From hormone therapy and medical weight loss to hair restoration, blood testing, and targeted supplements, our licensed clinicians create treatment plans designed around your goals, symptoms, and health needs.
If your body started keeping its own schedule somewhere in your late 30s, you're not crazy and you're not alone. These are the symptoms a real hormone panel can actually explain.
Wondering if it's hormonal? Start with the numbers.
Learn your numbers
From hormone balance to weight loss to hair regrowth, every plan starts with your real numbers. Labs, history, goals. And is built by a clinician who actually reads them. No quizzes that route you to a generic protocol. No insurance hoops.
Tell us about your symptoms, history, and goals. Free to start. You only pay if you qualify.
A US-licensed clinician reviews your intake and labs, then builds a protocol tuned to your numbers.
Compounded in the USA at licensed pharmacies, shipped discreetly. Adjust your dose anytime via the portal.
Lifestyle outcomes from active DirectCare AI patients. Your results may vary.
"I got my mornings back. I used to feel foggy for like an hour after I woke up. Now I'm just there with my kids and it feels really good."
"I slept through the whole night for the first time in like three years. Once I started sleeping, everything else got easier too."
"My labs finally look good. The plan wasn't crazy or hard. I just needed somebody who would actually sit down and read my numbers."
"I'm dropping about a pant size every month and no app is yelling at me about calories. It feels slow and steady. I can stick with it."
"My hot flashes basically stopped after a few weeks. My old doctor gave me ten minutes and that was it. DirectCare actually went through my whole lab panel with me."
"My hair started coming back in spots I thought were gone for good. I almost cried looking in the mirror at month four."
DirectCare AI is supported by experienced healthcare professionals dedicated to delivering safe, patient-centered care. Dr. Pepin provides clinical guidance on wellness programs, preventive health initiatives, and care protocols. Helping ensure our services reflect current evidence-based best practices.
Straight answers from the same clinicians who write your protocol.
Compounded semaglutide or tirzepatide, dosed weekly, prescribed by a US-licensed clinician after a 5-minute intake. Every patient is paired with a Certified Medical Assistant Care Coach from day one for accountability and side-effect support. Plans start at $269/month for the compounded formula plus clinician access.
Most women in perimenopause (typically late 30s through mid 50s) or post-menopause are candidates. We screen against contraindications like active breast cancer, untreated DVT/PE, or unexplained vaginal bleeding during your intake. A US-licensed clinician reviews every file before any prescription is written.
Our $196 comprehensive panel covers 80+ biomarkers across hormones (estradiol, progesterone, testosterone, FSH, LH, thyroid full panel), metabolic health (HbA1c, insulin, fasting glucose), lipids (full lipoprotein panel), inflammation (hs-CRP), iron, vitamins (D, B12, folate), and a CBC. Results in 3 to 5 days with a personalized roadmap from a US-licensed clinician.
Most protocols include estradiol (patch, gel, or oral), progesterone (oral micronized or topical, prescribed if you still have a uterus), and. When labs and symptoms support it. Low-dose testosterone. Vaginal estrogen may be added for localized symptoms. Every dose is titrated to your bloodwork.
Yes, when matched to the underlying cause. Our female-pattern protocols combine topical and oral options. Minoxidil, spironolactone (for androgen-driven loss), topical dutasteride, tretinoin, fluocinolone, and biotin support. Most women see new growth at 4 to 6 months. Severe shedding (telogen effluvium) usually resolves once the upstream hormonal trigger is corrected.
Yes. Through our Fullscript partnership, your clinician builds a personalized supplement stack based on your blood panel results. Brands are practitioner-grade (Thorne, Pure Encapsulations, Designs for Health, etc.), not consumer drugstore quality. You see exactly which biomarker each supplement is targeting.
For most healthy women under 60 (or within 10 years of menopause), modern bioidentical HRT has a favorable risk profile per the latest NAMS and ACOG guidance. We screen for personal and family risk factors during intake, and your clinician monitors you through ongoing labs.
We're cash-pay (no insurance hoops or prior auths), but we can provide an itemized receipt for FSA/HSA reimbursement. Most patients find total monthly cost lower than the copays + lab fees they'd see going through insurance.
Yes. Your DirectCare AI portal includes asynchronous messaging with your care team. Side-effect questions, dose-adjustment requests, and routine refills all happen through the portal, no extra fees.
If labs or history rule out one pathway, your clinician walks you through alternatives. Non-hormonal symptom support, different GLP-1 dosing, supplement-first approaches, or lifestyle protocols. The intake is free; you don't pay until you start a protocol.
