Cary, North Carolina
If you’re tired of being told your labs are normal when you know something is off, we can help.
Address
115 Kildaire Park Drive, Suite 301
Cary, NC 27518
Providers
Misty Khandjian, MPAS, PA-C
Rachel Burch, PA
Lisa Marks, NP
Hours
Mon-Thurs: 9 am – 5 pm
Fri: 9 am – 3 pm
Please note: The office is closed for lunch from 12 – 1 pm Monday through Thursday and 12:30 – 1 pm on Friday.
Lab Hours (Walk-In Only)
Monday: 9 am – 4:30 pm
Tuesday: 9 am – 4:30 pm
Wednesday: no lab hours
Thursday: 9 am – 4:30 pm
Friday: 9 am – 2:30 pm
Please note: The office is closed for lunch from 12 – 1 pm Monday through Thursday and 12:30 – 1 pm on Friday.
Are you a new patient? Call to speak to a Patient Coordinator: 919-977-3231
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
Meet Your Providers
Misty Khandjian
Physician Assistant, Cary
Rachel Burch
Physician Assistant, Cary
Lisa Marks
Nurse Practitioner, Cary
Misty Khandjian, MPAS, PA-C
Misty Khandjian is originally from Georgia and moved to Florida to complete both her undergraduate and graduate education. She has a background in women’s health and experience caring for women across all life stages, with a focus on individualized care and long-term wellness. She received her training from Florida State University and is especially passionate about hormone optimization and the role it plays in energy, mood, and overall health. Misty values building meaningful relationships with her patients and helping them feel confident in their care. Outside of the clinic, Misty enjoys staying active, spending time with her husband and their dog, and participating in outdoor activities, all while living a healthy, balanced lifestyle. She is excited to be part of the Optimal Bio team and to support patients in achieving their wellness goals.
Lisa Marks, NP
Lisa, NP obtained a Bachelors of Science in Nursing at UNC Wilmington and obtained her Master's Degree at Duke University. She has been in the medical field for over 25 years with her primary focus being in Cardiothoracic Surgery and Cardiology. Prior to Optimal Bio, she worked in a hospital setting for many years. She has a true passion for helping others find the tools needed to improve their overall health and well-being. In her spare time, she likes to work out, spend time with loved ones (including her fur babies) and get outside and enjoy nature.
We Don't Treat
Lab Ranges. We Treat You.
Most of our patients come to us feeling exhausted, foggy, and frustrated, struggling with disrupted sleep, low libido, weight changes, and mood shifts, often after seeing other providers and still not feeling better. That’s why the approach to hormone health matters.
At Optimal Bio, we specialize in bioidentical hormone replacement therapy (BHRT) for men and women. Every patient starts with a comprehensive blood panel, not to see if you fall within normal ranges, but to understand where your hormones actually need to be for you to feel optimal. Your treatment plan is built around your labs, your symptoms, and your goals.
Normal isn’t optimal. You don’t have to settle for feeling like a stranger in your own body when you could feel like yourself again. Call today to request a consultation.
All Natural Solutions
Bioidentical hormones are molecularly identical to the ones your body already makes. Delivered through pellet therapy, they release steadily over time — no daily pills, no peaks and crashes. Just the way your body was designed to work.
Individualized Care
No two bodies are the same. We start with comprehensive lab work — well beyond a standard panel — then build a care plan around your optimal ranges, not a generic chart. Because what's normal for the general population isn't optimal for you.
Treat Symptoms at the Root
Fatigue, brain fog, weight gain, low libido, poor sleep — these aren't problems to mask with another prescription. They're signals. By restoring your hormones to optimal levels, we resolve symptoms at the source.
Bring Your Hormones – and Your Life – Back into Balance.
If you’re interested in receiving care at Optimal Bio, start by completing the inquiry form on our contact page to connect with a team member and further explore your fit for treatment.