Your patient is
putting in the work.
His waistline isn’t
showing it.
He trains. He watches what he eats. He remembers feeling lean, strong, and confident — and wants to feel that way again.
Optima offers physician-led evaluation and ongoing support for men in their 40s and 50s pursuing better body composition and quality of life — retatrutide-based programs run from our Tijuana clinic, with evaluations on video wherever your patient lives.
An introductory conversation — your clinical and operational questions, answered by the physician who runs every evaluation.
You know this patient
“I’m doing more than I did at 30. Why do I look worse?”
He’s still showing up at the gym. He’s tried the supplements, changed his diet, and added more cardio.
But the belly fat remains — and the frustration is growing.
He wants to take his shirt off without thinking about it. Feel attractive to his wife. See the results of his discipline in the mirror.
When he brings these concerns to your practice, he wants someone to take them seriously and help him understand his options.
What he’s already tried before he reaches you
- Training most days — often harder than he did at 30
- Diet changes, supplement stacks, more cardio
- Online "research peptide" sites with no doctor behind them
- Repeated cut-and-regain cycles he couldn't sustain
The pattern Optima hears, over and over, in its own consultations with this patient.
What Optima offers
A medical conversation about the results he wants.
Optima starts by understanding the patient: his goals, medical history, current medications, training, lifestyle, and concerns.
Dr. Rubén Medina evaluates his needs and discusses appropriate next steps — including the potential benefits, limitations, and risks of treatment options.
Our team helps coordinate the practical details, while patients receive ongoing physician access during their program.
- 01Individual medical consultation
- 02Review of relevant health information and testing
- 03Discussion of body composition, lifestyle, and treatment goals
- 04Patient education and help getting started
- 05Follow-up coordination and ongoing questions
Why refer to Optima?
Support this patient without building another service in your practice.
You may see the demand without wanting to manage every consultation, treatment question, and follow-up yourself.
Optima combines medical evaluation with personal coordination to help patients understand their next steps and navigate their program.
Your patient stays yours
With the patient's authorization, the referring doctor stays informed — Optima supplements your care, it doesn't replace it.
A physician answers to you
Every evaluation is run personally by Dr. Medina. Your clinical questions get physician-to-physician answers.
Nothing for you to manage
Scheduling, education, follow-ups and patient questions are handled by the Optima team.
An introductory conversation gives you the opportunity to meet Dr. Medina, review our approach, and determine whether Optima is an appropriate resource for your patients.
Get in touchThe people behind Optima
Meet Dr. Rubén Medina and Chris Martinez.
Dr. Rubén Alejandro Medina
Physician — Professional License (Cédula) 8428907
Leads medical consultations, evaluates treatment suitability, and addresses patients' medical questions. UABC graduate with honors, A4M active member, with U.S. rotations including Texas Children's Hospital.
Chris Martinez
Co-founder — Patient Coordination
Coordinates appointments, explains program logistics and pricing, and helps patients get started. Chris went through his own body-composition journey in his 40s — his individual experience, not a promise of patient results — and it's why he takes this patient's frustration seriously.
Due diligence
Know who you’re referring to.
Refer with your eyes open. Here’s what we publish — and what we’ll walk you through on an introductory call.
- Physician credentials and licensing
Dr. Rubén Alejandro Medina, Professional License (Cédula) 8428907, Universidad Autónoma de Baja California (honors), A4M active member.
- Where care happens
Evaluations on video or in person; the clinic is at Ave. P.º del Centenario 9580, Piso 25, Zona Urbana Río, Tijuana — with labs and imaging available in the same building. Prescriptions are issued and dispensed in Mexico under Mexican medical license.
- Treatments and regulatory status
Programs are built around retatrutide, an investigational medication not approved by the FDA or COFEPRIS, prescribed only after an individual medical evaluation. Patients are told exactly that, in writing, before any treatment.
- Published evidence
Retatrutide's phase 2 results were published in the New England Journal of Medicine (2023); phase 3 trials are ongoing. We discuss the literature — including its limits for an investigational medication — physician-to-physician on the introductory call.
- Monitoring and follow-up
Structured follow-ups track weight, treatment response and side effects; doses are titrated by the physician, and patients keep a direct line to Dr. Medina for the length of their program.
Common physician questions
Asked on almost every introductory call
Final step
Have patients who fit this description?
Meet the Optima team, ask your clinical and operational questions, and explore whether our approach fits your patients’ needs.
We’ll reply within one business day to set a time — a 20–30 minute video call with Dr. Medina and Chris.