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 women in perimenopause whose weight, metabolic health, energy, or hormonal symptoms have reached a point where standard care is no longer enough.
Most women who come here know that something in their physiology has shifted — and that trying to manage it alone, or addressing it in fragments, is no longer getting them where they need to go.
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 are designed to determine.
What happens after the Discovery Visit? +
If we determine this is a good fit, the next step is a Metabolic Evaluation — a comprehensive diagnostic assessment that includes a 60-minute intake, laboratory work tailored to your metabolic and hormonal profile, and a 45-minute review of findings. The Evaluation identifies your specific metabolic and hormonal pattern and determines what to address first.
Can I skip the Discovery Visit and go straight to the Metabolic Evaluation? +
Yes. If you've already reviewed the website and feel confident this is the right fit, you can schedule a Metabolic Evaluation directly.
How quickly can I get started? +
Discovery Visits are typically available within a week. Once your Metabolic Evaluation is complete, the Metabolic Rebuild can begin within one to two weeks.
How much time does this require each week? +
During the Metabolic Rebuild, you have one 30–45 minute telehealth visit every two weeks. Between visits, the daily time commitment is approximately 10–15 minutes: stepping on a scale, logging meals, and reviewing your data. Your monitoring devices sync automatically — most of the clinical data collection happens in the background while you go about your day. The program is designed to fit a full professional schedule, not compete with it.
What do I need for telehealth visits? +
A computer, tablet, or smartphone with a camera and a reliable internet connection. All visits are conducted through a secure, HIPAA-compliant telehealth platform.
Cost & Payment
How much does the Metabolic Evaluation cost? +
The Metabolic Evaluation is $595. This includes a 60-minute intake, comprehensive laboratory assessment including a full hormonal panel, and a 45-minute review of findings. The fee is credited in full toward the Metabolic Rebuild if you choose to enroll.
How much does the Metabolic Rebuild cost? +
The Metabolic Rebuild is $6,495 as a one-time payment or four monthly payments of $1,725 ($6,900 total). This includes all clinical visits, your monitoring kit, CGM sensors, provider access, messaging, open office hours, nutrition and exercise prescriptions, supplement guidance, and course access for four months.
Are lab costs included? +
Laboratory work is ordered separately and is not included in the Evaluation or Rebuild fee. The initial lab panel typically costs $300–$500 depending on the specific tests your metabolic and hormonal profile requires. Repeat labs at 12 weeks typically cost $140–$250. You receive a 15% discount on all laboratory testing through our clinical laboratory partner.
Is the cost of bioidentical hormone replacement therapy included? +
Bioidentical hormone replacement therapy medication cost is separate from program and membership pricing. If your evaluation indicates that hormone replacement therapy is appropriate, the medication is sourced from a rigorously vetted compounding pharmacy and billed through our practice — so you have one billing relationship for all of your care, including medication. Clinical care, monitoring, and all visits related to hormone management are included in your program or membership fee.
Do you accept insurance? +
Midlife Metabolic Medicine is not an insurance-based practice. We do not bill insurance or accept insurance assignment. Operating outside of insurance allows for longer visits, more comprehensive diagnostics, and treatment decisions based on what your metabolic and hormonal picture actually requires — not what an insurance plan will authorize. We provide superbills for all services, which you can submit to your insurance company to seek out-of-network reimbursement. Reimbursement rates and eligibility vary by plan. Please note that providing the superbill is the extent of our participation in the reimbursement process.
Can I use my HSA or FSA? +
Yes. All services at Midlife Metabolic Medicine are eligible for payment through Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).
What is the refund policy for the Metabolic Rebuild? +
If you decide to discontinue before your monitoring kit has shipped, you may receive a full refund minus a $250 administrative fee. After the kit has shipped but within the first 30 days of the program, you may receive a prorated refund minus the cost of the monitoring kit (approximately $670). You keep the kit. After 30 days, the program is non-refundable. If you are on the monthly payment plan, any refund is calculated against payments made to date.
What happens after the four-month Metabolic Rebuild? +
Most patients transition to Active Continuity ($425/month) — ongoing structured care while your metabolic and hormonal picture is still actively evolving. This includes continued weight loss support, medication adjustment, and hormone replacement therapy management if that is part of your plan.
When your weight, labs, medications, and hormonal care have stabilized, you may transition to Continuity Care ($250/month) — long-term metabolic and hormonal stewardship at a lighter-touch cadence. Continuity Care is designed as a medical home — the ongoing clinical relationship that manages your metabolic health and hormone replacement therapy through menopause and beyond. Both tiers are month-to-month with 30 days' written notice to discontinue.
Telehealth & Licensing
Where are you licensed to practice? +
Midlife Metabolic Medicine is licensed in Idaho and Oregon. You must be physically located in one of these states at the time of your visits.
What if I travel or split time between states? +
You must be physically located in Idaho or Oregon at the time of each scheduled visit. If you travel frequently or split time between a licensed and non-licensed state, we can work with your schedule to ensure visits fall when you are in Idaho or Oregon. If an extended absence from both states is anticipated, we'll discuss options during your visit.
Is telehealth as thorough as in-person care? +
The clinical depth of this practice is built for telehealth. Biweekly visits are informed by continuous biometric data from your monitoring devices — body composition, blood pressure, heart rate variability, sleep quality, and glucose patterns. Your provider reviews this data before every visit and between visits during structured chart review. The combination of frequent visits, objective data, and messaging access provides a level of clinical continuity that is difficult to replicate in a traditional in-person model.
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 Idaho and Oregon communities. Your monitoring kit is shipped directly to your home.
Medications & Clinical Care
Do you prescribe GLP-1 medications? +
We prescribe GLP-1 medications including semaglutide and tirzepatide when they are clinically appropriate. Whether GLP-1 medication is right for you depends on your labs, metabolic profile, and clinical history — that is what the Metabolic Evaluation determines. We do not prescribe without a thorough assessment, and we monitor carefully throughout treatment. GLP-1 medication is one tool within a structured metabolic care plan — prescribed with defined entry criteria, monitored for response, and tapered when clinically appropriate.
What if GLP-1 medication isn't right for me? +
GLP-1 is one tool within a comprehensive metabolic care plan — not the plan itself. The Metabolic Evaluation identifies which interventions your specific metabolic pattern requires. For some patients, the most effective starting point is nutrition and exercise prescription adjustments, metformin, thyroid medication, or bioidentical hormone replacement therapy. Your plan is built around what your labs and clinical picture indicate, not around a single medication category.
Do you prescribe bioidentical hormone replacement therapy? +
Yes. Bioidentical hormone replacement therapy is a core part of our clinical model for perimenopausal care. Whether hormone replacement therapy is appropriate for you — and when it enters your plan — depends on your full metabolic and hormonal evaluation. For some women, hormonal disruption is a primary driver of metabolic instability, and hormone replacement therapy is an early intervention. For others, the metabolic foundation needs to be established first, and hormonal care enters the plan in a later phase.
When hormone replacement therapy is indicated, your prescription is individualized to your clinical needs and sourced from a quality-certified compounding pharmacy. It is prescribed, monitored, and adjusted as part of the same clinical relationship that manages your metabolic health — not treated as a separate concern.
Do you prescribe controlled substances? +
Some medications used in metabolic weight management are classified as controlled substances. Whether any controlled medication is appropriate for your care is determined during the Metabolic Evaluation and is based on your clinical profile, medical history, and treatment goals. All controlled substances are prescribed with careful monitoring and defined clinical criteria.
Can you prescribe medications in both Idaho and Oregon? +
Yes. We hold prescribing authority in both Idaho and Oregon, including for controlled substances where clinically indicated. Prescriptions are sent electronically to your pharmacy.
What if I'm already taking medications from another provider? +
We review your full medication list during the Metabolic Evaluation and coordinate with your existing providers as needed. If you are currently prescribed GLP-1, hormone replacement therapy, thyroid medication, or other metabolic medications, we can evaluate whether adjustments are appropriate within the context of your broader metabolic and hormonal plan.
What if I'm already on HRT from my OB/GYN? +
We review your full medication and hormonal history during the Metabolic Evaluation. If you are currently receiving hormone replacement therapy from another provider, we can transition your hormonal care to our compounded bioidentical model if you choose, or we can coordinate with your existing provider. That decision is yours. What we add is the integration — managing your hormonal care alongside your metabolic health under one clinical relationship, so your provider sees the full picture.
Do you replace my primary care provider? +
No. Midlife Metabolic Medicine is a specialty practice focused on metabolic health, weight management, and hormonal care for women in perimenopause. We work alongside your PCP and are happy to share clinical notes and lab results with your primary care team with your permission. Your OB/GYN continues to provide gynecologic care — annual exams, mammogram referrals, contraception. What we manage is the full metabolic and hormonal picture: your weight, your metabolic markers, and your hormone replacement therapy under one clinical relationship.
The Monitoring Kit
What devices are included? +
At enrollment in the Metabolic Rebuild, you receive a clinical monitoring kit shipped directly to your home. The kit includes a body composition scale, a blood pressure cuff, a health-tracking watch, and two continuous glucose monitoring sensors. All devices are included in the program price.
Do I need to be tech-savvy to use the devices? +
No. Your first two visits include guided setup and training for every device. Most patients are comfortable with the full system within the first week. If you run into trouble between visits, you can reach out through messaging and we will help you troubleshoot.
What happens to the devices after the Metabolic Rebuild? +
They are yours to keep. The monitoring kit becomes a permanent part of your metabolic self-management toolkit. If you continue into Active Continuity or Continuity Care, the data pipeline continues automatically — your provider keeps reviewing trends at every visit.
Program Structure
What if I need to pause the program? +
We understand that life circumstances can change. If a medical issue, family emergency, or other significant event requires a pause, we will work with you to adjust the schedule. The Metabolic Rebuild allows for one pause of up to 30 days during the program. This extends your program end date by the length of the pause. Please discuss any anticipated disruptions with your provider as early as possible.
What if I don't follow through? +
The program is structured so that you cannot fall through the cracks. Biweekly visits, messaging access, open office hours, and continuous monitoring create multiple points of contact and accountability. Your provider reviews your data between visits and reaches out if concerning trends appear. That said, this is a clinical partnership — the program provides the structure, the expertise, and the access, but the daily work is yours.
Still have questions?
Start with a Discovery Visit — a no charge 15-minute conversation to discuss your situation and find out whether this approach is right for you.
Schedule a Discovery Visit