At Triple Positive Healthcare (TPH), we provide integrative medical care that goes beyond protocols, combining clinical expertise, lifestyle medicine, and prevention focused strategies to support your health and healing goals.


Appointments are rushed. Care is protocol-driven and often not individualized. Patients are given limited context and made to feel like they have few real choices in their medical treatment.Many people are told:
There is little they can do without pharmaceuticals
Diet and lifestyle changes are not necessary
It is just their genetics
Just follow the plan
This can leave patients feeling overwhelmed, powerless, and disconnected from their care.
At TPH integrative medicine means combining conventional medicine with nutrition, lifestyle, and holistic care to identify the root cause, rather than masking symptoms. Care is individualized, decisions are collaborative, and patients are active participants in their health. This allows patients to experience meaningful improvements in how they feel and function.Our focus is on prevention, resilience, and longevity, with education prioritized at every step. Health is defined not only by lifespan, but by function and quality of life across every stage of aging.


Hormone Replacement

Detox & Gut Health

Sexual Wellness

Direct Primary Care

Thyroid Optimization

Weight Loss


Telemedicine
Telemedicine/virtual visits are currently available for all services. Patients prescribed controlled medications are required to have follow up visits every three months via telehealth in accordance with regulations.
Insurance and Payments
Triple Positive Healthcare does not accept insurance. Payment is due at the time of service. HSA and FSA funds can be used for all services. Upon request, we can provide documentation (Superbill) that patients may submit to their insurance provider for possible reimbursement.
Alex Fowler, FNP-C

I understand the healthcare system from both sides.I’m a nurse practitioner with over 20 years of experience. I’ve worked inside a high-acuity, protocol-driven system and understand its strengths and limitations.In 2022, at age 38, I was diagnosed with triple positive breast cancer. I realized no one was going to care about me and my survival more than me! That is where my healing journey began. From the moment I heard the words "triple positive breast cancer", I knew I was going to turn those words into something beautiful and healing. I had no idea at the time what that was…but God knew!Becoming a patient revealed gaps that are easy to miss from the provider side including:
Limited discussion of nutrition and lifestyle
Little focus on prevention or recurrence risk
Care that felt standardized rather than individualized
My experience reshaped how I approach care. Seeing healthcare from the patient side made one thing clear, better outcomes require discovering the root cause instead of just symptom management.Healing requires education, personalization, and addressing the factors that influence health long before and long after a diagnosis.That realization led to the creation of Triple Positive Healthcare.
Texas Tech University Health Science Center, Bachelor of Science in Nursing (Summa Cum Laude)
Texas Tech University Health Science Center, Master of Science in Nursing
Certified Nurse Practitioner by American Academy of Nurse Practitioners
A4M Member
American Association of Nurse Practitioners
Texas Nurse Practitioners, Legacy Member
South Plains Nurse Practitioner Association

When hormones are out of balance
Hot flashes and night sweats
Poor sleep and fatigue
Mood changes, anxiety, brain fog
Joint pain, low libido, weight changes
How we help
Hormone Replacement Therapy (HRT) care is individualized based on symptoms and goals using bioidentical estrogen, progesterone, and/or testosterone through creams, patches, oral agents, or injections. Pellet therapy is not offered to allow ongoing dose adjustment.
When intimacy and connection suffer
Low libido
Painful intercourse
Erectile dysfunction
Decreased satisfaction or confidence
How we help
Personalized treatment options designed to restore comfort, function, and connection in a supportive and respectful setting for men and women.


When you feel off but labs look "normal"
Fatigue and low energy
Weight gain
Hair thinning
Cold intolerance and brain fog
How we help
Symptom guided thyroid optimization using bioidentical thyroid hormone when appropriate to improve daily function and quality of life.
When digestion impacts everything
Bloating and discomfort
Food sensitivities
Fatigue and inflammation
Irregular bowel habits
How We Help
Targeted tests such as GI MAP or Gut Zoomer are used to identify root causes, followed by individualized treatment and detox support aligned with patient goals.


When you want care that is accessible and personal
Annual wellness visits
Routine lab work
Sick visits and follow ups
Telemedicine access
How We Help
Direct Primary Care (DPC) offered through a monthly membership focused on continuity, access, and proactive care. Home visits and after hours access may be available for an additional fee.
When weight loss feels impossible
Difficulty losing weight
Weight fluctuation
Abdominal weight redistribution
Low energy or motivation
Metabolic dysfunction
How we help
A personalized plan built through shared decision making that may include nutrition guidance, lifestyle changes, exercise support, and medication when appropriate, with the goal of long term success.

Have a general question or need to reach us for something other than scheduling a visit? Use the form below and a member of the Triple Positive Healthcare team will follow up.
Hours of Operation
By Appointment Only.
Evening and weekend availability.
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