Hormone Optimization
Men's testosterone replacement therapy, women's hormone replacement therapy, and individualized hormone management.
Learn MorePersonalized hormone therapy, medical weight management, advanced metabolic testing, and comprehensive wellness care. At Level Up Health & Wellness, we combine clinical expertise, innovative technology, and individualized treatment plans to help you achieve your health goals.
Clinton Township • Macomb County, Michigan
At Level Up, we combine personalized medical care, advanced diagnostics, and individualized wellness strategies to help patients better understand their health and achieve meaningful results.
Men's testosterone replacement therapy, women's hormone replacement therapy, and individualized hormone management.
Learn More↗Clinician-supervised weight-management programs incorporating individualized treatment, nutrition guidance, medication management when appropriate, and ongoing monitoring.
Learn More↗InBody body composition analysis, PNOĒ metabolic testing, VO₂ assessments, comprehensive laboratory panels, and specialized diagnostic testing.
Learn More↗A comprehensive, structured health transformation program combining medical evaluation, advanced testing, personalized nutrition, exercise planning, and ongoing progress monitoring.
Learn More↗Botox, Daxxify, dermal fillers, and individualized aesthetic services.
Learn More↗IV therapy, wellness treatments, and personalized health-support services.
Learn More↗More Than Weight Loss. A Complete Health Transformation.
Our comprehensive 12-Week Transformation combines advanced laboratory testing, InBody 580 body composition analysis, PNOĒ metabolic testing, personalized nutrition and exercise programming, medical guidance, and ongoing progress monitoring into one structured health optimization experience.

The $399 assessment is credited toward enrollment if you join within seven days.
Financing options for qualified patients.
Measure → Personalize → Treat → Track → Retest
Military service is personal to the Level Up team. John currently serves in the U.S. Army Reserve, while Rick is a U.S. military veteran.
discount for eligible military members and military spouses with proof of eligibility.



Refresh your look before the holiday season with personalized aesthetic treatments administered by our qualified medical provider.
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Explore customized dermal filler treatments designed around your aesthetic goals, including lip enhancement when appropriate.
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Give yourself time for self-care this holiday season with our medically supervised Timeless Beauty nutrient infusion.
Request a Consultation↗Take the Level Up mindset beyond the clinic. Discover apparel designed for individuals who value health, performance, confidence, and an active lifestyle.

High-waisted leggings • Sculpting halter tank • Form-fitting performance jacket
$89.99
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Supportive halter tank • High-waisted shorts • Matching fitted performance jacket
$79.99
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High-waisted leggings • Supportive halter sports bra • Form-fitting performance jacket
$89.99
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Zippered travel case with a wrist strap, digital temperature display, and interior mesh pockets.
Explore the Store↗Your weight is only one part of your health story. Discover what's happening beneath the surface with advanced body composition and metabolic testing designed to help you understand your body and make more informed health, nutrition, and fitness decisions.
InBody allows us to monitor changes in muscle and body fat rather than focusing exclusively on the scale.
Body composition changes over time
Discover women's health and wellness services designed around your individual needs, including hormone optimization, medical weight management, metabolic testing, and personalized healthy-aging strategies.
Care delivered by experienced, licensed medical professionals using individualized clinical assessments and treatment planning.
InBody, PNOĒ, comprehensive laboratory testing, and specialized assessments that provide additional insights into patient health and performance.
Individualized treatment plans based on medical history, laboratory findings, symptoms, lifestyle, and personal goals.
Regular follow-up, progress tracking, and appropriate adjustments to help patients evaluate and maintain their progress.
MSN, APRN, FNP-C, PMHNP-BC
John Mrachina has been in the medical field since 2010, starting as a registered nurse in Metro Detroit hospitals. In 2018, he became a Family Nurse Practitioner.
Currently serving in the U.S. Army Reserve.

MSN, FNP-C
Nurse Practitioner focused on cosmetic injectables and aesthetics.
“Level Up was super helpful, knowledgeable, fast, and professional.”
“He’s kind, caring and compassionate. Not judgmental and truly there to help.”
“The whole experience has been fantastic.”
“Very professional and informative.”
“Don’t be shy to check it out.”
Personalized hormone therapy, medical weight management, advanced metabolic testing, and comprehensive wellness care.
Explore Our Services ↗Individualized evaluation. Appropriate lab testing. Evidence-informed treatment. Ongoing monitoring.
Explore Level Up HER ↗Our clinician-supervised programs combine personalized treatment plans, nutritional guidance, body composition monitoring, and ongoing clinical support to promote meaningful and sustainable progress.
Explore Medical Weight Management ↗InBody allows us to monitor changes in muscle and body fat rather than focusing exclusively on the scale. PNOĒ: VO₂ max assessment, resting metabolic rate, metabolic fuel utilization, individualized exercise intensity guidance, nutrition and fitness insights, and cardiovascular fitness assessment.
Explore InBody & PNOĒ ↗Initial and follow-up laboratory testing, monthly InBody assessments, beginning and completion PNOĒ testing, individualized nutrition planning, personalized exercise recommendations, a three-month supplement package, and ongoing support and progress monitoring.
Explore the 12-Week Transformation ↗Florida patients can access eligible TRT and medical weight-management services through telehealth. Contact our team to confirm available services and clinical eligibility.
Contact Level Up ↗Provider consultation and individualized treatment plan. Medical therapy when clinically appropriate.
Schedule Your Consultation ↗Financing options available for qualified patients.
Explore the 12-Week Transformation ↗Whether you're interested in hormone optimization, medical weight management, advanced testing, aesthetics, or comprehensive wellness care, our team is here to help you get started.
42536 Hayes Road, Suite 500
Clinton Township, Michigan 48038
In-person healthcare, testing, and treatments
42536 Hayes Road, Suite 500TRT, medical weight management, and other eligible telehealth services
We accept FSA/HSA for eligible services. Eligibility depends on the service and your plan.
Information on this website is for educational purposes only and does not constitute medical advice. All treatments and prescription medications require evaluation by a licensed provider. Prescriptions are dispensed only pursuant to a patient-specific prescription issued after a provider consultation. Level Up Health & Wellness does not sell medications directly.
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