HOUSTON ROOTS. TEXAS TELEHEALTH.
HRT for perimenopause and menopause. TRT for low testosterone. Functional metabolic care for both. Houston-based telehealth across Texas.
Hormone and metabolic care built around
the life you want to live.
For adults 18–64 · Focused Assessment $599, home draw included
START HERE / YOUR CARE IN BRIEF
Your story. Appropriate testing. A clinician who explains the findings. Then a path you choose together.
Labcorp blood work, urine testing when appropriate, and repeat testing at clinician-set checkpoints help connect how you feel with measurable context.
Houston-based hormone and metabolic care, with nurse practitioner Stacy Pleasant and physician supervision.
Start with your story, blood work, and urine testing when appropriate. Your clinician reviews the findings once the results are complete.
Choose your path: standalone hormone therapy, the 12-week Metabolic Reset, or the 24-week Total Optimization. Your clinician helps you decide.
Retest at planned checkpoints. Compare your results and how you feel. Refine your care together. The time to notice changes varies.
Imagine more room for family, adventure, and the moments you love. Your goals guide what comes next.
Your story. Your data. Your next chapter. Illustrations are not patient results or portraits of the clinical team.
Start with what brought you here
Understand symptoms and discuss hormone therapy options.
Explore women’s hormone care →Men can discuss low-testosterone concerns and an evaluation.
Explore TRT evaluation →Explore a structured program with review and adjustment.
Compare metabolic care →See which Labcorp tests each assessment includes.
Compare assessments →These are interests, not diagnoses. Your clinician determines the appropriate evaluation and care.
01 / Start with clarity
You do not need to choose a medication or commit to a large program today.
Each assessment names its Labcorp tests below. Clinical testing decisions belong to your clinician.
Ask us about your starting point →Core metabolic testing, an at-home blood draw and a clinician results review.
$599 one time, home draw included
Founders pay $499 ($100 off) while founder spots remain, applied automatically at checkout.
Labcorp runs these tests. Your clinician may add or remove tests based on your history.
Book your Focused Assessment →The Metabolic Reset baseline: broader hormone, thyroid and nutrient testing with an at-home blood draw and a clinician results review.
$995 one time
Labcorp runs these tests. Your clinician may add or remove tests based on your history.
Book an evaluation →The amount you actually paid for your assessment ($499 founders, $599 standard, or $995 Comprehensive) is credited once toward Metabolic Reset or Total Optimization if you enroll within 60 days of your results review. The $299 Current-Care Records Review is not credited.
02 / Choose your care
Hormone therapy can stand alone. A metabolic program is a separate choice, not a prerequisite.
Menopause and perimenopause care for women, or testosterone evaluation for men. Understand options, agree on appropriate treatment and review your response.
Testosterone therapy (TRT) for men: $299 per month.
Women’s hormone therapy (estradiol + progesterone): $399 per month.
A licensed clinician evaluates you and decides on treatment. Medication is prescribed only when clinically appropriate. Monthly care has a 3-month minimum, then continues month to month.
Explore hormone therapy →Choose a defined period of care with clinical guidance, lifestyle support and planned progress reviews.
Metabolic Reset: $4,000 / 12 weeks.
Total Optimization: $7,500 / 24 weeks.
Your clinician helps determine suitability. Longer care does not guarantee a larger or faster result.
Compare Metabolic Reset and Total Optimization →The Metabolic Reset plan and inclusions.
Weeks 13 to 24 of Total Optimization are the Guided Transition Review: three 15-minute clinician check-ins at about weeks 16, 20 and 24, one repeat lab panel around week 22 reviewed at the week 24 visit, and a written continuation plan at week 24 (monthly Core Metabolic Care or a graduation plan).
Moving from Metabolic Reset to Total Optimization: the balance is $7,500 minus the amounts you have already paid. It requires clinician review and a written remaining-care plan, and must be elected by your week-12 review. There is no self-serve upgrade.
More medication, higher doses, hormone therapy or monthly care. Each requires clinician review and a written agreement.
Need more than one kind of care? Add-ons for either program cover 12 weeks each: TRT add-on $650, HRT add-on $995, oral ED add-on $400. With Total Optimization, one TRT add-on covers 12 of the 24 weeks.
How combined care works →YOUR PATH, ONE STEP AT A TIME
Select a step to see how care unfolds.
Share your concerns, history and goals. Your clinician orders Labcorp blood work, and urine testing when indicated, explains the findings and provides written next steps.
You can stop after your assessment. No treatment commitment.
Your clinician sets retesting checkpoints. This illustrates the care process, not a predicted health outcome.
YOUR PROGRESS, MADE CLEAR
Your goals set the direction. Blood work, relevant urine testing and your health history help your clinician shape your plan. Follow-up findings help you see what is changing, beyond the number on the scale.
Jan / Mar: above normal category
June: within normal category · <5.7%
−0.5 percentage points since Jan 5
Fictional dates, 12 weeks apart. Actual retesting is clinician-set.
Reflects average blood glucose over about three months. About HbA1c ↗
A small rise in March (6.1%), followed by a June value of 5.4%, within the normal HbA1c category (below 5.7%). Fictional example, not an expected treatment result.
How does this trend fit with other labs, your history and the goals you agreed with your clinician?
Illustrative report • Fictional data • Not promised results.
Who is in your corner
YOUR CLINICAL CAREFamily nurse practitioner. Reviews your history, symptoms and findings, explains appropriate options and helps you understand your next steps.
Published credentials: MSN, FNP-C, APRN.
Physician-led oversight with a background in women’s health, hormone therapy, medical weight management and integrative wellness. Experience includes clinical protocol development, advanced-practice provider supervision and chart review.
Clinical evaluations, prescribing and treatment decisions remain with the medical team.
Medical care is provided by Franklin Street Medical PLLC, a separately physician-owned practice. 1836 Wellness LLC provides administrative support. Founder Stephen Myshak supports the patient experience and business operations; he does not diagnose or prescribe.
Read the current clinical team profiles →Why 1836
The value is what happens around the lab result: the conversation, the context and a plan you can use.
Maybe you want more energy for family, more confidence in your health decisions, or support through a changing stage of life. We start with what matters to you, without promising a particular result.
Review your symptoms, history and appropriate testing together. A lab number is one part of the picture.
A dedicated clinician results review and written recommendations help you understand the next step.
If you choose ongoing care, planned reviews connect your experience with repeat testing when indicated.
Where & when
Houston-based telehealth for eligible adults ages 18–64. Be physically in Texas for your clinical video visit. Home-draw availability is confirmed for your ZIP code before booking. Labcorp is our primary laboratory.
Direct-pay care. Medicare and Medicaid are not accepted or billed.
Bring your medications, supplements and recent lab reports. Your clinician may add or remove tests based on your history.
Timing depends on the ordered tests, specimen transit and laboratory processing. Your review is arranged after all results are complete; confirm the expected schedule before starting.
Repeat appropriate testing at the checkpoints in your plan. Compare findings with how you feel. The time to notice changes varies; program length is not a promised outcome deadline.
Before you decide
Yes. The Focused Assessment is $599 with an at-home blood draw included. Your clinician reviews the findings with you and provides written next steps. You can decide about further care afterward.
No. Hormone therapy is a separate route. Your clinician evaluates suitability; a metabolic program is not required.
The amount you actually paid for your assessment ($499 founders, $599 standard, or $995 Comprehensive) is credited once toward Metabolic Reset or Total Optimization if you enroll within 60 days of your results review. The $299 Current-Care Records Review is not credited. If you already paid for a diagnostic or charter deposit under our earlier terms, you keep a full credit toward a program, with no new expiry.
Total Optimization is 24 weeks in total: weeks 1 to 12 follow the Metabolic Reset plan, then weeks 13 to 24 are the Guided Transition Review. Moving from Metabolic Reset to Total Optimization: the balance is $7,500 minus the amounts you have already paid. It requires clinician review and a written remaining-care plan, and must be elected by your week-12 review. There is no self-serve upgrade.
Monthly care (TRT, women's hormone therapy and Core Metabolic Care) has a 3-month minimum, then continues month to month. After the minimum, cancel with 30 days' written notice. A program never rolls into monthly care automatically, and you give written consent at checkout.
Your care plan explains the secure contact method and planned reviews. Administrative staff coordinate logistics; clinicians make clinical decisions. Ask about a treatment concern before your next routine review. Telehealth messaging is not emergency care.
No. A licensed clinician evaluates you and decides on treatment. Medication is prescribed only when clinically appropriate. Your goals guide care; no program promises symptom relief, weight loss or age reversal.
MORE ROOM FOR WHAT MATTERS
Family. Adventure. Ordinary days that mean everything.
Begin by understanding your health.
General contact: Monday–Friday, 9am–5pm Central. Please keep medical details out of ordinary email.