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 — $299
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 — $499
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 — $699
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.
Signature Membership — $200/month
An ongoing, high-touch physician partnership designed for patients undergoing active medical therapy who require close monitoring, frequent adjustments, and real-time clinical decision-making.
Includes:
Physician visits every 2–6 weeks, as needed
Unlimited secure messaging between visits
Ongoing management and adjustment of medications and supplements, based on symptoms, labs, and response to treatment
Regular review of labs, symptoms, and overall progress
Bone health and osteoporosis care when appropriate
Prescription coordination and refills
Lifestyle guidance that supports medical treatment
Access to labs and imaging at discounted cash-pay rates
Best for:
Patients whose treatment plan is evolving and who benefit from closer physician involvement.
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.
Core Membership — $50/month
A streamlined, physician-guided membership for patients who are clinically stable and benefit from periodic oversight rather than frequent adjustments.
Core is designed for maintenance, continuity, and long-term monitoring — providing thoughtful medical guidance without the need for close titration or regular follow-up.
Includes:
Physician visits every 3–6 months
Unlimited secure messaging
Ongoing oversight of medications and supplements
Prescription refills for stable treatment plans
Review of labs and overall progress
Periodic lifestyle check-ins
Access to labs and imaging at discounted cash-pay rates
Best for:
Patients who are clinically stable, confident in their routine, and primarily need periodic physician oversight rather than ongoing coaching or frequent adjustments.
Core care remains individualized and physician-directed, with decisions grounded in your labs, history, and clinical trajectory.
Patients commonly start in Signature during active treatment phases and transition to Core once care stabilizes. Membership level may move in either direction as clinical needs evolve.