Midlife feels different. Your healthcare should too.
The Refine Method is a personalized telehealth consultation for hormone therapy, metabolic health, longevity medicine, neuro wellness, and whole-body midlife optimization.
60-minute private consultation • California telehealth • Board-certified provider care
This isn’t a rushed appointment
The Refine Method™
You will meet directly with Dannielle Crouch, FNP-BC for a comprehensive 60-minute private medical consultation designed to deeply understand your symptoms, medical history, and goals.
This is not a delegated intake or a quick prescription visit.
Together, we assess the interconnected changes affecting midlife health — including hormones, metabolism, sleep, cognition, mood, inflammation, body composition, libido, and long-term wellness.
Patterns are identified.
Physiology is explained.
A personalized strategy is created.
What we assess
A Comprehensive Analysis and Lab Strategy
Perimenopause & menopause symptoms
Thyroid function
Metabolic health & insulin resistance
Brain fog & cognitive shifts
Mood, anxiety & stress physiology
Cardiovascular & longevity health
Hormone imbalance & optimization
Iron & ferritin optimization
Weight changes & body composition
Sleep disruption & fatigue
Libido & sexual wellness
Nervous system & neuro wellness
REFINERY RX
Comprehensive care that evolves with you
TAILORED TO YOU
Your Care Plan May Include
Hormone Therapy
Evidence-based hormone replacement therapy tailored to your physiology and symptoms.
Metabolic Support
Weight optimization, insulin resistance support, muscle preservation, and metabolic health strategies.
Longevity & Lifestyle Medicine
Sleep, stress physiology, inflammation reduction, nervous system regulation, movement, and prevention-focused wellness.
Targeted Supplementation
Strategic, evidence-based supplement guidance personalized to your labs and goals.
Prescription Support
When clinically appropriate, treatment plans may include prescription medications for hormone optimization, metabolic support, sexual wellness, sleep, or longevity-focused care.
TAILORED TO YOU
Consultation Investment
The Refine Method™: Initial Consultation
$300
A comprehensive, whole-body evaluation designed to uncover the root causes of your symptoms—not simply treat them. Together, we’ll create a personalized roadmap to optimize your hormones, metabolism, thyroid, longevity, and overall well-being.
Labs, medications and supplments are billed separately.
Follow-Up Visits
$150
Your follow-up visits allow us to review your progress, monitor your response to treatment, interpret laboratory results, and thoughtfully refine your plan as your body changes. Most patients are seen at 1 month, 3 months, and then at intervals tailored to their goals for long-term success.
Labs, medications, and supplements are billed separately.
Weight Optimization Program
$399/month
Personalized medical weight management with ongoing follow-up care, treatment optimization, and expert guidance to help you achieve lasting results.
PROGRAM INCLUDES:
- Monthly follow-up visits
- Prescription weight loss medication included
- Treatment adjustments
- Secure messaging support
- Nutrition & lifestyle guidance
- Progress monitoring
- Accountability & ongoing support
Prescription weight loss medication is included as part of your monthly program fee.
Labs are billed separately.