Personalized Metabolic, hormonal, & midlife medicine
Virtual, physician-led care
Evidence-based, whole-person approach
Step 1:
Initial Evaluation
Your experience begins with an in-depth, 60-minute physician consultation designed to understand your metabolic health, weight changes, energy patterns, and the lifestyle influences shaping your overall wellbeing. Through a detailed exploration of your physiology, symptoms, and long-term patterns, Dr. Sarah Ali builds the foundation for a deeply personalized and strategically aligned treatment plan.
Explore the evaluation tiers below to see the available options. Together, you and Dr. Ali will review what makes the most sense for your needs. She’ll guide you through the options, and you’ll always make the final decision.
Clarity — $99
A comprehensive clinical assessment designed to understand your symptoms and help you decide what to do next — without committing to extensive testing.
This visit includes:
A full 60-minute physician visit
Comprehensive symptom and health review
Lifestyle assessment
Hormonal health assessment
Bone health review
Medication & supplement review
Discussion of treatment options:
Perimenopause/ Menopause - hormonal and non-hormonal options
Weight loss - GLP-1 and other evidence-based therapies
Integrated medical management — for thyroid conditions, blood pressure, cholesterol, fatty liver disease, diabetes, and bone health, with careful coordination across therapies
A tailored medical and lifestyle treatment plan
Labs:
Labs are not included. Testing can be ordered with transparent discounted cash-pay pricing or through insurance.
Optional add-on at any tier:
DEXA body composition testing (self-pay), with expert interpretation and integration into your care plan
Best for:
Patients who want clarity, direction, or a second look, especially if they’ve had recent labs or prefer a conservative starting point.
Tier 1
Renewal — $299
A comprehensive evaluation designed to establish a clear metabolic baseline and better understand changes in weight, energy, and cardiometabolic risk, alongside key hormonal and bone health considerations in midlife.
Everything in Clarity is included — plus:
An Advanced Lab Panel - Each test selected to optimize health and distinguish normal midlife hormonal changes from other treatable contributing factors
Lab-informed care planning:
Treatment recommendations shaped by both your symptoms and laboratory findings from the outset.
Labs:
Advanced Lab Panel tests are included—A typical out-of-pocket value of $800
Optional add-on at any tier:
DEXA body composition testing (self-pay), with expert interpretation and integration into your care plan
Best for:
Patients who prefer to start with deeper laboratory insight for long-term optimization, and a renewed sense of strength, balance, and vitality.
Tier 2
Restoration — $399
A comprehensive evaluation for patients with complex, persistent, or disproportionate hormonal symptoms, where a deeper level of assessment is needed to understand how hormonal conditions are affecting metabolic health, weight, energy, mood, and bone health.
Everything included in Renewal — plus:
Hormonal testing- Selected based on symptoms, history, and life stage to evaluate conditions such as:
Polycystic ovary syndrome (PCOS)
Hyperandrogenic patterns
Premature ovarian insufficiency or early menopause
Labs:
Advanced Lab Panel and hormonal labs are included—A typical out-of-pocket value of ~$1300 .
Imaging studies such as transvaginal US are ordered separately if needed.
Optional add-on at any tier:
DEXA body composition testing (self-pay), with expert interpretation and integration into your care plan
Best for:
Patients with ongoing, complex hormonal concerns who want deeper endocrine insight, hormone testing, and confident, physician-guided care focused on long-term regulation, resilience, and restoration.
Tier 3
After the initial evaluation, patients enroll into a monthly membership program for ongoing, concierge-level support designed to evolve with you. This provides consistency, momentum, and direct partnership in your health journey.
Catalyst Membership — $200/Month
Our highest level of support for patients who want accountability, coaching, and close medical oversight for those who want an accelerated path to lasting transformation.
Includes:
• Physician visits every 2–6 weeks, as needed
• Weekly accountability check-ins
• Unlimited secure messaging between visits
• Medication titration and treatment adjustments
• Ongoing management of medications and supplements
• Regular review of labs, symptoms, and progress
• Prescription coordination and refills
• Personalized coaching around nutrition, habits, lifestyle, and behavior change
• Access to discounted cash-pay labs and imaging
Best for:
Patients who want frequent support, greater accountability, and closer physician involvement while actively working toward significant health goals.
Signature Membership — $100/Month
A physician-guided membership for patients who need active medical management, regular follow-up, and ongoing treatment adjustments.
Includes:
• Physician visits every 4–12 weeks, based on your needs
• Unlimited secure messaging between visits
• Medication titration and treatment adjustments
• Ongoing management of medications and supplements
• Review of labs, symptoms, and progress
• Prescription coordination and refills
• Lifestyle guidance that supports your treatment plan
• Access to discounted cash-pay labs and imaging
Best for:
Patients actively pursuing weight loss, metabolic health, hormone optimization, thyroid care, or menopause care who want ongoing medical management without additional coaching or accountability check-ins.
Core Membership — $50/Month
A streamlined membership for patients who are clinically stable and primarily need ongoing oversight and maintenance.
Includes:
• Physician visits every 4–6 months
• Unlimited secure messaging between visits
• Ongoing oversight of medications and supplements
• Prescription refills for stable treatment plans
• Review of labs and overall progress
• Access to discounted cash-pay labs and imaging
Best for:
Patients who are stable on their treatment plan and need periodic physician oversight rather than frequent adjustments or active medication titration.
Core care remains individualized and physician-directed, with decisions grounded in your labs, history, and clinical trajectory.
Every plan is thoughtfully tailored, grounded in comprehensive labs, clinical expertise, and a whole-person philosophy. Nothing templated. Always individualized. Membership creates a seamless, supportive physician partnership, one that adapts thoughtfully as your physiology, life, and goals evolve.
Memberships are flexible and can be adjusted as your needs change. Many patients begin in Signature or Catalyst during active treatment and transition to Core once their health goals and treatment plan have stabilized.