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    Menopause Care in Houston: Concierge, Telehealth, Labs at Home

    Review menopause symptoms, treatment choices and ongoing support with a clinician through Texas telehealth. Hormone therapy is one possible option, not an automatic prescription.

    For adults 18–64 physically in Texas during visits. Houston-based telehealth, not a claim of a local walk-in clinic.

    Menopause is the point at which periods have stopped for twelve months, and post-menopause is everything after it. For many women in Houston the symptoms of the transition ease, but the conversation does not end there. Estrogen affects bone, blood vessels, sleep, and metabolism, and after menopause those systems deserve to be measured on purpose rather than assumed to be fine.

    1836 Wellness is a Houston-based telehealth practice. Care begins with an assessment. The Comprehensive Assessment ($995) includes the hormone tests: sensitive estradiol, progesterone, FSH and LH, alongside thyroid, iron, metabolic and cardiovascular markers. The Focused Assessment ($599) covers core metabolic testing. Labs are drawn at your home or office and run by Labcorp, and a Texas-licensed clinician reviews them with you by telehealth under physician supervision.

    What does care include?

    Estradiol and progesterone therapy when prescribed, agreed monitoring, clinician reviews and coordination. Treatment is decided after clinical evaluation.

    A licensed clinician evaluates you and decides on treatment. Medication is prescribed only when clinically appropriate. You receive the exact medication, tests, follow-up schedule and any additional charges in writing before starting.

    What does it cost?

    $399 per month

    Women's hormone therapy is $399 per month after a clinician evaluation. The Comprehensive Assessment ($995) adds hormone, thyroid and cardiovascular tests to core metabolic testing.

    Book an evaluation →

    How your care takes shape

    Bring your symptom history, current treatments and questions about what you want to change. Your clinician explains suitable options and agrees how response and safety will be reviewed.

    1. Understand

    Share your goals, history, symptoms and recent records. Review Labcorp testing with your clinician.

    2. Choose

    Decide on assessment-only or an agreed care plan. Understand the total cost and what is included.

    3. Review and refine

    Compare response and relevant repeat findings at clinician-set checkpoints. Agree on adjustments and your next step.

    Why a standard physical may not be enough after menopause

    A standard annual panel checks a short list of markers against a range built for the general population. After menopause that list misses most of what matters. It does not read the estrogen and progesterone picture. It usually reads one lipid number rather than the particles that carry risk. It rarely measures inflammation, vitamin D, or calcium alongside them, and it almost never reads thyroid, cortisol rhythm, and insulin together with the hormones.

    The symptoms that persist after menopause, such as poor sleep, weight change around the midsection, low energy, joint aches, and brain fog, overlap with thyroid, metabolic, and nutrient causes. Testing them together helps your clinician tell those apart instead of attributing everything to one word.

    Which tests are included, including bone-related and cardiovascular markers

    The Comprehensive Assessment tests CBC, comprehensive metabolic panel, lipid panel, ApoB, Lp(a), iron and TIBC, ferritin, hs-CRP, homocysteine, hemoglobin A1c, fasting insulin, TSH with free T4, free T3, vitamin D, B12 and folate, uric acid, IGF-1, total and free testosterone with SHBG and albumin, sensitive estradiol, DHEA-S, FSH and LH, prolactin, cortisol, plus progesterone for women. After menopause two groups come forward: bone-related markers such as vitamin D and calcium (part of the comprehensive metabolic panel), and cardiovascular markers such as the lipid panel, ApoB, Lp(a) and hs-CRP, read alongside your hormone results. Labcorp runs these tests. Your clinician may add or remove tests based on your history.

    These are inputs to a conversation about long-term risk that your clinician has with you, not a verdict. The point of measuring them at the same time as the hormones is that the systems interact, and the right plan depends on the whole picture rather than on any single number.

    What menopause care at 1836 involves

    1. 1

      Book your assessment and complete a short intake covering history, sleep, symptoms, and goals.

    2. 2

      Labs are drawn at your home or office at a time that fits your calendar, and Labcorp runs the tests.

    3. 3

      A telehealth review of your results with your clinician, who reads your hormone results together with your bone-related, cardiovascular, and metabolic markers.

    4. 4

      A physician-supervised plan. If appropriate, women's hormone therapy with estradiol and progesterone ($399 per month), prescribed only when your clinician decides it is clinically appropriate, plus any thyroid, metabolic, nutrient, or cardiovascular follow-up your results call for.

    5. 5

      Retesting on a schedule set by your clinician, so long-term markers are tracked rather than assumed.

    Who this is for, and why Houston concierge care

    For: women past menopause with persistent sleep disruption, weight change, low energy, joint aches, brain fog, or hot flashes, and women who simply want their bone, cardiovascular, and hormone markers read together by a clinician who has time.

    Not for: medical emergencies or anyone seeking a prescription without testing.

    The same Texas-licensed clinician sees your results every time. Labs are drawn at your home or office instead of a lab queue, and Labcorp runs named tests you can see before you book, not a symptom questionnaire and a starter kit. Your plan is supervised by a physician from the first visit. And you can reach a real person at (832) 291-2414.

    Frequently asked questions

    Do I need to come to an office?

    No. Labs are drawn at your home or office and every visit is telehealth.

    Is menopause care covered by insurance?

    1836 Wellness is a concierge practice and does not bill insurance. Ask us about HSA and FSA options.

    Why are bone and cardiovascular markers part of a menopause panel?

    After menopause the conversation widens from symptoms to long-term risk. The Comprehensive Assessment includes the lipid panel, ApoB, Lp(a), hemoglobin A1c, fasting insulin, hs-CRP, vitamin D and calcium alongside the hormone tests, so your clinician can discuss both. Your clinician may add or remove tests based on your history.

    How quickly are labs drawn?

    Typically within a week of booking, at a time you choose, subject to ZIP-code availability.

    What does it cost?

    Care begins with an assessment: the Focused Assessment is $599 with an at-home blood draw included (founders pay $499 while founder spots remain), and the Comprehensive Assessment, which adds hormone and thyroid tests, is $995. Women's hormone therapy is $399 per month after a clinician evaluation. See all prices on the booking page.

    Book your Focused Assessment

    This page is educational and not a diagnosis. Only a licensed clinician reviewing your labs and history can tell you what your symptoms mean.