FREQUENTLY ASKED QUESTIONS
Answers, stated plainly
The questions we hear most about the process, the care, and what to expect. If your question is more specific to your individual situation, a Discovery Visit is the right place to ask it.
Getting Started
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This practice is designed for adults in perimenopause whose weight, metabolic health, energy, or hormonal symptoms have outpaced what standard care can address — and who are ready to address it with clinical structure.
You do not need to know whether the six-month partnership is right for you before reaching out. That is what the Discovery Visit and the Metabolic Evaluation determine.
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If we determine this is a good fit, the next step is the Metabolic Evaluation: a 60-minute intake, a comprehensive metabolic and hormonal laboratory assessment matched to your clinical picture, and a 60-minute Review of Findings that identifies your patterns and determines what to address first.
If you have already reviewed the website and feel confident, you can schedule the Metabolic Evaluation directly — the Discovery Visit is not a required step.
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No. All visits are conducted via telehealth. Laboratory work is completed at a local draw site, and your monitoring kit is shipped directly to your home.
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Your 1:1 visit time during the partnership is a minimum of one hour per month, distributed the way you and your provider decide together: weekly 15-minute visits, biweekly 30-minute visits, or one 60-minute monthly visit. Between visits, plan on roughly 10–15 minutes daily: stepping on the scale, logging meals, glancing at your data. Data syncs automatically. The weekly Metabolic Lab is included and always optional — an invitation, not an obligation.
The care is designed to fit a full schedule, not compete with it.
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A weekly 45-minute group telehealth session included at every paid tier: brief clinical teaching, open data Q&A where patients bring their own dashboard questions, strength-form review, and community. Sessions are live-only and are not recorded. Individual medical questions route to your visits or messaging — the Lab is a teaching room, not a group medical visit.
Cost & Payment
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Care is $995 per month for the first six month clinical intensive — $5,970 in total, one number, all-inclusive, nothing to reconcile. Month one is the Metabolic Evaluation: a 60-minute intake, a comprehensive lab panel including hormones, your clinical monitoring kit shipped at booking, and a 60-minute Review of Findings informed by weeks of your own baseline data. Months two through six are the Metabolic Rebuild.
Everything is in that number: a minimum of one hour of 1:1 visit time per month, your monitoring kit, your strength program, the weekly Metabolic Lab, nutrition and exercise prescriptions, medication management, messaging access, and office hours. Pay-in-full is available on request.
Ongoing care after the partnership is $395 per month in Active Care and $250 per month in Steady Care.
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Then you will have completed a comprehensive evaluation — intake, full labs, weeks of baseline monitoring data, and a Review of Findings — and everything from it is yours to keep, including the monitoring kit. Nothing continues automatically; months two through six happen only if you choose them.
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Nothing continues past month one unless you choose it. If you do continue, month two opens a 60-day decision window: you may opt out at any point during it, no questions asked, and your care concludes with that month. Past month three, you are committed for the remainder of the six-month partnership — the structure exists because the clinical work takes six months, not because a contract says so.
In every scenario — a month-one stop, a month-two opt-out, or a completed partnership — you keep your devices, your data, and everything you have learned. If you leave and later want to return, the door is re-entry through Active Care.
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Laboratory work, medications, and supplements are billed separately — and we route everything that can be covered through insurance to insurance. Any care your plan denies is offered at disclosed cash-pay pricing directly through the clinic, at clinic-negotiated discounted rates.
Medication costs are always quantified for you up front.
Supplements are recommended only when indicated by your clinical picture, are always optional, and are billed through Midlife Metabolic Medicine’s Fullscript dispensary — with a 15% discount offered.
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Practice fees are cash-pay; we do not bill insurance for visits or memberships. Operating outside insurance is what allows longer visits, comprehensive diagnostics, and treatment decisions based on your clinical picture rather than plan authorization.
Labs are ordered through your insurance whenever possible, superbills are provided on request for possible out-of-network reimbursement, and all fees are HSA/FSA eligible. Coverage itself is never something we can promise.
Medications
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Yes — when clinically appropriate. Whether GLP-1 is right for you depends on your labs, metabolic profile, and clinical history, determined during the Metabolic Evaluation. It enters your plan when and how the evaluation results indicate, and it is monitored carefully throughout — dosing follows your trends, not a standard escalation calendar.
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That is the right question to be asking — lean mass loss is the most documented risk of GLP-1 treatment without structured resistance training, and it is the risk this care is specifically built to address. Your strength program is prescribed alongside the medication by the same provider, your body-composition scale tracks lean mass multiple times a week, and if your muscle trend moves the wrong way we see it and adjust within weeks — not at an annual physical.
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Yes. We prescribe hormone replacement therapy, including bioidentical hormone replacement therapy when clinically appropriate, individualized to your evaluation results. Because hormonal response is highly individual, the right form is a clinical decision made with you — not a house default. Specific delivery methods are determined clinically based on the full picture; the Metabolic Evaluation is where we map that.
Hormone replacement therapy is durable, ongoing care — monitored, adjusted, and managed inside the same clinical relationship as your metabolic health, through perimenopause, menopause, and beyond.
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We prescribe other medications when indicated by the evaluation, beyond GLP-1 and HRT. The Metabolic Evaluation is where we determine which medications, if any, are appropriate for your specific picture.
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We review your full medication list during the Metabolic Evaluation and coordinate with your existing providers as needed. If you are currently receiving hormone replacement therapy from another provider, we can integrate it into your care plan, adjust it within the metabolic relationship, or coordinate with your current provider — your choice.
Clinical Care
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No. We are a specialty practice focused on metabolic health, medical weight loss, and hormonal care in perimenopause. We work alongside your PCP and share notes with your permission. Your OB/GYN continues gynecologic care. What we own is the integrated metabolic and hormonal picture, under one clinical relationship.
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A clinical-grade body-composition scale, a clinical-grade blood pressure cuff, and an overnight health monitor that tracks sleep and recovery. The kit ships when you book your Metabolic Evaluation — device setup is your first task, so your Review of Findings is informed by weeks of your own baseline data. All devices are included in the price and are yours to keep, whether or not you continue past month one. Data syncs automatically to your electronic health record.
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The Metabolic Rebuild opens with two biweekly, 45-minute, onboarding sessions. After that, you receive a minimum of one hour of 1:1 visit time per month — distributed by shared decision as weekly 15-minute, biweekly 30-minute, or monthly 60-minute visits. In Active Care, visits are 45 minutes on a bimonthly cadence; in Steady Care, 45 minutes quarterly, anchored by an annual comprehensive lab reassessment.
Alongside visits: open office hours run twice per week during the partnership and weekly at the continued-care tiers, and the weekly Metabolic Lab runs at every tier.
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The nutrition prescription is not a meal plan. It is individualized protein, carbohydrate, fat, and fiber targets based on your labs and body composition — recalibrated at every visit as your physiology changes — with a curated recipe library matched to it.
The exercise prescription is calibrated to your metabolic profile, hormonal status, and recovery capacity, with daily intensity guidance informed by your morning recovery data and structured movement targets. Your strength program sits alongside it: individualized, built personally by your provider, and progressed monthly from your body-composition and recovery data — designed to protect lean mass while fat loss proceeds.
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Most patients transition into Active Care — ongoing structured care while the clinical picture is still in motion: continued weight loss, medication titration, hormonal transition, hormone replacement therapy initiation or adjustment. When your picture stabilizes, you can step down to Steady Care — long-term metabolic and hormonal stewardship, the medical home through menopause and beyond. The transition is clinician-guided and patient-chosen, and moving back up to a higher level of care is always an option.
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Both tiers continue the same clinical relationship: one dedicated provider who holds your full history, your monitoring kit and its data pipeline with structured between-visit review, HIPAA-compliant messaging with the 48-hour business-day response guarantee, weekly office hours, the weekly Metabolic Lab, and 15% supplement and lab discounts.
Active Care ($395/month) adds six 45-minute clinical visits per year on a bimonthly cadence, ongoing medication management including hormone replacement therapy initiation or active adjustment, targeted lab reassessments when the clinical picture warrants, and quarterly nutrition, exercise, and strength program reviews.
Steady Care ($250/month) provides four 45-minute clinical visits per year on a quarterly cadence, an annual comprehensive laboratory reassessment, ongoing medication and hormone replacement therapy management — renewals, monitoring, and adjustment — and an annual strength program reassessment, with benchmarks retested and the program rebuilt for the year ahead.
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For this kind of care, telehealth is the stronger modality. Visits are informed by continuous biometric data — body composition, blood pressure, sleep, and overnight recovery — reviewed before every visit and between visits. Objective data, frequent contact, and messaging access provide a clinical continuity that a quarterly in-person visit simply cannot match.
Have a question not answered here?
A Discovery Visit is a no-charge, 15-minute telehealth conversation — ask questions, describe what you are experiencing, and find out whether this is the right clinical fit.