Hormone Therapy
Made For You
We believe your symptoms are real, your well-being matters, and that you deserve evidence-based treatments as individual as you are.
Tylar Brannon
Tylar Brannon grew up in Cary, North Carolina and attended NC State University for her undergraduate degree. It was during this time that she realized she enjoyed helping businesses grow and decided to further her education at the University of South Carolina School of Law, receiving JD/MBA dual degrees to set her up to do just that.
After grad school, Tylar moved to DC for a few years and was eventually called home to help the then budding business of Optimal Bio. She worked to create processes, organize the business, build a brand and team, and ultimately make life easier for the staff, vendors, and most importantly the patients. It didn’t take her long to realize that running this business was her passion.
Since becoming CEO in 2018, she has expanded Optimal Bio across the Southeast and Texas, opening nine locations with a tenth on its way.
Dr. Cary Fishburne
Dr. Cary Fishburne is a Urogynecologist and OB/GYN physician, who graduated from medical school at the University of Virginia, and trained at the University of Vermont and Carolinas Medical Center. He practiced medicine in the Navy, and then in private practice in North Carolina and South Carolina. He believes in compassionate and personalized care to best meet the individual needs and goals of our patients.
The health transformation
you’ve been searching for starts here.
Get in touch with our team to take the first step toward lasting wellness.
Jessica Oppel
Nurse Practitioner APRN, Palm Beach Gardens
Sabrina Kelley
Nurse Practitioner, 30A
Andrea Young
Physician Assistant, Charlotte
Misty Khandjian
Physician Assistant, Cary
Clara Huerkamp
Physician Assistant, Charleston
Rachel Burch
Physician Assistant, Cary
Irene Burns
Physician Assistant, Pinehurst
Tanya Nix
Nurse Practitioner, Greenville
Brit Duer
Registered Dietitian
Lisa Marks
Nurse Practitioner, Cary
Candi Brown
Nurse Practitioner, Wilmington
Kelsey Martin
Nurse Practitioner, Austin
Christian Davis
Nurse Practitioner, Charlottesville
Allie Thompson
Director of Practice Operations
Sarah Beaman
Senior Business Development Manager
Your path back to feeling like yourself.
Three simple steps. One clear plan. Built around you.
1. Schedule Your Consultation
It starts with a 15-minute call with a Patient Coordinator, followed by a 30-minute consultation with your provider. We'll dig into your symptoms, history, and goals, then walk you through how your hormones connect to everything you've been feeling. No pressure, just a conversation about you.
2. Get a Complete Hormone Evaluation & Personalized Plan
We run comprehensive lab work, then within about a week, we sit down with you to review the results and explain exactly what's happening in your body. You'll leave with a clear, individualized treatment plan built around your optimal ranges — and in most cases, your first pellet placement happens at this same visit.
3. Start Feeling Like Yourself Again
Most patients feel the difference within a few weeks. At the four-week mark, we'll meet again to check your levels, fine-tune your plan, and talk through what's next — including nutrition, fitness, and supplement support to keep you thriving long-term. We're not a one-visit fix. We're your care partner for the long haul.
Women typically receive pellets every 3–4 months and men every 4–6 months to maintain optimal hormone balance.
Not quite ready for a consultation?
Talk to a Patient Coordinator and get your questions answered.
Call today: (919) 977-3231