Built for Seattle
WHY SEATTLE'S CLIMATE AND WORK CULTURE DEMAND PROACTIVE HORMONE MANAGEMENT
Seattle's eight-month overcast season directly suppresses vitamin D synthesis, and low 25-OH vitamin D is a documented driver of testosterone decline. Add the region's concentration of sedentary tech work—overnight on-calls, screen-late-night habits, chronic sleep debt—and you have a metabolic environment that favors sympathetic dominance and blunted androgen production. The same research-literate audience that built Amazon and Microsoft expects evidence, not marketing: our protocols start with comprehensive bloodwork that includes 25-OH vitamin D, free and total testosterone, thyroid panel, lipids, and metabolic markers. We adjust quarterly based on labs and symptoms, not templates. Whether you're in Kirkland writing code, at JBLM managing shift work, or in Tacoma balancing faculty responsibilities at UW, telehealth removes the friction between your schedule and physician-supervised hormone optimization.
HOW OUR TRT PROGRAM WORKSWhat We Treat
THREE SERVICES, ONE PHYSICIAN
Testosterone Replacement Therapy
TESTOSTERONE REPLACEMENT THERAPY DESIGNED FOR SEATTLE-AREA MEN
Our TRT program begins with a comprehensive blood panel drawn at any of 44 LabCorp patient service centers across the Seattle metro—Madison Street, Broadway, California Ave SW, and dozens more in Bellevue, Everett, Tacoma, and surrounding cities. Your licensed medical provider reviews your total and free testosterone, SHBG, thyroid function, lipids, and vitamin D, then designs a protocol tailored to your baseline and goals. Most patients start on twice-weekly subcutaneous injections; we adjust dose, frequency, and ancillaries every quarter based on follow-up labs and reported symptoms. No insurance pre-auth, no PCP referral. The base program is $129 per month after a one-time $49 comprehensive panel. Medication ships discreetly to your door, and telehealth check-ins fit around your work schedule—whether that's overnight on-call in South Lake Union or early-morning PT at Joint Base Lewis-McChord.
Peptide Therapy
PEPTIDE THERAPY FOR PERFORMANCE, RECOVERY, AND BODY COMPOSITION
Primal Mountain Medical prescribes Sermorelin, Tesamorelin, BPC-157, and other research-backed peptides to Washington patients via telehealth. Sermorelin stimulates endogenous growth hormone release and is often paired with TRT for synergistic effects on lean mass and recovery. Tesamorelin targets visceral adipose tissue and is particularly useful for men focused on metabolic health and body recomposition. BPC-157 supports soft-tissue repair and gut integrity—popular among Seattle's active population managing chronic tendinopathy or training volume. Every peptide protocol is physician-designed, ships from a licensed compounding pharmacy, and requires no insurance pre-authorization. We don't market peptides as anti-aging miracles; we prescribe them as tools within a broader, evidence-based optimization strategy. If you're in Sammamish, Shoreline, or Marysville and want to explore peptides, start with our online quiz or book a telehealth consult.
Medical Weight Loss
MEDICAL WEIGHT LOSS WITH GLP-1 AGONISTS—PHYSICIAN-SUPERVISED, DATA-DRIVEN
Our medical weight loss program uses semaglutide and tirzepatide—GLP-1 receptor agonists proven to reduce appetite, improve insulin sensitivity, and support sustainable fat loss. This is not a standalone weight-loss prescription: every patient completes the same comprehensive bloodwork panel that anchors our TRT and peptide programs, and your licensed medical provider reviews metabolic markers, thyroid function, and hormone levels before prescribing. Many Seattle-area patients combine GLP-1 therapy with testosterone optimization for body recomposition—addressing both hormonal drivers of fat accumulation and the behavioral levers of satiety and glucose regulation. Medication is compounded by a licensed U.S. pharmacy and ships discreetly. No insurance hassles, no prior authorization. If you're in Burien, Kent, Lakewood, or anywhere in the metro and you've plateaued on diet and exercise alone, a physician-supervised GLP-1 program may be the missing variable.
How It Works
Three steps to your protocol
Take the 2-min screen
A short questionnaire that surfaces whether hormone optimization, peptides, or weight-loss protocols fit your goals.
Start the screen →Order $49 bloodwork
Comprehensive panel at any of 4 LabCorp sites in the Seattle area — total + free T, SHBG, CBC, CMP, lipids, thyroid, and a functional medicine report.
Order labs →Get your protocol
Your licensed medical provider reviews your labs within one business day, paired with a functional medicine report. You get a personalized protocol — start when you're ready.
Book a free call →Your LabCorp Draw Sites
4 LABCORP LOCATIONS NEAR SEATTLE
Order your $49 panel and walk into the LabCorp closest to you. Most metro Seattle-area sites are open Mon-Fri, 7am-3pm. We send your requisition to the location you pick.
Transparent Pricing
$49 LABS · $129/MO TRT
No insurance friction. HSA / FSA eligible. Cancel any time — the protocol is yours, not the clinic's.
SEE FULL PRICINGFrequently Asked
SEATTLE TRT QUESTIONS, ANSWERED
Do you treat patients in Auburn, Burien, Everett, and other Washington metros?
Yes. Primal Mountain Medical is licensed to practice telemedicine in Washington State, and we treat patients across the entire Seattle metro—including Auburn, Bellevue, Burien, Everett, Federal Way, Kent, Kirkland, Lakewood, Marysville, Renton, Sammamish, Shoreline, South Hill, Tacoma, and dozens of other communities. Your initial consultation, follow-up check-ins, and protocol adjustments all happen via secure telehealth. Bloodwork is drawn at any LabCorp patient service center convenient to you—there are 44 locations in the metro, from downtown Seattle to Tacoma to Everett.
How does the bloodwork process work if I'm in Seattle?
After your initial telehealth consult, we send a lab requisition to your email. You book an appointment (or walk in) to any LabCorp patient service center in the Seattle area—popular locations include 1401 Madison St, 747 Broadway, 3400 California Ave SW in Seattle, plus dozens of sites in Bellevue, Kirkland, Renton, Tacoma, Everett, and beyond. The draw takes about ten minutes. Results route directly to Dr. Egbert, who reviews your panel and designs your protocol. The one-time comprehensive panel is $49; follow-up labs every three months are included in your program fee.
What's the typical cost of TRT through Primal Mountain Medical for Washington patients?
The base TRT program is $129 per month and includes your testosterone medication, syringes, alcohol pads, sharps container, quarterly follow-up labs, and unlimited messaging with our clinical team. The initial comprehensive bloodwork panel is a one-time $49 fee. If Your licensed medical provider prescribes an AI, HCG, or other ancillaries, those are billed separately at cost. There are no insurance claims, no surprise bills, and no prior authorizations. HSA and FSA cards are accepted.
Does Seattle's overcast climate affect vitamin D and testosterone levels?
Yes. Seattle's eight-month overcast season severely limits UVB exposure, and low serum 25-OH vitamin D is a well-documented suppressor of testosterone synthesis. Our comprehensive bloodwork panel includes vitamin D, and if you're deficient—most Seattle patients are—we prescribe a dosing protocol (typically D3 + K2) and recheck levels at your next quarterly draw. Correcting vitamin D deficiency often improves energy, mood, and testosterone response, especially when combined with TRT or peptide therapy.
Can I use Primal Mountain Medical if I'm active-duty or a military retiree at one of the Seattle-area bases?
Absolutely. We treat active-duty service members, spouses, and retirees from Joint Base Lewis-McChord, Naval Station Everett, and other installations in the region. Telehealth offers privacy and discretion that base clinics often cannot, and our direct-pay model means no TRICARE claims or command notification. Many military patients appreciate the flexibility of scheduling consults around shift work, deployments, and PT schedules. If you're using a .mil address, our patient portal is CAC-compatible.
Can I combine TRT with peptide therapy at Primal Mountain Medical?
Yes, and many patients do. Sermorelin and Tesamorelin are frequently prescribed alongside TRT for synergistic effects on lean mass, recovery, and metabolic health. BPC-157 is popular among active patients managing tendinopathy or gut issues. Your licensed medical provider reviews your comprehensive bloodwork, goals, and current protocol before adding peptides, and we monitor response via quarterly labs and symptom tracking. There's no insurance pre-authorization required, and peptides ship from a licensed U.S. compounding pharmacy directly to your address in Seattle, Tacoma, Bellevue, or anywhere in the metro.
Do you prescribe semaglutide or tirzepatide to Washington patients?
Yes. Our medical weight loss program includes physician-supervised semaglutide and tirzepatide (GLP-1 receptor agonists) for patients who meet clinical criteria. Every candidate completes the same comprehensive bloodwork panel used for TRT and peptide therapy—Your licensed medical provider reviews metabolic markers, thyroid function, and hormone levels before prescribing. Many Seattle-area patients combine GLP-1 therapy with testosterone optimization for body recomposition. Medication is compounded by a licensed pharmacy and ships discreetly. No insurance hassles, no prior authorization, and HSA/FSA eligible.
TRT ACROSS WASHINGTON
We serve Washington by telehealth statewide — the same physician-designed protocols, $49 foundation labs, and local LabCorp draw sites apply in every metro below.
READY TO START?
Take the 2-minute screen and find out whether hormone optimization fits your goals — or order $49 labs and skip straight to the data.