telemedicine or virtual consultations?

ClinicHow much do treatments cost at Monarch Lifestyle Medicine?

ClinicCan I combine multiple treatments into one protocol?

HormoneWhat is testosterone replacement therapy (TRT)?

HormoneHow long does it take to see results from hormone therapy (TRT)?

HormoneWhat are the symptoms of low testosterone?

HormoneHow does hormone therapy affect fertility?

HormoneIs TRT safe long-term?

HormoneWill TRT cause hair loss?

HormoneDo you offer hormone therapy for women?

HormoneWhat lab tests are required before starting TRT?

HormoneCan TRT improve sleep quality?

MedicalIs medical weight loss safe?

MedicalWhat is semaglutide and how does it work for weight loss?

MedicalWhat is the difference between semaglutide and tirzepatide?

MedicalHow much weight can I lose with medical weight loss?

MedicalDo I have to stay on weight loss medication forever?

MedicalIs medical weight loss covered by insurance?

MedicalWhat happens if I stop taking GLP-1 medications?

MedicalAre there side effects from GLP-1 medications?

HairWhat is the difference between PRP and Exosome therapy for hair loss?

HairIs PRP hair restoration painful?

HairHow many PRP sessions will I need for hair growth?

HairDoes scalp microneedling work for hair loss?

HairWhat hair loss medications do you prescribe?

HairAre hair restoration treatments covered by insurance?

HairCan exosome therapy regrow hair in completely bald areas?

HairHow does finasteride work for hair loss?

SexualWhat treatments do you offer for erectile dysfunction?

SexualWhat is the P-Shot and how does it work?

SexualDoes shockwave therapy work for erectile dysfunction?

SexualWhat causes low libido in men?

SexualCan hormone therapy improve sexual performance?

SexualAre ED medications like tadalafil safe?

SexualHow long do P-Shot results last?

SexualCan shockwave therapy be combined with other ED treatments?

RegenerativeWhat is regenerative therapy?

RegenerativeWhat is the DUOLITH focused shockwave system?

RegenerativeIs exosome therapy safe?

RegenerativeCan regenerative therapy help with joint pain?

RegenerativeHow long do regenerative therapy results last?

RegenerativeIs focused shockwave therapy painful?

RegenerativeHow does PRP compare to cortisone injections for joint pain?

RegenerativeWho is a good candidate for regenerative therapy?

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