All answers
Answer · hormone optimization
Which pathway addresses low stamina and endurance?
Short answer
Stamina is multifactorial. Iron, ferritin, thyroid, and sleep are screened first. TRT, BHRT, NAD+, and sermorelin are evaluated by candidacy when the panel and symptoms match.
Reviewed by Dr. Laura PurdyMay 29, 2026
Full answer
Endurance and stamina depend on oxygen-carrying capacity, mitochondrial function, recovery, sleep, and hormonal context. Provider review screens ferritin, CBC, TSH, vitamin D, and B12 first. Men with confirmed low testosterone are evaluated for TRT; peri/menopausal women for BHRT; candidates with cellular-decline patterns and longevity goals for NAD+; documented GH-axis decline for sermorelin. Training volume, fueling, and sleep remain foundational. Every initiation is synchronous-video reviewed.
Educational. Not a substitute for individualized provider review.
References & sources
- Testosterone Optimization pathway — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-05-29
Related pathways
All pathways →Pathway
TRT
A provider-reviewed pathway designed to explore testosterone, recovery, hormonal wellness, and longitudinal performance — built around your biomarkers, not assumptions.
Explore
Pathway
BHRT
A bioidentical, provider-reviewed pathway designed to support hormonal balance, recovery, sleep, and longitudinal wellbeing — informed by biomarkers, not guesswork.
Explore
Pathway
NAD+
NAD+ supports the cellular systems behind how you feel, train, think, and recover — delivered to your door.
Explore
Pathway
Sermorelin
A peptide-supported pathway designed to explore recovery, sleep architecture, and longitudinal wellbeing — provider-reviewed and biomarker-informed.
Explore
Primary source
Testosterone Optimization pathway