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Performance Medicine · Clinician Led

NON- NEGOTIABLE
BADASSERY

Precision medicine, weight loss, hormone optimization, and mental health care that treats you like a whole human — not a number on a chart. Built by two people who fought their own battles with weight and addiction, and won.

Who we serve

Alabama | Alaska | Arizona | Arkansas | California | Colorado | Connecticut | Delaware |Florida | Georgia | Hawaii | Idaho |Illinois | Indiana | Iowa | Kansas | Kentucky | Louisiana | Maine | Maryland | Massachusetts | Michigan | Minnesota | Mississippi | Missouri | Montana | Nebraska | Nevada | New Hampshire | New Jersey | New Mexico | New York | North Carolina | North Dakota | Ohio | Oklahoma | Oregon | Pennsylvania | Rhode Island | South Carolina | South Dakota | Tennessee | Texas | Utah | Vermont | Virginia | Washington | West Virginia | Wisconsin | Wyoming

We currently serve ALL 50 states.

What We Do

3 ways in. One standard of care.

No menu of forty services. We do a small number of things at a high level — and we measure everything.

Weight Loss

Medically supervised fat loss built around your labs and metabolism — not crash diets or guesswork.

01

Hormone Optimization

Energy, sleep, strength, and drive start with balanced hormones. We test, correct, and monitor — for men and wome

02

Mental Health

Care from a psychiatric-certified provider — because lasting change happens in the head before it shows on the scale.

03

Not wellness. Not self-care. Not spa treatments.

Only Performance Medicine.

The AKTW Standard

What's Included With Every Treatment

Real Provider Care

Your appointment is with Kirk Tjalas, FNP-BC, PMHNP-BC — board-certified in family practice and psychiatric mental health

Ongoing Support

Direct access to your provider throughout your care — questions answered, doses adjusted, progress tracked.

Personalized Treatment Plan

a written protocol built around your labs and goals, not a one-size template.

Supplement Guidance

You get specific recommendations matched to your plan, from tested, allergen-conscious brands we actually stock.

Meet Our Team

Titus Tjälas

FNP-BC, PMHNP-BC | Family Coach Triple-T | Family Nurse Practitioner & Psychiatric Mental Health Nurse Practitioner

April

FNP-BC, PMHNP-BC | Family Coach Triple-T | Family Nurse Practitioner & Psychiatric Mental Health Nurse Practitioner

Meet Your Provider

Titus Tjälas

FNP-BC, PMHNP-BC | Family Coach Triple-T | Family Nurse Practitioner & Psychiatric Mental Health Nurse Practitioner

“We don’t treat you like a number on a chart. We treat you like someone who’s not done yet.”

Titus Tjalas—known professionally as Coach Triple-T—is a dual board-certified Family Nurse Practitioner (FNP-BC) and Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) specializing in mental health care, weight management, and whole-person wellness.

Having personally navigated ADHD, depression, trauma, and long-term weight challenges, he brings uncommon empathy and practical clarity to patient care. His work focuses on helping patients identify patterns, regulate stress responses, and build sustainable health behaviors that hold under real-world pressure.

Meet Your Provider

April

MSN, FNP-BC, PMHNP-BC · Board-Certified Nurse Practitioner

“We don’t treat you like a number on a chart. We treat you like someone who’s not done yet.”

AKTW is a modern practice focused on helping people perform better, age stronger, recover faster, and live longer. Real care, real accountability, and a standard that doesn’t bend.

Titus leads every program personally — building protocols on data, refining them on results, and holding the line on quality.

Still waiting for the “right time”?

There isn't one. There's just today, and the version of you that decides enough is enough.

Health.

Energy.

Strength.

Lifestyle

None of it is given — all of it is built. We’ll show you how.

Built Around You

Treatment Options

GLP-1 / GIP Dual Agonist

Tirzepatide Compounded Treatment

Starting at
$599 for 12 weeks

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GLP-1 / GIP Dual Agonist

Tirzepatide Compounded Treatment

Starting at
$599 for 12 weeks

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

GLP-1 / GIP Dual Agonist

Tirzepatide Compounded Treatment

Starting at
$599 for 12 weeks

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

Please read this important information regarding Compounded Medication.

  • It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout.

  • The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English.

  • Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for ‘lorem ipsum’ will uncover many web sites still in their infancy. Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).

Proof, Not Promises

What Our Client Says....

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Ahmed Elgazery profile picture
Ahmed Elgazery
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Dr. Kirk at AK Twisted Wellness has been a game-changer for me with my Botox injections. His expertise and genuine care shine through in every visit. I highly recommend him to anyone seeking knowledgeable guidance and effective treatments.
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Iesha Helmandi profile picture
Iesha Helmandi
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I can't thank Dr. Kirk at AK Twisted Wellness enough for his help with my weight loss journey. His expertise and genuine care have made all the difference. I highly recommend him to anyone seeking effective solutions and supportive guidance.
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jorge rodriguez profile picture
jorge rodriguez
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First, I just wanna thank kirk and April for all the help They have given me so far. I just want to say kirk knows his stuff, and he is giving me the right tools to get to where I need to be in my health to be a productive person in society. He is helping me mentally as well as physically to achieve my goals with weight loss amongst other things ,if you want somebody in this health profession that gives it to you real And keep it 100 This is the place for you. Good vibes to you both you both are top-notch. I cannot wait to post pictures of before and after to see what a miraculous transition you have helped me create,
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Noor Chaudhry profile picture
Noor Chaudhry
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Dr. Kirk has been my go-to doctor for the past year and a half, and I can't recommend him enough. His recommendations have consistently proven effective, making a real difference in my health. Dr. Kirk's level of expertise is truly incredible – he combines deep medical knowledge with a modern approach, ensuring that his advice aligns with the latest developments in healthcare. Grateful for a doctor who not only cares but also delivers results.
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Andrea Huerta profile picture
Andrea Huerta
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Dr. Kirk is simply the best! His expertise and dedication have been invaluable in my health journey, and I can't thank him enough for his outstanding service. Dr. Kirk is a modern-day healthcare gem – he combines top-tier medical knowledge with a personalized touch. What sets him apart is not just his ability to diagnose and treat but also his commitment to staying current with the latest advancements in healthcare. Grateful to have such a caring and informed doctor making a positive impact on my well-being!
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Danielle Nunez profile picture
Danielle Nunez
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Very friendly and helpful people! I will definitely be coming back!
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Faith Alameda profile picture
Faith Alameda
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Wonderful group to work with! Very kind and professional. Love working with them to achieve my beauty goals!
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FAQ

Frequently Asked Questions

What is performance medicine?

Care focused on making you function at your best — energy, weight, hormones, mood — instead of just treating illness after it shows up. We test, we don’t guess.

No. Book a consultation directly online or call us at (520) 777-6718.

Kirk Tjalas, FNP-BC, PMHNP-BC — a board-certified nurse practitioner in family practice and psychiatric mental health. Every visit, every time.

Medically supervised programs that may include compounded medications from FDA-registered 503A/503B pharmacies, nutrition and behavior coaching, and regular check-ins. Your plan is built after your consultation and labs — not before.

Visit our Pricing page for current program costs and payment options, or contact us and we’ll walk you through it.

3894 E Pima St, Suite A, Tucson, AZ 85716. Open Monday–Friday, 9am–4pm.

Not ready to sign up? Good — talk to us first.

The best decisions aren’t rushed. Tell us what you’re struggling with — the weight, the energy, the stress, all of it — and we’ll tell you honestly whether we can help and what that would look like.  Call us at (520) 777-6718 — you’ll get a real person, not a phone tree.
Or email Info@aktw.life and we’ll answer your questions, straight up.