Physician-led protocols in peptide therapy, bioidentical hormones, pellet therapy, and regenerative medicine, grounded in advanced diagnostics and built to extend your healthspan and restore peak function. This is concierge-level specialty care, unconstrained by insurance limitations, serving Boise, Meridian, Eagle, and the Treasure Valley.
Most medicine waits for disease. Specialty care at Functional Medicine of Idaho works upstream of it. Our providers use comprehensive lab testing, symptom mapping, and evidence-informed protocols to address the biological drivers of aging, fatigue, weight gain, hormonal decline, and slow recovery before they become diagnoses.
Whether you are an athlete chasing recovery, a professional fighting brain fog, or simply unwilling to accept "normal for your age" as an answer, this is medicine built around your goals.
Peptides are short chains of amino acids that act as signaling molecules in the body, directing processes like tissue repair, growth hormone release, metabolism, and inflammation regulation. Peptide therapy uses specific, medically supervised peptides to support these natural pathways, with protocols tailored to your labs, goals, and physiology.
Telehealth peptide brands ship vials after a five-minute questionnaire. FMI takes a different path. Every peptide protocol here begins with comprehensive lab work and a 45-minute specialty consultation, and continues with ongoing provider monitoring, dose titration, and integration with your hormones, nutrition, and metabolic health. You get a clinician who knows your full picture, sourced through licensed U.S. compounding pharmacies.
Peptide therapy is best suited for adults seeking support with recovery, body composition, sleep quality, metabolic health, or age-related decline, confirmed appropriate through lab work and provider evaluation. It is prescription medicine, and it deserves prescription-level oversight.
Sermorelin is a growth hormone releasing hormone (GHRH) analog that stimulates your pituitary gland to produce its own growth hormone, rather than injecting synthetic HGH directly. Patients pursue sermorelin therapy for deeper sleep, improved recovery, lean muscle support, and body composition changes. Because it works with your natural pulsatile rhythm, it is considered a more physiologic approach to growth hormone support.
Our physician-led weight loss programs use GLP-1 and GIP/GLP-1 receptor agonists alongside nutrition coaching, InBody composition tracking, and muscle preservation strategies. The goal is sustainable fat loss with protected lean mass, never crash weight loss. Learn more about our full medical weight loss program.
Additional peptide options are available based on your consultation, current regulatory availability, and your provider's clinical judgment. The peptide landscape changes quickly, and FMI only offers compounds that can be legally and safely prescribed through licensed pharmacies. Your provider will walk you through what fits your case during your consultation.
Bioidentical hormone replacement therapy uses hormones that are molecularly identical to the ones your body produces, including estradiol, progesterone, and testosterone. As natural production declines with age, perimenopause, menopause, or andropause, BHRT restores levels toward an optimal range so you can recover energy, mood stability, sleep quality, libido, cognitive sharpness, and metabolic function.
Perimenopause and menopause can bring hot flashes, night sweats, weight gain, brain fog, low libido, and sleep disruption. Many women are handed a single prescription and sent on their way. At FMI, your provider maps your full hormonal picture, including estrogen, progesterone, testosterone, thyroid, and cortisol, then builds a protocol matched to your biology and your stage of life. Women's BHRT at FMI can address perimenopause symptoms, menopause transition, low testosterone in women, thyroid dysfunction, and PCOS-related imbalance.
Fatigue, low drive, stubborn body fat, declining strength, and mental fog are common signs of low testosterone, and they are treatable. Our testosterone replacement therapy (TRT) programs go beyond a single total testosterone number. We evaluate free testosterone, estradiol, thyroid, DHEA, and metabolic markers, then build an optimization plan with ongoing labs and dose management. Delivery options include injections, creams, and pellet therapy.
Hormone pellets are small, rice-sized implants of bioidentical testosterone or estradiol placed just under the skin in a quick in-office procedure. The pellet releases a steady, low dose of hormone over roughly 3 to 5 months, avoiding the peaks and crashes some patients experience with weekly injections or daily creams.
No. Pellets are one delivery method among several, and the right choice depends on your labs, dosing needs, lifestyle, and how your body responds. Some patients do better with injections or creams, which allow faster dose adjustments. Your FMI provider will review the tradeoffs honestly and recommend the option that fits your physiology, never a one-size-fits-all answer.
After your labs confirm dosing, insertion takes about 15 minutes under local anesthetic, typically in the upper hip area. Most patients return to normal activity the same day, with brief restrictions on intense lower-body exercise while the site heals. Follow-up labs confirm your levels before the next insertion.
Platelet-rich plasma (PRP) therapy concentrates the growth factors in your own blood and delivers them directly to injured or overworked tissue, accelerating your body's natural repair process. FMI uses PRP to support recovery from joint pain, tendon and ligament injuries, chronic overuse conditions, and soft tissue damage in athletes and active patients alike. Because PRP uses your own biology, there are no synthetic drugs involved, and it pairs naturally with peptide protocols for a complete approach to recovery and performance. Your provider will determine candidacy during your specialty consultation.
The P-Shot and O-Shot use platelet-rich plasma drawn from your own blood to stimulate tissue regeneration and improve blood flow in targeted areas. For men, the P-Shot addresses erectile dysfunction and reduced sensation. For women, the O-Shot addresses decreased sensation, vaginal dryness, and mild urinary incontinence, often tied to hormonal shifts from perimenopause or menopause. The procedure takes about 30 minutes with minimal downtime, and results build gradually over several weeks as new tissue forms. Because PRP uses your own biology, there is no risk of allergic reaction or rejection, and it pairs well with hormone optimization for a complete approach to sexual health.
This is a true 360-degree evaluation, built to uncover the root drivers behind your symptoms and identify which advanced therapies will move the needle for your specific physiology.
Your Consultation Includes
Functional Medicine of Idaho has served the Treasure Valley since 2018 with clinics in Meridian, Boise, and Eagle. Our specialty care team includes functional medicine trained physicians, nurse practitioners, and physician assistants with deep experience in hormone optimization, peptide therapy, and metabolic medicine.
Dr. Mark Holthouse, MD, FAAFP, IFMCP
Specialty Provider
Heather Lucas, MSN, FNP-C
Specialty Provider
Best for getting started with provider-guided optimization
Annual Cost
Cash pay. Monthly payment plans available.
Contact us for more information.
Essentials Plan Includes
*Use within 18 months
Best for ongoing hormone, peptide, and performance protocols
Annual Cost
Cash pay. Monthly payment plans available.
Contact us for more information.
Elite Optimization Plan Includes
*Use within 24 months
Best for a full-body metabolic and detox reset with advanced diagnostics
Annual Cost
Cash pay. Monthly payment plans available.
Contact us for more information.
Premier Metabolic Plan Includes
*Use within 12 months
A longevity clinic is a medical practice focused on extending healthspan, the years you live in good health, rather than only treating disease after it appears. Longevity clinics use advanced lab testing, hormone optimization, peptide therapy, body composition analysis, and personalized protocols to slow biological aging and improve daily function.
Peptide therapy uses short chains of amino acids that act as signaling molecules to direct specific processes in the body, such as growth hormone release, tissue repair, and metabolism. Under medical supervision, peptides are prescribed and dosed based on your labs and goals, then monitored and adjusted by your provider over time.
BHRT uses hormones that are molecularly identical to those your body produces, while traditional HRT may use synthetic or animal-derived hormones with slightly different structures. Many patients and providers prefer bioidentical hormones because they mirror the body’s own chemistry. The right choice depends on your health history and should be made with a qualified provider.
Hormone pellets typically last 3 to 5 months depending on the hormone, your dose, and your metabolism. Women often need reinsertion around every 3 to 4 months and men around every 4 to 5 months, confirmed by follow-up lab work.
FMI Specialty Care operates as a cash-pay program, which allows longer visits and faster access to advanced therapies without insurance restrictions. Specialty plans are HSA/FSA eligible, and monthly payment plans are available. FMI also offers insurance-billed care through our primary care and hormone health programs.
The initial specialty consultation is $375 for a 45-minute, one-on-one evaluation with a specialty provider, including symptom mapping, a personalized strategy, and guidance on labs and advanced therapies.
Peptide therapy is generally well tolerated when prescribed by a licensed provider, dosed from licensed U.S. compounding pharmacies, and monitored with lab work. Safety depends on the specific peptide, sourcing, dosing, and oversight, which is why FMI requires a full consultation and labs before any peptide protocol.
Common signs include persistent fatigue, weight gain that resists diet and exercise, low libido, brain fog, poor sleep, mood changes, and loss of muscle or strength. Lab testing is the only way to confirm whether hormones are the driver, which is where your specialty consultation begins.
Most patients see initial improvement after one treatment, with full results developing over 4 to 6 weeks. Your provider may recommend a repeat treatment at 12 to 18 months to maintain results.
A topical numbing agent is applied before injection, so most patients report only mild discomfort. There is no downtime, and you can resume normal activity the same day.
Functional Medicine of Idaho serves the Treasure Valley with clinics in Meridian, Boise, and Eagle, Idaho. Telehealth visits are available for patients across Idaho, Oregon, Washington, and Utah.
FMI's specialty and longevity care is delivered in person at our Meridian, Boise, and Eagle clinics, with telehealth available across Idaho, Oregon, Washington, and Utah. If you have been searching for a longevity clinic near you, peptide therapy in Boise, or hormone pellet therapy in the Treasure Valley, your first step is a specialty consultation with our team.
Radical optimization, exceptional longevity, and a provider team that treats your goals as the treatment plan. Your journey starts with one consultation.
