Frequently Asked Questions
Answers to the questions we hear most often about the process, the program, and what to expect. If your question is more specific to your situation, a Discovery Visit is a good place to start — a no-charge 15-minute conversation where we can discuss it directly.
Getting Started
How do I know if this level of care is right for me?
This practice is designed for adults in perimenopause whose weight, metabolic health, energy, or hormonal symptoms have outpaced what standard care can address.
You do not need to know whether the Metabolic Rebuild is right for you before reaching out — that is what the Discovery Visit and Metabolic Evaluation determine.
What happens after the Discovery Visit?
If we determine this is a good fit, the next step is a Metabolic Evaluation: a 60-minute intake, laboratory work tailored to your metabolic and hormonal profile, and a 45-minute review of findings that identifies your pattern and determines what to address first.
If you have already reviewed the website and feel confident this is the right fit, you can schedule a Metabolic Evaluation directly without a Discovery Visit.
How quickly can I get started?
Discovery Visits are typically available within a week. The Metabolic Rebuild can begin one to two weeks after your Evaluation is complete.
How much time does this require each week?
One 30–45 minute telehealth visit every two weeks. Between visits, approximately 10–15 minutes daily: stepping on a scale, logging meals, reviewing your data. Monitoring devices sync automatically.
The program is designed to fit a full professional schedule, not compete with it.
Where can you provide care?
Oregon and Idaho. You must be physically located in one of these states during visits.
If you travel or split time between a licensed and non-licensed state, we can schedule around your travel. Extended absences from both states require a conversation with your provider.
Do I need to come to an office for anything?
No. All visits are conducted via telehealth. Laboratory work is completed at a local draw site or through a mobile phlebotomy service arranged through our lab partner. Lab draw locations are available in most Oregon and Idaho communities. Your monitoring kit is shipped directly to your home.
Is telehealth as thorough as in-person care?
Biweekly visits are informed by continuous biometric data — body composition, blood pressure, HRV, sleep, and glucose patterns — reviewed before every visit and between visits. Frequent visits, objective data, and messaging access provide clinical continuity that is difficult to replicate in a traditional in-person model.
Cost & Payment
What does the program cost?
The Metabolic Evaluation is $595 — a 60-minute intake, comprehensive lab panel including hormones, and a 45-minute review of findings. The fee is credited in full toward the Metabolic Rebuild if you enroll.
The Metabolic Rebuild is $6,495 one-time or four monthly payments of $1,725 ($6,900 total). Includes the $595 Metabolic Evaluation fee credit, all visits, monitoring kit, CGM sensors, provider access, messaging, office hours, nutrition and exercise prescriptions, supplement guidance, and course access.
What costs are separate from the program fee?
Laboratory work and medications are billed separately. Initial labs typically cost $300–$500; repeat labs at 16 weeks cost $140–$250. You receive a 15% discount through our laboratory partner.
GLP-1 and BHRT medications are sourced from a quality-certified compounding pharmacy and billed through our practice — one billing relationship for all care including medication. Clinical visits and monitoring related to medication management are included in your program or membership fee.
Do you accept insurance?
No. We do not bill or accept insurance assignment. Operating outside insurance allows longer visits, more comprehensive diagnostics, and treatment decisions based on your clinical picture — not plan authorization.
We provide superbills you can submit for out-of-network reimbursement. Providing the superbill is the extent of our participation in that process. All services are HSA/FSA eligible.
What is the refund policy?
Before your monitoring kit ships: full refund minus $250 administrative fee.
Within 30 days after kit shipment: prorated refund minus kit cost ($670); you keep the kit.
After 30 days: non-refundable.
Monthly payment plans: refunds calculated against payments made to date.
Medications & Clinical Care
Do you prescribe GLP-1 medications?
Yes — semaglutide and tirzepatide when clinically appropriate. Whether GLP-1 is right for you depends on your labs, metabolic profile, and clinical history, determined during the Metabolic Evaluation. We prescribe with defined entry criteria, monitor response, and taper when appropriate.
What if GLP-1 isn’t right for me?
GLP-1 is one tool, not the plan. The Metabolic Evaluation identifies what your specific pattern requires — which may be nutrition and exercise adjustments, metformin, thyroid medication, or BHRT. Your plan follows your labs, not a single medication category.
Do you prescribe bioidentical hormone replacement therapy?
Yes. BHRT is a core part of our clinical model. Whether it is appropriate — and when it enters your plan — depends on your full metabolic and hormonal evaluation.
When indicated, your prescription is individualized, sourced from a quality-certified compounding pharmacy, and managed within the same clinical relationship as your metabolic care.
What if I’m already on medications from another provider?
We review your full medication list during the Metabolic Evaluation and coordinate with existing providers as needed.
If you are currently receiving hormone replacement therapy from an OB/GYN, we can transition your hormonal care to our compounded bioidentical model or coordinate with your current provider — your choice. What we add is the integration: hormonal care managed alongside metabolic health under one clinical relationship.
Do you replace my PCP?
No. We are a specialty practice focused on metabolic health, weight management, and hormonal care in perimenopause. We work alongside your PCP and share notes with permission. Your OB/GYN continues gynecologic care. We manage the full metabolic and hormonal picture under one clinical relationship.
Metabolic Rebuild Program Details
What devices are included in the monitoring kit?
A body composition scale, blood pressure cuff, health-tracking watch, and two CGM sensors — shipped to your home at enrollment, included in the program price.
What happens to the devices after the Rebuild?
Yours to keep. If you continue into Active Care or Steady Care, the data pipeline continues — your provider keeps reviewing trends at every visit.
What happens after the Metabolic Rebuild?
Most patients transition to Active Care ($425/month) — ongoing structured care while your metabolic and hormonal picture is still evolving, including weight loss support, medication adjustment, and BHRT management.
When your clinical picture stabilizes, you may transition to Steady Care ($250/month) — long-term metabolic and hormonal stewardship, designed as your permanent metabolic and hormonal medical home through menopause and beyond.
What if I need to pause?
One pause of up to 30 days is permitted, extending your end date accordingly. Discuss anticipated disruptions with your provider as early as possible.
What if I don’t follow through?
Biweekly visits, messaging, office hours, and continuous monitoring create multiple points of accountability. Your provider reviews data between visits and reaches out if concerning trends appear. The program provides the structure that makes the daily work doable.
Have a question we didn’t answer?
Have a question that wasn’t answered here? Start with a 15-minute conversation to discuss your situation directly.
Schedule a Discovery Visit