In person or virtual appointments available

One Time Visit - Acute Care Needs  

Cost: $125 per visit

Individual Monthly Membership - Primary management of individual health care.  Unlimited visits.

Cost:  $200 per month

Couples Monthly Membership - Unlimited Primary management of family health care for two people.  Unlimited visits.

Cost: $350 per months 

Family Monthly Membership - Unlimited Primary management of family health care for 3 or more family members.   Unlimited visits.

Cost: $500 per months 

Semaglutide- GLP-1 receptor agonist.  A good option for weight loss of 10-25 lbs  

Cost: $700 for 250 units; will last 3-5 months depending on dosage 

How it works: 

· regulates glucose; stimulates insulin secretion and suppresses glucagon release to minimize hypoglycemic risk. 

· Suppresses appetite by activating receptors in hypothalamus, hindbrain and brainstem reducing hunger, food cravings and caloric intake.

· Delayed gastric emptying; slows gastric motility enhancing satiety. 

· Metabolic effects; lowers liver LDL production, improves insulin sensitivity in adipose (fat) tissue and muscle. 

Benefits:

· Weight loss average of 11-15%

· Cardiovascular; 20% in major adverse cardiovascular events.

· Reduction in waist circumference

· Reduction in systolic blood pressure

· Reduction in fatty liver disease

Side Effects:

· Most common are gastrointestinal adverse effects; nausea, diarrhea and vomiting, constipation

Other less common side effects:

· Gallbladder disease (due to dosing and duration)

· Pancreatitis (alcohol related)

· Thyroid C-cell tumors

· Acute kidney injury

· Heart rate increase

· Gastroparesis

· Hypoglycemia 

· Oral contraceptive interaction 

· Weight regain  

Tirzepatide- dual GIP/GLP-1 receptor agonist. A good option for weight loss of 20lbs+

Cost:  $900 for 400 units; will last 3-5 months depending on dosage 

How it works: (similar to GLP-1)

· Activates both GIP and GLP-1 receptor

· Glucose dependent insulin secretion

· Glucagon suppression

· Delayed gastric emptying 

· Central appetite suppression

· Enhances after meal lipid buffering capacity in white adipose tissue (where excess calories are stored).

· Improves insulin sensitivity in adipose tissue

· Combination in the brain reduces preference for high fat foods and lowering sweet taste preferences.

· Improves hormonal balance primarily by enhancing insulin sensitivity, lowering blood sugar, and reducing inflammation.

Benefits

· Weight loss average of 15%

· Improves glycemic control and reduces A1c

· Reduces cardiovascular death or worsening heart failure

· Decreases the number of breathing pauses of those with sleep apnea

Side Effects:

· Most common are gastrointestinal adverse effects; nausea, diarrhea and vomiting, constipation

· Dyspepsia (indigestion)

· Thyroid C-cell tumors

· Pancreatitis

· Gallbladder disease

· Acute kidney injury

· Oral contraceptive interaction

· Hypoglycemia

· Suicide ideation

Phentermine: A sympathomimetic amine that increases norepinephrine. This is a good option for short term use (30-90 days) of weight loss for 10lbs or less.

 Cost: $200 for 3 months supply 

 How it works: 

· Releases catecholamines (primarily norepinephrine, the “flight or fight response”)

· Release of catecholamines reduces appetite and decreases food consumption

· Increases resting energy 

Benefits:

· Weight loss average of 5.5% 

· Short term use

· Inexpensive compared to GLP-1s

Side Effects:

· Insomnia

· Headache

· Overstimulation

· Restlessness

· Dizziness

· Euphoria/dysphoria

· Dry mouth

· Constipation

· Diarrhea 

· Unpleasant taste in mouth

· Elevated heart rate, elevated blood pressure, palpitations

· Change in libido 

 Lipo B: a good option for energy, weight loss enhancement and liver health.

Cost: $200 lasts 30 weeks 

Methionine/Choline Chloride/Cyancobalamin (B12):

· Potentially enhancing the body’s fat burning process

· Methionine and choline play vital roles in fat metabolism. They help the liver break down fats more efficiently and prevent accumulation of fat in the liver.

· Cyanocobalamin (B12) may help boost energy production and may support a higher metabolic rate. 

Lipo C: a good option for weight loss plateaus, liver health and exercise fatigue. 

 Cost: $200 lasts 30 weeks 

Methionine/Choline Chloride/Carnitine/Dexpanthenol

· Methionine and choline play vital roles in fat metabolism. They help the liver break down fats more efficiently and prevent accumulation of fat in the liver.

· L-carnitine increases maximal oxygen consumption and modest weight loss

· Dexpanthenol decreases exercise induced fatigue, bolsters lipid mobilization and energy production

Potential Benefits of Lipo B and C

• May assist with weight loss and fat metabolism
• Increased energy levels
• Enhanced liver function and detoxification
• Improved mood and cognitive function

Possible Risks & Side Effects of Lipo B and C

While generally safe, potential side effects may include:

• Mild pain or irritation at the injection site
• Allergic reactions 
• Nausea, dizziness, or upset stomach
• Fatigue or mood changes

Sermorelin: This peptide is a good option for someone wanting to build muscle and improve sleep quality.

Cost: $500; will last 3-4 months cycling and depending on dosage 

Sermorelin therapy is a form of hormone therapy that aims to increase the production of growth hormone (GH) by stimulating the pituitary gland.

Sermorelin is a synthetic peptide that stimulates the pituitary gland to produce more growth hormone, which may aid in improving body composition, energy, sleep quality, and other aspects of health associated with low growth hormone levels.

Expected Benefits of Sermorelin Therapy

• Improved energy levels
• Enhanced muscle strength and mass
• Improved sleep quality
• Enhanced mental clarity and mood
• Better skin elasticity

Risks and Side Effects of Sermorelin Therapy

• Injection site reactions (e.g., pain, redness, or swelling)
• Dizziness or headache
• Nausea or vomiting
• Flushing or tingling sensations
• Changes in blood sugar levels
• Possible allergic reactions

GHK-Cu scalp solution: This peptide is a good option for thinning hair or hair loss related to alopecia, GLP1s, hormone changes

Cost: $300 for 2 month supply 

· Peptide that may support scalp health and hair appearance

· Participates in tissue protective and regenerative processes

· Potential for fostering more favorable milieu for follicular activity by associated increased vascular endothelial growth factor expression

· Potentially down regulates transforming growth factor of premature follicle regression

Risks and Side Effects

· Transient erythema, pruritis or stinging at application site

· Allergic contact dermatitis

· Scalp dryness or flaking

GHK-Cu facial serum: A good option for skin smoothness, elasticity, fine lines and overall appearance. Also potential for wound healing. 

 Cost: $300 for 2 month supply

· potent attractant for cells in the healing process

· supports tissue regeneration

· clears damaged tissue and cellular debris

· secretes proteins for wound contraction and overall tissue healing

· may increase synthesis of collagen and elastin

Risks and Side Effects

· recommended to conduct patch test prior to regular application for tolerance 

· allergic reactions such as redness, hives or itchiness

NAD+:  A good option for energy, mental clarity, immune system support, blood pressure and recovery.

Cost: $300; will last 3-4 months depending on dosage 

Nicotinamide adenine dinucleotide (NAD+) is a naturally occurring coenzyme in the body, essential for energy production and cellular repair. NAD+ therapy aims to enhance levels of this coenzyme to support cellular metabolism, cognitive function, and overall well-being. It may also be used for its potential benefits in anti-aging, detoxification, and neurodegenerative conditions.

· Potential for increased energy

· Potential for improved cognitive functioning

· Potential for enhanced detoxification

· Potential for anti-aging effects

· Potential for improved blood flow

Potential Risks and Side Effects

• Nausea, vomiting, or gastrointestinal discomfort
• Headaches or dizziness
• Fatigue or weakness
• Flushing or excessive sweating
• Allergic reactions (rash, swelling, difficulty breathing)
• Interactions with other medications or supplements

 Pricing is based on amount and dosing needed in combination with labs, symptoms, and goals.  It is individualized for each client. 

Testosterone: A good option for reduced muscle mass, low libido, erectile dysfunction, fatigue and mood disturbance.

Testosterone replacement therapy is used to treat low testosterone due to hypogonadism. It is a manufactured form of testosterone to regulate this hormone. 

· Improves sexual health and function

· Improves muscle mass, strength and physical performance especially with exercise

· Increases bone mineral density and strength reducing risk of osteoporosis

· Potentially improves mood, reduces irritability, decreases depression and enhanced energy levels

· Potentially improves insulin sensitivity and potential reduction in body fat

Potential Risks and Side Effects

· Transient injection site discomfort

· Acne

· Seborrhea (dandruff)

· Increased body hair

· Mild fluid retention

· Elevations in blood hematocrit (may require blood donation)

· Exacerbate benign prostatic hyperplasia

· Can worsen untreated obstructive sleep apnea

· Can increase cardiovascular events 

Anastrozole: Sometimes prescribed in conjunction with testosterone for men. Depending on estrodial levels and side effects/symptoms. Blocks the conversion of testosterone to estrogen. 

· Manages gynecomastia

· boost testosterone in hypogonadal men

· Aids in infertility

Potential Risks and Side Effects

· over-suppression of estrogen; can cause joint pain, fatigue and lower bone density

Dehydroepiandrosterone (DHEA): A good option for women with peri-menopausal and post-menopausal symptoms who want improve hormonal levels naturally.

DHEA is a hormone that your body naturally produces in the adrenal gland. DHEA helps produce other hormones, including testosterone and estrogen.

· Potential benefit of in treating genitourinary syndrome of menopause (GSM)

· improved vaginal health

· Vaginal lubrication

· Sexual function

· Supports muscle anabolism

· Bone density maintenance

· Cardiovascular protection

· Immune regulation

Potential Risks and Side Effects

· Acne/oily skin

· Hirsutism (excess facial hair in women) and/or hair loss

· Irritability/mood swings

· Mania (in people with mood disorders)

· Headaches

· Fatigue

· Nasal congestion

· Stomach upset

· Menstrual irregularities

Estradiol: Available in topical cream, patches or capsule form.  A good option for women experiencing peri-menopausal and post-menopausal symptoms. 

Estradiol is the most potent and prevalent form of human estrogen, acting as a primary female sex hormone that regulates the reproductive cycle and maintains tissues. (Note: used in conjunction with progesterone unless hysterectomy) 

· Improves hot flashes

· Improves vaginal dryness

· Prevents osteoporosis

· Treats low estrogen levels 

Potential Risks and Side Effects

· Breast tenderness

· Headache

·  Nausea

· Weight gain/bloating

· Vaginal itching/discharge

· Skin irritation at application sites

Progesterone:  A good option for women experiencing peri-menopausal and post-menopausal symptoms who do not need estrogen. 

Progesterone is a vital steroid hormone produced primarily by the ovaries, placenta, and adrenal glands, playing a critical role in the female menstrual cycle, maintaining pregnancy, managing peri-menopausal/post-menopausal symptoms and supporting brain health.

· Improves sleep

· Mood stablilization; reduces anxiety and increases feelings of calm

· Reduces hot flashes

· Reduces night sweats

· Protects uterus from unhealthy cell overgrowth

· Regulates menstrual cycle

· Assists in bone formation

· Helps manage weight by regulating metabolism

Potential Risks and Side Effects

· Breast tenderness

· Bloating/abdominal pain

· Diarrhea, and/or constipation

· Drowsiness/fatigue

· Headaches/dizziness

· Mood swings

· Spotting/breakthrough bleeding

· Changes in menstrual frequency

· Joint pain

· Vaginal dryness

· Yeast infections