PHYSICIAN-LED HORMONE OPTIMIZATION FOR BILLINGS

Yes. Primal Mountain Medical is licensed to provide telehealth services across Montana, including Billings and the surrounding Yellowstone County area. Dr. Jacob Egbert conducts all consultations via secure video visit, and you complete your comprehensive bloodwork at one of two LabCorp patient service centers in Billings—both located at 2900 12th Ave N. Once your labs are reviewed, we design your protocol (TRT, peptide therapy, or medical weight loss) and ship medications discreetly to your address. Follow-up labs and check-ins happen on your schedule, with no need to drive hours for an in-person appointment.

After your initial telehealth consult, we send a lab requisition to your email. You book an appointment (or walk in, depending on the site) at either LabCorp location on 12th Ave N in Billings—both are about 1.7 miles from downtown and open weekdays 7 AM to 5 PM. The draw takes ten minutes; results typically reach your provider within 48–72 hours. The comprehensive panel is $49 (one-time fee) and covers everything needed to design your TRT, peptide, or weight-loss protocol. Follow-up labs happen quarterly for TRT patients, and we send the requisition each time so you can use the same convenient Billings draw sites.

The base TRT program is $129 per month, which includes your testosterone medication, telehealth follow-ups with Dr. Egbert, and protocol adjustments based on your labs and symptoms. There's a one-time $49 fee for the initial comprehensive bloodwork panel, and follow-up labs (recommended quarterly) are billed separately at the same $49 rate. Because we don't bill insurance, there are no pre-authorization delays, no surprise denials, and no formulary restrictions. Many patients use their HSA or FSA card to cover the cost. If you add peptide therapy or medical weight loss, those are quoted separately based on your specific protocol and dosing.

Switching is straightforward. During your initial consult, let your provider know your current protocol—medication type, dose, frequency, and any issues you've experienced. If you have recent labs (within 90 days), we can often use those to get started; otherwise, we'll order a fresh comprehensive panel through LabCorp in Billings. Many Montana patients switch because they're frustrated with long wait times for local endocrinology referrals, insurance hassles, or cookie-cutter protocols that don't adjust based on symptoms. We'll make the transition smooth, and you'll have direct access to your licensed medical provider for questions as your new protocol takes effect.

Absolutely. Many of our Billings patients stack TRT with peptides like Sermorelin or BPC-157 for synergistic results—improved recovery, better sleep, enhanced body composition, and faster healing from injuries. Your licensed medical provider reviews your comprehensive bloodwork and goals during the initial consult, then designs a combined protocol if appropriate. Dosing and timing are coordinated so the therapies complement rather than interfere with each other. Both are shipped discreetly to your address, and you'll have a single point of contact (your licensed medical provider) managing the entire plan. The peptide cost is separate from the $129/month TRT base, and pricing depends on which peptides and dosing you need.

Yes. Your licensed medical provider prescribes both semaglutide and tirzepatide as part of our physician-supervised medical weight loss programs for Montana patients, including those in Billings. These GLP-1 receptor agonists are not handed out as standalone shots; they're integrated into a comprehensive plan that includes baseline bloodwork (metabolic panel, thyroid, lipids, A1C), regular telehealth check-ins, and dosing adjustments based on your tolerance and progress. Many patients combine GLP-1 therapy with TRT to optimize body recomposition—losing fat while preserving lean mass. Because we're direct-pay and don't bill insurance, you avoid the prior-authorization delays that often block access to these medications through traditional channels.

TRT and GLP-1 therapy address different but complementary aspects of body recomposition. TRT optimizes your anabolic environment—improving muscle protein synthesis, strength, recovery, and energy—so you can build or preserve lean mass even in a calorie deficit. GLP-1s like semaglutide and tirzepatide reduce appetite, improve insulin sensitivity, and promote fat loss, especially visceral fat, but they don't directly build muscle. Many Billings patients see the best results by combining both: TRT provides the hormonal foundation for muscle and performance, while GLP-1 therapy makes fat loss easier and more sustainable. Your licensed medical provider tailors the approach based on your baseline labs, body composition, and goals—whether that's pure fat loss, recomposition, or metabolic health optimization.