That's completely normal. Whether you're interested in weight loss, hormones, thyroid health, gut health, or simply don't feel like yourself, we'll help guide you toward the best starting point based on your symptoms and goals.

You’re not alone, many patients come to us feeling frustrated after being told their labs are “normal” despite still experiencing fatigue, hormone symptoms, weight changes, bloating, poor sleep, low libido, brain fog, or simply not feeling like themselves.

At Care By Alex, we take a more thoughtful, personalized approach rooted in functional and integrative medicine. While conventional medicine often focuses on identifying disease using broad laboratory reference ranges, functional and integrative medicine looks at patterns, symptoms, lifestyle factors, and more personalized “optimal” ranges to better understand how your body may be functioning before a problem becomes more advanced.

That doesn’t mean conventional lab ranges are wrong, they are important and help identify significant medical concerns. However, many patients may still experience symptoms even when results fall within a standard range. We take time to look at the full picture, including your symptoms, health history, hormones, metabolism, thyroid function, gut health, nutrition, inflammation, and lifestyle factors to better understand what may be contributing to how you feel.

Our goal isn’t simply to review numbers, it’s to help connect the dots and create a personalized plan designed around your body and goals.

Yes. When clinically appropriate, treatment plans may include prescription therapies such as hormone replacement therapy, testosterone optimization, thyroid medications, or GLP-1 medications. We also incorporate lifestyle, nutrition, and supplement recommendations when appropriate. We’re licensed to prescribe in IA, CA, CO, FL, TX, OR, WA, and VT.

Lab recommendations vary depending on your concerns and goals. Our Hormone & Wellness Deep Dive includes a foundational lab panel, while other consultations may involve personalized lab recommendations ordered separately. We'll discuss all testing recommendations and costs before moving forward.

We currently provide virtual care across select states (IA, CA, CO, FL, OR, TX, WA, and VT) and in-person care in Sugar Land, Texas.

Yes. We offer secure telehealth visits for patients in eligible states, as well as limited in-person services in the Houston area.

After your consultation, we'll review your findings and recommend the next steps that best fit your needs. Depending on your goals and clinical picture, this may include prescription treatment, hormone or thyroid management, weight and metabolic support, nutrition or supplement recommendations, additional testing, or follow-up care. You’ll have a clear understanding of your options before deciding how you'd like to move forward.

Care By Alex is a self-pay practice. This allows for longer visits, a more personalized experience, and care that is tailored to your individual needs rather than insurance limitations.

Ongoing care is personalized based on your needs and treatment plan. Some patients may benefit from periodic follow-up visits, while others may require more frequent monitoring during treatment. Any recommended services and associated costs will be discussed with you before moving forward.