New Clients
Services and Fees:
Perimenopause and Menopause
Perimenopause and menopause are inevitable. Suffering through them is not. Every woman deserves to understand what’s happening in her body — and to have a provider who actually does something about it. We don’t just manage symptoms. We build a plan that helps you feel better than you have in years. Sleep. Energy. Clarity. Mood. Libido. It’s all on the table. Bioidentical hormone therapy is safe, effective, and wildly underutilized — and when it’s right for you, it can be life-changing. Remember we also have so many tools in the tool box- diet, lifestyle, non-hormonal medications, herbals, supplements.
Comprehensive Midlife & Menopause Evaluation
Your care begins with a comprehensive evaluation designed to understand the full picture – not just one symptom or one lab value.
Your evaluation may include:
- Detailed medical, menstrual, and menopause history
- Current symptoms, concerns and goals
- Hormone therapy evaluation (when appropriate)
- Cardiometabolic and health-risk assessment
- Nutrition, lifestyle and weight management considerations
- Review of previous and relevant laboratory results
- Additional laboratory recommendations when clinically indicated
- Individualized treatment and wellness plan
- Prescriptions when clinically appropriate
- Detailed care planning and recommendations following your visit
Approximately 60 minutes | Investment: $500
What Happens After Your Initial Evaluation?
Every woman needs a different level of support. After your initial evaluation, you may continue with individual follow-up visits as needed or choose a structured six-month care option for more consistent support while we work toward your goals!
Individual Follow-Up Care
Ideal for women who are doing well, have more focused needs, or prefer to schedule care only when needed.
30-Minute Follow-Up | $250
For more comprehensive follow-up, including symptom reassessment, medication management, treatment adjustments and review of relevant laboratory results.
15-Minute Focused Follow-Up | $125
For brief, focused concerns, straightforward medication follow-up or a specific established issue.
– OR -
The Midlife Optimization Method™
Six Months of Structured Ongoing Care
For many women beginning their perimenopause or menopause care journey, especially when starting or adjusting hormone therapy, finding the right treatment plan can take time. Symptoms, response to treatment and individual needs can evolve over the first several months, and adjustments may be needed along the way.
The six-month Midlife Optimization Method™ is designed to give us the time and continuity to assess your response, make thoughtful adjustments when needed, and work toward a treatment plan that’s right for you, rather than expecting everything to be solved in a single visit.
$129/month for 6 months
Your six-month care includes:
- Two 30-minute comprehensive follow-up visits (1st around 10-12 weeks after initial visit, 2nd around 5 months).
- One 15-minute focused check-in when clinically appropriate (done around the end of the 6 months)
- Ongoing medication management related to your established treatment plan
- Prescription and refill management
- Brief treatment adjustments between visits when appropriate
- Secure portal access for brief questions related to your established treatment plan
- Review of pertinent follow-up laboratory results associated with your treatment plan
- Continued guidance as your treatment plan evolves
Portal messaging is intended for brief questions, medication concerns and clarification related to your established treatment plan. New symptoms, new medical concerns, extensive laboratory review or issues requiring additional evaluation may require a scheduled visit.
Not Sure Which Option Is Right for You?
You do not need to decide before your first appointment.
Every new midlife and menopause patient begins with the Comprehensive Midlife & Menopause Evaluation. After your evaluation, we can determine together whether individual follow-up care or more structured ongoing support best fits your needs.
Ready to Get Started?
Begin with your Comprehensive Midlife & Menopause Evaluation.
60 minutes | $500
Medical Weight & Metabolic Management
Initial Comprehensive Weight & Metabolic Evaluation — 45-60 mins = $350
Includes:
- Weight and health history
- Review of previous weight-loss efforts
- Metabolic and cardiometabolic risk assessment
- Review of medications and relevant labs
- Nutrition assessment and individualized guidance
- Protein, fiber, hydration and meal-structure goals
- Lifestyle, sleep, movement and resistance-training guidance
- Elimination diet when clinically appropriate
- Discussion of anti-obesity medications/GLP-1 therapy when appropriate
- Prescribing when clinically appropriate
- Individualized weight-management plan
Ongoing Medical Weight Management
$79/month for 6 months
15-minute follow-up #1 — about 4-6 weeks after starting
This is the important early check: your tolerance, GI effects, hydration, constipation, protein intake, appetite, exercise, progress, and whether dose escalation is appropriate.
15-minute follow-up #2 — around 3 months
Weight trajectory, body composition concerns, nutrition, protein/fiber, exercise/strength, medication response and dose.
15-minute follow-up #3 — around 6 months
Progress, goals, medication strategy, maintenance planning and whether continued medical weight management is needed.
Between those visits, the monthly program covers brief portal check-ins, refill/prescription management, appropriate dose adjustments, side-effect questions, pertinent lab review, and ongoing nutrition/lifestyle guidance.
Women’s Hormone, Cycle & Preconception Health
PCOS • irregular cycles • androgen concerns • insulin resistance • preconception health optimization
Comprehensive Evaluation — $500
Getting started is simple — and this is where things actually change.
I offer in-person appointments in Williamsville, NY
and telehealth throughout New York State, with availability on Tuesdays and Fridays