A health coach works on the practices that hold the change. A doctor diagnoses and prescribes. A therapist works on the inner story. A nutritionist plans meals. My role is to coordinate the whole picture, holding the data, the habits, the inner work, and the protocol together in one practice, so the different specialists you may be seeing all stay aligned with the goals you actually have. I do not prescribe medication. Any peptide, hormone, or prescribed supplement is reviewed and dispensed by Lyvhealth's licensed medical team. I am the strategist; they are the clinical hands.

Adults over or approaching their forties who can feel the shift in their bodies and want a clear, coordinated path forward instead of another disconnected fix. Most clients are professionals or parents (often both) whose kids have recently left the nest, carrying real responsibility. The common thread is readiness. Not perfection, not a clean slate, just the willingness to take the next right step in front of you.

I only take a handful of clients at a time. The Foundation tier has a few seats that turn over each season; The Concierge holds a smaller roster and waitlists occasionally. The fastest way to know is to book a free fifteen-minute discovery call. I will tell you honestly on the call whether the next start date is this week, next month, or further out.

Virtual, usually. All coaching sessions happen over secure video call. Bloodwork, peptide delivery, and DNA kits ship to your address directly through the partner providers. Concierge clients also get concierge wellness booking, where I source and schedule in-person bodywork, sound healing, and recovery providers in whatever city you live in or travel to. For those looking for in person multi day or weekend sessions, contact me directly for details.

No. Coaching itself is not billable to insurance in the United States; insurance only covers diagnoses, which is a doctor's role, not mine. The lab work, peptides, hormones, and supplements that your protocol may call for are billed directly by Lyvhealth and the other partner providers. Some of those services are reimbursable through HSA or FSA accounts. If that matters to you, the partners can tell you which line items qualify.

Therapy treats mental health symptoms within a clinical framework, often working backward through history. The Internal Family Systems coaching I offer uses the same model Dr. Richard Schwartz developed, but inside a coaching practice that is also actively working on your sleep, hormones, nutrition, fitness, and habits. The inner work and the body work feed each other. If you are in active treatment for a specific mental health diagnosis with a licensed therapist, I work alongside them, not instead of them. I will say so directly on the discovery call if I think therapy is the better first step for you.

Sleep usually shifts in week one or two. Energy follows. Visible body composition changes typically take four to eight weeks. Hormone labs move on a slower schedule (three to four months is realistic for meaningful biomarker movement). The deeper changes (the patterns underneath your choices, the protocols becoming automatic) tend to settle by the end of the first three-month season. I will not promise a faster timeline than your biology can actually deliver.

The peptides I coordinate are reviewed, prescribed, and dispensed by Lyvhealth's licensed medical team. That is the safety layer that makes the difference between peptide work as part of a real practice and the unregulated "research peptides" market online. Any peptide carries some risk; the right questions to ask are which specific peptide, in which dose, for which body, with which medical oversight. Those questions get answered individually inside your protocol, not on a website. The Peptide Library on this site is informational only and does not include dosages or protocols for that reason.

You do not have to be. Many clients start with labs, sleep, hydration, nutrition, and the inner work, and only add peptides or hormones later, or never. Some never bring the medical layer in at all and still build a strong season. The protocol is built around what your data and goals actually call for, not a fixed menu. The medical add-ons are optional, not mandatory.

A model of psychology developed by Dr. Richard Schwartz that begins from a simple observation: you are not one unified self, you are a system of parts. Some parts protect you. They keep you busy, keep you pleasing, keep you producing, keep you small. Underneath them is a core Self that is calm, clear, and capable. The work is not about fighting the protective parts, it is about getting curious about them, listening to what they have been carrying, and letting them learn that the system has changed. Most parts shift because they are finally seen.

Yes. Coaching sessions are not HIPAA-covered in the way a doctor's visit is, but I treat client information as fully confidential and never share names, stories, or details outside the practice without explicit written permission. The clinical side of your protocol, run by Lyvhealth, is HIPAA-covered through their licensed providers and their patient portal. The two sides are kept separate by design. That separation is what allows my practice to coach you on a fully integrated optimization protocol without crossing the line into medical practice.

That is often a good sign, not a problem. I work alongside other providers, not instead of them. With your permission, I can review your existing labs and current prescriptions before our work begins, and I will tell you directly where my recommendations align with what you are already doing and where they would expand or shift it. Decisions about medication you are already on stay with your prescribing doctor.

The standalone rate for a ninety-minute session is $250, and that is what some clients pay à la carte. The $97 price is for a forty-five minute doorway into the practice, designed so the cost of finding out whether we are the right fit is low enough not to be the deciding factor. If you join Foundation or The Concierge within sixty days of your Strategy Session, the $97 carries forward as a credit toward your first month, so the session effectively becomes free.

Perimenopause is the years (often five to ten of them) leading up to a woman's last menstrual period, when estradiol, progesterone, and testosterone all start to drop and fluctuate. It usually begins in the early-to-mid forties, sometimes earlier. The body changes that come with it, weight that will not move, sleep that breaks, mood that does not feel like yours, libido that goes quiet, are real, hormonal, and treatable. Standard care has a habit of telling women they are too young for it, or that the changes are something to wait out. They are not. Real labs and a real protocol address it directly.

The practice is built around adults of all genders forty and up, and the male-physiology version of that conversation (testosterone optimization, GLP-1 microdose, sleep, fitness, the inner work) is just as central as the female-physiology perimenopause work. The example clients on the Programs page include both a man and a woman for exactly that reason.