09/01/2026
I stopped taking insurance because I got tired of waiting for people to get “sick enough” to deserve treatment.
I got tired of wasting my time—and my patients’ time—justifying why someone may benefit from treatment when they don’t fit neatly into an insurance company’s checkbox.
Your BMI doesn’t meet their criteria… even though your body fat percentage and metabolic health tell a very different story.
You have metabolic dysfunction… but not the diagnosis they require to cover a GLP-1.
Your TSH falls inside the reference range… so your thyroid must be “fine,” regardless of what the rest of the clinical picture looks like.
Your risk factors are building… but they aren’t bad enough yet.
And I especially don’t want to practice that way when it comes to women’s health.
Estrogen plays an important role in maintaining bone health, and the menopausal transition is associated with changes in bone density and cardiovascular risk. Yet too often, these conversations don’t happen until a woman already has osteopenia, osteoporosis, or significant cardiometabolic risk.
CARDIOVASCULAR DISEASE IS THE NUMBER 1 KILLER IN WOMEN.
Why wouldn’t we be talking about cardiovascular risk, bone health, muscle, metabolic health, and the potential risks and benefits of hormone therapy before disease develops?
I believe these things deserve to be addressed sooner.
That doesn’t mean everyone needs estrogen.
It doesn’t mean everyone needs a GLP-1.
And it doesn’t mean treating every lab value that isn’t “optimal.”
It means I don’t want my hands tied by whether an insurance company thinks you’re sick enough yet.
I want the freedom to look at the whole person—their symptoms, history, risk factors, body composition, lifestyle, goals, labs, and the evidence—and make an individualized decision together.
I want to ask:
Where are you now?
Where are you headed?
And what can we do TODAY to change that trajectory?
Because I don’t want to wait for the diagnosis before we start caring about prevention.
