The Performance Medicine Institute is designed to help athletes achieve their absolute personal best while minimizing training related injuries. From weekend warriors to elite athletes, every level of competitor can benefit from our services.  We offer a battery of performance tests and therapies that are traditionally only available in the research lab or to professional athletes and Olympians.  Our team of human performance experts from Grandview Primary Care & Performance Medicine Institute,  including a physician, physical therapist, exercise physiologist, dietitian, massage therapist, clinical pharmacist, and personal trainers, will go out of their way to ensure you are reaching your optimal performance.

DEXA Body Composition Analysis

$45 per test for members, $75 per test for non-members, or 5 pack for $250

DEXA scanning is the most accurate method to measure body composition.  Our DEXA scanner is equipped with the latest software and measures the composition of your body including muscle mass, fat percentage, and other body compositions.  It is so accurate it can even breakdown where exactly your body fat is located.  For example it can compare the amount of body fat on your left bicep versus your right bicep.  It can also measure your visceral adipose tissue which is a risk factor for metabolic syndrome, diabetes, heart attacks, and stroke.

VO2 Max

$125 per test or 5 pack for $450

Your aerobic exercise capacity will be measured by placing you on a treadmill or stationary bike and measuring your maximum rate of oxygen consumption during incremental exercise. Your max consumption reflects your aerobic physical fitness and determines your endurance capacity during prolonged exercise.  Your exercise physiologist or personal trainer can use this data to help develop a personalized exercise program that will allow you to achieve peak results by working smarter and more efficiently.

Lactate Threshold

$125

Lactate Threshold is a measure of metabolic fitness. Lactate is an organic by-product of anaerobic metabolism, and its accumulation in the blood is used to evaluate the intensity that a runner can maintain for extended periods of time, usually thirty minutes or more. Lactate threshold (LT) and maximal steady state lactate levels (MSSLL) are indications of how well one's muscles are trained to do endurance-type work. Most people, except the most highly trained athletes, are limited by metabolic fitness rather than cardiovascular fitness. Highly trained endurance athletes become "centrally limited" meaning they can work at extreme heart rates w/out severe muscle fatigue. An untrained individual might reach LT at about 50-60% of their Max Heart Rate (MaxHR), whereas a well-trained runner won't reach LT until about 80-95% of their MaxHR.

Resting Metabolic Rate

$45 per test for members, $75 per test for non-members, or 5 pack for $250

Your Resting Metabolic Rate (RMR) is a calculation of the total calories your body burns over a 24-hour period while at rest. You'll breathe in and out of a machine which uses your pulmonary gases to measure your metabolic rate. ​ This provides extremely valuable information that your dietitian will use to develop a personalized nutrition plan to help you achieve your goals, whether they are weight loss, increased muscle mass, decreased body fat composition or sport specific diet plans

Testosterone Replacement Therapy

Cost Varies

Testosterone therapy can dramatically improve a man's quality of life.  Recent studies, have shown a link between low testosterone and shorter life expectancy.  When a man goes on testosterone, we see his fat mass go down while muscle mass goes up.  Treating low T can strengthen a man's bones and help prevent osteoporosis. Some evidence also suggests that treatment can also aid blood sugar control, which is important for the prevention and control of diabetes.  Testosterone is also tied to heart health, as lower testosterone levels have been linked to higher risk of cardiovascular problems.  Testosterone replacement can renew a man's interest in sex as well as his ability to maintain an erection and can also restore the "wow" factor to his orgasms.  Besides its sexual benefits, TRT can improve a man's mood and energy level while reducing irritability and anger.  Treatment options include intramuscular injections, topical creams, topical gels or dermal patches.  If you choose a cream, your medication will be compounded specifically for you at Tremont Pharmacy.  Our compounded cream contains a higher concentration of testosterone (2% vs 1.62% or 1%) and is much less expensive than commercially produced products like Testim or Androgel.  We can also prescribe medications like HCG or Clomid if fertility is desired.  Additional medications like estrogen blockers (Tamoxifen or Arimidex) or 5-alpha reductase blockers (finasteride) can be added on to meet your specific needs.  Requires initial physician consult and lab work prior to starting therapy then periodic blood work to monitor therapy.  This treatment regimen is only available to patients who have a documented low testosterone level and will only be prescribed at therapeutic doses. 

  • Testosterone Cypionate Intramuscular Injections -  $25 per 100 mg

  • Testosterone 2% Cream - $95 per month.  Compounded specifically for you by your clinical pharmacist at Tremont Pharmacy

Female Bioidentical Hormone Replacement Therapy

$95 per month

Adult female hormone levels begin to decrease around age 30 causing uncomfortable symptoms such as weight gain, loss of muscle mass, hot flashes, and fatigue. Bioidentical hormone replacement therapy (BHRT) has been known to counteract many of the issues related to menopause.  Benefits of BHRT include improved quality of sleep,decreased moodiness, increased libido, heightened energy levels, quickened metabolism, greater sexual function,and decreased risk of developing osteoporosis.  Dr. Bailey will work closely with your clinical pharmacist and will prescribe a highly personalized treatment regimen based on your lab results and individual needs.  The medication will be compounded specifically for you at Tremont Pharmacy.  Most custom preparations contain a combination of estradiol, testosterone and progresterone.  Requires initial physician consult and lab work prior to starting therapy then periodic blood work to monitor therapy. 

Hormonal Profile

Cost Varies

  • Male and Female Sex Hormones (Testosterone, Estradiol, Progesterone, LH, FSH, Prolactin, Sperm counts)

  • Growth Hormone Profile (GH, IGF-1)

  • Adrenal Hormone Profile (ACTH, Cortisol, DHEA-S)

  • Thyroid Hormone Panel (TSH, Free T4, Free T3, Thyroid Antibody levels)

  • Insulin Sensitivity Testing (Glucose, A1c, Insulin levels)

  • Bone Panel (Vitamin D, Calcium, Phosphorus, iPTH)

  • Kidney/Liver/Electrolytes  Panel (Sodium, Potassium, Chloride, Bicarbonate, BUN, Creatinine, Alkaline Phosphatase, AST, ALT, Bilirubin, Magnesium, Calcium, Phosphorus levels)

  • Vitamin Levels (B12, B6, Folate, D)

  • Some tests may be covered by your health insurance.  Labs are sent to Labcorp who bills the patient or the patient's insurance for the testing

IV Hydration

$75 per liter. Additional charge for add-ons

IV hydration can be very useful both before and after your big competition by helping you achieve peak performance and helping to speed recovery.  IV hydration therapies are also useful for increasing energy, reducing jet lag and quickly getting over the nastiest hangovers more quickly.  We use a Lactated Ringer's solution which contains sodium chloride, potassium chloride, calcium chloride and sodium lactate which produces a metabolic alkalinizing effect, combating the effects of lactic acidosis from extreme exertion.

Add-on include:

  • Toradol is a potent, non-sedating anti-inflammatory medication for aches and pains.

  • Zofran is a powerful, fast acting anti-emetic medication

  • Pepcid is an H2-blocker than can quickly reduce stomach acidity

  • Benadryl is a powerful H1-blocker that is very useful in reducing allergy symptoms

  • Dexamethasone - is a powerful corticosteroid that can be very useful in treating a variety of clinical conditions including sciatica, asthma exacerbations, poison ivy, hives, and various allergic reactions.

Vitamin B12 Shots

$25 for 1,000 mcg

Vitamin B12 injections have the ability to boost energy and increase metabolic rate while helping to regulate sleep, mood & appetite.

Parenteral Medications

$25 for first, $15 for each additional

Can be injected directly into the muscle or added to an IV infusion for an even more immediate affect

  • Toradol is a potent, non-sedating anti-inflammatory medication for aches and pains.

  • Zofran is a powerful, fast acting anti-emetic medication

  • Pepcid is an H2-blocker than can quickly reduce stomach acidity

  • Benadryl is a powerful H1-blocker that is very useful in reducing allergy symptoms

  • Dexamethasone - is a powerful corticosteroid that can be very useful in treating a variety of clinical conditions including sciatica, asthma exacerbations, poison ivy, hives, and various allergic reactions.

Steroid Joint Injection

$95

In addition to reducing pain, intra-articular steroid injections can help the affected joint heal faster by decreasing inflammation and swelling.  We can inject shoulders, elbows, wrists, fingers, hips, knees, ankles and feet. 

Other

DEXA Bone Density - $75 - measures the bone density in your hip and spine via DEXA scanner to detect metabolic bone disorders including osteopenia and osteoporosis.

Spirometry - $50 -  measures how much air you can hold and how quickly you can move air in and out of your lungs. It is a great screening test for diseases such as asthma, COPD, and pulmonary fibrosis.

Resting EKG - $50 -  screening test for heart arrhythmias, conduction defects, and signs of prior heart attacks.

Urinalysis - $25 -  can be used to see if an athlete is in a ketotic state during intense dieting.  It can also be used to screen for drugs of abuse as well as screening for urinary tract infections or other kidney disorders

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CONTACT US

840 Grandview Avenue
Grandview, OH 43215

HOURS OF OPERATION

Open 24 hours per day to members via keycard access

 

Staffed hours

Monday/Wednesday/Friday 8am-4pm

Tuesday/Thursday 8am-4p & 5pm-8pm

Saturday 8am-noon

Or by appointment!

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