Straight answers,before you call.

Your monthly fee pays for the relationship: provider oversight, monitoring, lab reviews, secure messaging, and priority scheduling — plus preferred member pricing on everything offered. Even at the Essentials level it supports the practice behind your care, from front-desk staff to charting and medical records to monitoring between visits. Treatments, medications, labs, and supplements are billed separately, only as you use them, always at your member rate. That keeps your monthly fee predictable and means you never pay for therapies that aren’t right for you.

There are two. Essentials is the foundation — ongoing oversight, secure messaging, preferred member pricing, quarterly check-ins, and an annual lab review. Signature adds same or next-day scheduling, monthly check-ins, quarterly lab reviews and body-composition scans, a monthly wellness injection, and direct access to Madison. Most people start with Essentials. Madison will help you choose during your consultation, and you aren’t locked into the first choice forever.

Membership and in-office services are self-pay — membership is not insurance and doesn’t include the cost of medications, labs, or treatments. Prescriptions Madison writes are sent to the pharmacy you choose, so your insurance can be applied when it’s eligible.

Membership is billed monthly. If your circumstances change, talk to Madison — the point of the structure is that it stays useful to you, not that it traps you.

Never as a requirement. Some patients want a full hormone or weight-loss plan; others simply want the right labs and a nutrition roadmap. A plan with no medication in it is a completely normal outcome of a first visit.

A comprehensive hormone and metabolic panel rather than a single screening value — including thyroid, which drives a lot of the symptoms people assume are something else. Follow-up panels are repeated on a schedule that depends on your plan and membership tier.

It varies genuinely between people and between therapies, and anyone quoting you a specific timeline is guessing. Some people notice changes in energy or sleep within a few weeks; others need longer and an adjustment or two. Regular check-ins and repeat labs exist precisely so the plan keeps pace with you.

Yes, and you should. This is focused wellness care — hormones, peptides, weight management, and nutrient therapy — and it works alongside your primary care physician rather than replacing them.

We change it. Repeat labs and check-ins are there to catch that, and stopping something that isn’t helping is a normal part of the process rather than a failure.

Physician Assistant — Certified. Madison holds a Master of Physician Assistant Studies, is certified by the NCCPA, and is licensed in the State of Florida. In Florida, physician assistants practise under physician supervision and can evaluate patients, order and interpret labs, and prescribe.

Her Master of Physician Assistant Studies is from the Massachusetts College of Pharmacy and Health Sciences, and her B.S. in Neuroscience and Behavior is from Florida Atlantic University in Boca Raton. Her clinical experience runs from urgent and primary care through integrative and functional medicine, working with both concierge and non-concierge patients.

Boca Raton, Florida, serving the surrounding Palm Beach and north Broward communities. Appointments are by request, and telemedicine is available for visits that don’t need to be in person.

Yes, for consultations and follow-ups that don’t require an in-office visit. Anything hands-on — pellet placement, injections, IV therapy, and body-composition scans — happens in person.