One team for your hormones, your medication, your training and your nutrition, in one building in Chesterfield.
Ignite Performance and Health is a provider-led medical clinic and private training gym in Chesterfield, Missouri. When a licensed provider decides it is right for you, we prescribe testosterone therapy, women’s hormone therapy or GLP-1 weight management, and we pair it with coached strength training and nutrition coaching, run by the same team.
The difference
A prescription, a refill reminder, and a check-in when the next payment is due. The part that does most of the work is left to you.
A provider visit and labs, coached strength training, and nutrition coaching, coordinated by one team that works in the same building and talks to each other.
Medication works best alongside the habits that do the work. Training protects muscle, nutrition sets the pace, and the prescription supports both.
The Ignition Sequence™: Science + Strength + Nutrition
Every part links to the others. You do not pick a service. You join a program, and we build it around you.
For men whose symptoms and labs point to low testosterone. Prescribed and monitored by our provider.
Learn about TRTFor women in perimenopause and menopause. Your bloodwork is explained and every adjustment comes with a reason.
Learn about HRTMedication paired with strength training and nutrition, built around keeping muscle while you lose weight.
Learn about GLP-1Private, coached training in our gym. No crowds and no guessing about what to do next.
Learn about trainingPractical eating plans built around your schedule, your goals and your treatment.
Learn about nutritionHow it works
Fifteen minutes by phone with Derek. We talk about what you want to change and whether we are a fit.
You come to the clinic, meet our provider, and get your labs drawn.
Our provider reviews your results and decides whether treatment is appropriate. Training and nutrition are part of the plan either way.
Training sessions, nutrition coaching and provider follow-up on a set schedule, all in one place.
Who runs it
Medical care is delivered in person by Matthew Pliske, PA-C. Medical oversight is provided by Guardian Medical Direction.
Derek Hoffman owns Ignite and runs the training and nutrition side with our coaching team. The provider and the coaches work in the same building and plan together, so your medication, your training and your nutrition move in the same direction.

Questions
No. If our provider decides a medication is right for you, you can start with that. We will still recommend training and nutrition coaching, because that is what helps the medication do its job, and we will explain why on the call.
Ignite is a cash-based clinic and does not bill insurance directly. We provide superbills and documentation you can submit to your HSA or FSA provider for reimbursement.
It is a 15-minute phone call with Derek. He asks what you want to change, answers your questions about how the program works, and, if it fits, books your in-person visit with labs. Nobody is pressured into anything.
14830 Clayton Rd, Chesterfield, MO 63017, serving Chesterfield and the greater St. Louis area. Hours are Monday to Friday 5:30 AM to 7 PM, and Saturday and Sunday 8 AM to 1 PM. Call (314) 887-0858.
Yes. Every provider visit happens in person at our clinic in Chesterfield. The strategy call is the only step by phone.
A short phone call with Derek. We talk through what you want to change, answer your questions, and decide together whether an in-person visit makes sense. No pressure, today or any day.
Rather talk to a person first? Call the clinic at (314) 887-0858.