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.

No, enrollment in a personalized wellness program is recommended, but not required.

Following your Initial Comprehensive Consultation, we’ll review your symptoms, labs, and goals and recommend the level of support that makes the most sense for you.

Some patients prefer a structured wellness program for more comprehensive guidance, accountability, ongoing optimization, and coordinated care. Others prefer to schedule follow-up visits as needed for medication management, lab review, hormone support, or wellness check-ins.

Our goal is to provide personalized care that feels supportive, flexible, and aligned with your health goals.

Patients seeking more comprehensive support and long-term results often benefit most from structured care programs.

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 and may include follow-up visits, memberships, medication management, or structured wellness programs. Follow-up visits start at $125, memberships start at $199/month, and wellness programs start at $1,297.

We understand that investing in your health is a significant decision. Flexible payment options may be available for eligible wellness programs, including monthly payment plans and third-party financing options.

We'll review all costs and available payment options with you before beginning any recommended program or treatment plan.