Three months of structured support for women who want more than answers - they want results.
Steady Momentum: Ongoing Perimenopause, ADHD and Metabolic Care
Some health journeys need more than a single evaluation. If you’re navigating perimenopause, managing ADHD in midlife, or working through metabolic changes that aren’t responding to what used to work. Steady Momentum gives you the time, structure, and clinical support to actually get there.
This is a three-month program with twice-monthly visits, prescription management, and ongoing plan optimization. Josie stays with you through the most important phase of your care.
$2,350 • Includes Everything in Steady Start • Cash Pay
Is This Right For You?
Want continued support for perimenopause or menopause symptoms beyond a single evaluation
Need structured care for metabolic health or weight management
Are seeking ADHD diagnosis, management, and medication support over time
- Want hormone therapy optimization with ongoing monitoring and adjustments
Prefer a guided, step-by-step approach with consistent follow-up
What's Included
Everything in Steady Start, plus:
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Twice-Monthly Visits for Three Months
Six visits over three months with Josie, allowing for:
- Ongoing monitoring of symptoms and treatment response
- Medication adjustments as needed
- Support for lifestyle and metabolic changes
- Hormone therapy optimization when appropriate
This structure provides consistent support during the most critical phase of care – when adjustments matter most.
02
ADHD Evaluation and Management
Steady Momentum includes comprehensive ADHD care:
- Full ADHD evaluation and diagnosis
- ADHD medication management when appropriate
- Support for focus, executive function, and mental clarity
- Understanding how hormonal shifts are affecting ADHD symptoms
ADHD in midlife women is frequently missed or misdiagnosed. Estrogen decline directly affects dopamine – the same system that drives focus and impulse control. We evaluate both together.
03
Prescription Management
As clinically appropriate, your care may include:
- ADHD medications
- Estrogen and progesterone prescriptions
- Medications for metabolic health or symptom support
- Prescription refills and ongoing management
04
Metabolic and Weight Management Support
- Structured support for weight management and insulin resistance
- Lifestyle medicine strategies for sustainable results
- Optional GLP-1 weight management add-on if appropriate
05
Ongoing Plan Optimization
Over the course of the program, Josie will:
- Refine your treatment plan based on your response
- Adjust supplements, medications, and lifestyle strategies
- Address barriers and fine-tune your results
- Support improvements in energy, focus, metabolism, and hormonal balance
Steady Start vs. Steady Momentum
Steady Start is right if you want clarity, answers, and a starting point.
Steady Momentum is right if you want ongoing guidance, ADHD management, hormone optimization, and structured support over time for deeper, lasting results.
NEXT STEP
Ready to get started?
Steady Momentum
Cash pay only. Not insurance. Oregon and Washington only.
Steady Momentum FAQs
1. What is the Steady Momentum program?
Steady Momentum is the flagship twelve-week cash-pay program at Steady State Health, priced at $2,350. It includes everything in Steady Start plus twice-monthly visits over twelve weeks, comprehensive ADHD evaluation and medication management, hormone therapy optimization, and integrated mental health and metabolic support. The program is designed for women who want ongoing structured care rather than a single evaluation, and it is the most common pathway for patients with overlapping perimenopause, ADHD, and metabolic concerns.
2. How much does Steady Momentum cost and what is included?
Steady Momentum costs $2,350 cash-pay and includes the full Steady Start evaluation plus six visits over twelve weeks, ADHD diagnosis and medication management, hormone therapy titration, mental health support, and metabolic care. Add-ons include the GLP-1 program (starting at $239/month) and the Precision Health Program ($2495) that includes micronutrient testing, genetic testing for hormone and histamine testing and food tolerance testing. The fee covers all clinical visits but not the cost of prescription medications, which are billed separately by the pharmacy.
3. How is Steady Momentum different from just doing Steady Start twice?
Steady Start is built for diagnosis and a one-time plan; Steady Momentum is built for titration. Hormone therapy, ADHD medication, and GLP-1 dosing rarely land at the right level on the first try, and Steady Momentum’s twice-monthly cadence is structured specifically to adjust dose, switch formulations, and respond to side effects in real time. Two Steady Start cycles would cost more, take longer, and lack the continuous medication-management framework that Steady Momentum provides.
4. Is Steady Momentum a good fit if I just want hormone therapy?
Steady Momentum is the right fit for women who want hormone therapy managed carefully over time, especially if there are co-existing concerns like ADHD, mood changes, sleep disruption, or metabolic resistance. Women who only want a single hormone therapy prescription with minimal follow-up are usually better served by Insurance-Based Care in Oregon or Washington, which provides individual visits without the twelve-week program structure or the integrated ADHD and metabolic components.
5. Does Steady Momentum include GLP-1 medication?
GLP-1 medication is not included in the $2,350 Steady Momentum fee, but the program is designed to integrate GLP-1 care as an add-on starting at $239/month through EllieMD. This pathway is common for women whose evaluation reveals insulin resistance or metabolic dysfunction. The Steady Momentum nurse practitioner coordinates with the GLP-1 provider so hormone therapy, ADHD treatment, and metabolic medication are managed as one plan rather than three disconnected prescriptions.
6. Can I do Steady Momentum if I live outside Oregon and Washington?
Steady Momentum is a cash-pay medical program, so it requires the patient to be located in a state where the nurse practitioner is licensed. Steady State Health currently provides medical care, including hormone therapy and ADHD prescriptions, only in Oregon and Washington. Women outside those states can access non-medical coaching and the free MenoMIND diet guide, but cannot enroll in Steady Momentum until additional state licensure is in place.
7. What happens after the twelve weeks of Steady Momentum end?
After the twelve weeks of Steady Momentum, patients can transition to a monthly membership for $199 per month. Steady State Health does not auto-renew the program, and patients are not committed to ongoing monthly fees unless they explicitly opt into one of the continuation pathways.
Cash pay only. Not insurance. Cannot be submitted for reimbursement. Available to patients in Oregon and Washington only.
