Precision Medicine Takes Time
Menopause is not a single event—it is a transition that affects hormones, metabolism, cardiovascular risk, bone health, and overall quality of life. Optimizing health during this stage requires more than symptom management; it requires time, monitoring, and a thoughtful, individualized approach.
At PrecisionMedMD, we offer two tiers of menopause-focused health optimization, allowing patients to choose the level of care that best fits their goals and readiness.
Two Tiers of Care
Tier One is a 6-month program designed as an introduction to optimizing health in menopause and perimenopause. It provides structured, physician-led care with focused evaluation, education, and targeted treatment.
Tier Two is a 12-month comprehensive program that is more inclusive and more intensive, with expanded monitoring, additional visits, and deeper optimization. Details of the 12-month program are available on our Services page.
Tier One: 6-Month Introductory Menopause Health Optimization Program
This program is designed as an introduction to optimizing health during menopause and perimenopause. It provides structured physician-led care over six months, focusing on evaluation, education, targeted treatment, and early optimization.
It is ideal for patients who want a clear starting point without committing to a full year of care.
This 6-month program focuses on:
Hormone evaluation and optimization (when appropriate)
Cardiometabolic risk assessment and prevention
Bone health review
Targeted lifestyle guidance
Clear follow-up and adjustments
- Program Structure & Visit Timeline
🔹 Visit 1 – Initial Comprehensive Evaluation
Month 0
- Duration: 60 minutes
- Fee: $150
Includes:
- Comprehensive medical history and risk assessment
- Perimenopause / menopause symptom review
- Cardiometabolic and metabolic risk evaluation
- Bone health review
- Review of prior labs and imaging
- Ordering of personalized laboratory testing
- Initial education and treatment framework
Labs: Ordered at this visit.
Patients pay only the laboratory cost, offered at discounted pricing through the practice with no markup.
🔹 Visit 2 – Lab Review & Treatment Initiation
Month 1
- Duration: 60 minutes
- Fee: $150
Includes:
- In-depth review of laboratory results
- Finalized individualized treatment plan
- Lifestyle, nutrition, and exercise guidance
- Hormone therapy discussion and initiation (if appropriate)
- Cardiometabolic and bone health optimization plan
Medications & hormones:
- Individually prescribed
- Paid directly to the pharmacy
- Shipped directly to the patient
- Medication costs are not included in program fees
🔹 Visit 3 – Mid-Program Follow-Up
Month 3
- Duration: 30 minutes
- Fee: $75
Includes:
- Review of symptom response
- Assessment of treatment tolerance
- Targeted medication and lifestyle adjustments
🔹 Visit 4 – Final Optimization & Long-Term Plan
Month 6
- Duration: 30 minutes
- Fee: $75
Includes:
- Review of 6-month progress
- Risk reassessment
- Long-term prevention and maintenance strategy
- Discussion of ongoing care options
- Tier One Program Pricing Summary
|
Visit |
Timing |
Duration |
Fee |
|
Initial Evaluation |
Month 0 |
60 min |
$150 |
|
Lab Review / Initiation |
Month 1 |
60 min |
$150 |
|
Follow-Up |
Month 3 |
30 min |
$75 |
|
Follow-Up |
Month 6 |
30 min |
$75 |
What's Not Included in Tier One
Cost of laboratory tests
Hormones and medications
**You can ask your primary doctor to request the lab tests that are necessary (advanced lipid panel, electrolytes, hormone levels, etc) as determined from our first visit in an attempt to have insurance cover the cost. Bring them to the second visit. PrecisionMedMD does not accept insurance. The cost of the laboratory tests is discounted compared to insurance costs if done at Labcorp with a pre-paid request from PrecisionMedMD. There is no upcharge to you from our office.
Tier Two: 12-Month Comprehensive Optimization Program
Our 12-month program is more comprehensive and more inclusive, offering deeper monitoring, expanded testing, and ongoing optimization throughout the year. It is designed for patients who want the most thorough, long-term preventive and optimization approach.
Hormone and cardiometabolic health optimization is a gradual process. It can take 12 months to reach and maintain ideal balance.
This year-long structure allows for:
- Safe dose titration and ongoing lab monitoring
- Metabolic and body composition tracking
- Lifestyle habit building and long-term results
After the first year, you can choose to transition into a maintenance membership at a lower cost, with less frequent lab monitoring and visit requirements.
What's Not Included
Medications are not included and will be billed separately by the pharmacy based on your individualized prescription needs.
Advanced labs are not included but can be added for a discounted fee.
What's Included
- Six visits at 0, 1, 3, 6, 9 and 12 months for comprehensive monitoring and optimization. The first and second visits takes 60 minutes and the other visits are 30 minutes each in duration, either in person or via telehealth.
- “Normal Is Not Optimal” book by Dr. Neal Rouzier explaining the science behind BHRT.
- Educational materials on HRT, including a comprehensive booklet authored by Dr. Monica Relvas.
- Body composition scan at the office during the first and last visits to see progress.
- Continuous glucose monitor (CGM) for 14 days to analyze blood glucose spikes.
- Curated medical literature — list of important articles upon request that have revolutionized hormone replacement therapy.
- Direct access to Dr. Relvas via secured patient portal or cell number for calls or texts during normal business hours. Please note that you will sign a disclaimer that you understand that texts are not secured. Secured acess is via the patient portal only.
- Personal response — Dr. Relvas returns all emails and calls herself (no assistants or intermediaries).
- Most lab studies included in the package for comprehensive monitoring.
$200/month or $2200/year paid on first visit (save $200)
(1-year commitment)
Includes:
-
Initial Consultation (60 minutes) – Comprehensive medical history, symptom review, lifestyle assessment, and treatment planning.
-
Second Consultation (60 minutes) – Review of labs and plan to optimize hormone replacement and weight loss if indicated, as well as cardiometabolic and bone health.
-
Follow-Up Visits at 3, 6, 9 and 12 months (30 minutes each).
-
Direct access to Dr. Monica Relvas via secure patient portal and text messaging during business hours.
-
Initial Laboratory Panel:
-
CBC w/ Differential
-
Comprehensive Metabolic Panel
-
Lipid Panel
-
DHEA-Sulfate
-
Estradiol (E2)
-
Thyroid Panel (Free T3, Free T4, TSH)
-
FSH & LH
-
Hemoglobin A1C
-
Fasting Insulin
-
Progesterone
-
Testosterone (Free & Total w/ SHBG)
-
Vitamin B12
-
Vitamin D, 25-OH Total
-
Apolipoprotein B
-
Lipoprotein(a)
-
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Two follow-Up Lab Panels at 3 months and 6 or 9 months:
-
DHEA-Sulfate
-
Estradiol (E2)
-
Thyroid Panel (Free T3, Free T4, TSH)
-
Progesterone
-
Testosterone (Free & Total w/ SHBG)
-
-
Two Complimentary InBody Scans (initial and 12-month visits).
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Trial of Continuous Glucose Monitor to evaluate blood sugar spikes
-
Educational Materials:
-
PrecisionMedMD Patient Folder (with this agreement, HIPAA form, and policy documents)
-
Hormone and Lifestyle Medicine handouts
-
Booklet authored by Dr. Monica Relvas
-
“Normal Is Not Optimal” by Dr. Neal Rouzier
-
Upon request: list of supporting medical studies and references
-
Additional Notes
-
Medications are compounded through licensed pharmacies and billed directly to the patient.
-
The first-year membership includes all visits, messaging access, and educational resources.
-
Subsequent years are offered as separate visits.
Simple, transparent, pay-per-visit care.
Menopause is not a single event — it's a transition that affects your hormones, metabolism, cardiovascular risk, bone health, and overall quality of life. There are no memberships or long-term commitments here. You pay only for the visits you need.
Two visit types. Nothing else to sign up for.
This isn't just a doctor's visit — each consultation is a thorough evaluation of your hormonal, metabolic, cardiovascular, and bone health.
Initial Comprehensive Consultation
- Comprehensive review of symptoms
- Body composition analysis (InBody)
- Review of current medications and supplements
- Evaluation of cardiometabolic health
- Bone health assessment
- Menopause and hormonal evaluation
- Weight and muscle health assessment
- Personalized laboratory recommendations
- Discussion of treatment options — which may include lifestyle changes, menopausal hormone therapy, thyroid optimization, weight management, nutritional supplementation, or other therapies based on your individual needs
Follow-Up Consultation
- Review of laboratory results
- Body composition review (when appropriate)
- Personalized treatment plan
- Medication optimization
- Hormone therapy adjustments (when indicated)
- Cardiometabolic risk reduction
- Bone health recommendations
- Weight management follow-up when appropriate
- Questions and education
Every patient is unique.
If you already have recent laboratory results from your primary care physician or another provider, I'll review them during your consultation whenever possible. Additional testing may be recommended based on your symptoms, medical history, and goals.
Insurance often does not cover all of the specialized laboratory studies used in menopause and cardiometabolic risk assessment. To help reduce costs, PrecisionMedMD has discounted cash pricing with Labcorp. These savings are passed directly to patients — I do not mark up laboratory fees.
My recommendations are based on your health — not financial relationships.
At PrecisionMedMD, every recommendation I make is based solely on what I believe is best for your health, not on product sales or referral incentives.
No membership fees
You pay only for the visits you need.
No medications dispensed in the office
If medication is recommended, your prescription is sent electronically to the pharmacy of your choice.
No supplements sold in the office
If I recommend a supplement, you are free to purchase it wherever you prefer.
No financial relationships with pharmacies or manufacturers
I do not receive commissions, incentives, or compensation from pharmacies, pharmaceutical companies, or supplement manufacturers for prescribing medications or recommending products.
Transparent laboratory pricing
If additional laboratory testing is needed, I can arrange discounted cash pricing through Labcorp. These discounted rates are passed directly to you at cost — I do not add any markup.
My recommendations are never influenced by medication sales, supplement sales, or financial incentives. My responsibility is to provide independent, evidence-based medical care tailored to your individual needs.
Ready to schedule your consultation?
My only priority is recommending the treatment plan I believe is most appropriate for your health, based on the best available evidence and your individual goals.