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Tier 1 Institute Spine and Sports & Health and Wellness Physician Dr. Keith J. Nichols

Dr. J. Keith Nichols


Dr. J. Keith Nichols

I am originally from Georgia and received my medical degree from the Medical College of Georgia in Augusta, Georgia. Following an internship at Spartanburg Regional Medical Center in Spartanburg, South Carolina, I completed my residency in Physical Medicine and Rehabilitation at the University of Louisville in Louisville, Kentucky.

I am board certified in Physical Medicine and Rehabilitation. I have served as a team physician for the Nashville Predators of the National Hockey League, a ringside physician for Strikeforce and the Ultimate Fighting Championships, and I have consulted in the care of many other high school, college and professional athletes, including the Nashville Kats of the Arena Football League and the Tennessee Titans of the National Football League.

Over the last several years, I have traveled the country to gain education and insight from the most well-respected and knowledgeable leaders in the medical speciality of Bioidentical Hormone Replacement Therapy. I completed the rigorous process and joined an elite group of practitioners in becoming one of a few certified in Advanced Bioidentical Hormone Replacement Therapy in order to provide my patients with the most comprehensive care available.

I have always maintained an active lifestyle, and my fitness regimen includes activities such as mixed martial arts, weightlifting and mountain biking combined with a healthy diet. Recently I began noticing a decrease in strength, endurance and energy and began having nagging aches and pains that did not respond to conventional medical treatment. I was experiencing extreme fatigue, and after obtaining lab work and undergoing a physical exam by my personal physician, I was told that my symptoms were "normal and that I was just getting old."

I began gaining weight, became increasingly irritable, and my quality of sleep was terrible. I would start each day with plans to reverse this pattern, but by late afternoon I was exhausted and had no desire for physical activity. I found myself rapidly deteriorating and in a downward physical and mental spiral. Through my own testing, I was found to have low testosterone, DHEA and thyroid hormones. After replenishing all of my hormones back to youthful levels, the deterioration subsided. I regained my energy, endurance and muscle strength. I began losing weight, and developed a normal sleep pattern. I noticed an increase in mental alertness, was no longer irritable, and best of all, the nagging aches and pain had disappeared. In general, I felt better than I had in years.

Through my own experience with low hormone levels, I found that my situation was common to the patients I treat on a daily basis as a part of my spine and sports medicine practice. These patients need to maintain their activity level to prevent or treat their various musculoskeletal injuries, but they don't have the energy, strength, motivation or physical ability to do so. It is my opinion that these symptoms are secondary to hormone imbalance and can be improved or reversed with bioidentical hormone supplementation.

Because of my own personal experience, I decided to devote the rest of my medical career to helping others achieve the positive health benefits of bioidentical hormone replacement therapy. I began doing my own research and traveling the country to receive the most comprehensive, up-to-date training on bioidentical hormone replacement. I developed Tier 1 Health and Wellness to bring state-of- the-art therapy regarding bioidentical hormone replacement to the Upper Cumberland region. Tier 1 Health and Wellness specializes in the supplementation of bioidentical hormones, which include DHEA, testosterone, pregnenolone, estrogen, progesterone, melatonin, and thyroid. Vitamins, diet and exercise are also important components of any preventative medicine program, but hormone replacement therapy is the only therapy that I have seen that can restore energy, make patients feel and function better, and provide long-term therapeutic protection.

Some of the potential benefits of bioidentical hormone optimization include increased bone mineral density, improvement in skin tone and healing capacity, increased libido and sexual performance, reduced hot flashes, reduced risk of endometrial and breast cancer, increased muscle mass, strength and endurance, decreased body fat, increased exercise tolerance, and enhancement of wellbeing, mood, concentration and memory.

I encourage you to review all of the information contained in this website and then contact Tier 1 Health and Wellness to discuss our hormone replacement therapy program.

My wife, Angie, and I maintain a healthy lifestyle and enjoy various forms of exercise to maintain health and fitness. I enjoy spending time at the lake with our friends and family. My other hobbies include mountain biking, mixed martial arts, and shooting sports (pistol and long-range marksmanship).