Expert TRT & hormone optimization for men and women across the Twin Tiers of NY & PA.

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Finger Lakes Performance has a clear mission:

Own your health. Get strong. No excuses.

Finger Lakes Performance founded with the mission to enhance the quality of life for our patients through effective TRT solutions.

Get a Free Consulation

Hey Guys

Always tired. No motivation. Brain fog. Irritable. Soft around the belly. No muscle. Zero drive.

If this is you, FLX can get you back to strong, sharp, and confident again.

Get a Free Consulation

Hey ladies

brain fog, fatigue, irritability, hot flashes, restless nights, weight gain, muscle loss, absent sex drive.

These are not your new normal. FLX helps you take back your balance and confidence.

Get a Free Consulation
Finger Lakes Performance Has a Clear Mission
Own your health. Get strong. No excuses.

Founded with the mission to enhance the quality of life for our patients through effective TRT solutions.
Get a Free Consulation
Hey Fellas!
Always tired. No motivation. Brain fog. Irritable. Soft around the belly. No muscle. Zero drive.

If this is you, FLX can get you back to strong, sharp, and confident again.
Get a Free Consulation
Hey Ladies!
Brain fog, fatigue, irritability, hot flashes, restless nights, weight gain, muscle loss, absent sex drive.

These are not your new normal. FLX helps you take back your balance and confidence.
Get a Free Consulation

About Us

FLX Performance was built for people who have been dismissed, gaslighted, or told they are “fine” despite knowing something is off. Too many patients are told to be their own advocates while being denied real choices in their care. I believe informed patients deserve autonomy, transparency, and a clinician willing to listen and act.

This clinic is not for people looking for an easy button or someone else to take responsibility for their outcomes. It is for those ready to go all in on themselves. I stepped away from the traditional system because I want to help people heal—not rush visits, not follow rigid algorithms, and not ignore what patients are telling me about their own bodies.

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How The Process Works

Initial Consultation

We begin with a thorough evaluation to understand your unique needs. This includes:

  1. Hormone Level Assessment: We will assess your hormone levels, including testosterone, to identify any imbalances.
  2. Medical History Review: We will review your medical history to understand any potential factors influencing your health.
  3. Individual Health Goal Setting: We will work with you to define your specific health and wellness goals.

Personalized, Evidence-based Treatments

Based on your consultation, we may recommend a personalized healthcare plan. Our plans utilize:

  1. FDA-approved medications: We ensure your safety and efficacy by using only FDA-approved medications and peptides.
  2. Therapeutic approaches: We explore various treatment options beyond just medication, tailoring a plan that best suits your needs.

Ongoing Monitoring and Support

Your health is our priority. We provide:

  1. Regular follow-up appointments: We schedule regular appointments to monitor your progress and adjust your treatment plan as needed.
  2. Personalized adjustments: We closely monitor your response to treatment and make adjustments to ensure optimal results.
  3. Patient satisfaction and safety: Your well-being is paramount. We prioritize both your satisfaction with the program and your safety throughout the treatment process.

Success Stories & Feedback

I spent the past year researching the pros and cons of hormone replacement therapy. I am 74 years old and of course went through menopause when HRT was a dirty acronym. It supposedly caused breast cancer and other side effects that kept many, menopausal and postmenopausal women, from using essential hormones needed for hormonal optimization. I am so grateful for meeting Alvir Rynone. Not only is she a vibrant, beautiful woman, she is a NP-C and knows her stuff. My first visit was all about me. She answered all my questions with understandable answers. She made me think about my actions in taking care of my body. She did not have a computer in front of her and type while I talked. She looked at me and listened, often coming up with questions about things that I did not realized mattered. My second visit was how she was going to serve me what I needed 25 years ago! She assigned me a personalized program to help me replace the hormones that are necessary for me to live my best life. I am confident that Alvir's knowledge and experience in this field of HRT, will push her forward in her proficiency in hormone therapy. Booking now with her would be a good idea. I can see her down the road either asking for 6 more hours in her day or 1 more day in her week. She's that good!!
Margaret J. Messer
"It’s not often I leave recommendations, but when I do, it’s because they are more than well deserved Over the past 25 years I have had one elbow tendon repair, and 3 rotator cuff surgeries. I have another (3rd time same shoulder now) torn rotator and partial slap bicep tear for two years now and i have been trying to manage the pain. I also fell this past winter and i believe I tore the other shoulder as well. Add to that ongoing non stop pain, lymes disease. That has been treated many times with traditional drugs. I have been for many years in constant pain from all of this. I just tolerate it. But no more ….. I consulted with my new friend Alvir at FINGER LAKES PERFORMANCE and decided to treat this pain with a new approach. I have been on their treatment now for 6 weeks and the improvement is incredible. No more joint pain, and even my shoulders feel drastically better. Where I had constant pain 24/7, now I only feel pain when extending my arms in such a fashion to strain the rotator cuff tears. And that pain is only in that moment and not nearly as severe. I cannot say enough about how much better they made my life. A huge thanks to FINGER LAKES PERFORMANCE!!!"
Bob Raimo

Meet Alvir Rynone, FNP-C

Family Nurse Practitioner, 12+ years of medical experience

I am a hormone optimization specialist with a focus on performance and longevity. I work with patients who want more than “normal” lab values and are ready to take ownership of their health. My role is to collaborate with you, use data intelligently, and help you find solutions that align with your individual goals—not a one-size-fits-all protocol.

Frequently Asked Questions

Why is testosterone replacement therapy important?

Testosterone levels naturally decline with age. This decline can lead to a variety of symptoms including fatigue, decreased libido, and diminished cognitive function. TRT can help restore testosterone levels to a healthy range, improving overall health and well-being.

Finger Lakes Performance is a concierge practice specializing in personalized TRT (Testosterone Replacement Therapy) solutions. We offer comprehensive evaluations, individualized treatment plans using FDA-approved medications and therapeutic approaches, and ongoing monitoring to ensure optimal results and patient satisfaction.

When monitored by a qualified healthcare professional, TRT is a safe and effective treatment for low testosterone. At Finger Lakes Performance, we prioritize patient safety and use only FDA-approved medications.

Testosterone levels naturally decline with age. This decline can lead to a variety of symptoms including fatigue, decreased libido, and diminished cognitive function. TRT can help restore testosterone levels to a healthy range, improving overall health and well-being.

What are the benefits of a concierge practice model?

Our concierge model provides streamlined access to care and eliminates the hassles of navigating insurance bureaucracy. You receive personalized attention and appointments tailored to your specific needs.

The cost of TRT can vary depending on your individual needs and treatment plan. We will discuss costs in detail during your initial consultation.

Testosterone therapy is a medical treatment used to supplement or replace naturally declining testosterone levels in men and women. It can help alleviate symptoms of low testosterone such as fatigue, low libido, and mood changes.

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