Discover the Root Cause of Your Symptoms with the Hormone & Metabolic Clarity Consult
What Is the Hormone & Metabolic Clarity Consult?
Your first step toward lasting wellness.
A personalized, in-depth consult to uncover the root causes of fatigue, weight changes, and hormonal symptoms.
We evaluate your hormones, nutrition, lifestyle, and metabolism to create a clear, actionable plan.
Ideal for women facing perimenopause, menopause, PCOS, or simply wanting to feel their best again.
Get the answers, clarity, and personalized roadmap to restore balance, energy, and confidence in your body.
Who is the Consult for--and why it works?
Uncovers the root cause of symptoms
Comprehensive hormone & metabolic testing
Personalized holistic treatment plan
Ideal for women 35-65 with no clear answers
Integrates Nutrition, Lifestyle & Stress Support
Bridges to Long-Term Transformative Programs
More In Depth Than Traditional Care or a Prescription
Functional Medicine in Lincolnton, NC, Denver, NC and Beyond
Here's How It Works
Step One
Your journey begins with a 30-minute virtual visit with Nurse Practitioner Casey Gilbert, where we’ll dive into your medical history, uncover the root of your symptoms, and set clear goals to get you moving toward the lasting health changes you’re ready for.
Step Two
We’ll start by gaining a clear picture of your current health with advanced lab testing conveniently completed at a LabCorp location near you. For those wanting an even deeper look, we also offer the option to add specialized testing through our trusted specialty lab partners.
Step Three
After your lab results are in, you'll meet with Casey via video for 1 hour to review your results and your receive your Total Wellness Protocol designed to restore balance, boost energy, and support lasting health. This Protocol is designed to go beyond quick fixes—focusing instead on true transformation by giving you clear, practical steps to not only relieve your symptoms but also optimize your whole-body health. After receiving your personalized results and treatment protocol, you’ll also have the opportunity to continue your journey by joining one of our comprehensive treatment programs for ongoing support and lasting results.
Our Testing Options
To create a plan that truly works for your body, we need real insight into what’s happening beneath the surface. That’s why the Vitality Kickstart includes advanced lab testing tailored to your needs. These tests give us a clear picture of your hormone function, nutrient status, metabolic health, and how your body may be responding to stress. With this information in hand, we can move forward with clarity and confidence—focusing on what your body actually needs, instead of guessing.
The program pricing includes your two visits and advanced lab testing below:
Take a deep dive at what’s happening inside with over 40 biomarkers.
This full panel helps detect a wide range of imbalances, including:
- Nutrient deficiencies
- Thyroid function
- Inflammation markers
- Liver and kidney health
- Blood sugar regulation
- Metabolic Health
- Hormone levels
Understand the effects of stress on your body.
This combination offers everything in the Bloodwork panel plus a cortisol test to assess:
Daily cortisol patterns
Adrenal function and resilience
Stress-related hormone imbalances
Energy fluctuations and sleep challenges
This option is ideal if you’re feeling wired but tired, dealing with burnout, or wondering how stress might be affecting your overall health.
Because your gut impacts everything—from hormones to energy.
Identifies hidden imbalances such as dysbiosis, inflammation, leaky gut, and microbiome disruptions that can affect metabolism, hormones, and mood.
Recommended for patients experiencing bloating, constipation, IBS, skin issues, brain fog, or unexplained fatigue.
Reveals how gut health influences hormone balance, nutrient absorption, and systemic inflammation.
Provides a personalized roadmap to repair and rebalance the gut, supporting long-term wellness and symptom relief.
Ideal for anyone ready to address the root cause instead of masking symptoms with temporary fixes.
We use US BioTek’s advanced shotgun stool testing, offering a complete microbiome analysis for the most accurate insight into your gut health.
Find the Root Causes of Your Symptoms
Have you previously been told your labs are “normal”? Or maybe that lab testing is not even necessary to diagnose or treat the symptoms of menopause?
“Normal” doesn’t necessarily mean “optimal.” That’s why every patient receives a comprehensive lab panel that goes far beyond the basics done in traditional care—assessing over 40 biomarkers that provide a detailed picture of your hormones, metabolism, inflammation, thyroid function, and key micronutrients.
You won’t leave with a generic “everything looks fine.” We translate your results into clear, actionable insights, connecting the dots between your symptoms and the underlying imbalances causing them. You deserve more than a quick glance—you deserve clarity, real answers, and a personalized plan.
All lab fees are included in the cost of your New Patient Consultation Fee.
Find the Root Causes of Your Symptoms
Have you previously been told your labs are “normal”? Or maybe that lab testing is not even necessary to diagnose or treat the symptoms of menopause?
“Normal” doesn’t necessarily mean “optimal.” That’s why every patient receives a comprehensive lab panel that goes far beyond the basics done in traditional care—assessing over 40 biomarkers that provide a detailed picture of your hormones, metabolism, inflammation, thyroid function, and key micronutrients.
You won’t leave with a generic “everything looks fine.” We translate your results into clear, actionable insights, connecting the dots between your symptoms and the underlying imbalances causing them. You deserve more than a quick glance—you deserve clarity, real answers, and a personalized plan.
All lab fees are included in the cost of your New Patient Consultation Fee.
Balance your Hormones
The perimenopause and menopause journey is driven by shifting hormone levels that can create a cascade of physical, mental, and emotional changes—yet women are too often told it’s just “stress” or “normal aging,” with little recognition of the profound impact on the body.
Sleepless nights, hot flashes and night sweats, mood swings and anxiety, low energy, stubborn weight gain (even without changes to diet or activity), joint and muscle aches, digestive issues, sugar and salt cravings, dry eyes, and increased inflammation are only a few of the challenges that can appear during this transition.
At Grace Vitality & Wellness, we focus on restoring true hormonal balance and supporting whole-body health. Our personalized approach may include prescription hormone therapy, anti-inflammatory nutrition, targeted supplementation, nervous system regulation, and cognitive-behavioral strategies—empowering you to ease symptoms and reclaim lasting vitality well beyond menopause.
Reduce Your Disease Risk
What good are balanced hormones if the rest of the body is struggling? Our approach goes beyond replacement therapy, tackling metabolic risk factors head-on. When we ignore those drivers, hormones become a quick patch—not a path to genuine health.
Reduce Stress, Find Your Vitality Again
What if you could combine the science-backed strategies of a health, nutrition, and lifestyle coach with the empowering guidance of a mentor who helps you reframe your mindset and reconnect with your body—while also receiving the clinical expertise and prescriptive authority of a Board-Certified Nurse Practitioner specially trained in hormones?
That’s exactly what you’ll experience with us: a personalized plan that integrates nutrition support, lifestyle coaching, and hormone expertise to address the root causes of your symptoms. We don’t just treat what’s on the surface—we help you reclaim confidence, rebuild trust in your body, and gain the clarity to navigate this transition with strength and self-assurance.
This isn’t only about managing perimenopause or menopause. It’s about transforming your health, redefining what’s possible, and stepping boldly into your next chapter—vibrant, confident, and unapologetically you.
Frequently Asked Questions-- Read before scheduling
Do you take insurance?
We are a cash-based practice and do not accept insurance. If you have insurance that you think will cover labs, this can be discussed at your first visit. This model enables us to provide the high-level, comprehensive, and personalized care that often isn’t possible within the traditional insurance-based system. By removing the limitations imposed by insurance companies, we can ensure that every patient has access to the necessary treatments and medications without unnecessary barriers. As a self-pay practice, we prioritize spending the time needed to truly understand your needs and deliver the quality care you deserve, free from the restrictions of the “sick-based model” of care.
At this time we cannot take patients with Medicare insurance for any of our services.
We accept credit/debit cards, Care Credit, HSA, and FSA. We do not accept cash, check, paypal, or venmo.
Who may not be a candidate for HRT?
At this time we do not work with patients that have a history of breast cancer or clotting disorders.
If you are a smoker, we suggest stopping smoking prior to your initial visit, as smoking will limit the types of hormones that can be used.
What is the total investment?
After The Vitality Kickstart Program you will have the option to join one of our 3-8 month programs, which is tailored to your needs. The starting investment is $1295 for a 3 month Metabolic Reset/GLP-1 program.
After your program completion, you will have the option to move into a maintenance program.
I'm interested in weight loss, can you tell me more?
Our Medical Weight Loss program uses GLP-1 medications, which are FDA-approved and clinically proven to support weight loss by:
Reducing appetite and cravings
Slowing digestion to promote a feeling of fullness
Improving blood sugar regulation
This program is suitable for both men and women who are struggling to lose weight through traditional methods. It is supervised by healthcare professionals to ensure safety and effectiveness. You will have the option to add on medical weight loss to your HRT program or do it as a stand alone program.
What other services do you provide?
- All of our treatment programs include nutrition and lifestyle counseling personalized to you.
- Metabolic health risk factor reduction and disease prevention.
- For patients with chronic pain, autoimmune disorders, etc you can add on Low-Dose Naltrexone for these conditions as part of your program.
- NAD+ injections
- Vitamin B injections
- Infrared Sauna/Red light therapy
- Medical weight loss/GLP-1
What types of HRT do you prescribe?
We use Bioidentical Hormone Replacement, which is identical to our natural hormones. These are obtained from a compounding pharmacy. We do not utilize hormone pellets of any kind. We use creams, injections, patches, and capsules.
What happens once I schedule?
Check your email for a message from our system, Optimantra.
If you don’t see it, please check your spam or junk folder.
Click the link in the email to join the patient portal.
Select “New Patient Sign Up” to create your account.
Once in the patient portal:
Complete all applicable new patient paperwork on the home screen.
Enter your current medications under the Medications tab.
All paperwork must be completed at least 24 hours before your appointment.
If paperwork is not completed in time, your appointment will be rescheduled.
Completing this step ensures our provider has the opportunity to review your history and prepare personalized recommendations before your visit.
What is your scheduling and cancellation policy?
A nonrefundable $100 deposit is required to reserve your appointment. This amount is applied toward the cost of your Vitality Kickstart program.
If you do not attend your appointment, the deposit will not be refunded.
If you need to reschedule, please email us at info@gracevitalitywellness.com.
If you arrive 10 minutes or more late without prior notice, you will be considered a no show. In this case, you will forfeit the full cost of your appointment fee with no refund.
If you anticipate being a few minutes late, please email us immediately so we can adjust as needed.
These policies are in place to respect the time and care of both our patients and our practice.
In the event of extenuating circumstances, Grace Vitality & Wellness reserves the right to make exceptions on a case-by-case basis.
- New patient paperwork must be completed prior to 24 hours from your appointment, or your appointment will be rescheduled.
Where do you see patients?
We see patients virtually across North Carolina and South Carolina, as well as in our office at 227 E. Main St Lincolnton, NC. All visits are virtual, UNLESS you notify us via email or from your patient portal messenger that you wish to be seen in person.
Do you use any supplements?
Yes-supplementation recommendations will be provided in your Total Wellness Protocol plan.
What is HRT and who is it for?
Hormone Replacement Therapy (HRT) is a treatment designed to restore hormonal balance, particularly for women experiencing symptoms of menopause, perimenopause, or other hormone-related conditions. HRT can help alleviate symptoms such as hot flashes, mood swings, low energy, and sleep disturbances. It is tailored to each individual’s needs and may include bioidentical hormones for a more natural approach. We see women as early as 30 for HRT up into the late 70’s.
What happens after the Consult program?
After your Hormone and Metabolic Clarity Consult, you’ll receive your personalized Total Wellness Protocol. This document brings together your lab results, symptom review, and tailored recommendations for nutrition, movement, sleep, supplements, and prescription therapy (when appropriate).
This is your clearly defined plan for resolving your symptoms and transforming your health.
The next step is to put that plan into action through The Vitality Collection, a curated suite of premium wellness programs, designed to go beyond symptom relief and guide you through a transformative journey toward lasting vitality, balance, and elevated health.
Our services are organized through a tiered system, allowing you to choose the level of care and investment that best aligns with your goals, without hidden costs, upsells, or pressure to purchase. This is healthcare that honors your autonomy, meets you where you are, and empowers you to move forward with confidence.
Each tier offers a different level of support:
Foundations is for the woman ready to begin her journey with clarity and structure. She’s looking for expert guidance and clinical direction—whether she’s just entering the early stages of perimenopause or is younger and navigating hormonal imbalances. Motivated and capable, she’s seeking a sustainable starting point through supplements and lifestyle changes that honor her goals and meet her exactly where she is.
Elevate is designed for the woman who is ready to begin prescription therapy and desires more personalized, hands-on support. She’s prepared to invest in a comprehensive plan that weaves together medical management, prescription therapy, regular check-ins, added accountability, in-depth education, and individualized care—addressing hormones, thyroid, metabolism, and the nervous system. This path is ideal for the woman who needs a deeper level of support than what’s offered in the Foundations program.
Thrive is the most extensive path within The Vitality Collection—crafted for the woman who is ready to leave no stone unturned in her pursuit of vibrant health. This program is designed for those facing more complex or persistent health challenges, or for those who simply want the most in-depth, all-inclusive approach. Alongside prescription therapy and advanced medical management, Thrive incorporates food sensitivity testing, gut health analysis, and a personalized gut restoration plan. With this program, you’ll experience a truly comprehensive, high-touch partnership that addresses every layer of your health—so you can heal deeply, restore balance, and step into lasting vitality.
Every package is curated and customized to your unique needs so that it includes only what you need, and no pressure to purchase products or services that you don’t.
Your personal package options with individualized pricing will be presented to you as part of your Vitality Kickstart Program, providing you with the information you need to make decisions from a place of transparency and confidence.
Packages that include hormone replacement therapy are structured in 3- to 6 -month initial packages, with an investment that typically begins at $1,695. This fee covers comprehensive medical management, the cost of prescribed medications with home delivery (some packages), treatment adjustments, our proprietary Science-backed, Hormone curriculum, Lab testing, and ongoing support for the entire length of the program.
Can HRT help with symptoms outside of Menopause?
Yes! While HRT is commonly used to manage menopause symptoms, it can also help with other hormone-related issues, such as:
Low libido
Fatigue and low energy
Mood swings and irritability
Bone density loss
Vaginal dryness and discomfort
We tailor HRT to address your specific symptoms and health goals. HRT may be suitable for women dealing with PCOS and Perimenopause
What happens after the completion of my program?
Program options for continuing care after the initial Vitality consult are offered in 4-, 6-, or 8-month timeframes. The purpose of these initial packages is to do most of the heavy lifting: we spend that time diving deep into your health story, reviewing a lot of education, starting and fine-tuning hormone therapy (as applicable), providing close follow-up, implementing sustainable lifestyle strategies, and incorporating supplements where they’re most effective.
By the end of the initial package, we typically have a clearer sense of what’s working well and what may still need refinement. At that point, you’ll be able to transition into a maintenance plan that keeps your progress on track. This includes the cost associated with continued management of your prescribed medications, supplements, periodic lab work (as needed), and ongoing provider support.
The maintenance plan renews every 3 months but is offered at a lower cost than the initial package since the most intensive work (more frequent visits, in-depth education, and more frequent medication adjustments) has already been completed. What remains is personalized, streamlined care that preserves your results and supports you over the long term.