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Hybrid (franchise + corporate)
Normal Is Not Optimal
Signature offer
A medically-supervised hormone-optimization program (lab work + provider visit + take-home medication) paired with an in-clinic recovery modality suite (cryo, sauna, compression) under one brand — most locations are run by a licensed clinician who is also the local owner-operator (e.g., PA Josh Porter as owner/CEO of the Chattanooga location), not a corporate employee-staffed storefront.
Optimize U is a hormone-optimization and recovery clinic network offering bioidentical hormone replacement therapy (BHRT), lab work, and provider consultations alongside recovery modalities (cryotherapy, infrared sauna, compression therapy, peptides). Clinics are run by licensed healthcare professionals (RNs, PAs) and the brand grew from a single Nashville-area clinic in 2016 to a nationwide network. It franchises to owner-operators (participation type "Owner Operator" per its own franchise-lead intake tool) alongside a base of company-owned locations, making it a hybrid rather than a pure franchise system.
Footprint
The brand's own unit count and Praxium's verified-location count measure different things and are shown unreconciled.
Praxium’s own count — locations we linked to this brand, one by one.
2026-08-10 (live count of location subpages on optimizeucenters.com/locations/, fetched this session) — optimizeucenters.com/locations/ — brand's own locations directory, live-counted at fetch time. A separate, older count exists from the 2025 FDD (29 total units: 12 franchised / 17 company-owned) per FranchiseVerdict's franchise-data aggregation — see economics fields. Praxium's own corpus currently holds only 5 of these as a floor.
Franchise availability Open — per the brand's own materials. A status, not an endorsement.
System shows +200% 3-year unit CAGR and 0% reported franchisee turnover per FranchiseVerdict's 2025 FDD-derived scorecard, which also assigned the brand a C-grade (45/100) specifically citing "missing financial disclosures, Going Concern status, aggressive growth trajectory, and opaque profit-based royalty structure" as risk factors an operator should weigh.
None found — US-only per the locations directory.
On the record
2025 (exact date not stated in article)
Co-founder Josh Hudson profiled discussing hormone testing and the opening of a new East Nashville location
Source: Nashville Fit Magazine
2025 (exact date not stated in article)
Profile piece describing Optimize U's positioning as more than "just another hormone clinic," covering DEXA scan expansion at the Nashville flagship
Source: Nashville Fit Magazine
The dossier
Terms tied to the 2025 disclosure cycle. Citations stay inline wherever the research recorded one.
Reported unit economics (FDD Item 19)
no FPR published — FranchiseVerdict states Optimize U "did not disclose financial performance in FDD Item 19," so no AUV figure exists to report (a second aggregator, FDDIQ, claims the opposite — that Item 19 IS disclosed — but supplied no figures; treat both as unverified and the AUV field as genuinely absent)
Reported from public sources — named inline where the research records them — not verified against the primary FDD and not advice. Verify Items 5–7, 12 and 19 of the current FDD before relying on any figure. Primary economics source ↗
In the directory
5 of the 5 verified locations resolve to a listed US studio page across 3 states — the two counts differ because directory listings apply their own gates.

Nashville, TN
5.0· 110 reviews
Optimize U is a clinician-run hormone optimization clinic offering cryotherapy, infrared saunas, and compression therapy for personalized recovery and wellness support.
Concord Hills · Brentwood, TN
5.0· 40 reviews
Physician-led hormone optimization and wellness clinic offering cryotherapy, cold plunge therapy, infrared sauna, and personalized hormone consultations.
St. Petersburg, FL
5.0· 40 reviews
Optimize U St.
St. Petersburg, FL
5.0· 1 review
Clinician-led hormone therapy and recovery center offering cryotherapy, infrared sauna, compression therapy, and red light therapy to optimize health and wellness.