- St. Louis Men’s Optimization Program
PEAK PERFOR- MANCE.
At any age. On every level. Clinically designed. Coach driven. Built for men.
No fad diets. No extreme programs. Just results. Weight loss coaching, precision nutrition, and personal training tailored to who you are, where you are, and where you want to go.
- THE REALITY
You Built Everything. Now Build Your Health.
You’ve spent years building your career and your family.
Now it’s time to rebuild the one thing that powers it all — your body.
Low Energy
Energy isn't what it used to be.
Stubborn Belly Fat
Weight keeps collecting around your waist.
Slower Metabolism
Eating right but seeing little progress.
Poor Recovery
Workouts leave you sore for days.
Lower Testosterone
Strength, focus and libido are declining.
Lost Confidence
You don't feel like yourself anymore.
- How It Works
THE APEX PROTOCOL
A three-phase journey from assessment to full optimization — medically supervised by Dr. Delene Musielak and coach-driven by Javier Mariano.
ASSESS
Comprehensive labs, hormone panel, and body composition analysis. We find out exactly where you are — so we know exactly where to take you. No guesswork.
ACTIVATE
Your protocol launches. Hormone optimization, precision nutrition, strength training, and advanced body technology — all working together from day one.
OPTIMIZE
Quarterly lab monitoring, ongoing coaching, and protocol adjustments ensure you keep progressing. This isn’t a program. It’s a permanent upgrade.
- Choose Your Level
APEX MAN PACKAGES
Every man starts somewhere. Every package delivers results. The question is how far you want to go.
- Entry Level — Start Here
APEX IGNITE
Start here. Transform everything.
- Medical weight loss consultation with Dr. Musielak
- GLP-1 medication management — medically supervised
- Custom nutrition plan with Javier — hormone-supportive & sustainable
- 2 in-person nutrition sessions per month
- Unlimited check-in calls & accountability support
- Monthly progress tracking & body composition review
- Built-in upgrade path to APEX FOUNDATION when you’re ready
APEX FOUNDATION
Build the base. Nutrition & strength.
- 8 personal training sessions per month (2× per week)
- Custom nutrition plan — hormone-supportive & sustainable
- 2 in-person nutrition sessions + unlimited check-in calls
- Training tailored to your body — form, posture, programming
- Monthly progress tracking & body composition review
- GLP-1 weight loss medication available as add-on
- Most Popular
APEX PERFORMANCE
Optimize your hormones. Elevate everything.
- Everything in APEX FOUNDATION
- Full male hormone panel with Dr. Musielak
- Testosterone & HRT therapy — customized to your protocol (every 6 months)
- Quarterly follow-up labs — monitored every 90 days
- 2 in-person nutrition sessions per month + unlimited check-in calls
- Advanced nutrition periodization — synced to your hormone protocol
- GLP-1 weight loss medication available as add-on
APEX ELITE
The complete protocol. No compromises.
- Everything in APEX PERFORMANCE
- 12 training sessions per month (3× per week)
- 2 in-person nutrition sessions per month + unlimited check-in calls
- ApexRF ultrasound therapy — 6 sessions, flexible scheduling
- 2 EvolveX Tone sessions included
- 2 B12 injections included
- Sexual health optimization — fully integrated protocol
- Priority scheduling at ALEA Health & Wellness
- Personalized supplement protocol
- Concierge coaching access with Javier
- GLP-1 weight loss medication available as add-on
All packages require a one-time initial lab fee. Pricing available during your private consultation.
- APEX ELITE
SEXUAL HEALTH OPTIMIZED.
Most programs won’t talk about this. We will — because it matters.
For men over 40, sexual health isn’t separate from overall health. It’s a direct reflection of it. Hormones, blood flow, body composition, confidence — they’re all connected.
“Are you the man your partner fell in love with? You can be again.”
APEX ELITE integrates every dimension of sexual health into your protocol — not as an add-on, but as a natural outcome of total optimization.
Hormone Foundation
TRT restores testosterone. Estrogen is balanced. DHEA optimized. Your hormonal environment rebuilt from the ground up.
ApexRF Acoustic Wave
Clinical ultrasound therapy shown to improve blood flow — addressing the vascular component of performance at the source.
Physical Optimization
Strength training raises natural testosterone. Reduced body fat directly improves function. Better cardiovascular fitness means better blood flow — everywhere.
Precision Nutrition
Foods that support nitric oxide production, vascular health, and testosterone. Anti-inflammatory. Targeted. Designed for men.
- Backed by Science
MONITORED. MEASURED. PROVEN.
In partnership with Dr. Delene Musielak at ALEA Health & Wellness — a complete men’s optimization protocol combining TRT, ApexRF ultrasound, GLP-1 weight loss, strength training, and precision nutrition.
No program in St. Louis offers this combination. This is the standard.
Initial Labs
Comprehensive hormone panel to establish your baseline before any protocol begins. Full picture. No guessing.
One-time at program start — pricing discussed during consultation
Quarterly Monitoring
Follow-up labs every 90 days to track your hormone levels and ensure your protocol is dialed in and optimized.
4× per year — pricing discussed during consultation
Hormone Therapy
Bioidentical hormone therapy delivered through the method that works best for you — prescribed and managed by Dr. Musielak based on your labs and lifestyle.
Every 6 months — pricing discussed during consultation
- Your Team
CREDENTIALS
YOU CAN TRUST.
- AADP Board Certified Health Coach
- Holistic Health Practitioner — Institute for Integrative Nutrition
- Culinary Arts Graduate
- 10+ years transforming men’s health & body composition
- Specialty: Men 40+, sustainable fat loss, hormone-supportive nutrition
- Founder — Against the Grain STL
- Triple Board Certified Physician
- University of Missouri Medical School Graduate
- Obesity Medicine Specialist
- Hormone optimization & bioidentical HRT therapy
- ApexRF ultrasound & EvolveX body technology
- GLP-1 medically supervised weight loss
- Limited Spots Available
READY TO BECOME AN APEX MAN?
Your free 20-minute call is confidential, no-pressure, and 100% focused on understanding where you are and where you want to go. We’ll tell you exactly which package fits your goals.