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.

REQUIREDCharm mPHR app icon

Charm mPHR

Your patient portal. Messages, visit notes, lab orders and results, medications and appointments all live here.

Sign in with your existing account. Select yourself and TitanX if prompted. Desktop works too, but I strongly recommend the phone app.

Download Charm mPHR on the App StoreGet Charm mPHR on Google Play
OPTIONALCharm Connect app icon

Charm Connect

Secure, HIPAA-compliant text messaging with me from your phone.

Follow the sign-in prompts and confirm you can see your TitanX conversation. Allow notifications so you never miss a message.

Download Charm Connect on the App StoreGet Charm Connect on Google Play

Find What You Need in Charm mPHR

Open My Health, then…Select
Read my messagesMessages
Read my visit noteVisit Summary → latest visit
Find my lab orderLabs → Orders
See my lab resultsLabs → Results
Check my medicationsPrescriptions
Book an appointmentAppointments → +
Read your visit note after every visit. It contains the recommendations, referrals and next steps we discussed. Message me if anything is unclear.

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.

WhenWhat to expect
Business daysA reply within 12–24 hours
When I am availableOften within one to two hours, but not guaranteed
SundaysMessages are not reviewed or answered
Routine messages only. Neither app is monitored continuously. Call 911 for an emergency. For an urgent concern that cannot wait, seek prompt in-person care.

YOUR VISITS

Booking & Follow-Ups.

You book your own appointments. Automated reminders help, but they do not book the visit for you.

MINIMUM VISIT SCHEDULE
Men’s Health & testosterone therapyEvery three months
Weight loss & cardiometabolic careMonthly, unless we agree otherwise

Overdue visits or labs may delay refills or treatment.

TWO WAYS TO BOOK

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.

Book a Visit

TELEHEALTH

Your Telehealth Visit.

A little preparation helps us use your appointment time well.

How to Join Your Visit

EASIEST WAY

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.

CAN’T FIND THE TEXT?

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.

Joined and waiting? That’s normal. If I haven’t started the visit yet, stay on the screen. I’ll be right with you.

Before Your Visit

01

Check your device

Use a charged phone, tablet or computer with reliable internet. Test your camera, microphone and speakers, and allow access when prompted.

02

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.

You must be physically in New York State. I will confirm your location at the start of the visit. Please do not join while driving. If you join while driving or from an unsafe location, the visit will be stopped and canceled until you are somewhere safe.

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.

BEFORE YOUR FIRST DOSE

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.

SUBCUTANEOUS

SQ Injection Guide

Injection into the fatty tissue beneath the skin.

Open SQ Guide
INTRAMUSCULAR

IM Injection Guide

Injection into the muscle.

Open IM Guide
Use the route and instructions confirmed during your training. If your medication concentration, syringe or instructions ever change, ask me to confirm your dose before injecting.

STAYING ON TRACK

Labs, Refills & Delivery.

Know who handles each step so labs, follow-ups and refills stay on schedule.

LAB WORK

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.

REFILLS

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.

DELIVERY

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.

Don’t wait until you run out. Refills depend on keeping up with follow-ups and required monitoring. Tell me about problems before they interrupt your treatment.

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.

01

Stay connected

Keep access to Charm, open messages when notified and respond when asked.

02

Complete the plan

Get labs done on time, arrange referrals, work on lifestyle changes, and ask before changing any dose.

03

Book your follow-ups

Stay on the visit schedule for your care. Reminders help, but booking is on you.

04

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

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
716-276-8726
Dr. Kumar Shah

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
716-320-0180

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.
716-498-5863

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.

Read the Notice of Privacy Practices

You may request a paper or electronic copy at any time. Questions? Message me through the patient portal.