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Clinician-supervised hormone replacement therapy, medical weight management, and metabolic therapy for Washington State patients via telehealth consultation.

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.

Brightly Telehealth was created for people who are done wasting time in a medical system built around paperwork, not patients.

As a direct-to-consumer clinic we offer treatments for busy people to optimize their wellness, and transparent pricing provided on your consult 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

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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

  • Metabolic therapy uses short chains of amino acids that act as signaling molecules in the body to support natural biological processes. Depending on the peptide, therapy may help optimize metabolism, recovery, tissue repair, energy, sleep, cognitive function, immune health, and overall wellness.

  • These work by interacting with specific receptors to stimulate targeted physiologic responses. Rather than replacing hormones, many support the body’s natural signaling pathways, helping restore balance, enhance recovery, and improve function.

  • At Brightly Telehealth, we offer a number of the most common therapies.

    These could potentially benefit muscular development, tissue repair, cognitive support, mitochondrial efficiency, cellular energy, skin health, sexual desire, etc.

    Each therapy is selected based on your health goals, medical history, and clinical evaluation. This will all be discussed at your consultation.

  • Depending on the therapy, it may support:

    • Weight management and metabolic optimization

    • Energy, stamina, and exercise recovery

    • Sleep quality and stress resilience

    • Joint, tendon, and ligament healing

    • Gut health and inflammation reduction

    • Cognitive performance and focus

    • Skin rejuvenation and hair health

    • Longevity and healthy aging

  • Some are FDA-approved for specific medical uses. Others are not FDA approved but commonly prescribed through licensed compounding pharmacies under federal compounding regulations. All medications are sourced from licensed U.S. pharmacies that meet strict quality and safety standards.

  • We work with all of the main weight management medications and develop a plan that will meet your weight loss goals.

  • We are a direct to consumer cash-pay clinic and do not bill insurance at this time. Many patients use HSA or FSA funds, and we can provide invoices you can submit for potential reimbursement.

  • Labs may be required depending on your history, how recently you have had labs done, and your treatment plan. We’ll discuss this during your consult.

  • While results vary, our focus is always on safe, steady progress rather than rapid, unsustainable weight loss. We plan for maintenance from the beginning so results can be sustained long-term.

  • Not at this time. Brightly Telehealth PLLC serves Washington residents through virtual telehealth care.

  • Brightly Telehealth is a virtual clinic. All visits and support are delivered via our secure telehealth platform.

  • Our weight loss program is designed to complement—not replace—your existing medical care. While these medications can influence multiple aspects of health, including metabolic and cardiovascular systems, our services are limited to weight management and medication oversight.

    We strongly encourage ongoing care with your primary care provider and any relevant medical specialists. With your authorization and in accordance with HIPAA regulations, we may communicate relevant clinical information with your primary care provider or subspecialists when appropriate to support coordinated, comprehensive care.

  • Hormone replacement therapy (HRT) uses bioidentical or traditional forms of estrogen and progesterone to help ease symptoms that can show up during perimenopause and menopause. It’s designed to support balance, comfort, and overall well‑being during this transition.

  • Many patients use HRT to support relief from:

    • Hot flashes and night sweats

    • Sleep disruptions

    • Mood changes or irritability

    • Brain fog or difficulty concentrating

    • Irregular or changing periods

    • Vaginal dryness or discomfort

    • Low energy or libido changes

    Your clinician will help determine whether HRT is a good fit for your symptoms and goals.

    • Estrogen helps reduce symptoms like hot flashes, night sweats, vaginal dryness, and cognitive fog.

    • Progesterone is typically added for anyone who still has a uterus, as it helps protect the uterine lining and can also support sleep and mood.

    Your treatment plan may include one or both, depending on your needs.

  • You don’t need to wait. Many people begin HRT during perimenopause to help manage symptoms as hormones naturally fluctuate.

  • Your clinician will let you know if labs are recommended based on your symptoms and health history. Not everyone needs testing before beginning treatment.

  • Brightly is a cash-pay clinic and does not bill insurance for patient appointments.

    For women receiving HRT, treatments can either be sent to your local pharmacy and managed through your insurance, or direct-to-consumer pricing and shipped to your door.