WITH THE WORLD'S LEADING HORMONE REPLACEMENT CLINIC
"Why do I feel this way?"
Let Defy Medical help you find out.
Many of our patients come to us because they feel a decline in drive, energy, and libido. Are you tired of gaining weight for no reason, or having difficulty sleeping or performing sexually? You may be one of the 40% of men with low testosterone or 80% of women with a hormone imbalance. Defy Medical cares about helping you find your best self again.
Studying the hormone levels in your blood helps us identify the root of what’s causing your symptoms. If we diagnose a hormone imbalance, then we can determine the kind of treatment that can help you. Work with a care team who cares about you.
Balance is everything.
So much of your body’s health is about balance. When the system is in balance, you feel good. But when the system is imbalanced, you experience problems. A comprehensive blood panel and consultation can help us find the cause of any imbalance.
Testosterone Replacement Therapy
In men, testosterone helps maintain reproductive tissues, stimulate sperm production, promote and maintain sexual function, increase muscle mass, maintain bone strength, and much more. A testosterone deficiency can lead to erectile dysfunction, fatigue, fat gain, and other symptoms that affect quality of life. At Defy Medical, we specialize in Testosterone Replacement Therapy with the latest delivery systems and protocols. We help you feel better, so you can get back to the life you want to live.
Bioidentical Hormone Replacement Therapy
When women experience hormone deficiencies, they often exhibit symptoms like hot flashes, night sweats, fatigue, low libido, decreased pleasure during intercourse, irritability and/or anxiety, among others. Restoring hormones to optimal levels through Bioidentical Hormone Replacement Therapy (BHRT) can help ease these symptoms and improve quality of life. Common hormones to replace include androgens, estrogens, progesterone, pregnenolone, and DHEA.
Thyroid Restoration
The thyroid is a butterfly-shaped endocrine gland located in the neck. This gland is responsible for producing two key hormones: thyroxine (T4), and tririodothyronine (T3). These hormones help regulate the metabolism and influence virtually every organ system in the body. These key thyroid hormones essentially tell organs how fast or slow they should work. Thyroid hormones also regulate the body's consumption of oxygen and production of heat. Thyroid problems, such as an overactive or under-active thyroid, can severely affect metabolism.
Diabetes Support
Men with diabetes are more likely to suffer from low testosterone than men without diabetes. They often report symptoms like erectile dysfunction, decreased stamina, issues with fertility, muscle pain or weakness, increased body fat, joint pain, and other issues. Testosterone Replacement Therapy (TRT) can support lean body composition, which can have an impact on metabolic function and glucose. TRT can also address symptoms like low libido and sexual dysfunction, which can greatly improve quality of life.
Erectile Dysfunction Treatments
Erectile dysfunction in men can negatively impact relationships, confidence level, and overall quality of life. Defy Medical’s providers are experienced with treating erectile dysfunction and can employ the most effective solutions for men across the ED spectrum. Treatments include oral medications, penile injections, androgen therapy, non-invasive Shockwave therapy, and a combination of treatments based on individual patient needs. We take ED seriously, and we can help.
Female Sexual Dysfunction Treatments
Female Sexual Dysfunction (FSD) is a frequently overlooked issue that affects many women. FSD can include low sexual desire, difficulty becoming aroused, pain or discomfort during intercourse, and difficulty reaching orgasm. The causes for FSD are varied, and Defy Medical’s providers are trained in effective treatments that can help you feel sexual satisfaction again.
MEN'S QUESTIONNAIRE
This quick quiz can help you determine whether you're a potential candidate for Testosterone Replacement Therapy (TRT).
WOMEN'S QUESTIONNAIRE
This quick quiz can help you examine your symptoms to see if you're a potential candidate for Hormone Replacement Therapy (HRT).
Meet
Justin Saya, MD
Dr. Justin Saya, M.D. is the medical director and lead practicing physician at Defy Medical. He offers therapy to both men and women who are looking to balance their hormone levels and improve their overall quality of life. His patients have reported benefits such as improved energy levels, restored libido, and much more.
Meet
Caleb Calkins, MD
Dr. Calkins is focused on optimum health for his patients. He believes in a proactive approach to medicine that emphasizes maintaining an appropriate balance of nutrition, hormones, and fitness. He is dedicated to finding the root causes of his patient’s symptoms and the appropriate treatment regimens for complete wellness.
Meet
Melissa Faulk, PA-C
Melissa Faulk, PA-C, graduated Summa Cum Laude from South University in 2003 with a Bachelor of Physician Assistant Studies. Melissa is a NCCPA (National Commission on Certification of Physician Assistants) board-certified physician assistant with nearly 20 years of clinical experience...
Meet
Janel Mayer, MSN, APRN, FNP-C
Janel Mayer, MSN, APRN, FNP-C obtained her bachelor’s degree in Nursing from Penn College in 2004 and gained valuable experience caring for critically ill patients at some of the finest facilities on the east coast.
Meet
Mike Linkous, PA-C
Mike Linkous, PA, completed his bachelor’s degree in Adult Fitness/Exercise Science at Marshall University in West Virginia. He received his Physician Assistant degree from The College of West Virginia in Beckley, West Virginia in 2000.
Meet
Ben Walker, APRN, DC
Ben Walker, APRN, DC received his Doctor of Chiropractic degree in 1989 and has been a nurse practitioner since 2014. His interest in the integrative approach to healthcare inspired him to explore and understand the many facets of optimizing personal health.
Meet
Jill Dillenburg, RN
Jill Dillenburg, RN, has practiced as a board-certified registered nurse for the past 10 years. She has specialized in the areas of hormone replacement therapy and cardiology. Since 2014, Jill has practiced with Defy as both a provider and the medical manager to Defy’s team of medical assistants.
Justin Saya, MD
Dr. Justin Saya is the medical director and lead practicing physician at Defy Medical. Dr. Saya graduated as class valedictorian from North Carolina State University with a dual bachelor’s degree in Biological Sciences and a bachelor’s degree in Economics. He received his medical degree from the University of North Carolina at Chapel Hill, School of Medicine, and subsequently performed his internship and residency training at the University of South Florida/Morton Plant Mease Family Medicine Residency Program.
In addition to his education and training, he is privileged to hold many certifications, honors, and memberships, including membership to the American Medical Association, the American Association of Family Practitioners, and the World Anti-Aging Academy of Medicine, among many others.
Dr. Saya offers therapy to both men and women who are looking to balance their hormone levels and improve their overall quality of life. His patients have reported benefits such as improved energy levels, restored libido, improved muscle tone and exercise tolerance when combined with an exercise routine, healthy/sustainable weight loss when positive eating and exercise habits are adapted, and much more.
He hears repeatedly from Defy patients that hormone replacement therapy is one of the best decisions they’ve ever made.
Caleb Calkins, MD
Dr. Calkins is focused on optimum health for his patients. He believes in a proactive approach to medicine that emphasizes maintaining an appropriate balance of nutrition, hormones, and fitness. He is dedicated to finding the root causes of his patient’s symptoms and the appropriate treatment regimens for complete wellness.
Dr. Calkins completed his bachelor’s degree in Public Relations with a minor in Nutritional Science at the University of Florida. While there, he was involved with research focused on the benefits of a ketogenic diet in improving epilepsy. He received his medical degree from St. Matthews University, and subsequently performed his internship and residency at Tulane University/East Jefferson General Hospital Family Medicine Residency Program in New Orleans, Louisiana. In addition, he received a master’s degree in Hospital Administration from Davenport University in Grand Rapids, Michigan.
Throughout his education and experience, Dr. Calkins has seen the benefit of using multiple modalities to improve patient outcomes.
Melissa Faulk, PA-C
Melissa Faulk, PA-C, graduated Summa Cum Laude from South University in 2003 with a Bachelor of Physician Assistant Studies. Melissa is a NCCPA (National Commission on Certification of Physician Assistants) board-certified physician assistant with nearly 20 years of clinical experience in the fields of military medicine, orthopedic trauma, cardiology, and hormone replacement. She has specialized in men’s health for more than 10 years.
Melissa has a passion for U.S. military service members and veterans due to her personal service in the Army. She served as the lead PA for Army’s Center of Aviation SERE-C course, graduated from the Army Flight Surgeon course in 2009, and served several years in Afghanistan caring for U.S. soldiers. She has a deep appreciation and understanding for the challenges and obstacles that military personnel encounter and endure, stateside, while deployed and after separation from the service.
Melissa approaches patient care from a functional perspective, seeking to uncover and address the root cause of imbalance, rather than simply managing symptoms. She also understands that optimized health requires an integration of physical, mental, and psychological well-being.
Melissa is diligent in partnering with patients to formulate individualized plans to meet their health and wellness goals, whether that be increased energy, vitality, or changes in body composition. She is dedicated to helping both male and female patients feel their best through optimal hormone levels and is experienced in the management of all endocrine issues including thyroid and adrenal disorders.
Janel Mayer, MSN, APRN, FNP-C
Janel Mayer, MSN, APRN, FNP-C obtained her bachelor’s degree in Nursing from Penn College in 2004 and gained valuable experience caring for critically ill patients at some of the finest facilities on the east coast. In 2014, she completed her graduate degree as a family nurse practitioner at Chamberlain College of Nursing. She went on to obtain certifications in the fields of nutrition, weight loss, hormone balancing, and aesthetics through Empire Medical.
As a nurse practitioner with more than 15 years healthcare experience, Janel’s passion for improving overall health and vitality through diet/lifestyle modification and hormone balancing is evident in the meticulous care she provides to her patients. She loves helping patients look and feel their best through comprehensive treatment plans based on their individual needs and desires.
Mike Linkous, PA-C
Mike Linkous, PA, completed his bachelor’s degree in Adult Fitness/Exercise Science at Marshall University in West Virginia. He received his Physician Assistant degree from The College of West Virginia in Beckley, West Virginia in 2000. Since then he has worked in Sports Orthopedics, Family Medicine, Integrative Hormone Medicine, and Pain Management.
As a member of the Defy Medical provider team, Mike takes an integrative approach to treating patients. In addition to his extensive medical training and practice, Mike also brings unique personal perspective to his patient consultations as he has been on TRT for more than 15 years.
Ben Walker, APRN, DC
Ben Walker, APRN, DC received his Doctor of Chiropractic degree in 1989 and has been a nurse practitioner since 2014.
His interest in the integrative approach to healthcare inspired him to explore and understand the many facets of optimizing personal health. When working with his patients, Ben applies his years of medical knowledge and practice to understand the physical, nutritional, and emotional aspects of a patient’s lifestyle.
Ben himself has been on bio-identical hormone replacement therapy for the past 4 years and has had the opportunity to get acquainted with the many benefits of a thorough and comprehensive approach to using HRT as a means to restore a patient’s overall well-being. His in-depth and personal experience with integrative healthcare allows him to truly understand the various needs of his patients.
Jill Dillenburg, RN
Jill Dillenburg, RN, has practiced as a board-certified registered nurse for the past 10 years.
She has specialized in the areas of hormone replacement therapy and cardiology. Since 2014, Jill has practiced with Defy as both a provider and the medical manager to Defy’s team of medical assistants.
Jill graduated from Galen College of Nursing in 2010 with a Registered Nurse degree. She initially practiced in cardiology assisting with clinic patients, nuclear stress testing, and pacemaker implantation before starting with Defy. Jill is enthusiastic about helping individuals rediscover themselves in mind and body for optimal health and happiness.
Her approach to hormone replacement therapy is a holistic one, addressing both hormone levels and lifestyle factors to improve one’s daily quality of life. Due to her many years of practicing as an IV nutritional specialist, she is proficient in evaluating for vitamin and mineral deficiencies that contribute to fatigue, weight issues, and cognitive function. Jill finds patient education via telemedicine both rewarding and gratifying. She empowers individuals to be their own best advocate through a deep understanding and knowledge of their health.
News and Health Articles
Testosterone injections are often the most economical option and allow for the greatest control when it comes to optimizing hormone levels. But do testosterone injections hurt? The answer is: It depends.
Author: Jasen Bruce
Read our easy, step-by-step guide on how to inject testosterone, either through intramuscular injections (IM injections) or subcutaneous injections (SQ injections).
Testimonials
How DEFY Helped Me
"No doctor in my town wanted to treat me because I was only 25, despite having diagnosis, imaging and bloodwork indicating I needed the help. I want to thank Dr. Calkins from the bottom of my heart. The past few months have been so liberating for me and I finally feel in control of my life. Also, for the first time in my life, I can truly say I’m happy. I’m not just going through the motions to get through the day anymore."
"Defy Medical is a top-rated facility. They provide excellent service in a professional and friendly environment. Dr. Saya is extremely knowledgeable in all areas related to hormone and weight loss."
"I am able to trust that the providers at Defy will continue to offer patient-driven, cost-effective, hormone-based healthcare solutions that are actually helpful in achieving sustainable long-term health stability."