TITANX MEMBERS
Everything You Need, in One Place.
Your portal, your apps, booking, telehealth, injection guides and trusted referrals. Bookmark this page.
STEP 1
Get the Charm Apps on Your Phone.
Charm mPHR is required for your care. Charm Connect is optional and makes secure messaging easier. Tap an app icon to download it.
Find What You Need in Charm mPHR
| Open My Health, then… | Select |
|---|---|
| Read my messages | Messages |
| Read my visit note | Visit Summary → latest visit |
| Find my lab order | Labs → Orders |
| See my lab results | Labs → Results |
| Check my medications | Prescriptions |
| Book an appointment | Appointments → + |
STEP 2
Messaging Me the Right Way.
The Charm patient portal is my preferred contact method. Charm Connect is an extra option for routine questions about your care.
| When | What to expect |
|---|---|
| Business days | A reply within 12–24 hours |
| When I am available | Often within one to two hours, but not guaranteed |
| Sundays | Messages are not reviewed or answered |
YOUR VISITS
Booking & Follow-Ups.
You book your own appointments. Automated reminders help, but they do not book the visit for you.
| Men’s Health & testosterone therapy | Every three months |
| Weight loss & cardiometabolic care | Monthly, unless we agree otherwise |
Overdue visits or labs may delay refills or treatment.
In the Charm mPHR app
My Health → Appointments → +. Choose TitanX, your Provider and visit type, pick a date and time, submit, then check the appointment status.
On the website
Use the members scheduling calendar.
TELEHEALTH
Your Telehealth Visit.
A little preparation helps us use your appointment time well.
How to Join Your Visit
Tap the link in your text message
Before your appointment, you’ll get a text message with your video visit link. At your appointment time, just tap the link to join.
Join from Charm instead
On your phone: open the Charm mPHR app, find the visit under Upcoming Appointments (or My Health → Appointments), and tap Join.
On a computer: sign in to the patient portal and click Check-In next to your telehealth visit.
Before Your Visit
Check your device
Use a charged phone, tablet or computer with reliable internet. Test your camera, microphone and speakers, and allow access when prompted.
Be ready a few minutes early
Pick a quiet, private, well-lit space. Keep your medication list, your questions and any requested home readings nearby.
If the connection drops
Rejoin through the same visit link. Keep your phone nearby and make sure your phone number in Charm is current. If you can’t reconnect, send me a portal message.
Need to change your appointment?
Manage it in the patient portal, or message me if you need help. Cancellation and no-show terms in your signed agreement apply.
INJECTIONS
Injection Training & Guides.
Hands-on training comes before your first injection. Then use the online guide for the route we agreed on.
Book TitanX Injection Training
After your medication arrives, book the 20-minute training in Charm. Do not start injections before this appointment.
Bring your medication, its packaging and instructions, and your syringes and supplies.
STAYING ON TRACK
Labs, Refills & Delivery.
Know who handles each step so labs, follow-ups and refills stay on schedule.
I order. You complete.
I track when testing is due, order your labs and notify you in Charm. Read the notice and complete testing within the requested timeframe.
Find your order under Labs and check your messages. I also send a separate portal message with your lab requisition attached, so it can’t be missed. Read the preparation and medication-timing instructions before your draw.
Local pharmacy prescriptions
Request the refill from your pharmacy. They send the request to me electronically.
Medications I order from a compounding pharmacy for you
I track your refill timing and usually start the order. Message me through the portal if you have concerns about supply.
Watch for updates
I send a portal message when your medication has been ordered. The pharmacy sends its own notification and tracking. Check your email, including your spam folder.
Deliveries do not require a signature. Once your package is delivered, you are responsible for it.
PARTNERSHIP
Your Role in Your Care.
I provide a clear plan, appropriate monitoring and access to guidance. Your part is to stay informed and follow through.
Stay connected
Keep access to Charm, open messages when notified and respond when asked.
Complete the plan
Get labs done on time, arrange referrals, work on lifestyle changes, and ask before changing any dose.
Book your follow-ups
Stay on the visit schedule for your care. Reminders help, but booking is on you.
Speak up early
Unclear instructions, a disagreement, or something getting in the way? Tell me. I can only fix what I know about.
TRUSTED REFERRALS
Specialists I Refer To.
Local professionals I trust with my patients. Mention you’re a TitanX patient when you call.


Dr. Sameer Mamnoon, MD
Primary Care & Internal Medicine · Adult Medical Services
Looking for a primary care doctor? I highly recommend Dr. Mamnoon.
- Primary care & internal medicine
- 20+ years serving the Buffalo community


Dr. Kumar Shah
Pulmonary & Sleep Medicine · Buffalo BreatheNow
Snoring, daytime fatigue or trouble breathing? Dr. Shah is who I trust for sleep and lung care.
- Sleep apnea evaluation
- Pulmonary consultation

Erin Burch, MS, RD, CDN
Registered Dietitian · Erin Burch Nutrition, PLLC
Required for TitanX weight loss patients, and a great resource for anyone who wants to eat better.
- Individualized nutrition plans
- Visits by phone or video
- Many insurance plans accepted. Check your coverage with your plan.
YOUR PRIVACY
Your Privacy & Your Rights.
TitanX Men’s Health protects your health information as required by law. The Notice of Privacy Practices explains how your information may be used and shared, your right to access your records and request corrections, and how to raise a privacy concern.
You may request a paper or electronic copy at any time. Questions? Message me through the patient portal.


