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
The program
One annual program. Everything included.
$8,000/year
Paid as $99 consultation + $7,901 to enroll. California residents only.
What's included
- 30-minute consultation with Dr. Rihal to start
- DEXA scan, quarterly (up to 4× per year) — body composition and bone density
- Exercise physiology consult with Lenita Anthony if your DEXA reveals bone density concerns — strength and weight-bearing protocol designed for long-term bone health.
Comprehensive 50+ biomarker panel via Quest, quarterly (4× per year), including:
- Full hormone panel (estradiol, progesterone, testosterone — total and free, DHEA-S, SHBG)
- Thyroid panel (TSH, free T3, free T4, reverse T3, thyroid antibodies)
- Metabolic markers (fasting insulin, glucose, HbA1c, lipid panel, ApoB)
- Inflammation markers (hs-CRP, homocysteine)
- Nutrient status (vitamin D, B12, folate, ferritin)
- Liver and kidney function
This is the panel Dr. Rihal uses to determine whether HRT, thyroid optimization, metabolic intervention, or another protocol is the right call.
- Quarterly physician consult with Dr. Rihal to review your labs and DEXA and refine your protocol
- Personalized protocol — HRT, thyroid, metabolic
- Prescriptions routed through your insurance whenever possible
Medications are billed separately through your pharmacy or insurance. Some medications are sourced from compounding pharmacies at transparent cash pricing where insurance does not apply.
Your First 90 Days
A structured start with Dr. Rihal.
- 1Week 1
Your $99 consultation
A 30-minute conversation with Dr. Raveena Rihal — your symptoms, your history, your goals, and whether the program is the right fit. You decide whether to enroll.
- 2Weeks 2–3
Comprehensive workup
A Quest Diagnostics requisition for your 50+ biomarker panel and a DEXA scan for body composition and bone density. Results return to Dr. Rihal within a few days.
- 3Weeks 3–4
Your personalized protocol
Dr. Rihal builds your protocol around what your labs actually show — HRT where indicated, thyroid and metabolic adjustments where needed. Prescriptions go to your pharmacy, ideally through your insurance.
- 4Months 2–3
Adjustment and refinement
Your protocol unfolds between consults. At Month 4, your first quarterly review — new bloodwork, a new DEXA, and a consult with Dr. Rihal to review what's changed and adjust the protocol. Quarterly reviews continue at Months 7 and 10.
Quarterly labs and ongoing care continue throughout the full year.
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 — partial programs don't work because protocols take time to show up in your labs and your symptoms.
Comparison
The telehealth route, or the physician route.
Most women come to us after trying the telehealth model. Here's the difference.
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