APEX MAN
Against the Grain STL × ALEA Health
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St. Louis Men’s Optimization Program

PEAK

PERFOR-
MANCE.
At any age. On every level.
Clinically designed. Coach driven. Built for men.
The only fully integrated men’s health protocol in St. Louis — combining hormone optimization, strength training, advanced body technology, and precision nutrition into one seamless program.
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APEX
A collaboration between
Against the Grain STL × ALEA Health & Wellness
40+
Men Who Refuse to Slow Down
4
Integrated Protocols
2×
Weekly Training
4×
Annual Lab Monitoring
The Reality

YOU BUILT
EVERYTHING.

NOW WHAT?
You’ve spent decades building your career, your family, your life. You’ve worked harder than most men will ever understand.
“But somewhere along the way, your body stopped keeping up.”
Low energy. Weight that won’t move. Drive that’s faded. That’s not who you are — and it doesn’t have to be your future.
  • Testosterone declining since your mid-30s — affecting energy, strength, and libido
  • Metabolism slowing despite eating right and staying active
  • Weight gathering around your midsection no matter what you try
  • Recovery taking longer — workouts that used to be easy now wipe you out
  • Drive and confidence not what they used to be — in the gym or the bedroom
  • Doctors telling you everything is “normal for your age”
  • Tried supplements, diets, programs — nothing sticks, nothing works
How It Works

THE APEX
PROTOCOL

A three-phase journey from assessment to full optimization — medically supervised by Dr. Delene Musielak and coach-driven by Javier Mariano.
01
ASSESS
Comprehensive labs, hormone panel, and body composition analysis. We find out exactly where you are — so we know exactly where to take you. No guesswork.
02
ACTIVATE
Your protocol launches. Hormone optimization, precision nutrition, strength training, and advanced body technology — all working together from day one.
03
OPTIMIZE
Quarterly lab monitoring, ongoing coaching, and protocol adjustments ensure you keep progressing. This isn’t a program. It’s a permanent upgrade.
Choose Your Level

APEX MAN
PACKAGES

Every man starts somewhere. Every package delivers results. The question is how far you want to go.
Entry Level — Start Here
APEX
IGNITE
Start here. Transform everything.
  • Medical weight loss consultation with Dr. Musielak
  • GLP-1 medication management — medically supervised
  • Custom nutrition plan with Javier — hormone-supportive & sustainable
  • 2 in-person nutrition sessions per month
  • Unlimited check-in calls & accountability support
  • Monthly progress tracking & body composition review
  • Built-in upgrade path to APEX FOUNDATION when you’re ready
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APEX
FOUNDATION
Build the base. Nutrition & strength.
  • 8 personal training sessions per month (2× per week)
  • Custom nutrition plan — hormone-supportive & sustainable
  • 2 in-person nutrition sessions + unlimited check-in calls
  • Training tailored to your body — form, posture, programming
  • Monthly progress tracking & body composition review
  • GLP-1 weight loss medication available as add-on
Book Consultation
Most Popular
APEX
PERFORMANCE
Optimize your hormones. Elevate everything.
  • Everything in APEX FOUNDATION
  • Full male hormone panel with Dr. Musielak
  • Testosterone & HRT pellet therapy (every 6 months)
  • Quarterly follow-up labs — monitored every 90 days
  • 2 in-person nutrition sessions per month + unlimited check-in calls
  • Advanced nutrition periodization — synced to your hormone protocol
  • GLP-1 weight loss medication available as add-on
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APEX
ELITE
The complete protocol. No compromises.
  • Everything in APEX PERFORMANCE
  • 12 training sessions per month (3× per week)
  • 2 in-person nutrition sessions per month + unlimited check-in calls
  • ApexRF ultrasound therapy — 6 sessions, flexible scheduling
  • 2 EvolveX Tone sessions included
  • 2 B12 injections included
  • Sexual health optimization — fully integrated protocol
  • Priority scheduling at ALEA Health & Wellness
  • Personalized supplement protocol
  • Concierge coaching access with Javier
  • GLP-1 weight loss medication available as add-on
Book Consultation

All packages require a one-time initial lab fee. Pricing available during your private consultation.

APEX ELITE

SEXUAL
HEALTH

OPTIMIZED.
Most programs won’t talk about this. We will — because it matters.
For men over 40, sexual health isn’t separate from overall health. It’s a direct reflection of it. Hormones, blood flow, body composition, confidence — they’re all connected.
“Are you the man your partner fell in love with? You can be again.”
APEX ELITE integrates every dimension of sexual health into your protocol — not as an add-on, but as a natural outcome of total optimization.
Hormone Foundation
TRT restores testosterone. Estrogen is balanced. DHEA optimized. Your hormonal environment rebuilt from the ground up.
ApexRF Acoustic Wave
Clinical ultrasound therapy shown to improve blood flow — addressing the vascular component of performance at the source.
Physical Optimization
Strength training raises natural testosterone. Reduced body fat directly improves function. Better cardiovascular fitness means better blood flow — everywhere.
Precision Nutrition
Foods that support nitric oxide production, vascular health, and testosterone. Anti-inflammatory. Targeted. Designed for men.
Confidence & Mindset
When a man feels strong and looks the part, everything changes. Accountability coaching addresses the mental dimension that clinical protocols can’t reach.
Backed by Science

MONITORED.

MEASURED.

PROVEN.

Initial Labs
Comprehensive hormone panel to establish your baseline before any protocol begins. Full picture. No guessing.
One-time at program start — pricing discussed during consultation
Quarterly Monitoring
Follow-up labs every 90 days to track your hormone levels and ensure your protocol is dialed in and optimized.
4× per year — pricing discussed during consultation
Pellet Therapy
Bioidentical hormone pellets for consistent, steady testosterone delivery — inserted every 6 months by Dr. Musielak.
Every 6 months — pricing discussed during consultation
Your Team

CREDENTIALS

YOU CAN TRUST.

Strength & Nutrition Coach
JAVIER
MARIANO
  • AADP Board Certified Health Coach
  • Holistic Health Practitioner — Institute for Integrative Nutrition
  • Culinary Arts Graduate
  • 10+ years transforming men’s health & body composition
  • Specialty: Men 40+, sustainable fat loss, hormone-supportive nutrition
  • Founder — Against the Grain STL
Medical Director — ALEA Health & Wellness
DR. DELENE
MUSIELAK
  • Triple Board Certified Physician
  • University of Missouri Medical School Graduate
  • Obesity Medicine Specialist
  • Hormone optimization & Biote pellet therapy
  • ApexRF ultrasound & EvolveX body technology
  • GLP-1 medically supervised weight loss
Limited Spots Available

READY TO
BECOME AN

APEX MAN?

Your free consultation is confidential, no-pressure, and 100% focused on understanding where you are and where you want to go. We’ll tell you exactly which package fits your goals.

Book Your Free Consultation
Confidential · No obligation · St. Louis, MO
APEX MAN
againsthegrainstl.com

Against the Grain STL × ALEA Health & Wellness
Creve Coeur, St. Louis, MO

Peak Performance. At Any Age.