How it works

Written by Dr. Jutta VogtUpdated September 2026

Fixing your hormones is our speciality. We primarily treat perimenopause and menopause in women and low testosterone in men. Care happens by video from home, and we see patients in New Jersey, New York, Pennsylvania and Delaware. Here is what happens, in order, and what each part costs.

It starts with a free call

The first step is a fifteen-minute call with a person on our team, not a questionnaire. You tell us what has been going on, how long it has been going on, and what you would like to be different. We explain how treatment works and answer your questions. If it does not sound like hormones are the issue, we will tell you. The call is free and you are not committing to anything.

Then labs and your first visit, for $125

If you decide to go ahead, we order your bloodwork. It rules out the other things that cause these symptoms, and sets a safe baseline before anything is prescribed. When the results are in, you sit down with your clinician to go through what they show.

Many of our patients come to us after being told their labs are normal. We do not think normal is a diagnosis. A result can sit inside the range while you still feel nothing like yourself, so we read your labs alongside your sleep, your mood, your energy and everything else you have told us. You leave with a plan written for you. This costs $125, one time, and it includes your first month of care.

After that, $99 a month with your own clinician

The clinician you meet at your first visit stays your clinician. You see the same person every time. They know your history, they remember what you tried and how it went, and you never have to start your story over. When you have a question between visits, you message them directly.

Hormones take some fine-tuning, and this is where that continuity matters. We recheck your labs after six to eight weeks, adjust your dose based on the numbers and on how you feel, and check again. Most people feel settled by about month three. From there we review things with you twice a year and keep watching your labs so you stay where you want to be.

The $99 covers all of it: every lab test, every visit, every message. Because labs are included, there is never a reason to skip a recheck to save money, and you will not get a separate bill from us for anything.

Medication is separate, and you pay what we pay

We do not make money on medication. You pay what it costs us, and you will know the price before you start. It also means that when your clinician recommends something, the only reason is that they think it is right for you.

We prescribe body-identical hormones. Where an FDA-approved version suits you, we use it, which is why several prescriptions for women are filled at your regular pharmacy through your insurance. We also prescribe low-dose testosterone for women when it would help, which many clinics will not.

To give you a sense of the total, a man on weekly testosterone injections pays about $119 a month, all in. A woman on an estradiol patch and progesterone pays $99 plus her copays.

Estradiol patchWomenChanged twice a weekInsurance
Progesterone capsulesWomenOne at nightInsurance
Estradiol vaginal creamWomenAs prescribedInsurance
Estradiol creamWomenDaily$30 a month
Testosterone creamWomenDaily$30 a month
Estradiol and testosterone creamWomenDaily$40 a month
Estrogen injectionsWomenWeekly. $90 for a five to six month supplyFrom $20 a month
Testosterone injectionsWomen and menWeekly. $90 for a five to six month supplyFrom $20 a month

Adding other treatments, with no appointment

Getting your hormones right often fixes more than people expect, including energy, sleep and sex drive. Once you are steady, there are a few other things you can add, for hair, skin, sexual health and recovery.

You do not need an appointment for these. You request what you want from your member account and answer a few short questions, and your clinician reviews it, usually within a day. Because they already know your history and your labs, most requests need nothing more from you. If they have a question, they will message you.

Everyone starts with labs and a first visit, so your clinician knows your baseline before prescribing anything. Your hormones always stay with your clinician directly, because getting the dose right takes a conversation. Everything below is optional, for members only, and priced at cost like the rest.

Scalp solutionMenDaily. Finasteride, minoxidil or both$30 to $80 a month
Minoxidil tabletsWomenDailyInsurance
Estriol facial creamWomenDailyFrom $20 a month
GHK-Cu and hyaluronate creamWomen and menDaily$60 a month
Ecstasy creamWomenAs needed. Oxytocin, theophylline, arginine and sildenafil, 10 g$140 a tube
SermorelinWomen and menInjection. How long a vial lasts depends on your dose$150 a vial
NAD+Women and menInjection. How long a vial lasts depends on your dose$130 a vial

“Insurance” means it is filled at your pharmacy and you pay your plan’s copay. Prices as of September 2026.

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