Real Questions. Straight Answers.

What conditions do you treat?

Hypothyroidism, Hashimoto's, hyperthyroidism co-management, perimenopause and menopause, BHRT for women, testosterone replacement for men, PCOS, insulin resistance, fertility optimization, adrenal dysfunction, and medical weight loss including GLP-1 therapy as part of a comprehensive cardiometabolic plan.

Do you see patients via telehealth?

Yes. We see patients in person at our Arlington, Washington clinic and via telehealth throughout Washington State and California.

I am in California. Can I still see you?

Yes. We are licensed in both Washington State and California and see California patients via telehealth. Book online and select telehealth at checkout.

Can you work alongside my existing doctors?

Yes and we encourage it. We are a specialist in hormonal, thyroid, and metabolic optimization — not a replacement for your primary care or OB-GYN. With your consent we share clinical summaries and coordinate care where appropriate.

Do you take insurance?

No. We are a 100% cash-pay practice. We do not bill insurance for office visits, communicate with insurance companies on your behalf, or use CPT codes. We do not provide superbills — only itemized invoices for your records. Please do not request superbills or insurance documentation as we do not offer this under any circumstances.

Why is everything out of pocket? My last doctor took insurance.

Because the care we provide cannot exist inside the insurance model. Insurance dictates visit length, diagnostic codes, and treatment protocols. We do not follow any of those constraints. Your appointment runs as long as it needs to. Your labs are ordered based on what your body needs — not what a coverage committee approves. Your treatment is built for you — not for a billing code.

Can I use my HSA or FSA?

Often yes. Most HSA and FSA plans cover medical visits with a licensed provider. Verify with your plan administrator before your appointment. We provide a detailed receipt for every visit that you can submit to your HSA or FSA administrator.

I've heard estrogen causes breast cancer and stroke. Should I really be on it?

The fear comes from a 2002 study that used synthetic oral hormones at high doses — not bioidentical hormones. Bioidentical transdermal estradiol, prescribed correctly, monitored regularly, and balanced with bioidentical progesterone, does not carry those risks. For most women who begin hormone therapy within ten years of menopause, the data shows cardiovascular protection, bone preservation, and cognitive benefit. We review your personal risk profile before prescribing anything.

My doctor gave me progestin. Is that the same as the progesterone you use?

No. They are completely different molecules. Bioidentical progesterone is identical to what your body makes — calming, protective, and associated with neutral or beneficial effects on breast tissue. Synthetic progestins are chemically altered and associated with increased breast cancer risk and cardiovascular concerns. We use bioidentical progesterone exclusively. If you are on a progestin and want to understand whether it is right for you, we discuss that at your first appointment.

Will testosterone make me grow a beard or lose my hair?

Only if it is overdosed — which is not how we practice. At precise therapeutic doses monitored with regular labs, testosterone in women restores energy, libido, muscle tone, and emotional resilience without virilization. If your levels ever trend in the wrong direction we catch it immediately and adjust. Some temporary shedding during early hormonal adjustment is normal and different from androgen-driven hair loss — we distinguish between the two.

Do you prescribe active T3 and natural desiccated thyroid?

Yes. Many patients come to us after years on Levothyroxine feeling only partially better — because Levothyroxine provides only T4 and not every patient converts it into the active T3 their cells actually need. When clinically indicated we prescribe liothyronine (T3) directly or natural desiccated thyroid medications including NP Thyroid and Armour Thyroid, which contain both T4 and T3. Every decision is based on your complete thyroid panel — not just TSH.

My labs are normal but I feel hypothyroid. Am I imagining it?

You are not imagining it. Normal TSH does not rule out cellular hypothyroidism, elevated reverse T3, poor T4 to T3 conversion, or thyroid receptor resistance. These conditions produce every classic hypothyroid symptom — fatigue, weight gain, brain fog, hair loss, cold intolerance — with labs that look acceptable on paper. We know where to look. And we look.

What do I need to do before my first appointment?

Book your appointment, complete your intake form, and we send you a personalized lab order based on your health history. Take it to your nearest LabCorp location. Results come directly to us so we are ready to review and discuss at your visit.

Have more questions or ready to get started? Call or text us at (425) 905-0910. We will give you a straight answer.