Comprehensive testing. A physician who specializes in women's hormones. A protocol built around your numbers. $8,000/year, cancel anytime.
Physician-led. Insurance-friendly. Cancel anytime with prorated refund.
Telehealth services prescribe HRT within minutes of a brief questionnaire. That works for many women. It didn't work for you.
Your OB-GYN offered a basic protocol or referred you. That also didn't address what's happening.
You want a real physician relationship, a comprehensive workup, and a protocol built around your actual numbers — not a one-size-fits-all prescription.
You're tired in a way sleep doesn't fix. The weight isn't moving. Your brain feels slower. Your libido has dropped. You're irritable in ways you haven't been before. And every doctor you've seen has told you it's normal, that you're just stressed, that this is what being a busy woman feels like.
Your PCP ran basic labs and said everything was normal. Your OB-GYN said you're too young for perimenopause, or your hormones look fine. They may be right that nothing is acutely broken. But something has shifted, and you deserve to understand what.
This might be perimenopause. It might be thyroid. It might be metabolic, cortisol, or something else entirely. The only way to know is to actually look — with a physician who takes the time and runs the right tests.
The program
Medications are not included. Any prescribed medications are billed through your insurance or, where available, sourced direct from the manufacturer at transparent cash pricing.
Cancel anytime
Pay $8,000 upfront for the year. If at any point you decide our program isn't right for you, cancel and receive a prorated refund based on the remaining months.
No questions asked. We're confident in what we deliver — and we don't want anyone locked into care that isn't working for them.
Your care team
You won't be passed between rotating clinicians or nurse practitioners. Dr. Rihal personally sees every woman in the program — from your first consult through every follow-up.
Your physician
Dr. Rihal is the physician you'll see. Every woman in the program is cared for by her directly — every consult, every protocol, every follow-up. Board-certified in Internal Medicine, she specializes in hormone health, metabolic optimization, and lifestyle medicine for women navigating perimenopause and midlife.
Clinical Lead — protocol design
Board-certified in Emergency Medicine with a Harvard MPH, Dr. Fahimi has 40+ publications in preventive medicine, risk detection, and population health. He leads clinical strategy and protocol design behind the program — Dr. Rihal delivers your care.
Our clinical team has studied, taught and trained at the world's top health institutions.
How it works
Secure checkout. We'll confirm enrollment and send next steps over email.
We send instructions for your Quest panel. Most patients complete labs within a week at one of 2,200+ locations.
A virtual consultation 2–3 weeks after labs to interpret results and design your protocol.
Ongoing monthly physician check-ins, quarterly labs, and direct messaging access for the rest of the year.
Cancel anytime for a prorated refund.
Comparison
Stories
I tried Midi for six months. It was fine but it wasn't right. They prescribed within minutes, I had no real relationship with anyone, and when my symptoms shifted I felt like I was talking to a different person every time. Here I have a physician who knows my full picture. It's a different kind of care.
My OB-GYN dismissed me for two years. The wellness influencers wanted to sell me supplements. Telehealth wanted to prescribe me hormones in fifteen minutes. I needed someone who would actually look at all of my labs together. That's what I finally got.
I came in convinced I needed HRT. My friends were all on it, I was sure I was in perimenopause. The team here ran a comprehensive workup and told me I'm not in perimenopause yet — my symptoms were thyroid and B12 related. They built a protocol around what was actually wrong. I didn't get the prescription I expected. I got the answer I needed.
Decades of combined experience in hormone optimization, internal medicine, and preventive care.
FAQ
Book a consult
If you're not ready to commit, schedule a 15-minute call with our care coordinator. We'll answer your questions and help you decide if this is right for you. No pressure.
Have questions before booking? jesse@longevityhealth.me — we'll respond within a day.
$8,000 covers everything for the year — diagnostic, consultations, ongoing care, and protocol management. Cancel anytime for a prorated refund.
Have questions before enrolling? jesse@longevityhealth.me — we'll respond within a day.