25 Again

What 25 Again does

25 Again is a private, cash-pay medical practice headquartered in Louisville, Kentucky (4211 Springhurst Blvd, Suite 200), operating under Concordia Practice Management, LLC with trademark rights held by BSM Holdings LLC ("25 Again Elite Health"). Founded in 2011, the company runs five clinic locations across Kentucky (Louisville, Lexington, Crestview Hills), Ohio (Cincinnati), and Indiana (New Albany), serving adults — primarily 40+ but increasingly 20s-30s and 60+ — seeking bioidentical hormone replacement therapy (BHRT), medically supervised weight loss, age management, primary care, and aesthetic skin services including neurotoxins, fillers, Hydrafacial, microneedling, and PRP. Its product portfolio centers on a comprehensive $249/month membership bundled with a $199 one-time Optimal Full Body Health Assessment, supported by telehealth delivery, at-home lab testing kits, and pharmacy fulfillment through a BSMM Pharmacy Network spanning Apothicare 360, Advance Care Pharmacy, Belmar Pharma Solutions, and Pure Compounding. The company does not accept commercial insurance, Medicare, or Medicaid.

The business model is a recurring membership plus transaction-fee hybrid: monthly subscriptions anchor predictable revenue while per-service aesthetics and assessments supplement it. Go-to-market is direct-to-consumer, primarily through owned-clinic foot traffic, a self-scheduling system, a 40+ page Hormone Treatment Guide funnel, free online health surveys, content marketing, email, social, and a member referral program. Distribution channels include the shop.25again.com e-commerce storefront and a telehealth arm that extends reach within the tri-state operating geography. The practice has served "tens of thousands" of adults and operates the NAVA Med Spa sub-brand at select locations. Operationally, 25 Again has been undergoing a corporate restructuring — the operating entity transitioned from Concordia Practice Management, LLC (referenced in 2019 Terms of Use) to Body Shapes Medical Management, LLC (referenced in 2024 Membership Terms) — and the website now prominently indicates a rebrand to "ennu" (ennu.co), signaling a strategic pivot toward a broader longevity/wellness platform identity.

Name

25 Again

Legal name

Concordia Practice Management, LLC.

Website

https://25again.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

51–100 employees

Short description

25 Again is a cash-pay concierge medical practice operating five clinics across Kentucky, Ohio, and Indiana, offering bioidentical hormone replacement therapy, medically supervised weight loss, age management, and aesthetic skin services to adults primarily 40+ on a $249/month membership model with a $199 health assessment entry point.

Ownership category

akta.pro rank

Product category

Age Management and Hormone Therapy Medical Practice

NAICS

Other Ambulatory Health Care Services (6219), Diet and Weight Reducing Centers (812191)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro industry

PRIMARYHLAKADAM

Gender-Affirming Endocrine Care

Healthcare & Life Sciences/Specialist Medical Practice/Endocrinology & Diabetes

SECONDARYTHAJAHAI

Medical Wellness & Longevity (Health Screening, Biohacking, Anti-aging Programs)

Travel & Hospitality/Tours, Attractions & Experiences/Wellness & Spa Experiences (Retreats, Thermal Baths, Yoga)

SECONDARYHSADAFAE

Medical Nutrition Therapy (Registered Dietitian)

Home & Personal Services/Fitness, Wellness & Personal Training/Nutrition Coaching & Weight Management

Keywords

• Hormone replacement therapy
• Bioidentical hormone therapy
• Medically supervised weight loss
• Medical aesthetic services
• Age management medicine

Headquarters

HQ city

Louisville

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Supply Chain

Revenue model

1. Membership Subscriptions: Monthly membership programs providing ongoing access to hormone therapy, weight loss support, aesthetics, and primary care services. Starting at $249/month with personalized health plans.
2. Health Assessments: One-time Optimal Full Body Health Assessment sold for $199, providing comprehensive health evaluation and personalized health action plan.
3. Aesthetic Services: Individual aesthetic and skin treatments including neurotoxins, fillers, chemical peels, Hydrafacial, and other spa services offered at member pricing.
4. Pharmacy Services: Prescription medications fulfilled through BSMM Pharmacy Network or partner pharmacies (Apothicare 360, Advance Care Pharmacy, Belmar Pharma Solutions, Pure Compounding).
5. At-Home Testing Kits: At-home sample collection kits for laboratory testing ordered by licensed healthcare providers.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

25 Again is a doctor-monitored medical practice that provides bioidentical hormone replacement therapy, medically supervised weight loss programs, age management medicine, concierge primary care, and medical-grade aesthetic skin services (neurotoxins, fillers, chemical peels, Hydrafacial, microneedling, PRP) through a monthly membership and standalone assessments across five clinic locations in Kentucky, Ohio, and Indiana.

Product overview

25 Again is a hormone therapy, weight loss, aesthetics, and age management medical practice operating as a unified healthcare platform. The core offering centers on bioidentical hormone replacement therapy (BHRT) and medically supervised weight loss programs, supplemented by a comprehensive membership providing concierge care, nutrition support, and on-demand testing. The company also operates NAVA Med Spa as a sub-brand for aesthetics and skin services. Additional services include Telehealth delivery, At-Home Testing, and Pharmacy fulfillment—all integrated through affiliated physician practices. The aesthetic portfolio encompasses Neurotoxins, Chemical Peels, Dermal Fillers, Dermaplaning, Facials, Hydrafacial, Kybella, Microneedling, and PRP Microneedling treatments. The practice serves patients in Kentucky, Indiana, and Ohio through multiple clinic locations.

Differentiator

Problem solved

Functional benefit

Products and services

• Hormone Therapy / HRT Bioidentical hormone replacement therapy (BHRT) for men and women designed to address hormonal decline, optimize hormone levels, and treat symptoms of aging including fatigue, weight gain, low libido, and mood changes; delivered through 25 Again's doctor-monitored membership.
• Medically Supervised Weight Loss Program Medically supervised weight loss program that combines hormone optimization, personalized nutrition guidance, and ongoing medical monitoring to help patients achieve and maintain weight loss goals.
• Optimal Full Body Health Assessment One-time health evaluation providing a complete Story of You report covering medical and family history, biomarkers, lab results review, and a personalized health action plan based on goals and provider recommendations; priced at $199.
• Aesthetics & Skin Services Medical-grade aesthetic treatments including neurotoxins, chemical peels, dermal fillers, dermaplaning, facials, Hydrafacial, Kybella, microneedling, and PRP microneedling for skin rejuvenation and anti-aging, offered at member pricing.
• NAVA Med Spa Medical spa sub-brand of 25 Again offering aesthetic and skin care services at locations including Springhurst, Fern Creek, New Albany IN, and Crestview Hills KY.
• Membership Program Recurring membership providing comprehensive health and aesthetics benefits including hormone therapy, concierge care, nutrients, aesthetics services, and on-demand testing at pricing starting at $249 per month.
• Age Management Program Anti-aging medical program focused on restoring the body and mind, addressing age-related symptoms, and helping patients achieve their healthiest life through hormone optimization and comprehensive doctor-monitored care.
• Primary Care Concierge-style primary medical care services integrated with 25 Again's hormone therapy and age management programs for members.

Quantifiable outcome

• Helped tens of thousands of adults feel younger, perform better and be healthier
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Apothicare 360 PharmacycoreOthersPartner pharmacy for prescription fulfillment. Located at 6631 Orion Dr., Suite 112, Fort Meyers, FL 33912. Provides medication shipping services for 25 Again patients with prescriptions.
• Advance Care PharmacycoreOthersPartner pharmacy for prescription fulfillment. Located at 280 Indian Springs Rd, Suite 125, Indiana, PA. Part of BSMM Pharmacy Network for prescription fulfillment services.
• Belmar Pharma SolutionscoreOthersPartner pharmacy for prescription fulfillment. Located at 231 Violet Street, Suite 140, Golden, Colorado 80401. Provides compounding and pharmacy services for hormone prescriptions.
• Pure CompoundingcoreOthersPartner pharmacy for prescription fulfillment. Located at 3875 Johns Creek Pkwy Ste, Suite C, Suwanee, GA 30024. Provides compounding pharmacy services.
• The Endocrine SocietyminorOthersProfessional medical organization affiliation. The Endocrine Society is a professional membership organization dedicated to hormone research and clinical endocrinology.
• American Academy of Anti-Aging Medicine (A4M)minorOthersProfessional medical organization affiliation for anti-aging and longevity medicine. A4M provides training and certification for practitioners in the field.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• BodyLogicMD: Network of physician-owned practices specializing in bioidentical hormone replacement therapy, weight loss, and anti-aging medicine. Operates a similar integrated clinic + membership model to 25 Again and is the closest direct national competitor.
• Evexias Health Solutions: Evexias-trained practitioners offer BHRT, aesthetics, and wellness services in franchise-style clinics. Comparable in service mix (hormones + aesthetics + weight) and cash-pay membership model.
• Defy Medical: Direct-to-patient telehealth and clinic-based practice providing hormone replacement therapy, peptide therapy, and wellness services. Closely comparable cash-pay, hormone-forward business model with national reach.
• Modern Age: Clinic-and-app-based anti-aging and hormone therapy provider serving adults 30+ in physical locations plus telehealth. Comparable integrated wellness, hormone, and aesthetics approach to 25 Again.
• Rejuvenate Hormone Clinic: Independent BHRT-focused clinic offering hormone replacement, weight loss, and wellness services in a cash-pay model. Similar size and positioning to 25 Again's individual clinic locations.

Emerging players

• Marek Health: Online men's health and hormone optimization platform offering at-home lab testing and clinician-prescribed TRT. Competes with 25 Again for the same 40+ male patient base but via a fully digital model rather than clinics.
• AgelessRx: Telehealth longevity clinic offering hormone therapy, peptides, and anti-aging prescriptions online. Overlaps with 25 Again's hormone/wellness offering in a digital-first delivery model.

Broad incumbents

• Hims & Hers Health: Large public telehealth platform offering hair, skin, sexual health, and increasingly hormone and weight-loss services. Adjacent competitor scaling national consumer demand that 25 Again's rebrand to ennu is likely positioning against.
• Cenegenics: Established age-management medicine franchise combining hormone optimization, nutrition, and fitness for affluent adults 40+. Most directly comparable to 25 Again's age management positioning at a more upscale price point.

Others

• American Academy of Anti-Aging Medicine (A4M): Professional training and certification body for anti-aging medicine practitioners. Not a commercial competitor but a key ecosystem enabler — 25 Again lists A4M affiliation as part of its clinical credibility.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/25againbybsm

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about 25 Again