Older man with gray beard and sunglasses, wearing a gray button-up shirt with sleeves rolled, standing outdoors with arms crossed.

Older man with gray beard and sunglasses standing outdoors in front of mountains with arms crossed.

Aging is inevitable,
feeling old is optional

Physician-led testosterone therapy and hormone optimization for Arizona men 65+, focused on energy, strength, and healthy aging.

Start a Private Consultation

Call (520) 428-5924

Built on science. Focused on you.

Personalized care

A program built entirely around your biology and goals.

Science-driven results

Proven methods to restore energy, strength, and focus.

Confidential support

A dedicated team that’s always within reach.

Your clock is ticking

Your biological age

Age is not just a number. At ABL, discover your biological age and Metabolic Signature (TM) to reveal how your body is truly aging.

Hear from the team

Gary Paulzak

Founder & CEO

Cade Johnson, PT, DPT

COO

Seth Perry, MD

Co-Founder & Medical Director

Ed Pienkosz, MS, NBC-HWC

Director of Life Coaching

Movement is your
1st step

At A Better Lou, movement is the foundation, not a shortcut. Led by a licensed Doctor of Physical Therapy, our programs focus on building strength, mobility, and resilience through proactive, wellness-based strategies tailored to your lifestyle and abilities.

Start a Private Consultation Call (520) 428-5924

Clinical movement screenings and red flag checks

Programs focused on strength, balance, and long-term vitality

On-demand video library with guided functional exercise

Older man with gray hair running outdoors at speed, motion-blurred against a blue sky.

How we help
you thrive

A simple, science-backed process designed to uncover your unique biology and create a plan that works for you.

Start a Private Consultation Call (520) 428-5924

How it works

A private conversation. No obligation.

How we help you thrive

Speak directly with our physician — not a salesperson

We talk. You decide if it's right for you.

You leave knowing exactly what's going on with your health

In-home diagnostic visit

How we help you thrive

No clinic, no waiting room, no hassle

500+ biomarkers tested, including biological age markers

A licensed nurse comes directly to you for blood draws

Meet your longevity physician

How we help you thrive

A full telehealth consultation with your dedicated physician

Your results explained in plain language

Your protocol built around your biology, your goals, your life

We are with you for the long run

How we help you thrive

Track progress and refine your plan as you evolve.

Ongoing access to expanding services backed by the latest research.

Measurable results, tracked over time

Unlock your Prime, with
Metabolic Signature

Core Data

The foundation of your Metabolic Signature™ — deep biological analysis.

500+ clinical biomarkers
Epigenetic biological age testing
Lifestyle and symptom profiling

What your numbers actually mean

Most labs hand you a report. We tell you what to do about it.

A Doctor of Physical Therapy builds your movement plan around your specific biology
Comprehensive analysis across multiple body systems identifies risk before you feel it

Your health, in full detail

Not a printout. A complete picture of where you stand and what's next.

Direct access to your personal physician
Ongoing monitoring means your plan adjusts as your body does

Our proprietary Metabolic Signature integrates genetics, biomarkers, and lifestyle data to reveal how your body truly functions — and how to optimize it.

Start a Private Consultation Call (520) 428-5924

Close-up black-and-white photo of an older man with a beard adjusting round glasses.

Longevity starts with understanding your biology and putting that insight to work for you.

The mindset behind A Better Lou

Our mission is to help you live younger and longer, through measurable science, personalized care, and a relentless focus on results.

Mature man with grey hair and beard wearing a dark shirt against a grey background.

Gary PaulzakFounder of A Better Lou

One Goal.
A Better You.

Take the first step

Aging is inevitable. Feeling old is optional.

Relaunch Your Life

Our most comprehensive, physician-led longevity program for men over 50 ready to reverse decline and rebuild performance — advanced diagnostics, personalized therapy, and ongoing medical oversight.

Start a Private Consultation Call (520) 428-5924

Comprehensive Metabolic Signature™ diagnostic (DNA, biomarkers, biological age)
Physician-led care and personalized protocol design
Unlimited medical scheduling and concierge telehealth physical therapy
High-intensity onboarding phase, tapering to maintenance sessions
Ongoing health coaching (5–60 min cadence, fully personalized)
Supplement and medication optimization based on your data
Care navigation and progress tracking through your personal dashboard

Real science. Real results.

Your Weight is Over

Advanced diagnostics, physician oversight, lifestyle guidance, and physical therapy in one coordinated membership. No quick fixes or preset plans — a strategy built around your biology, delivered by telehealth with real human expertise from day one.

Start a Private Consultation Call (520) 428-5924

Comprehensive 500+ biomarker blood panel
Physician-led care and full medical evaluation
Precision-dosed GLP-1 therapy (semaglutide or tirzepatide)
Telehealth physical therapy focused on movement and mobility
Personal health coaching with weekly check-ins and goal tracking
Nutritional guidance and habit building tailored to your lifestyle
6-month follow-up testing and progress review

Frequently Asked
Questions

Explore All

How it works

Begin with the short eligibility questionnaire, then book a welcome call where we go over your goals and confirm the program is a good fit.

No — everything is handled by telehealth, and when labs are needed a licensed nurse comes to your home for the blood draw.

No. Every recommendation is made individually: some members focus on education and lifestyle guidance, while others qualify for added medical support.

Care is delivered by telehealth to clients who are in Arizona at the time of their appointment.

Membership & Support

Physician oversight, advanced diagnostics, transformation advisor sessions, telehealth physical therapy when appropriate, and personalized nutrition, habit, and performance guidance. Depending on your evaluation, it can also include prescribed therapies such as GLP-1s or testosterone support — every part is tailored to you and monitored over time.

Yes — you can request cancellation at any time under the terms of your membership agreement.

A dedicated team — your physician, transformation advisor, and physical therapist — stays with you through telehealth visits, secure messaging, and scheduled check-ins. You are never left to figure things out alone.

Message us securely through the patient portal, email info@abetterlou.com, or call 520-428-5924. Members also get direct channels to their whole care team.

Service & Details

Yes. The welcome call walks through your goals, health history, and expectations so you know exactly how membership works — and if we are not the right fit, we tell you upfront.

Most members notice meaningful changes within the first few months as labs, lifestyle guidance, and medical support come together. Your team tracks biomarkers, weight, energy, and wellbeing along the way — the aim is steady, sustainable progress, not a quick fix.

Any prescription is filled and shipped by Medivera Compounding Pharmacy (mediverarx.com), which is PCAB accredited and LegitScript certified.

Only after a telehealth evaluation with a licensed clinician, and only when clinically appropriate for you — medication is never guaranteed.