Menopause, perimenopause & HRT
Discuss hot flashes, cycle changes, sleep or vaginal symptoms. Explore female hormone therapy and nonhormonal care when appropriate.
Explore women’s HRTHOUSTON ROOTS. TEXAS TELEHEALTH.
Menopause care and HRT
for women across Texas.
A clearer picture.
A more personal plan.
Explore care for menopause and perimenopause, including HRT for women when appropriate. Our Houston-based team helps you review symptoms and treatment options through Texas telehealth. Medical weight loss, TRT evaluation and executive health testing are also available.
Clinical evaluation required. Prescription treatment is available only when appropriate; medication is not guaranteed.
Personal care. Wherever life happens.At-home labs + online consultations
Texas-licensed clinical care Convenient telehealth visits Clinician-ordered lab testing
START WITH WHAT MATTERS TO YOU
Your health deserves
a closer look.
Bring your questions. We make room for the conversation and connect your symptoms, history, and lab findings.
Medical weight loss
Build a plan around your health, nutrition and activity. Discuss clinician-directed medication and non-medication options when appropriate.
Explore weight careTestosterone & executive health
Review low-testosterone concerns or seek a fuller discussion of your laboratory findings.
Explore TRT evaluationExecutive health testing
FROM QUESTIONS TO NEXT STEPS
Care that fits your life.
01 / UNDERSTAND
Start with your labs.
Your clinician orders your Precision Diagnostic. Your care team helps arrange collection, with home collection subject to ZIP-code verification.
02 / CONNECT
Talk through the findings.
Meet online for a dedicated results consultation. Ask questions and understand what your findings mean in context.
03 / MOVE FORWARD
Build your next chapter.
Discuss a personalized plan and the 12-week Executive Reset, with follow-up and secure clinician messaging.
1836 WELLNESSILLUSTRATIVE PREVIEW
YOUR HEALTH, IN CONTEXT
A clearer view of your findings.
01
Executive summary
The findings to discuss with your clinician.
Metabolic healthReviewed in context
Cardiovascular healthReviewed in context
Hormone healthReviewed in context
Nutrient statusReviewed in context
02
Marker trends & priorities
What changed, what needs attention, and your next steps.
Example structure only. No patient data or predicted results.
MORE CLARITY FROM YOUR LABS
Understand the story
behind the numbers.
A lab result is a starting point. Your clinician considers your findings alongside your history and symptoms, then helps you decide what to do next.
- A plain-language overview of key findings
- Health domains and changes over time
- Priorities to discuss with your clinician
A REAL PERSON IN YOUR CORNER
Meet Stacy Pleasant,
FNP-C.
Personal care starts with a conversation. Stacy is part of the Texas-licensed clinical team helping you understand your findings and navigate your care.
Dedicated telehealth consultations. Thoughtful answers. A plan informed by your individual evaluation.
Meet your clinical teamMedical services are provided through our affiliated physician-owned medical practice.
YOUR STARTING POINT
A clear path into care.
Start by understanding your health. Then discuss the level of ongoing support that makes sense for you.
FIRST, GET YOUR BEARINGS
Precision Diagnostic
Clinician-ordered testing and a dedicated consultation to understand your findings.
- Coordinated lab collection
- Personal review of your results
- A conversation about your next steps
THEN, BUILD ON WHAT YOU LEARN
Executive Reset
$4,00012-week programA structured period of personalized care, with your clinician guiding the plan. Your diagnostic payment is credited in full toward the $4,000 total.
- An individualized care plan
- Secure clinician messaging
- Follow-up to review your progress
Care and prescriptions depend on clinical evaluation. Review current inclusions, eligibility, and refund terms before reserving.
BUILT FROM PERSONAL EXPERIENCE
More room for
the life you love.
Stephen founded 1836 Wellness after his own search for a more complete understanding of his health. That experience shaped a simple belief: people deserve the time and support to understand their next steps.
Stephen MyshakFounder & CEO
What is concierge metabolic medicine?
Here, concierge medicine means coordinated hormone and metabolic care: clinician-led testing, dedicated consultations and secure messaging within your program. It is not 24/7 comprehensive primary care or a full executive physical. Keep your primary care clinician and routine screenings.
Do I need to visit a clinic in Houston?
1836 Wellness provides telehealth care for eligible adults in Texas. Consultations take place online, and at-home blood collection can be arranged. Your care team confirms collection details and availability with you.
Who provides my medical care?
Clinical services are provided through our affiliated physician-owned medical practice by Texas-licensed clinicians. Stacy Pleasant, FNP-C, is part of your clinical team. An optional founder Fit Call is an introductory conversation, not a medical consultation.
How do the diagnostic and Executive Reset fit together?
Care begins with a clinician-ordered Precision Diagnostic and a consultation to review your findings. You can then discuss the 12-week Executive Reset with your care team. Review the current program details and reservation terms before enrolling.
Does a program guarantee a prescription or a particular result?
No. Recommendations depend on your individual evaluation and your treating clinician's judgment. Prescriptions are only considered when clinically appropriate, and results vary from person to person.
What is the first step?
Start with the eligibility questions and reserve your clinician-ordered Precision Diagnostic. Your care team coordinates your blood draw and results consultation before you decide whether to enroll in a treatment program.
What happens during an optional Fit Call?
You can speak with Stephen Myshak about how 1836 Wellness works and whether the service fits what you are looking for. The free 30-minute conversation is optional and does not replace a clinical evaluation. You can also reserve your diagnostic directly.
LET'S START WITH UNDERSTANDING
Your next step
can be a simple one.
Check your eligibility, reserve your diagnostic, and let your care team guide the next conversation.
Review current inclusions and refund terms before reserving.
Lifestyle imagery is illustrative. Clinician and founder portraits show the actual team.