Dr. Troha monitoring live data beside a client mid treadmill test
Troha Performance Medicine · Charlotte, NC

Performance medicine, run by a physician.

VO₂ max testing, physician consults, and ongoing care for people who take their health and their training seriously. Every test, visit, and result handled personally by Dr. Dan Troha, MD.

See the three ways to start Book a free 20-minute call
01 / Where to start

Three ways to start. Each one complete on its own.

Client mid-test wearing the VO₂ Master metabolic analyzer
VO₂ Max Test.
You want your real numbers

45 minutes in person. VO₂ max, both thresholds, and personal heart-rate zones. Same-day debrief and a written report.

$285
Book a test
Dr. Troha in conversation with a client after testing
Performance Consult.
You want a physician's plan

A full hour with Dr. Troha, virtual or in person, built on a detailed intake. Training, recovery, nutrition, sleep, hormones, labs you don't understand. You leave with a written plan.

$350
Book a consult
Dr. Troha talking with clients
Concierge Membership.
You want a doctor who stays with you

Ongoing physician care for clients who want direct access, quarterly reviews, labs and medications at cost, and hormone and metabolic care handled by the doctor who knows you. By application after a consult.

By application
Start with a consult

Labs and medications are always billed at cost. HSA/FSA accepted.

02 / Why measure

We measure. We don't guess.

Your watch estimates and your training plan assumes. This practice measures first: breath-by-breath gas exchange, both thresholds, and heart-rate zones anchored to your physiology, then builds the plan on what your body actually does.

The stakes are bigger than a race result. In one study of 122,000 patients, low cardiorespiratory fitness carried a greater mortality risk than smoking or diabetes. It is one of the strongest predictors of how long and how well you live, and it responds to training.

122,000
A number worth knowing exactly
Live VO₂ and heart-rate curves building on the test tablet
Breath-by-breath gas exchange · live during your test
03 / Who this is for

People who take their health seriously.

Some clients are runners, cyclists, and lifters with an event on the calendar. Many are busy professionals fitting exercise around everything else. Others are just getting started and want a doctor in their corner from day one.

Sometimes what brings them here is a goal: a faster time, a stronger season, a number they want to move. Sometimes it's a question: energy that fades by afternoon, recovery that takes longer than it used to, labs that came back normal and still explain nothing, a hormone question no one has taken seriously.

04 / How a visit works

Read first. Then the visit. Then the plan.

Dr. Troha fitting the metabolic analyzer before a test
01
Your intake, read first.
You complete a detailed intake before you arrive. Dr. Troha reads it before you meet, so the visit starts at the real questions.
Client on the bike mid-test while Dr. Troha monitors
02
The visit.
A test, a consult, or both, with the physician in the room the whole time. Nothing handed off to a technician.
Dr. Troha walking a client through her results on the tablet
03
A written plan.
You leave with your results explained, a written plan, and a clear next step: labs, testing, or ongoing care.
Dr. Troha walking a client through her test protocol

"Having a seasoned physician like Dr. Troha with a passion for running and a deep understanding of performance data has been an invaluable resource for our team."

Chase Price · Founder & Coach, Casually Ambitious Performance Club
05 / Ongoing care

For clients who want a doctor who stays.

Some clients finish a consult with what they need. Others want a physician on an ongoing basis. Concierge Membership is by application, after a consult, and the practice is deliberately small.

Start with a consult
Direct access
Portal messages answered personally, usually within a business day.
Real visits
Video visits as needed, plus a deeper quarterly review.
Labs and meds at cost
Ordered when clinically needed, billed at contracted cost, never marked up.
Hormone & metabolic care
Included when indicated: testosterone, thyroid, GLP-1 therapy, cardiometabolic prescribing.
Yearly VO₂ and DEXA
Covered, in person, so the plan stays built on measured data.
Coordination
White-glove coordination with your primary care doctor and any specialists.
06 / The physician

Every visit run by the doctor who reads the results.

Dr. Dan Troha, MD · Board-certified · Emergency Medicine

Emergency medicine teaches you to read a whole person quickly. It also shows you, over and over, where decades of unmeasured risk end up. This practice works at the other end of the timeline.

Dr. Troha is an endurance athlete himself. He holds his own training, recovery, and lab data to the same standard he brings to yours.

Every assessment is done and interpreted by him personally. When the data points that way, he manages the medical side himself, from hormone optimization to metabolic health.

Dr. Dan Troha, MD
No referral needed
Transparent pricing
HSA / FSA eligible
Direct MD access
FAQ

Good to know.

Do I need a referral?
No. Book online directly. No referral, no membership, no insurance pre-approval.
Do I have to be training for a race?
No. Most clients are active people who exercise consistently and want a physician who takes that seriously. Some are training for a race; many are not.
Where does testing happen?
Testing is mobile: it happens at partner gyms and clinics in Charlotte, NC and the surrounding areas. The exact location arrives with your booking confirmation. Consults can be virtual or in person.
Do you take insurance?
The practice is direct-pay with flat, published prices, and most clients pay with HSA/FSA funds. Labs are always billed at cost.
How do I become an ongoing client?
Start with a Performance Consult. If ongoing care makes sense for you, Dr. Troha will discuss Concierge Membership at the end of that visit. The practice is small by design.
How do I prepare for a VO₂ max test?
Arrive rested: no hard training in the prior 24 hours, no heavy meal within 2–3 hours of your test, and wear shoes you can run or ride in. Full instructions come with your confirmation.

Still deciding? Email info@trohaperformancemed.com. Dr. Troha reads every inquiry personally.

Start wherever makes sense.

Book a VO₂ max test Book a consult Book a free 20-minute call
Or email info@trohaperformancemed.com