Physician-led hormone optimization for women

Hormone optimization for women in midlife. Done right.

Currently serving California residents only.

Woman in her late 40s sitting calmly by a sunlit window

Physician-led care

A board-certified Internal Medicine physician who specializes in women's hormone optimization — not a rotating clinician queue.

Comprehensive testing

50+ biomarker panel plus an annual DEXA scan for body composition and bone density. Quarterly bloodwork to monitor response throughout the year.

Personalized protocol

Built around your actual labs and symptoms — HRT where indicated, plus thyroid, metabolic, and lifestyle adjustments.

Quarterly optimization

Quarterly bloodwork, DEXA, and physician consults to review your numbers and refine your protocol throughout the year.

Why women come to us

You've been dismissed. You don't have to be.

EnergySleepMoodWeightMuscle massCognitionSexual wellnessMetabolismBone healthCardiovascular health
A woman in her early 40s at a sunlit kitchen counter, mid-thought with coffee and a notebook
01

Your symptoms are real

Tired in a way sleep doesn't fix. Brain fog. Weight that won't move. Mood shifts. Lower libido. Every doctor says your labs are normal. They may be — but something has shifted, and you deserve to understand what.

02

Telehealth wasn't the answer

Midi and similar services prescribe in fifteen minutes off a short questionnaire. For some women that's enough. For others, the protocol doesn't fit and the deeper drivers — thyroid, metabolic, cortisol — never get evaluated.

03

Real evaluation, then a real protocol

A 45-minute physician conversation. A 50+ biomarker panel and DEXA. A protocol built around what your labs actually show. Sometimes HRT. Sometimes thyroid or metabolic. The protocol fits the woman.

Your First 90 Days

A structured start with Dr. Rihal.

  1. 1Week 1

    Your $99 consultation with Dr. Rihal.

  2. 2Weeks 2–3

    Comprehensive workup — 50+ biomarker panel and DEXA.

  3. 3Weeks 3–4

    Your personalized protocol begins.

  4. 4Months 2–3

    Your protocol unfolds. The next quarterly review at Month 4 — new bloodwork, DEXA, and a consult.

The program

One annual program. Everything included.

$8,000/year, paid as a $99 consultation plus $7,901 to enroll. California residents only.

  • 30-minute consultation with Dr. Rihal to start
  • 50+ biomarker bloodwork, quarterly
  • DEXA scan, quarterly
  • Physician consult with Dr. Rihal, quarterly
  • Personalized protocol — HRT, thyroid, metabolic

Decide with confidence

Decide after your consultation.

The $99 consultation is the only commitment up front. After your conversation with Dr. Rihal, you decide whether to enroll. If you do, you're enrolled for the full year — quarterly bloodwork, quarterly DEXA, and quarterly consults with Dr. Rihal to review and refine your protocol. Partial programs don't work because protocols take time to show up in your labs and your symptoms.

Your care

One physician. Every visit. Dr. Raveena Rihal.

Dr. Raveena Rihal, MD

Dr. Raveena Rihal, MD

Your physician — every consultation, every protocol.

Board-certified in Internal Medicine, Dr. Rihal specializes in hormone health, metabolic optimization, and lifestyle medicine for women in perimenopause and midlife. She personally sees every woman in the program.

Dr. Rihal personally sees every woman in the program.

Our clinical team trained at the institutions that define this work.

HarvardUCSFNYUStanfordUniversity of PennsylvaniaUniversity of Michigan

Comparison

The telehealth route, or the physician route.

Most women come to us after trying the telehealth model. Here's the difference.

Midi / Alloy / Evernow

The typical telehealth HRT model

  • 15-minute virtual visit
  • Different clinician each time
  • Limited hormone panel
  • Standardized protocol
  • Cash-pay HRT prescriptions
$0–$250 per visit · monthly billing

Longevity Health

Physician-led hormone optimization

  • Quarterly physician consultations
  • Dr. Rihal, every visit
  • 50+ biomarker panel and DEXA, quarterly
  • Protocol built around your labs
  • Prescriptions through your insurance
$8,000/year · $99 to start

Comprehensive testing

50+ biomarkers, plus DEXA. Every quarter.

Most women's PCPs run a basic panel and call it normal. Ours covers six categories Dr. Rihal needs to determine what's actually shifted.

Hormones
Thyroid
Metabolic
Inflammation
Nutrients
Liver and kidney function
Blood collection vials in a ceramic tray beside a lab requisition with handwritten notes

Patient voices

What women say about Dr. Rihal.

CD
"

Raveena was a gentle source of strength and support at a time when I was drowning in information, overwhelmed by symptoms, and frustrated with feeling unheard. She helped me understand what was happening in my body and what I could do about it.

Courtney, 53
Mother and homemaker
A
"

I have worked with Dr. Rihal for many years, and I have never met a more empathetic listener. I leave every appointment feeling truly heard and with a plan that actually fits my life.

Dr. A, 43
Anesthesiologist
AN
"

Dr. Rihal is empathetic and a great listener who allows you the time to share your concerns before guiding you with clear, science-backed recommendations.

Ann, 42
Mother and teacher

Quotes used with patient permission. Names and details preserved at the patient's request.

FAQ

Questions, answered.

A 30-minute conversation with Dr. Raveena Rihal, our hormone optimization lead. She'll discuss your symptoms, review your health history, answer your questions, and help you understand whether our program is the right fit for you.

For women who want more

Add primary care, 24/7 access, and coordinated specialist navigation.

For women who want a dedicated physician for primary care in addition to hormone optimization — with 24/7 access, in-home services, Sollis urgent care membership, and coordinated specialist navigation — our Concierge program adds full primary care to the hormone work Dr. Rihal already provides.

$21,000/year · available in San Francisco, New York, Los Angeles, and South Florida

Explore Concierge

Book your consult

Book your $99 consultation.

30 minutes with Dr. Raveena Rihal. If you enroll, the $99 counts toward your $8,000 annual program. If you don't, you've still gotten a real consultation with a specialist.

Have questions before booking? jesse@longevityhealth.me — we'll respond within a day.

Dr. Raveena Rihal reviewing a lab report at her desk

Start with a conversation.

$99 for a real 30-minute consultation with Dr. Raveena Rihal. If you enroll, it counts toward your annual program. If you don't, you've still gotten a real consultation with a specialist.

  • 30 minutes with a hormone optimization specialist
  • $99 counts toward enrollment if you continue
  • No pressure to commit

Have questions before enrolling? jesse@longevityhealth.me — we'll respond within a day.