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Clinician-supervised HRT, GLP-1 medical weight loss, and metabolic therapy for Washington State patients via telehealth · Cash-pay · HSA/FSA eligible.

Transparent Pricing: $119 Medical Weight Loss Membership, semaglutide starting at $50 and tirzepatide starting at $70.

Start your journey today.

Your initial call will help clarify your options, go over typical protocols, answer your questions, and take the next step in your health journey.

This consultation is ideal for patients who want thoughtful, patient-centered care, and personalized treatment plans tailored to their goals.

Transparent pricing.

As a direct-to-consumer clinic we offer treatments for busy people to optimize their wellness, and transparent pricing provided during your consult call so you can budget for your care in advance, not be surprised after a bill arrives in the mail.

For medical weight management and metabolic therapy, all treatments are direct-to-consumer pricing and shipped to your door. For Hormone Replacement Therapy, treatment options can either be sent to your local pharmacy and managed through your insurance, or direct-to-consumer pricing and shipped to your door.

We believe great care should feel clear, responsive, and personal, with proactive support that fits modern life.

Board-Certified Care from a Veteran-Owned Practice

credentials

experience

credentials ✦ experience ✦

Our Clinical Director Jeff gets to know each of our patients personally to create individualized treatment plans that fit your life.

• Jeff Carroll, PA-C is a Certified Physician Associate with a focus on family medicine, medical weight management, and patient-centered care

• Over 9 years of hands-on experience working with patients in the US and New Zealand to heal their bodies, balance their hormones, and create sustainable health routines that actually stick

• Ongoing education in obesity medicine, hormone health, family medicine, and emergency medicine

Certifications and memberships

  • NCCPA Board Certified Physician Associate 2017–2026

  • Certificate of Advanced Education in Obesity Medicine OMA 2026

  • Active voting Member: American Association of Physician Associates (AAPA), PAs in Obesity Medicine (PAOM), Obesity Medicine Association (OMA), New Zealand Physician Assistant Society (NZPAS)

Frequently Asked Questions