Everything you need to know about weight loss, primary care, hormone therapy, peptide therapy, regenerative medicine, aesthetics, and more at Top Tier Precision Health, serving Littleton, Highlands Ranch, Lone Tree, Centennial, Parker, and Castle Rock.
About Top Tier
The basics on who we are, where we're located, and how care works here.
What is Top Tier Precision Health?
Top Tier Precision Health is a concierge medical practice in Littleton, Colorado. We offer hormone optimization, medical weight loss, longevity medicine, IV and peptide therapy, regenerative medicine, and aesthetics under one roof, so your care is coordinated by one team instead of scattered across multiple providers.
Where is Top Tier located, and what areas do you serve?
Our office is located in Littleton, Colorado. We serve patients throughout the south Denver metro area, including Littleton, Highlands Ranch, Lone Tree, Centennial, Parker, and Castle Rock.
Do you accept health insurance?
Top Tier operates as a cash-pay concierge practice rather than an insurance-based model. This lets our providers spend more time with each patient and build treatment plans without insurance restrictions dictating the care you receive.
What makes Top Tier different from a typical doctor's office or medspa?
Most patients piece together care across a weight loss clinic, a hormone specialist, a medspa, and a primary care doctor with no time to connect the dots. Top Tier brings all of it — hormone health, weight loss, longevity, aesthetics, and more — under one practice with one coordinated team.
How do I book an appointment?
Use the "Book Today" button, or call our office directly, to schedule a consultation with one of our providers.
Weight Loss
Medically guided programs built around your labs, your goals, and sustainable progress.
What does Top Tier's medical weight loss program include?
Your program starts with lab work and a full health history, not a generic plan. From there, your provider builds a plan around your biology, which may include nutrition and lifestyle coaching, and medication support where appropriate, with ongoing monitoring as you progress.
Do you prescribe weight loss medications like RTA or TZP?
Yes. Our providers review your labs and health history to determine whether medications such as RTA or TZP are appropriate as part of a broader, medically supervised plan, not a standalone prescription.
Is the program designed for long-term, sustainable results?
Yes. We focus on the root causes behind weight gain, such as hormone imbalance or metabolic factors, rather than a short-term fix, and we monitor your progress with follow-up visits and labs along the way.
How much does the weight loss program cost?
Cost depends on the specific plan and any medications involved. Visit our Pricing page for current membership and program details, or ask during your consultation.
Primary Care
Unhurried visits and direct access to your clinician, through a membership-based model.
What is direct primary care (DPC)?
Direct primary care is a membership-based model where you pay a monthly fee for direct, unhurried access to your provider, instead of billing insurance per visit. It typically means shorter wait times, longer appointments, and easier communication with your care team.
How is DPC different from my current insurance-based doctor?
Traditional primary care is often built around short, insurance-driven visits. With DPC, there's no insurance middleman: your membership covers access to your provider directly, with more time per visit and more direct communication between appointments.
Who can join the DPC program?
Our DPC program is available to individuals, couples, and families, with membership options for patients age 3 and up.
Do I still need health insurance if I join DPC?
Yes. DPC covers your primary care relationship, but we recommend keeping a health insurance plan, such as a high-deductible or catastrophic plan, in place for hospitalization, specialist care, and emergencies that fall outside primary care.
IV Therapy
Essential, advanced, and elite infusion series, plus targeted add-ons.
What is IV therapy, and what's in it?
IV therapy delivers vitamins, minerals, antioxidants, and fluids directly into your bloodstream, allowing faster absorption than oral supplements. It's used to support hydration, energy, recovery, and overall wellness.
What's the difference between the Essential, Advanced, and Elite IV series?
Essential covers foundational hydration and vitamin support. Advanced builds on that with targeted nutrients for energy or recovery goals. Elite is our most comprehensive formulation, designed for performance and immune support. Your provider can help you choose the right series for your goals.
How long does an IV therapy session take?
Most sessions take about 30 to 45 minutes, depending on the series and any add-ons selected.
Can I add targeted boosts to my IV session?
Yes. Targeted add-ons, such as immune or recovery boosts, can be added to any base IV series to match your specific goals.
Regenerative Sports Medicine
Precise diagnosis, evidence-based injections, and biologics.
What is regenerative sports medicine?
Regenerative sports medicine uses the body's own biology, such as PRP or other biologic injections, combined with precise diagnostic evaluation, to treat injuries and joint or tendon issues without surgery.
What conditions can regenerative medicine treat?
Common uses include chronic joint pain, tendon injuries, sports-related injuries, and general wear and tear from overuse or aging joints.
How is my treatment plan determined?
Every plan starts with a precise diagnosis, including a physical exam and imaging when needed, before your provider recommends an evidence-based injection or biologic treatment tailored to your injury.
Hormone Therapy
One time visits for a focused question, or ongoing hormone optimization for women and men.
What is hormone optimization or bioidentical hormone therapy?
Hormone optimization is a personalized treatment approach that uses bioidentical hormones to help restore your levels to an optimal range, based on comprehensive lab testing rather than guesswork.
What are common signs of a hormone imbalance?
Fatigue, unexplained weight changes, low libido, mood changes, and poor sleep are common signals. These are worth investigating with lab work rather than symptoms to just live with.
Is hormone therapy available for both women and men?
Yes. We support women's hormone health at every life stage, including perimenopause and menopause, and men's hormone health for energy, performance, and vitality.
How is hormone therapy monitored over time?
Your provider rechecks labs and schedules follow-up visits to adjust your protocol as needed, so your treatment stays matched to your body over time.
Peptide Therapy
Targeted, clinician-supervised peptide protocols designed to support your body's systems.
What is peptide therapy used for?
Peptide therapy uses targeted, clinician-supervised protocols matched to goals like recovery, sleep quality, metabolic support, and healing, as part of a broader personalized care plan.
Is peptide therapy safe?
Peptide protocols at Top Tier are clinician-supervised and built around your health history, with monitoring throughout treatment. Your provider will walk you through what's appropriate for your specific goals.
Who is a good candidate for peptide therapy?
Peptide therapy is often a good fit for patients already working with us on hormone optimization, weight loss, or regenerative care who are looking for additional targeted support.
Hair Restoration
One time visits for a focused question, or a second opinion.
What does a hair restoration visit at Top Tier include?
It's a focused consultation to review your hair loss pattern, discuss possible underlying causes, and talk through options that may be right for your situation.
Is hair loss connected to hormone health?
Often, yes. Hair thinning can be tied to hormonal imbalance, which is why it's frequently addressed alongside a broader hormone evaluation rather than in isolation.
Do I need a referral to book a hair restoration visit?
No referral is needed. You can book a consultation directly with our team.
Cancer Screening
A proactive step in your health, wellness, and longevity journey.
What does a cancer screening visit at Top Tier include?
Your provider reviews your personal and family risk factors and discusses appropriate screening options as part of a proactive approach to your long-term health, wellness, and longevity.
What happens if a screening finds something concerning?
If a screening returns a positive or concerning finding, we refer you directly to oncology for further evaluation and specialized care.
Who should consider a cancer screening visit?
Patients with a family history of cancer, or anyone who wants to take a proactive step in their health and longevity, are good candidates for a screening visit.
Food Sensitivity & Allergy Testing
One time visits for a focused question, or a second opinion.
What's the difference between food sensitivity testing and food allergy testing?
Food sensitivity testing looks at delayed immune reactions to foods, while food allergy testing identifies immediate, IgE-driven reactions. Top Tier offers both, so your provider can determine which type of testing fits your symptoms.
What does the testing process involve?
Testing typically involves a blood-based panel that screens for reactivity to common food triggers, which your provider then reviews with you in detail.
Who should consider food sensitivity or allergy testing?
Anyone dealing with unexplained digestive issues, bloating, fatigue, skin issues, or suspected allergic reactions connected to diet may benefit from testing.
Skin Rejuvenation & Tightening
One time visits for a focused question, or a second opinion.
What technologies are used for skin rejuvenation at Top Tier?
We use Scarlet RF microneedling and NOUVAderm, a fractional laser treatment, to address skin texture, tightening, and overall rejuvenation, matched to your specific goals.
How many sessions are typically needed?
Most treatment plans involve a series of sessions spaced several weeks apart for best results. Your provider will recommend a plan during your consultation.
Is there downtime after treatment?
Downtime is generally minimal, though it can vary by treatment. Your provider will review what to expect for your specific plan before you begin.
Body Contouring & Muscle Toning
Non-surgical treatments that help sculpt, firm, and tone. Not a weight-loss method.
What is body contouring at Top Tier?
We offer non-surgical body contouring, such as MagShape, designed to help tone and firm areas of the body without surgery or downtime. Body contouring is not a weight-loss method — it's intended to sculpt and strengthen, not reduce overall body weight.
How many treatments are needed to see results?
Most patients complete a series of sessions to see optimal results, which can vary from person to person. Your provider builds a specific plan for you after your consultation.
Is body contouring painful?
Treatments are non-surgical and generally well tolerated, without the need for anesthesia. Your provider can walk you through what to expect for your specific treatment.
Gut Health Testing
Uncover what's really going on beneath your digestive symptoms.
What does gut health testing check for?
Gut health testing looks at markers related to digestion, gut bacteria balance, and inflammation, helping explain digestive symptoms that don't have an obvious cause.
What symptoms might indicate I should consider gut health testing?
Bloating, irregular digestion, fatigue, skin issues, and reactions to certain foods are all common reasons patients pursue gut health testing.
How are my results used?
Your provider reviews your results with you and builds a personalized plan, which may include dietary changes, supplementation, or additional testing.
Full Body MRI
A single scan that gives you and your provider a clearer picture of your health.
What is included in a Full Body MRI at Top Tier?
Through our partnership with Prenuvo, a Full Body MRI is a single, comprehensive scan that reviews multiple organ systems at once, giving you and your provider a broader picture of your health than a standard checkup alone.
How often should I get a Full Body MRI?
Recommended frequency depends on your age, family history, and personal risk factors. Your provider can help you decide what timeline makes sense for you.
Does a Full Body MRI replace regular checkups or screenings?
No. A Full Body MRI is a valuable additional tool, but it complements, rather than replaces, your primary care visits and standard age-appropriate screenings.
Still Have Questions?
Our Team Is Ready to Help
If you didn't find what you were looking for, reach out directly — we're happy to walk you through any of our services and help you find the right plan.
