
Why Am I Always Tired? Common Causes of Chronic Fatigue
Discover why you’re always tired. Learn common causes of chronic fatigue and proven solutions to reclaim your energy today.
Feel like yourself again with personalized BHRT, testosterone therapy, and medically supervised weight loss programs. Serving Henrico and Richmond, VA with compassionate, expert care.
Lose weight safely and effectively with physician-supervised GLP-1 programs. Our personalized treatment plans combine proven medications like Semaglutide and Tirzepatide with expert guidance to help you achieve lasting results—without fad diets or unrealistic expectations.
Turn back the clock without turning to surgery. Our board-certified providers specialize in subtle, sophisticated anti-aging treatments that help you look refreshed and feel confident. Because you deserve to love what you see in the mirror.
Optimal Health & Wellness Center is the premier destination for hormone therapy and wellness services. We specialize in bioidentical hormone replacement therapy (BHRT) for men and women, testosterone therapy, medical weight loss, and aesthetic treatments.
Whether you’re seeking hormone optimization or comprehensive wellness solutions, our experienced team provides personalized care to help you restore balance, boost energy, and enhance your quality of life.
If you’re struggling with stubborn weight, our medically supervised weight loss programs provide safe and effective solutions tailored to your goals.
We also offer Wellness Injections and Vitamin Injections, designed to boost immunity, increase energy, and improve overall health. Conveniently located in Richmond, VA, Optimal Health & Wellness Center is here to support your journey toward beauty, confidence, and lasting wellness.
In addition to health-focused services, we provide premium aesthetic treatments, including Botox and Filler, to help smooth fine lines, restore volume, and rejuvenate your appearance. Our experienced professionals ensure natural-looking enhancements that complement your unique features.
EXCELLENT Based on 63 reviews Posted on Jill SimonsTrustindex verifies that the original source of the review is Google. Colene is amazing. She takes the time out and listens to all your concerns. I highly recommend her!Posted on Hadassah CarterTrustindex verifies that the original source of the review is Google. My Experience at Optimal Health & Wellness Center: From my initial visit in the spring of this year up to the present, my journey at the Optimal Health & Wellness Center has been nothing short of extraordinary. I am deeply grateful to Almighty God for guiding me to this place, where I have received a level of care and consideration unlike anything I have experienced before. Exceptional Care from Colene Smith, MSN, APRN, FNP-C and SPELIALIZE IN HRT AND WEIGHTLOSS: My practitioner, Colene Smith, MSN, APRN, FNP-C, who specializes in HRT and weight loss, has truly been an answer to my prayers. I am so thankful to Almighty God for leading me here. Her approach to patient care stands out for its professionalism and expertise, surpassing any medical consultant I have previously encountered. Colene provided clear guidance throughout every step of my treatment, thoroughly explaining what I could expect and drawing on her impressive knowledge within her specialty. Her understanding went far beyond that of other experts in her field that I have experienced. She is truly amazing! Personalized Attention and Support: Colene Smith treated me with the utmost warmth, making me feel not only like a valued patient but also like family. She never hurried through appointments, always taking the time to address my numerous questions and concerns. Her commitment to follow-up care ensured that I felt supported both during and after my procedure. Gratitude and Lasting Impact: I am profoundly thankful for Colene’s compassion, kindness, and generosity—qualities that have truly made a lasting difference in my life. The positive changes she has helped me achieve are beyond words, and I cherish her not only as my practitioner but also as my friend. Moving forward, I am committed to continuing my life’s journey toward optimal health with Colene Smith and the Optimal Health & Wellness Center as my trusted guides. Here are 3 beautiful Bible verses that I would love to share. they speak of Almighty God’s great love and sacrifice to save Everyone: John 3:16 & 17… “For God so loved the world, that He gave His only begotten Son, that Whosoever believeth in Him should not perish, but have Everlasting Life. For God sent not His Son into the world to condemn the world; but that the world through Him might be Saved.” And “Romans 10:13 “Whosoever shall call upon the name of the Lord shall be saved.” God bless you all!Posted on Melody StatonTrustindex verifies that the original source of the review is Google. Colene has been absolutely amazing. So supportive of my goals and has helped me immensely. Would highly recommendPosted on Allison RegoTrustindex verifies that the original source of the review is Google. I cannot say enough great things about Colene and her practice. I reached out because I was not getting the answers that I was searching for from my OB with HRT and perimenopause symptoms. I felt unheard and dismissed. Colene was open to hearing my concerns and offered me different options. I have felt much better am sleeping much better and overall excited that I was provided alternatives by someone who was willing to listen.Posted on Kelly PhippsTrustindex verifies that the original source of the review is Google. Colleen is very personable and professional! Bio-identical hormone replacement has been life changing for me! I highly recommend this practice!Posted on Jess in the sky with diamondsTrustindex verifies that the original source of the review is Google. Very professional! Great products! A perfect place to start your weight loss journey.Posted on Colleen NashTrustindex verifies that the original source of the review is Google. The care that Colene Smith has provided is life changing! I highly recommend a consultation if you are looking to get back to being your best self. She listens compassionately and validates your concerns regarding your health. I felt like an active participant in choosing options that work best for me and well supported throughout the process. I’ve shared her name with many friends who have also felt the void in perimenopausal healthcare.Posted on shirley robertsonTrustindex verifies that the original source of the review is Google. Colleen is the best! For the first time I feel heard. Her knowledge regarding my health concerns and treatment has been impressive. We work as a team in regards to my health and treatments, not as a medical dictator I have been accustomed to. Her first concern is my overall well being and finding what is best for me. That’s it! I have come to value, respect, and trust her. ❤️Posted on Robert LangstonTrustindex verifies that the original source of the review is Google. I have been coming here for a year; they are very professional and care about their patience will-being and progress. I work with Colene, and she has been great very knowledgeable and helpful with my development.Posted on matthew muttyTrustindex verifies that the original source of the review is Google. Very communicative and thorough.
Our Richmond VA hormone therapy clinic is dedicated to providing personalized and comprehensive care to help you achieve your wellness goals.
At Optimal Health & Wellness Center, we believe every individual deserves personalized care to achieve their health goals. Our services include Testosterone Replacement Therapy, Hormone Therapy for Women, Vitamin Shots, and Bio-identical Hormone Replacement for both men and women, plus Weight Loss Injectables designed to restore balance and energy. Let us guide you to lasting health. Whether you seek to regain vitality with hormone solutions, try injectables, or enjoy energy and balance that transforms your life, our team supports you.
Colene Smith is a Certified Family Nurse Practitioner at the Optimal Health & Wellness Center who is experienced in managing women’s health and is trained in bio-identical hormone replacement therapy to help men and women feel better.
At Optimal Health & Wellness Center, we believe in a proactive approach to health, focusing on enhancing quality of life and promoting longevity. Our center is dedicated to providing advanced treatments and therapies that are rooted in scientific evidence and personalized to meet the unique needs of each individual.
Schedule your Consultation
Meet with our experienced team to discuss your health concerns, wellness goals, and desired outcomes. We’ll review your medical history and recommend the best path forward.
Get Your Personalized Wellness Plan
Receive a customized treatment plan tailored to your unique needs. We combine advanced therapies, medical expertise, and proven protocols to help you achieve optimal results.
Achieve Your Health Goals
Follow your personalized plan with ongoing support from our team. Experience improved energy, enhanced confidence, and lasting wellness as you transform your health journey.
Ready to experience the difference?
Advanced medical technology and evidence-based treatments delivered by experienced healthcare professionals.
From bio-identical hormone therapy to cutting-edge wellness solutions, we provide Richmond’s most comprehensive care.
Medically supervised weight loss programs combining nutrition guidance, lifestyle coaching, and prescription medications when appropriate.
Achieve sustainable results with personalized plans designed for your unique metabolism and goals.
Every treatment plan is customized to your unique health goals and medical history.
We listen, understand, and partner with you throughout your entire wellness journey for lasting results.
Comprehensive wellness services including hormone optimization, vitamin injections, aesthetic treatments, and preventive care.
Experience increased energy, improved mood, and enhanced vitality with our holistic approach to health.

Discover why you’re always tired. Learn common causes of chronic fatigue and proven solutions to reclaim your energy today.

If you’re a Richmond or Henrico VA resident experiencing these symptoms, you’re not alone—and you don’t have to accept them as your new reality. Your

Comparing semaglutide vs tirzepatide for weight loss? This comprehensive guide explains how these popular GLP-1 medications work, their key differences in effectiveness, common side effects, and which option might be best for your weight loss goals.
Colene & Becca are phenomenal ladies! They are thorough in learning about their patients and the patient needs! I highly recommend them for HRT! I have more energy and much better moods! The practice is exceptional!!! Make an appointment right away 😉
-Barbara Renee
-Tara
-Todd