Map · Metabolic Infrastructure Index · metros ranked · 2026-10-04

Where the access actually is

The 20 metros we map at street scale, ranked by the Metabolic Infrastructure Index: how much testosterone, GLP-1, licensed compounding, and strength-training infrastructure sits inside a cell and next to it, scored 0–100 on the national distribution. New York leads at MII 51.

This ranks infrastructure — the businesses within reach — not the people who live there, and not body composition, hormone levels, or anything about residents. It is wayfinding, not a referral and not medical advice. Counts are businesses from public registries, so a dense metro reflects supply, not quality.

MII on the national scale · TRT clinic · GLP-1 prescriber · Compounding pharmacy · Gym are businesses counted in the metro
#	Metro	MII	TRT clinic	GLP-1 prescriber	Compounding pharmacy	Gym
01	New York	51served	985	5,101	112	275
02	Los Angeles	48thin	641	3,476	115	171
03	San Francisco Bay Area	46thin	271	970	68	164
04	Washington, DC	45thin	418	1,939	49	175
05	Las Vegas	44thin	92	621	31	39
06	Miami–Fort Lauderdale	43thin	297	2,090	81	49
07	Seattle	40thin	173	380	108	124
08	Chicago	38thin	346	1,922	100	141
09	Houston	38thin	264	2,009	81	66
10	Phoenix	38thin	133	1,136	44	188
11	Denver	37thin	145	587	45	95
12	Boston	34thin	298	603	40	112
13	Dallas–Fort Worth	33thin	207	2,256	57	101
14	Tampa Bay	33thin	140	1,167	41	47
15	Salt Lake City	33thin	51	306	23	62
16	Austin	32thin	63	565	10	55
17	Atlanta	30thin	175	1,517	29	82
18	San Antonio	29thin	76	684	14	31
19	Nashville	28thin	63	568	13	18
20	Minneapolis–St. Paul	27thin	74	173	77	55

The index weights TRT clinic 30% · GLP-1 prescriber 25% · Compounding pharmacy 20% · Gym 25%, and a log curve keeps one medical tower from flattening the rest. Read how the map is built, see the whole map, or look up a zip. Not for use in housing, lending, or insurance decisions.