Fuel by Design

Wellness + Weight Loss Support in Warren, OH

Lab-guided protocols for energy, body composition, recovery, and long-term performance—built for high-performing adults 35–60.

Our Services

Male TRT Optimization

Men 35–60 experiencing fatigue, weight gain, low drive, cognitive decline. Testosterone is a key hormone that influences how men feel and perform, physically, mentally, and sexually.

Female BHRT

(Perimenopause & Menopause) Women 35–60 experiencing perimenopause or menopause symptoms. Hormone replacement therapy (HRT) supports women whose symptoms may be connected to shifting estrogen and progesterone during perimenopause and menopause.

Medical Weight Loss & Metabolic Optimization

Men and women with stubborn weight gain despite diet and exercise. Medical weight loss is a clinician-guided approach that looks deeper than calories.

Longevity & Performance Optimization

High-performing adults seeking sustained energy, cognitive clarity, and physical resilience. Longevity & Performance Optimization is proactive, prevention-forward care designed to protect healthspan (how well you live), not just lifespan (how long you live).

Begin with Clarity

Request a Consultation

Not sure which program fits your goals? Start with a clinician-guided consultation and a labs-first approach designed for high-performing adults. We’ll review your history, discuss symptoms and priorities, and outline the most practical next steps, without guesswork.

What is Fuel by Design?

Fuel by Design is a precision wellness and hormone optimization brand for high-performing adults who want clarity, control, and long-term authority over their health. We blend evidence-informed medical guidance with calm, confident care, delivering personalized protocols, data-driven progress tracking, and sustainable lifestyle support. Every touchpoint is intentionally designed to feel premium, private, and uncomplicated, so clients can move forward with confidence and measurable momentum.

Who we help

Choose your focus

Fuel by Design supports high-performing adults who feel “off” despite doing the right things. Choose the area you want to improve—then explore a labs-first, clinician-guided path forward.

Fatigue + Low Drive

Low energy, burnout, and motivation dips that don’t match your effort or lifestyle.

Perimenopause / Menopause Shifts

Midlife changes like mood swings, hot flashes, sleep disruption, and weight redistribution.

Weight Gain Despite Effort

Stubborn weight changes even with training, clean eating, and consistent routines.

Low Testosterone Symptoms

Lower strength, reduced libido, irritability, and slower recovery—especially under stress.

Poor Sleep + Brain Fog

Trouble falling asleep, staying asleep, or waking refreshed—plus mental fatigue.

Recovery + Performance Plateaus

Sore longer, recover slower, and feel stuck even when you’re doing “everything right.

How it works

How it works

A labs-first process built for high-performing adults.

Start with a clinician-guided consultation in Warren, OH (or telehealth across Ohio). We review your symptoms, health history, and labs—then design a personalized plan focused on sustainable energy, body composition, and long-term performance.

Care is individualized. Results vary. Educational only—not medical advice.

consultation
Consultation

Share your goals and symptoms. We clarify the best starting point and what to expect next.

comprehensive labs
Comprehensive Labs

We use advanced lab insights to understand root factors and guide safe, informed decisions.

Personalized Protocol

Your plan is tailored—nutrition, lifestyle, and treatment options when appropriate for you.

ongoing optimization
Ongoing Optimization

Progress tracking and adjustments during your 90-day phase, with long-term support when needed.

Our Happy Clients!

“I highly recommend Fuel By Design for red light therapy sessions! It’s a beautiful and relaxing space and the therapies can help you lose inches with better health!”

Rated 5 out of 5
Noel Powers

“Fuel by Design partnered with my gym today. I had the opportunity to use the InBody scan which i have been looking for a place that offers this service because i have been curious where i stood muscle to fat content. The wonderful ladies at Fuel by Design helped me with the scan and gave me some great insight to what the results said.”

Rated 5 out of 5
Dakota Angle

“Dr Valentino is compassionate and informative, her staff is welcoming, the office is beautiful and relaxing. They have helped me to lose weight, feel more confident in my knowledge of weight loss and in my own body. I have also used their cold therapy for pain relief in my shoulder. I look forward to continuing with Fuel by Design and my health journey.”

Rated 5 out of 5
Amy Cross

Visit Fuel by Design in Warren, OH

Fuel by Design is based in Warren, Ohio and serves high-performing adults who want a clear, clinician-guided plan for hormone optimization, metabolic health, and long-term performance. In-person appointments are available by appointment, with telehealth options across Ohio.

Address

Fuel by Design
1842 E Market St Ste B
Warren, OH 44483

Phone: (330) 536-9510

Hours

Frequently Asked Questions.

Fuel by Design is a precision wellness and hormone optimization clinic based in Warren, Ohio. We support high-performing adults with clinician-guided programs focused on hormones, metabolic health, body composition, and long-term performance—with telehealth options available across Ohio.

We’re a strong fit for adults (typically 35–60) who feel “off” despite doing many things right—like fatigue, weight gain despite effort, poor sleep, brain fog, performance plateaus, or perimenopause/menopause shifts—and want a clear, structured plan.

Your initial consultation is a clinician-guided conversation focused on your symptoms, goals, health history, and lifestyle. If labs are recommended, we’ll explain what we’re looking for and why—then outline your most practical next steps.

The initial consultation is $299. Any recommended labs, medications, supplements, or follow-up services are discussed separately so you understand options before moving forward.

Yes. We offer telehealth across Ohio when appropriate, in addition to in-person appointments at our Warren, OH location. Availability can vary based on clinical appropriateness and state requirements.

Our core programs include Male TRT Optimization, Female BHRT (Perimenopause & Menopause), Medical Weight Loss & Metabolic Optimization, and Longevity & Performance Optimization. Each plan is personalized based on your goals and clinical review.

Every person responds differently. Many clients begin with a 90-day optimization phase to establish baselines, implement the plan, and track changes over time. Your timeline depends on your starting point, consistency, and what your body needs.

Fuel by Design is typically self-pay. If you have questions about payment options, our team can clarify what to expect before your first visit.

Not always. Hormone therapy is individualized and depends on symptoms, lab findings, medical history, and clinical appropriateness. We’ll review your case and discuss options so you can make an informed decision.

We ask for at least 24 hours’ notice for cancellations or reschedules. Late cancellations may have a fee, and no-shows may be charged. If labs/medications are ordered, those costs may be non-refundable once placed/dispensed.

Why Fuel by Design

Precision wellness for high-performing adults who want clarity, control, and measurable progress—without guesswork.

Labs-First Decision Making

We use comprehensive lab insights and clinical review to guide next steps—so your plan is informed, not assumed.

Clinician-Guided, Personalized Protocols

Your care is tailored to your history, symptoms, and goals—designed and monitored with clinical oversight.

Built for High-Performing Adults

Our programs are designed for adults (typically 35–60) who value precision, privacy, and a structured approach to long-term health.

Optimization Over Quick Fixes

We focus on sustainable progress and long-term maintenance—not trends, hype, or short-term resets.

Clear Next Steps + Progress Tracking​

You’ll always know what we’re doing and why—with check-ins and adjustments that keep you moving forward confidently.

Safety-First Care + Clear Expectations

We prioritize informed decisions, appropriate screening, and transparent guidance—so you understand options, next steps, and what to expect.

Request a Consultation

Results vary. Care is individualized.

Led by Alexis Valentino, NP

Founder, Clinical Director & Nurse Practitioner

Alexis Valentino, NP, is passionate about helping high-performing adults achieve balanced hormones, better metabolic health, and optimized long-term performance.

Clinical Focus Areas

  • Male Testosterone Optimization
  • Female Hormone Optimization (Perimenopause & Menopause)
  • Weight Loss + Metabolic Performance
  • Longevity / Semi-Invasive Therapies
Alexis Valentino
Treat yourself

Let Us Take Care Of You

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