Choosing a provider is an important task, and we understand that you want to find someone who is a good fit for you. We offer a 40-minute consultation at no cost so that you can get to know the provider and decide if you would like to establish care with our practice. The consultation can be conducted in our office, by phone, or through telehealth.

It is estimated that 93% of people in the USA have metabolic dysfunction and more than 40% are living with metabolic syndrome. Metabolic syndrome is a complex condition that increases your risk of many diseases, including heart disease, stroke, dementia, certain cancers, and type 2 diabetes. Our understanding of this condition has improved exponentially over the past decade thanks to an abundance of medical research. Adipose (fat) tissue is now understood to be an endocrine organ rather than simply a place for energy storage.

Metabolic syndrome is diagnosed when you have 3 or more of the following:

• waist circumference 40 inches or more for men, or 35 inches or more for women

• blood pressure 130/80 or higher (without medication)

• triglycerides 150 mg/dL or higher

• HDL (good) cholesterol less than 40 mg/dL in men or less than 50 mg/dL in women 

• fasting blood glucose 100 mg/dL or higher 

Once the amount of body fat has increased past a certain point, most people require medical treatment to overcome the hormone signaling it causes before they are able to stabilize, and subsequently lose, fat mass. It is essential that the treatment plan address sleep, stress, optimal treatment of underlying health conditions, building/maintaining muscle mass, and meeting nutritional needs so that you have the highest chance of remission without ongoing need for medication.

A number of medications have been developed that treat the cascade of events in the body that result in metabolic syndrome and subsequent weight gain. We have contracted with several pharmacies to provide these medications at cost to our patients.

Our program for treating metabolic syndrome includes an extensive health history, physical examination, laboratory workup (or review of lab already completed), education, and medications as appropriate.

Lifestyle medicine is a medical specialty that uses therapeutic lifestyle interventions as a primary modality to treat chronic conditions including, but not limited to, cardiovascular diseases, type 2 diabetes, and obesity. Lifestyle medicine clinicians are trained to apply evidence-based, whole-person, prescriptive lifestyle change to treat and, when used intensively, often reverse such conditions. For more information on this specialty, visit here.

Functional medicine is a part of Lifestyle Medicine. Functional medicine provides a framework to systematically identify and address the underlying processes and dysfunctions that are causing imbalance and disease in each individual. By understanding a patient’s genetic, environmental, and lifestyle influences, functional medicine clinicians create personalized interventions that restore balance, health, and well-being. For more information on this specialty, click here.

HIV infection is preventable, but many healthcare providers are failing to offer PrEP to their patients. Some are not comfortable discussing sexual health, while others erroneously believe that most of their patients would not benefit from this service or that it must be provided by a specialist.

Prep is 99% effective at preventing HIV when taken as prescribed, and the only prerequisites are blood tests to check for existing HIV infection and a commitment to take the medication as prescribed.

This service can be provided entirely through telehealth, if desired. We can make an assessment, order the required lab testing, and send a prescription to the pharmacy of your choice.

Melissa Haverkamp, APRN, FNP-C is a member of the American Academy of HIV Medicine (AAHIV) and adheres to their guidelines for PrEP, which include the principle that if you ask for PrEP, you qualify to receive it unless you are HIV positive.

We believe that every person should have the opportunity to live an authentic and happy life, and we are here to support that in any way that we can.

If you are experiencing gender incongruence, it is especially important to have a provider that listens to you, provides an individualized plan to help meet your goals, and stays current on the most recent recommendations for treatment. This is an area of medicine that is in its infancy and illustrates the practice of Medicine as an art in addition to a science. Your medical provider needs a firm understanding of endocrinology and of your goals of care to achieve the best outcomes while optimizing overall health.

Melissa Haverkamp, APRN, FNP-C is a member of the World Professional Association for Transgender Health (WPATH) and the United States Professional Association for Transgender Health (USPATH) and adheres to their Standards of Care; this includes the use of the Endocrine Society clinical guidelines for GAHT.

We can provide GAHT as a stand-alone service if you already have a primary care provider. To meet our goal of providing this essential service to anyone who needs it, we have a sliding scale for uninsured patients and higher income limits than many other clinics, and you can pay as little as $0. Healthcare is a human right and gender-affirming care is an essential service; we do not refuse services for inability to pay.

Lab testing is collected in our office, at the laboratory of your choice, or in the privacy of your home and is not included in the cost of the visit. However, we will determine the cost of medications and lab studies prior to sending orders.

We only use Blomdahl products, which are designed and manufactured in Sweden. Blomdahl is jewelry developed in consultation with skin specialists that is proven to be hypoallergenic and safe for sensitive skin. Blomdahl uses only pure medical-grade titanium or medical-grade plastic. You can learn more about this system here.

Titanium is one of the safest metals to use for jewelry. It’s bacteria-resistant, won’t cause allergies and is compatible with human skin. In other words, medical-grade titanium makes some of the most comfortable jewelry you can wear, even if you have sensitive ears.

Blomdahl Medical Plastic Earrings contain 0% nickel. They are naturally hypoallergenic and antimicrobial. Most of all, Medical-grade plastic makes pretty earrings that anyone can wear, even if you suffer allergies and have skin sensitivities. Medical Plastic Earrings are durable, lightweight, and fun to wear.

Fees do not include cost of laboratory testing or medications. We only charge our cost when performing tests or providing medications through our contracting pharmacy. We never charge you more than we pay.

Consultation (40 min): no charge

Metabolic Syndrome / weight loss (1-2 hours):

• Initial: $250 / follow up: $200

PrEPared for Health™ (15-45 min):

• Initial: $50 / follow up: $50

Gender-affirming hormone therapy (30 min-1.5 hours):

• Initial: $75 / follow up: $50

Functional / Lifestyle Medicine (40 min-1 hour):

• Initial: $200 / follow up: $100

Medical ear piercing (15-30 min)

• $100- all inclusive, no additional fees.

Times are listed to assist your planning for the visit. The length of your visit may be shorter or longer depending on a number of factors. To ensure patient privacy and adequate time to address needs, we schedule your visit for the longer length of time listed followed by a buffer of time after your visit.

NOTE: if your visit falls under more than one category, you will only be charged for the service with the higher cost. For example, if you are being seen for metabolic syndrome and PrEP at the same visit, you would only be charged $250 for the metabolic syndrome category.