Monarch Med NP

Metabolic Reset (Included with Membership)

As part of your membership, you’ll also have access to our Metabolic Reset — a simple, supportive foundational framework designed to help your body respond better to treatment without adding overwhelm.

What this includes:

• Monthly symptom check-ins using a simple green / yellow / red system
  (so we can quickly see what’s working and where support is needed)

• A monthly mini-lesson by email focused on one pillar of health at a time
  (sleep, nutrition, movement, stress, circadian rhythm, etc.)

• Practical, realistic suggestions for integrating changes into real life;
  no tracking apps, no perfection, no “all-or-nothing” rules

The goal:

Support your metabolism and hormones in a way that feels doable, sustainable, and aligned with your life.

 

Visits & ongoing care (telehealth or in-person)

• follow-ups -every 3 months- to review progress and adjust your plan*

• Care that evolves with your goals and your body’s response over time

Unlimited portal messaging

• Unlimited secure portal messages

• Expected response time: within 48 business hours (excluding holidays and weekends)

Lab ordering + interpretation

• Ordering of labs as clinically appropriate

• Clear interpretation and education—what results mean and how they connect to symptoms

• Ongoing monitoring to support safety and results

Treatment plan updates

• Personalized protocols

• Adjustments based on symptoms, goals, and lab findings over time

Medication management

• Medication refills related to your plan

• Dose changes and side effect support when appropriate

Prior authorizations (when necessary)

• Prior authorizations submitted when required by insurance for covered medications/services (as applicable)

Progress tracking

• Tracking of symptoms, goals, and key clinical markers

• Weight and body metrics (when relevant), plus energy, sleep, mood, cravings, and other meaningful outcomes

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• *HRT Membership: up to 4 follow-up visits per year (30–45 minutes)

• *Weight Loss Membership: up to 4 follow-up visits per year (30–45 minutes)

• *Combined Membership: up to 6 follow-up visits per year (30–45 minutes)

What’s not included

Labs, imaging, and medication costs

• Lab fees, imaging, and medication costs are billed separately

• Some labs/medications may be covered by insurance depending on your plan; patients are responsible for verifying coverage and any out-of-pocket costs

• If you choose to cash-pay labs, wholesale pricing may be available

Primary care and preventive care services

• Routine primary care visits and annual physicals

• Preventive screenings such as mammograms, colon cancer screening coordination, and other age-based preventive services (unless explicitly offered/arranged separately)

Acute/urgent care

• Evaluation and treatment of urgent or complex acute issues (e.g., chest pain, shortness of breath, significant infections, severe abdominal pain, injuries). These should be directed to urgent care/ER as appropriate.

Administrative paperwork

• Extensive forms and documentation including FMLA paperwork, disability forms, legal paperwork, and complex employer letters (can be offered as a separate paid service if needed)

After-hours care

• Membership messaging is monitored during business hours only and is not intended for emergencies

 

Communication & response time boundaries

• Portal messaging is for non-urgent questions related to your treatment plan

• Messages are answered within 48 business hours (excluding holidays and weekends)

• If you have urgent symptoms, please seek urgent/emergency care