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

About

Empowering Your Wellbeing

Our Mission

At Finger Lakes Performance, we believe your health shouldn’t hold you back — it should push you forward.

I’m Alvir Rynone, certified nurse practitioner who founded this clinic with one mission: to help people take control of their hormones, weight, and overall performance so they can feel their absolute best.

I’ve seen too many people stuck in the traditional healthcare cycle — quick visits, band-aid fixes, and no real answers. Here, it’s different. I take the time to understand your story, your goals, and your challenges. Whether it’s optimizing hormones, tackling weight loss, or boosting energy and pursuing longevity, my approach is personal, precise, and built around you.

This isn’t about chasing numbers or following cookie-cutter protocols. It’s about restoring balance, rebuilding confidence, and giving you the tools to perform at your highest level — inside and out.

If you’re tired of feeling overlooked and ready to invest in your health, you’re in the right place.

The Need For Personalized Care

Personalized treatment is crucial for testosterone replacement therapy because each individual has unique hormonal levels, health conditions, and responses to treatment.  Tailoring the therapy ensures optimal effectiveness by targeting specific symptoms and health goals, adjusting dosages to avoid side effects, and addressing overall wellness.  This approach allows for precise treatment adjustments and ongoing care maximizing results and ensuring that the therapy is safe and effective for each person’s distinct needs.

As a concierge practice, Finger Lakes Performance prioritizes efficiency and accessibility for patients, offering transparent pricing and streamlined services without the complexities of insurance billing. This model allows us to maintain competitive pricing while delivering exceptional value and convenience to our clientele.

Recognizing The Impact of Hormone Imbalance

As an elite practitioner, I am passionate about empowering you to achieve your unique health goals. I am committed to delivering precise, evidence-based, effective treatments while guiding you through every step of the process. My approach focuses on understanding your specific needs. My goal is to restore balance and improve your quality of life through my professional expertise and compassionate service. Through a collaborative partnership I am confident we can regain your vitality.

Our Commitment to You

We believe that everyone deserves the opportunity to look and feel their best, free from societal stigma. We are committed to providing you with the most effective solutions to help you achieve your individual health goals. Your success is my reward. Start your journey at Finger Lakes Performance.

Through Leadership

Finger Lakes Performance is led by Alvir Rynone, a dedicated Family Nurse Practitioner (FNP-C) with a passion for empowering patients to achieve their health goals. Alvir’s approach focuses on the patient as a whole:

Alvir believes in the power of patient advocacy. While she will be a strong advocate for your health, you are ultimately the most important champion for your well-being. Together, we will work collaboratively to navigate your path to optimal health and vitality.