Perimenopause, Menopause and ADHD Programs for Women
If you’re struggling with perimenopause symptoms, menopause, brain fog, ADHD, or weight changes, you’re not alone. Steady State Health is a virtual menopause clinic and ADHD care practice specializing in personalized health plans for midlife women. We combine hormone testing, metabolic care, and ADHD treatment to help you understand what’s going on and what to do next.
A CLEAR STRUCTURED PLAN
We start with a comprehensive evaluation, which may include:
Hormone panel for women (estrogen, progesterone, testosterone)
Metabolic labs including cortisol and insulin
Assessment of weight management, focus, and energy
You’ll receive a personalized treatment plan that may include:
Menopause and perimenopause treatment
ADHD medication management
Nutrition and lifestyle medicine support
Choose Your Path
Steady
Start
$695 | Labs included | Cash pay
Your first step toward real answers with a comprehensive perimenopause/menopause evaluation. Designed to connect the dots across your hormones, metabolism, and overall health.
- Comprehensive initial visit with advanced hormone panel and lab testing
- Personalized health plan including menopause treatment options, ADHD support, and supplement guidance
- Follow-up visit to review results and refine your treatment plan for energy, weight management, and brain fog
Steady Momentum
$2,350 | Includes everything in Steady Start | Cash pay
Three months of structured, ongoing care for women seeking hormone optimization, ADHD treatment, mental health support, and metabolic health. Designed for lasting results, not just answers.
- Twice-monthly visits over 12 weeks with personalized plan adjustments
- Comprehensive ADHD evaluation, diagnosis, and medication management
- Hormone therapy optimization with integrated mental health and metabolic support
Precision Health
$2,495 | Labs included | Cash pay
Advanced genetic, hormone, and cellular testing for women, designed to uncover root causes of fatigue, brain fog, hormone imbalance, and metabolic issues. When your labs look normal but you don’t feel normal, this is where deeper, personalized answers begin.
- Nutrigenetic DNA testing (Nutrigenomix)
- Cellular micronutrient testing (Genova Diagnostics)
- Genetic hormone pathway analysis, methylation pathway analysis, histamine and genetic mapping
- Personalized report and one-hour consultation with customized health plan
GLP-1 Metabolic Support for Women
Starting at $299/month
A personalized GLP-1 program for perimenopause and menopause, focused on metabolism, hormones, and brain function. Not just weight loss.
- Addresses hormonal and dopamine shifts impacting weight and energy
- Medication prescribed when appropriate and shipped via EllieMD starting at $299/month
- Includes monitoring, dose adjustments, and messaging support through EllieMD
Available as add-on to Steady Momentum, or add monthly provider support at $99/month, or as addition to insured appointments.
Peptide Therapy
COMING SOON!
Peptide therapy is an emerging area of precision medicine that supports cellular repair, hormone balance, energy, and metabolic function. As part of Josie’s commitment to staying at the forefront of personalized women’s health, peptide protocols will be available at Steady State Health soon.
Comprehensive Lab Panel Add-On
Available within Precision Health or as an add-on | Cash pay
A la carte lab add-on that includes over 140 biomarkers including advanced lipids, nutrients, thyroid antibodies, insulin, cortisol, and inflammation markers.
- Nutrigenomic DNA testing analyzing genes that affect mood, energy, and hormone processing
- Cellular micronutrient testing measuring deficiencies where energy and brain function actually happen
- Hormone and metabolic evaluation covering estrogen, cortisol, insulin sensitivity, and thyroid
Insurance-Based Care
Billed through insurance | OR + WA only
Personalized, root-cause-focused care for perimenopause, menopause, ADHD, metabolic health, and mental health, delivered through individual visits and following the same structured care path as Steady Momentum.
- Standard medical visits with ongoing care and plan adjustments over time
- Medication management for hormones, ADHD, metabolic, and mental health needs
Labs are billed to insurance. Patients are responsible for copays, coinsurance, and deductibles.
Enhanced Support Program available for $99/month including messaging, extended appointments, nutrition and exercise guidance, and priority scheduling.
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 →
Not Sure Which Program Is Right For You?
You don’t have to figure it out alone. A free 20-minute consult gives you a chance to ask questions and find out which program fits where you are right now.
IMPORTANT NOTES ABOUT CARE AT STEADY STATE HEALTH
Cash pay programs are not insurance and cannot be submitted for reimbursement.
All care is available to patients located in Oregon or Washington only.
Medicare is not accepted.
Oregon Health Authority and PacificSource are not accepted.
Cash pay services and insurance billing cannot be combined.