Optimize Your Well-Being: Feel Great Inside and Out
Hormone Therapy and Medical Weight Loss in Johnson City, TN
You are worn out by two in the afternoon. The weight will not move no matter how carefully you eat. Your last appointment ran eleven minutes and ended with a shrug.
That is not simply aging, and it is not in your head. Most of the time it is something measurable.
We run the labs, read them with you, and build the plan around what they actually say. Hormone therapy, medical weight loss, peptide therapy, IV therapy and concierge primary care, from one clinic in Johnson City. Patients come to us from Kingsport, Bristol, Elizabethton and Greeneville too.
What happens first
Book a consult
Twenty to thirty minutes, in person or by phone.
Labs, read with you
A full hormone panel plus thyroid, metabolic and cardiovascular markers. You leave with the actual numbers and a plan built on them.
Start, then adjust
We recheck and tune the dose instead of setting it once and forgetting about you.

The person you will actually see
Nearly every review on this page names Eddie. There is a reason for that.
Eddie Hughes, FNP-BC
Board-certified family nurse practitioner and founder, with more than fifteen years across emergency medicine, neurosurgery and regenerative medicine. He runs your labs, reads them with you, and handles hormone optimization, weight loss and primary care himself.
More about EddieAbout Us
Holistic Healthcare, Personalized for You.
We’ll work together to empower you with the knowledge and tools to take control. No more rushed appointments or one-size-fits-all approaches. Here, we build relationships, not just charts. We dive deep, unraveling the root causes of your health concerns, not just masking symptoms.
Explore Our Core Services
Go Beyond Traditional Wellness. Level Up!
Why Choose Peak Performance?
Excellence is at the core of everything we do
At Peak Performance Wellness & Aesthetics, your satisfaction and well-being are our top priorities.
Contact us today to schedule a consultation and take the first step toward unlocking your full potential.
Personalized for you!
Discover the power of personalized care tailored to your specific needs. Our team of experts is dedicated to empowering you to achieve your peak wellness.
Holistic Approach
Transform your health and well-being, from the inside out. Our holistic approach focuses on addressing the root causes of your health concerns. We believe in treating the whole person, addressing both internal wellness and external beauty, working together to achieve your optimal health and well-being.
Dedicated Professionals
Unleash your potential and achieve optimal results! Our skilled practitioners employ cutting-edge techniques and technologies to expertly administer the most advanced treatments.
Find your treatment
If you already know what you are after, start here. If you are not sure which treatment fits, book a consult and we will work it out from your labs.
Nothing matches that. Ask us what you are looking for.
Hormone Optimization
Hormone Pellet Therapy Bioidentical HRT Hormone Therapy for Men Pellets for Women Perimenopause Menopause Weight Gain Hormone TestingMedical Weight Loss
Weight Loss Program Semaglutide Tirzepatide GLP-1 Medications Body Composition ScanAesthetics
Botox Dysport Neurotoxin Injections Dermal Fillers Lip Filler Microneedling Bellafill Laser Hair Removal Women's Laser Hair RemovalPeptides & Regenerative
Peptide Therapy BPC-157 CJC-1295 and Ipamorelin Wolverine Stack NAD Injections Regenerative MedicineIV Therapy
IV Therapy Menu and Prices Myers Cocktail Immune Support Drips High-Dose Vitamin C Hangover IV Vitamin D Injections Migraine Relief Brain FogPrimary Care
Concierge Primary CareTestimonials
What our clients have to say
Questions people ask
How much does hormone replacement therapy cost per month?
It depends on how you take it. Injections carry the lowest monthly cost. Pellets are billed per insertion and last three to five months, so the cost spreads across that window. You get exact pricing at your consult, before anything is scheduled.
What kind of doctor should I see for hormone replacement therapy?
Look for someone who runs a full panel instead of one testosterone number, reviews the results with you directly, and rechecks after you start. At Peak Performance that is Eddie Hughes, FNP-BC.
How much is HRT in Tennessee?
It varies widely. Clinics that bill insurance often look cheaper up front and then add facility and visit fees. We quote a flat self-pay price before you commit to anything.
Will insurance pay for hormone replacement therapy?
Sometimes, partially, and usually only after prior authorization. We do not bill insurance. A lot of patients find the self-pay total lands under what their deductible would have been.
How soon will I feel different?
Most people notice energy and sleep within two to three weeks. Mood and libido usually follow. Body composition takes two to three months.
What gets tested at the first visit?
A full hormone panel plus thyroid, metabolic and cardiovascular markers, so we are treating the whole picture rather than one number. You can read more about hormone testing.
Pellets, injections or cream?
Pellets if you would rather not think about it. Injections if you want the most control and the lowest cost to start. Creams if you want the gentlest option and the easiest one to stop.
Do I need a referral?
No. You can book directly.
Contact Us Now
Forget the limitations of traditional healthcare
What You Can Expect
Let us unlock your body’s natural healing potential, build personalized roadmaps to wellness, and equip you with the knowledge and tools to confidently navigate your health journey.
When you’re empowered, you make informed choices, embrace healthier habits, and achieve lasting results that fit your unique lifestyle and goals. We’ll work together to unravel the root causes of your health concerns, not just mask symptoms with quick fixes.
From hormone optimization and painless laser hair removal to joint injection and Botox, our goal is to provide you with all of the resources that you need to reach your optimal health.