Explore Our Packages
Your health, your way—expert care that meets you where you are.
At Steady State Health, our flexible packages are designed for every stage of your journey, whether you need a short burst of guidance, focused support, or a long-term partnership. Each package includes personalized telehealth visits, direct provider access, and tailored care plans with a specialized focus on women’s health, ADHD, metabolic wellness, and dysautonomia. You’ll receive clarity, confidence, and compassionate support—delivered with the convenience of virtual care—so you can feel your best every step of the way.
Steady Start
Your first step toward answers.
If you know something feels off but aren’t sure where to begin, this is your starting point. Walk away with clarity, direction, and a personalized plan.
Price:
$695 (labs included)
What’s Included:
• Comprehensive initial visit
• Foundational lab testing
• Follow-up visit to review results
• Personalized health plan
What We Evaluate:
• Hormonal patterns
• Metabolic health
• Nutrient status
• Early drivers of fatigue, brain fog, and weight changes
Best For:
Women early in their health journey who want a clear, structured starting point — without overwhelm.
Cash pay only. Not insurance. Cannot be submitted for reimbursement. Available to patients in Oregon and Washington only.
Precision Health
A complete, data-driven look at your body.
When your symptoms don’t add up—or you’ve been told everything looks “normal”—this is where deeper answers begin. This package maps how your hormones, brain chemistry, and metabolism work together so you can move forward with precision.
Price:
$2,495 (labs included)
What’s Included:
• In-depth initial consultation to map symptoms and history
• Advanced testing (genetic, cellular nutrition, and hormone/metabolic)
• Comprehensive findings report with clear explanations
• Two follow-up visits for guidance, prioritization, and adjustments
• Fully personalized plan across hormones, metabolism, and mental health
What We Assess:
• Genetic tendencies impacting mood, energy, and hormone balance
• Cellular-level nutrient deficiencies and energy production
• Hormone pathways and stress response (cortisol patterns)
• Metabolic function, inflammation, and weight regulation drivers
Best For:
Women in midlife who feel like something has shifted—mentally or physically—and want a deeper, root-cause understanding rather than symptom-based care.
Cash pay only. Not insurance. Cannot be submitted for reimbursement. Available to patients in Oregon and Washington only.
GLP-1 Metabolic Program
A Brain + Hormone + Metabolic Approach to Weight and Energy
This is not a weight loss program. This program is designed for women in perimenopause and menopause to address the underlying hormonal, neurological, and metabolic shifts that make weight loss and energy regulation more complex in midlife.
Price:
Semaglutide starting at $249/month
Tirzepatide starting at $329/month
What’s Included:
• Medical evaluation and prescription
• GLP-1 medication (shipped directly to you)
• Ongoing monitoring and dose adjustments
• Messaging support between visits
• Nutrition and lifestyle guidance tailored to midlife metabolism
• Integration with your broader health plan
What It Supports:
• Improved insulin sensitivity and metabolic function
• Reduced cravings and better appetite regulation
• Stabilized blood sugar and energy levels
• Decreased inflammation and improved recovery
• Support for focus, dopamine balance, and ADHD-related patterns
Approach:
• Hormone-aware strategy specific to perimenopause and menopause
• Nutrition focused on protein intake and blood sugar stability
• Strength training and body composition support
• Long-term metabolic health, not short-term weight loss
Optional Add-On:
Lab Optimization Package — $429
• Hormone panel
• Metabolic markers
• Inflammation markers
• Micronutrient insights
Best For:
Women in midlife experiencing weight gain, cravings, fatigue, or metabolic resistance—especially when traditional diet and exercise approaches are no longer effective.
GLP-1 programs are cash pay only. Insurance is not billed. Payment is required before scheduling. Available to patients in Oregon and Washington only.
Program Options
Semaglutide — starting at $249/month
• Medical evaluation and prescription
• Compounded semaglutide delivered to your door
• Ongoing monitoring and dose adjustments
• Messaging support between visits
• Integration with your broader health plan
• Nutrition and lifestyle guidance
Care may support inflammation, mood, energy, and weight when clinically appropriate
Tirzepatide — starting at $329/month
• Medical evaluation and prescription
• Compounded tirzepatide delivered to your door (dual-action GLP-1/GIP)
• Ongoing monitoring and dose adjustments
• Messaging support between visits
• Integration with your broader health plan
• Nutrition and lifestyle guidance
Care may support inflammation, mood, energy, and weight when clinically appropriate.
Our Philosophy:
GLP-1 is a tool — not the entire solution. We use it to restore metabolic function, reduce
inflammation, and create momentum. Then we support your body with nutrition, hormones, and
nervous system regulation.
GLP-1 programs are cash pay only. Insurance is not billed. Payment is required before scheduling.
Available to patients in Oregon and Washington only.
Start Your GLP-1 Program →
ADHD & Menopause
Why Everything Feels Harder in Midlife — And What’s Actually Going On
If your focus, energy, and mood have changed in your 40s and no one has been able to explain
why, you’re not imagining it. And you’re not alone.
For many women, perimenopause doesn’t just bring hot flashes. It disrupts the exact brain chemistry that keeps you focused, calm, and functional. If you have ADHD — diagnosed or not — this shift can feel like hitting a wall.
The Connection Most Doctors Miss:
Estrogen plays a direct role in dopamine regulation — the same system that drives focus, motivation, and impulse control in ADHD. When estrogen declines in perimenopause, dopamine signaling shifts. For women with ADHD, this can mean:
• Symptoms that were manageable suddenly feel unmanageable
• Medications that worked for years stop working as well
• Anxiety, mood swings, and overwhelm that feel different from before
• Brain fog that you fear means something serious
• Burnout that goes deeper than just being tired
What’s Actually Happening:
Estrogen + Dopamine
Estrogen supports dopamine production and receptor sensitivity. As estrogen declines, dopamine signaling becomes less stable — affecting focus, motivation, emotional regulation,
and reward processing.
ADHD Burnout vs. Menopause Fatigue
These two things look almost identical from the outside. ADHD burnout builds over years of masking and overcompensating. Menopause fatigue compounds it. Most women are never given a framework to understand either one — let alone both at once.
Anxiety vs. ADHD vs. Hormones
The overlap between anxiety, ADHD, and hormonal shifts in midlife is significant and frequently misdiagnosed. Treating one without addressing the others rarely works. At Steady State Health we look at all three together.
How We Evaluate and Treat This;
• Comprehensive initial visit — symptoms, history, and patterns mapped in detail
• ADHD evaluation and diagnostic testing when appropriate
• Hormone panel to assess estrogen, progesterone, and cortisol
• GeneSight pharmacogenomic testing when prescribing mental health medications
• Dopamine pathway analysis — COMT genetic variant when part of Precision Health Package
• Integrated treatment plan addressing ADHD, hormones, and metabolism together
• Medication management when clinically appropriate
Who This Is For:
• Women in their 40s or 50s whose focus and mood have noticeably changed
• Women with diagnosed ADHD whose symptoms have worsened
• Women who suspect undiagnosed ADHD but have never been evaluated
• Women who have been told their symptoms are just stress or aging
• Women who want hormones, ADHD, and mental health treated together
Care may support cognitive function, hormonal balance, and overall wellbeing when clinically appropriate.
Available to patients in Oregon and Washington only.
Advanced Testing
Data-driven insight into how your body actually functions.
Most standard labs identify disease. This level of testing is designed to uncover why you don’t feel like yourself—even when everything appears “normal.” Each test provides a different layer of insight, allowing your care plan to be specific, targeted, and effective.
What’s Included:
• Access to advanced genetic, cellular, and hormone testing
• Clinical interpretation of all results in the context of your symptoms
• Integration into a personalized care plan
• Available within the Precision Health Package or as an add-on when appropriate
What We Evaluate:
• Genetic patterns influencing metabolism, mood, and hormone processing
• Cellular nutrient status and energy production
• Hormone balance and stress response
• Metabolic health, inflammation, and blood sugar regulation
Testing Options:
Nutrigenomic DNA Testing
Analyzes how your genes impact nutrition, brain chemistry, and hormone pathways
• Methylation and detox pathways
• Dopamine regulation and stress response
• Estrogen metabolism
• Histamine and inflammation patterns
Cellular Micronutrient Testing
Measures nutrient levels inside your cells, where energy and brain function occur
• Mitochondrial function and energy production
• Oxidative stress and inflammation
• Vitamin and mineral deficiencies
• Drivers of fatigue, brain fog, and mood changes
Hormone + Metabolic Testing
Provides a full picture of your hormonal and metabolic state
• Estrogen and progesterone balance
• Cortisol and stress patterns
• Insulin sensitivity and blood sugar control
• Thyroid and metabolic markers
Optional Add-On:
Comprehensive Lab Panel — $429
• Hormone panel
• Metabolic markers
• Inflammation markers
• Micronutrient insights
Drawn locally through Quest Diagnostics
How It Fits Into Your Care:
• Genetic data shapes your supplement and nutrition strategy
• Cellular testing identifies precise deficiencies to correct
• Hormone testing guides targeted optimization
• All results are translated into a clear, actionable plan
Best For:
Women who want a deeper understanding of what’s driving their symptoms and prefer a precise, personalized approach over trial-and-error.
Cash pay only. Not insurance. Available to patients in Oregon and Washington only.
Insurance-Based Care
Comprehensive, personalized care—billed through your insurance.
If you prefer to use insurance while still receiving thoughtful, root-cause-focused care, this option provides structured support across hormones, mental health, and metabolic function.
What’s Included:
• Extended initial visit (up to 60 minutes)
• Lab and diagnostic testing ordered as appropriate
• Clear treatment plan provided at your first appointment
• Ongoing follow-ups for monitoring and adjustments
• Prescription management and refills
What We Treat:
• Perimenopause and menopause symptoms
• ADHD evaluation and medication management
• Metabolic health and hormone-related concerns
• Mental health medication management (including GeneSight testing)
• General medical care
What to Expect:
• Thorough, unrushed appointments
• Testing initiated early to guide care decisions
• Clear next steps before leaving your visit
• Follow-up scheduled to ensure continuity
Optional Add-On:
Enhanced Support Program — $99/month
• Priority scheduling
• Messaging access between visits
• Care coordination
• Extended appointment times
Best For:
Patients who want to use insurance while still receiving more personalized, in-depth care than a traditional primary care model.
Important Notes:
• Coverage depends on your individual plan
• Patients are responsible for copays, coinsurance, and non-covered services
• Must be located in Oregon or Washington at the time of care
• Medicare is not accepted
• Oregon Health Authority and PacificSource are not accepted
• Cash-pay services and insurance billing cannot be combined
• Memberships and packages are not eligible for insurance reimbursement
Insurance-based care is available to patients in Oregon and Washington only.