Direct Specialty Care — Washington & California

You’ve been told your labs are normal.
You still don’t feel like yourself.

The exhaustion that sleep doesn’t fix. Weight that won’t move no matter what you do. Brain fog, anxiety, a drive that quietly disappeared. You’ve seen provider after provider, and you’ve started to wonder whether anyone is actually going to look closer. We do.

Start With a Conversation
What We Understand

If you’re here, you’ve probably been carrying this for years.

Most people arrive a little guarded — and honestly, that makes sense. When you’ve been dismissed enough times, hope starts to feel risky. You don’t need another promise. You need someone who takes the time to understand how your body is actually behaving, and who proves the difference rather than just claiming it.

So that’s where we start. Not with a script, and not with the assumption that your symptoms are in your head. We start by listening to the full picture — including the parts that are hard to say out loud — and then we go looking, carefully, for what others have missed.

Real recovery takes about a year — and we’ll be honest with you about why.

This isn’t a single visit and a prescription. Understanding where you are in your hormonal stage of life, then bringing things into the best balance your body can hold, takes time. In perimenopause there is no perfect equilibrium to chase; in the years after menopause we work toward steadiness, knowing life will keep shifting it. Learning how your body responds — what it accepts, what it resists, how it changes — is a year of attentive, adjusting work. We’d rather tell you that plainly than sell you a quick fix that doesn’t exist.

As we study your case, we also teach you your own body — so you understand what we’re doing and why, and you become a real partner in your care.

By the end of your first year, you won’t just feel better — you’ll understand yourself well enough to advocate for what you need, for the rest of your life. Whether you stay with us or ever work with someone else, that knowledge is yours to keep.

And while that work happens, we carry the logistics so you don’t have to. Scheduling, follow-up timing, keeping your protocol on track — we handle it in the background, around your work and your family, so you can put your energy where it belongs: into getting well. When you’re with us, you’re cared for like one of our own.

How this works: Our programs are flat-fee, structured care options that include your specialist visits and ongoing support. They are not health insurance — you should keep separate coverage for emergencies and primary care. We do not bill insurance for visits. You may use your insurance for labs as you normally would.
Labs are not included in any program or visit fees. You may use your insurance for labs as usual, or we can help you access discounted cash-pay panels if you are uninsured.
How We Walk Through It Together

Three ways to begin — built around where you are right now.

Whether you want to start with a single conversation or step into a full year of supported care, there’s a path that fits. Here’s how each one works, in plain numbers.

Which Option Is Right For Me?

Choose Pay Per Visit if… You want a one-time specialist evaluation, prefer managing follow-up on your own schedule, or are not yet ready for an ongoing program.
Choose the Optimization Program if… You’re ready to commit to the year it takes to feel like yourself again — and you want someone who knows your case, manages the details, and walks it with you.
The Maintenance Program is for… Patients already optimized in our care whose levels are clinically stable. Eligibility is determined by Dr. Liqaa — not by patient request.
Option 1

Pay Per Visit

$725 / 90-min intake
For patients who prefer flexibility with no ongoing commitment.
Who this is for: Patients seeking a one-time specialist evaluation, those with a focused concern, or those who prefer to manage their own follow-up schedule.
Visit Rates
New Patient Intake — 90 min Full history, prior records, lab review, and a written treatment plan. This is a one-time visit fee — not a monthly charge.
$725
New Patient Intake — 60 min For patients with recent labs and a focused concern
$495
Follow-Up Visit — 60 min Lab review, treatment adjustment, optimization
$425
Follow-Up Visit — 30 min Focused visit for stable patients
$250
Extended 90-minute follow-ups and other visit lengths are available for complex cases.
Labs, imaging, and medications are billed separately. You may use your insurance for labs.
If you anticipate needing multiple visits and close follow-up, a structured program may be more cost-effective than paying per visit.
Book Your Intake →
Most Popular
Option 2

Comprehensive Thyroid & Hormone Optimization Program

$175 / month
Structured, ongoing care for complex or evolving thyroid and hormone conditions.
This is your first year. For patients stepping into real, sustained work — active thyroid or hormone imbalance, perimenopause, PCOS, weight resistance, fatigue and fog that haven’t lifted. We study how your body responds, adjust as we go, teach you what we’re seeing, and handle the scheduling and follow-up in the background so you can focus on healing.
Included Visits
★
90-Minute New Patient Intake
Full diagnostic session — history, prior records, lab interpretation, and a written treatment plan
★
4 x 60-Minute Follow-Up Visits Per Year
Regular monitoring to keep your protocol calibrated and optimized year-round
Program Benefits
✓
Priority booking ahead of the general waitlist
✓
15% program rate on supplements through our clinical dispensary
✓
Additional visits at a discounted member rate of $350 / 60 min
Labs, imaging, and medications are billed separately. You may use your insurance for labs.
How payment works: A $500 deposit is due at your 90-minute intake, then $175/month. Total annual investment is $2,600 — covering your intake, 4 follow-up visits, and all program benefits.
Apply for This Program →
Option 3

Hormone Maintenance Program

$99 / month
Longitudinal specialty care for clinically stable, optimized patients.
Who this is for: Established patients whose hormone and thyroid levels are clinically stable and who need periodic monitoring to stay that way.
Included Visits
★
3 x 60-Minute Follow-Up Visits Per Year
Early, mid, and end of year — to confirm stability, review labs, and adjust your protocol if needed
Program Benefits
✓
Priority booking ahead of the general waitlist
✓
15% program rate on supplements through our clinical dispensary
✓
Additional visits at a discounted member rate of $350 / 60 min
Labs, imaging, and medications are billed separately. You may use your insurance for labs.
Eligibility: Eligibility for this program is determined by Dr. Liqaa based on your clinical response. Patients cannot self-select this tier at intake.
Total annual investment: $1,188 per year — covering 3 follow-up visits and all program benefits.
Ask About Eligibility →

What Your First Year of Care May Explore

Northwest Advanced Thyroid and Hormone Health is a direct specialty care clinic focused exclusively on thyroid, hormone, and metabolic disease. We currently care for patients located in Washington and California at the time of their visits. We do not bill insurance for visits, medications, or supplements. We provide itemized invoices on request. This clinic is not a substitute for emergency care or primary care — please maintain a relationship with a primary care provider for your general health needs.

Depending on your case, that deeper work may also include stool testing, breath testing for SIBO, cortisol rhythm assessment, or micronutrient analysis when those areas may be affecting symptoms, treatment response, or overall progress. Nothing is ordered for the sake of ordering it, and membership does not include the cost of testing. The goal is to make decisions with more clarity, so care stays specific, efficient, and clinically grounded from the start.

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