concierge health & wellness

Weight LossHormone TherapyStem CellsSexual Well BeingPeptidesNutritionAnti Aging CareNAD+

Prime MD offers comprehensive concierge medical care for adults including optimal wellness which focuses on hormone therapy, peptide therapies, metabolism enhancement, weight loss and rejuvenating therapies from PRP to cell stems. Dr. Hummel focuses on your overall well-being with the ultimate goal of improving the quality of your life – now and for years to come.

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Medical Weight Loss

Our Medical Weight Loss program focuses on the individual’s goals and utilizes a variety of laboratories, biomarkers, and measurements to determine the metabolic and lifestyle dysfunctions that have led to unhealthy weight gain. Dr Hummel focuses on fat loss and muscle retention to optimize the weight loss process to lower your metabolic age and improve overall health and well-being.

Your customized prescriptive treatment will include a combination of medications, supplements, direct nutrition adjustments and a personally tailored fitness program to achieve your weight loss and health goals.

Low Metabolism

Metabolism is the process by which our bodies converts what we eat and drink into energy. Even when you are resting, your body needs energy for breathing, blood circulation, digestion and many other functions. The number of calories that your body is using for these basic functions is known as resting metabolic rate (RMR).


AGE: As we age, our metabolism naturally slows down. After the age of 30, our RMR decreases about one to two percent per year. This is one of several reasons why most people gain weight as they get older. Muscle mass decreases, while fat mass increases, cutting down the rate at which we burn calories.

BODY SIZE AND COMPOSITION: Athletic and muscular people burn more calories, even when they are resting, so they are more likely to have a faster RMR than obese individuals.

GENDER: Men tend to have a lower body fat percentage and higher muscle mass than women of the same age, and this is the reason they burn more calories. One of the reasons is that men produce ninety percent more testosterone than women. Testosterone is a sex hormone that helps increase muscle mass and decrease fat mass.

HORMONAL IMBALANCE: Sex hormones for men and women decline as we age. The lack of estrogen in women and the amount of testosterone in both men and women can change the muscle/fat ratio.

POOR NUTRITION/FREQUENT CRASH DIETS: Patients who tend to eat food high in refined sugars and/or saturated fat, food with poor nutritional value or those ones who are on a very restrictive caloric diet on a regular basis tend to have slower metabolism. When you are not eating enough calories to meet your RMR, your metabolism slows down to conserve energy, and your body naturally responds by storing fat for future use. Crash diets cause muscle and water mass loss, rather than fat, slowing down your metabolism. Also, patients eating a imbalanced diet can have a deficiency of vitamins, minerals and essential amino acids.

STRESS: Emotional stress causes your level of the hormone cortisol to rise, which can harm your metabolism. Increased cortisol levels can cause you to overeat, therefore, causing weight gain (fat gain). Often, individuals affected by life or emotional stressors could benefit from a regular exercise routine, helping release natural “feel good” brain chemicals (endorphins).

INSOMNIA: Individuals who are having accumulative sleep deprivation may be affecting their RMR. Chronic insomnia can cause a dysregulation of certain hormones (cortisol, insulin and leptin). Insulin is a hormone that tells your body to store fat. Sleep deprivation appears to have a harmful impact on carbohydrate metabolism.

MEDICATIONS: The metabolic rate can be affected by some drugs, such as antidepressants, diabetic medications, steroids, antithyroid agents and hormone therapies.

CHRONIC DISEASES: Certain medical conditions such as obesity, hypothyroidism, diabetes
or Cushing’s syndrome can slow down metabolism.

OBESITY: Obese individuals with higher fat mass and lower muscle mass tend to have a slower metabolism. As it was described in the body size and composition section, individuals with more muscle mass will burn more calories at rest.

HYPOTHYROIDISM OR UNDERACTIVE THYROID: Thyroid hormones play an important role in regulating the metabolism and overall energy production. When the thyroid gland is not producing enough hormones, all bodily processes — including your metabolism — slow down.

DIABETES: Research studies have shown that the higher blood sugar levels may actually fool the body into believing there’s lots of energy around, resulting in a slowed down metabolism.

CUSHING’S SYNDROME: Cushing’s syndrome is a disorder that develops when the adrenal glands are producing an excess of cortisol. Cortisol is a hormone responsible for maintaining blood pressure, regulating insulin, controlling the immune system and the metabolism of proteins, carbohydrates and fats. The excess of cortisol slows down metabolism, resulting in obesity.

PHYSICAL INACTIVITY: Lack of exercise or physical activity can cause fat gain and slow our metabolism. When you are working out, your muscles are burning calories and your metabolism increases. Regular exercise and high intensity interval training can boost your metabolism over the long term.

Excess Fat & Weight Gain

It is important to distinguish that weight loss MUST focus on fat loss, a common pitfall for many folks trying to lose weight is unintentional muscle loss which can exacerbate the unhealthy weight cycle and impair further fat loss dramatically. Healthy weight should be 80% or more fat loss.

While the most common causes are poor diet, excess calories and inadequate exercise, there are several common medical conditions that can make weight loss (fat loss) much more difficult for a substantial percentage of the population. Hormonal imbalances of testosterone, estrogen, DHEA, thyroid, Vitamin D, and human growth hormone can all exacerbate the issue. For others, insulin resistance and leptin resistance are both responsible for the body holding excess weight and slowing the metabolism; correction of these metabolic conditions are essential for effective fat loss.

Lastly, many common medications for depression, anxiety, birth control, blood pressure and pain can cause folks to gain unhealthy weight and make weight loss more difficult. Sorting out these underlying issues, boosting the metabolism and creating tailored nutrition and exercise regiments are essential for healthy weight loss.

Obalon Weight Loss System

Obalon is the first and only FDA-approved, swallowable balloon
system for weight loss. The Obalon Balloon System is intended
for adults with a body mass index (BMI) of 30 to 40 kg/m2 willing
to follow a diet and exercise program.


The Obalon Balloon System helps facilitate weight loss by taking up space in your stomach so you eat less. Three balloons are placed for a six month non surgical treatment, combined with a professionally supervised nutrition and exercise program for optimal weight loss.


Patients with the Obalon Balloon System and diet & exercise lost approximately twice as much weight as those with diet and exercise alone.

The Obalon Balloon System helps jump start your weight loss journey.


Less than 1% of adverse events were severe or serious in nature.


It is less expensive than weight loss surgery.


Each balloon placement takes less than 10 minutes.

Hormone Therapy

Hormone Decline/Hormone Imbalance

As men and women age, hormones that promote and stimulate youth naturally decline and can become out of balance.

Stem Cell & Regenerative Medicine

While great progress has been made in medicine, many current treatments are unable to keep pace with patients’ needs, especially given our aging population. There are too few effective ways to treat the root causes of many diseases, injuries and congenital conditions. In many cases, clinicians can only manage patients’ symptoms using medications or devices.

Regenerative Medicine is a game-changing area of medicine with the potential to heal damaged tissues and organs using one’s own immune system to offer new solutions and hope for people.

Regenerative Medicine itself isn’t new — the first bone marrow and solid organ transplants were done decades ago. But advances in developmental and cell biology, immunology, and other fields have unlocked new opportunities to refine existing regenerative therapies and develop novel ones (Mayo Clinic, 2018).

Prime MD utilizes high-yield adipose-derived Stem Cell Therapy and fourth generation PRP technology as part of the Regenerative Medicine program.

Stem Cell Therapy is a novel medical treatment trend because of its many beneficial properties. These undifferentiated baby cells have incredible action potential to become many different types of cells Doctors have long recognized the importance of Stem Cell Therapy for years treating cancer and systemic disease; however, there are far reaching treatments of skin, joint, muscle and other body tissues.

Stem cells can be used to enhance many procedures and tissue healing with the ability to improve your skin in a variety of ways. Stem cells have even started to replace Botox as the choice injection substance to reduce fine lines, wrinkles, and tighten the skin.


Stem Cells are an all-natural alternative to chemical elixirs. They are found inside of your own body and are essentially your body’s own clean slate. These brand new cells haven’t been told what to do yet but are ready and willing to transform into the cells your body needs to heal and recover. They offer a high level of rejuvenation for your face and skin with very little recovery time at all. In fact, many doctors provide Stem Cell Treatments to promote healing from other procedures.

In fact, its youth giving powers have even earned the facial injection procedure the nickname, The Stem Cell Facelift.

Sexual Well Being

Sexual health is a state of physical, emotional, mental, and social well-being in relation to your sexuality; it is not merely the absence of disease or dysfunction.

At Prime MD, we approach your sexual health from a holistic mindset and understand the importance of feeling and functioning at your best. For many, this involves living a healthier lifestyle and being comfortable with your body and your mind. We have various treatments to help boost your sexual function and help restore your libido and sexual health, from hormone therapy to boost and balance your natural hormone levels, to peptides that help boost libido, to medications that help overcome mental barriers and help build confidence, to targeted PRP and stem cell therapy to rejuvenate male and female sexual function.

We view sexual health and function as part of a healthy lifestyle and realize the relationship between the two.

Penis Enhancement & Enlargement

It is common for most men to feel  a bit self-conscious about the size of their penis. Enhancement surgery to achieve a bigger penis can be a risky and pricey commitment that you may not be ready to make. Dr Joe offers FDA-approved injectable fillers and fat transfer treatments to add width, fullness, and overall size to the penis. This procedure is safe, effective, and requires no downtime afterward, so you can enjoy the benefits almost instantly. The entire procedure takes less than 1 hour and has been described by clients as virtually painless. If you are concerned with your current size and need an added boost of confidence, we invite you to schedule a complimentary consultation at our Raleigh location. Dr Joe is highly experienced and will complete the consultation and treatment with the utmost privacy and discretion. Please call today to learn more about male penis enhancement through injections.

Men who are looking to increase their performance, sensitivity, and erection quality should consider penile PRP therapy. PRP (Platelet rich plasma) improves erections by rejuvenating the tissues and promoting new blood vessel growth in the shaft and tip of the penis as well as increasing sensitivity. This helps restore function and sensitivity for those with erectile issues. Sensitivity is important for male sexual performance as both erection quality and ejaculation are dependent on stimulation. Improving vascularization can help enhance girth, and for some, length of the penis as well , and a number of patients report that their treatment resulted in a larger penis than their pretreatment size.

Most men notice an improvement in erection within a few weeks of the procedure which involves drawing blood from your arm and concentrating the PRP with its growth factors to be used for male enhancement. For some men, a follow up treatment is performed 90 days after the first treatment for the best results, although most men note improvement following their first PRP treatment. Three PRP treatments, spaced between 30 and 60 days apart, are recommended for the best results.


A peptide is a molecule that consists of anywhere between two and fifty amino acids. Peptides play key roles in regulating the activities of other molecules, and they can be found in every tissue of the human body.

Acting as signaling molecules for many physiological functions, peptides present an opportunity for therapeutic intervention that mimics natural pathways. Many peptide drugs are essentially ‘replacement therapies’ that add back or supplement peptide hormones in cases where endogenous levels are inadequate or absent, others trigger the release of your body’s own hormones.

Peptides can be used to boost levels of naturally produced hGH in the brain, trigger release of hormones that promote improved libido, and even stimulate skin cells to produce pigment for safer tanning and cancer prevention.


Your food choices each day affect your health and function and how you feel today, tomorrow, and in the future. Healthy nutrition is a very important part of leading a healthy lifestyle, 60% of overall health is suggested to be linked to your dietary lifestyle.

Prime MD customizes your dietary plan based on your laboratory results, metabolism, and health goals so that your diet can help you to reach and maintain a healthy weight, reduce your risk of chronic diseases (like heart disease and cancer), and promote your overall health.

Anti-Aging Care


NAD+ & Aging

Research shows NAD+ levels in the body decline by about 50% by the age of 50. By the age of 80, NAD+ levels are reduced to only 10%. This partially explains the decline in cognitive function and ability to repair cellular damage with aging.

NAD+ levels decline as we age, leading to a decline in the function of cells and organs. As you age, the telomeres in your DNA shorten which increases disease risk. Recent studies show that replenishment of NAD+ slows this process.

We administer iV NAD+ a highly effective method for delivering NAD+ over oral NAD+ supplements. We also offer nasal NAD+ spray.

Muscle Loss/Softening of Muscle

From the time you are born to around the time you turn 30, your muscles grow larger and stronger. Generally, at some point in your 30s, you start to lose muscle mass and firmness. The cause is age-related sarcopenia (sarco = muscle; penia = deficiency).

Physically inactive people can lose as much as 5% to 7% of their muscle mass each decade after age 30. Even those who are active and workout will still experience age-related muscle loss.

There’s no test or specific level of muscle mass that will diagnose sarcopenia. Any loss of muscle matters because it affects strength, mobility, function, and reduces your metabolism and ability to burn calories.

Sarcopenia typically accelerates in one’s late fifties, but may also speed up as early as late forties or as late as mid seventies. It’s a factor in frailty and the likelihood of falls and fractures in older adults.

Symptoms can include weakness and loss of stamina, which can interfere with physical activity. Reduced activity further shrinks muscle mass.

Joint Pain Arthritis

Musculoskeletal pain affects the bones, muscles, ligaments, tendons, and nerves. It can be acute (having a rapid onset with severe symptoms) or chronic (long-lasting). Musculoskeletal pain can be localized in one area, or widespread.

Lower back pain is the most common type of musculoskeletal pain. Other common types include tendonitis, myalgia (muscle pain), and stress fractures.

It is most often caused by an injury to the bones, joints, muscles, tendons, ligaments, or nerves or can be the result of long-standing overuse syndromes or wear and tear type injuries. This can be caused by jerking movements, car accidents, falls, fractures, sprains, dislocations, and direct blows to the muscle.

Musculoskeletal pain can also be caused by overuse. Pain from overuse affects 33% of adults. Lower back pain from overuse is the most common work-related diagnosis in Western society.

Poor posture or prolonged immobilization can also cause musculoskeletal pain.

Symptoms of musculoskeletal pain depend on whether the pain is caused by an injury or overuse and whether it is chronic or acute. The symptoms can also differ from person to person.


  • Localized or widespread pain that can worsen with movement
  • Aching or stiffness of the entire body
  • The feeling that your muscles have been pulled or overworked
  • Fatigue
  • Sleep disturbances
  • Twitching muscles
  • The sensation of “burning” in your muscles


Fatigue can be described as the lack of energy and motivation (both physical and mental). This is different than drowsiness, a term that describes the need to sleep. Aside from drowsiness, other symptoms can be confused with Fatigue including shortness of breath with activity and muscle weakness. Again, all these symptoms can occur at the same time. Fatigue can be a normal response to physical and mental activity; in most normal individuals it is quickly relieved (usually in hours to about a day, depending on the intensity of the activity) by reducing the activity.

Fatigue is a very common complaint and it is important to remember that it is a symptom and not a disease. Many illnesses can result in the complaint of Fatigue and they can be physical, psychological, or a combination of the two.

Often, the symptom of Fatigue has a gradual onset and the person may not be aware of how much energy they have lost until they try to compare their ability to complete tasks from one time frame to another. They may presume that their Fatigue is due to aging and ignore the symptom. This may lead to a delay in seeking care.


Individuals who are having accumulative sleep deprivation may be affecting their RMR. Chronic insomnia can cause a dysregulation of certain hormones (cortisol, insulin and leptin). Insulin is a hormone that tells your body to store fat. Sleep deprivation appears to have a harmful impact on carbohydrate metabolism.