Real medical support for the midlife body — to lose the stubborn middle, keep your muscle, and build habits that last. Without living at the gym.
Steady Metabolic: GLP-1 done the whole-person way.
You’ve watched the weight settle around your middle no matter what you do. Honestly, you’re a little skeptical of GLP-1s — you’ve seen the hype. But you’re exhausted, something has to change, and you don’t have two hours a day to give to the gym and a meal plan. You want to be mindful and get real help. I believe you — and this is built for exactly that.
What Steady Metabolic Is
Steady Metabolic is our standalone GLP-1 program, supported every step of the way by me and my medical assistant. This isn’t a prescription mill. We use GLP-1 medication as one powerful tool inside a whole-person plan for your metabolism, muscle, hormones, and midlife body — so you get genuinely healthier, not just smaller.
How We Do GLP-1 Differently
The medication isn’t magic. It doesn’t build muscle, teach nutrition, fix your sleep, or address menopause. Those pieces are what make it actually work — and they’re what we bring:
Muscle, not just fat — protein, resistance training, and daily movement so you keep the muscle that protects your metabolism, bones, and strength as you age.
Nutrition as part of the prescription — eating enough of the right things — protein, fiber, real nutrients — not simply eating less.
We watch more than the scale — waist, blood sugar, A1C, lipids, energy, and sleep — because health is more than a number.
We watch more than the scale — waist, blood sugar, A1C, lipids, energy, and sleep — because health is more than a number.
Realistic for a full life — mindful changes that fit your actual schedule — not two hours a day.
An exit strategy — habits built alongside the medication so your progress holds, whether you stay on long-term or taper.
What's Included
At least quarterly visits with me, with my medical assistant supporting you along the way
Weekly live Zooms — a short talk from me, then open Q&A
Personalized supplement lists and members-only supplement discounts
A true whole-person plan: medication, nutrition, movement, and midlife metabolic
Medication is ordered separately through our pharmacy and is not included in the membership — see pricing below.
Simple, Honest Pricing
Membership — $149 / month
Monthly provider visits, weekly Zooms, supplement lists + discounts, and your care team (me + my MA)
Medication — starting @ $110 / month
GLP-1 medication ordered through our pharmacy. Not included in the membership — billed separately.
Getting started (one-time)
A comprehensive intake visit. Bring recent labs, or add our metabolic lab panel for a one-time $190.
Estimated starting cost:
Approximately $259/ month
About Your Labs
We need current metabolic labs to prescribe safely. You’re welcome to bring recent results from another provider, or add our metabolic lab panel for a one-time $190.
Fair question — and one we take seriously. Used well, GLP-1 medications can be life-changing: real, sustained weight loss, better blood sugar, lower inflammation, improved cholesterol, and far quieter “food noise.” They also have real downsides, and they’re not right for everyone. Before we recommend anything, we review your full history, medications, and risk factors. If it’s not the right fit for you, I’ll tell you — and we’ll talk about what is.
Is GLP-1 even right for me?
GLP-1 Metabolic Health Program FAQs
1. What is the GLP-1 Metabolic Program at Steady State Health?
The GLP-1 Metabolic Program is a personalized weight, energy, and metabolic health program designed specifically for women in perimenopause and menopause. Medical visits may be billed to your insurance when applicable, while GLP-1 medications are prescribed based on clinical appropriateness and billed separately by the dispensing pharmacy.
Our program includes a comprehensive medical evaluation, individualized treatment planning, medication management, ongoing dose adjustments, nutrition guidance, and continued support—all tailored to the hormonal and metabolic changes of midlife, not a one-size-fits-all weight loss approach.
2. How is the Steady State Health GLP-1 program different from other telehealth GLP-1 services?
Most telehealth GLP-1 services prescribe semaglutide or tirzepatide as a standalone weight-loss drug. Steady State Health prescribes GLP-1 inside a perimenopause and menopause framework, integrating it with hormone status, ADHD care, and dopamine regulation. The program targets insulin resistance, inflammation, and energy, and uses nutrition focused on protein and blood sugar stability rather than calorie restriction. The result is a clinical plan that addresses why midlife weight gain happens, not just the number on the scale.
3. How much does the GLP-1 program cost per month?
Pricing starts at $259 per month. The monthly fee includes the medical evaluation, the medication shipped to the patient, ongoing monitoring and dose adjustments, messaging support between visits, and nutrition and lifestyle guidance.
4. Does insurance cover the Weight Management Program?
Steady State Health offers both insurance-based and self-pay options for weight management.
If you use your insurance for medical visits, your appointments may be covered according to your plan’s benefits. If you choose our cash-pay Weight Management Program, the program fee includes your clinical support and is not billed to insurance.
If prescribed, GLP-1 medications are billed separately by the dispensing pharmacy and are not included in your visit or program fees. Weight management services are available to patients located in Oregon and Washington.
5. What is the difference between semaglutide and tirzepatide in this program?
Starting at $259/month – Semaglutide works on a single GLP-1 receptor and has a long track record for appetite regulation, blood sugar, and weight management. Tirzepatide is dual-action, targeting both GLP-1 and GIP receptors, and tends to show stronger metabolic effects in clinical trials. Josie helps each patient choose based on their medical history, prior treatment response, and budget. There is no one-size-fits-all recommendation here.
6. Can I do the GLP-1 program without Steady Momentum or Precision Health?
Yes. The GLP-1 program is available as a standalone cash-pay program for Oregon and Washington patients with monthly provider support at $249/month. It can also be added to Steady Momentum or layered onto Insurance-Based Care visits. Most patients who want both metabolic and hormonal care choose to combine GLP-1 with Steady Momentum so the plan is integrated, but this is a recommendation rather than a requirement.
7. Is GLP-1 medication safe long-term for women in perimenopause?
Current evidence supports long-term GLP-1 use for metabolic and weight management when monitored by a clinician, and the medications are not specifically contraindicated in perimenopause. Steady State Health requires ongoing monitoring, dose adjustments, and lab review during the program rather than indefinite refills. Women with personal or family history of medullary thyroid carcinoma, MEN2, or pancreatitis are not candidates, and the medical evaluation screens for these conditions before prescribing.
8. Are the medications included in the membership?
No — your $149/month membership covers your visits, weekly Zooms, supplement lists and discounts, and support from me and my MA. Medication is ordered separately through our pharmacy and runs about $110–150/month, so most members are all-in around $259–300/month.
9. What about labs?
We need current metabolic labs to prescribe safely. You can bring recent results from another provider, or purchase our metabolic lab panel for a one-time $190. The monthly membership is cash-pay, and medication is billed separately through the pharmacy.
10. I don’t have hours a day for this. Will it still work?
Yes — that’s the point. We focus on mindful, realistic changes that fit a full life: enough protein, some resistance training, daily movement, and steady support. Not two hours a day.
11. Will I lose muscle, or gain the weight back if I stop?
Those are exactly the risks we design against. We protect your muscle with protein and strength work, and we build sustainable habits alongside the medication so your progress holds — whether you stay on long-term or taper with a plan.
12. How often will I see you?
At least monthly with me, plus weekly live Zooms and support from my MA in between. Any medication or dose change happens at a visit.
GLP-1 programs are cash pay only. Insurance is not billed. Available to patients in Oregon and Washington only.Steady Start is a cash pay program. All services are provided by a licensed medical provider. Prescription medications are only issued when clinically appropriate and are dispensed by licensed pharmacies.