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Evaluation
We help identify the factors contributing to your symptoms and build a plan that fits your life.
At Alpenaura Holistic Health in Bend, Oregon, we offer personalized metabolic health and medical weight loss support for patients who want a thoughtful, sustainable approach. Whether you are navigating weight gain, insulin resistance, PCOS, perimenopause, thyroid concerns, or changes in body composition, we help identify the factors contributing to your symptoms and build a plan that fits your life.Our medical weight loss care is not limited to GLP-1 medications. While GLP-1s can be an effective tool for some patients, we also explore lifestyle foundations, hormone and thyroid optimization, supplements, and other pharmaceutical interventions depending on the patient's history, goals, risks, and clinical needs.
Sustainable metabolic health starts with understanding your body. We offer individualized support around nutrition, movement, sleep, stress, blood sugar balance, and lifestyle habits without shame, crash dieting, or unrealistic expectations.Nutrition and protein guidance, blood sugar and insulin resistance education, strength training and movement support, sleep optimization, stress and nervous system support, supplement recommendations when appropriate, lab evaluation and tracking, support for active Central Oregon lifestyles.
Weight changes are often more complex than “eat less and move more.” Hormonal shifts, thyroid dysfunction, PCOS, insulin resistance, perimenopause, menopause, medications, poor sleep, chronic stress, and under-fueling can all affect metabolism.Thyroid function, insulin resistance, PMOS, perimenopause and menopause changes, cortisol and stress patterns, sleep quality, nutrition adequacy, muscle mass and strength, inflammation and cardiometabolic risk factors.
For some patients, medical weight loss tools such as GLP-1 medications may be appropriate as part of a comprehensive metabolic health plan. These medications can support appetite regulation, blood sugar balance, insulin resistance, and weight loss when used thoughtfully and monitored appropriately.Depending on the patient, we may discuss other prescription interventions, medication adjustments, insulin resistance support, thyroid optimization, PCOS treatment strategies, and adjunctive therapies that support sustainable metabolic health.Metabolic lab evaluation, risk and medication review, GLP-1 medication counseling when appropriate, discussion of non-GLP pharmaceutical options when appropriate, nutrition support to preserve muscle mass, protein and strength-training guidance, side effect management, long-term maintenance planning, support for sustainable, realistic outcomes.
We help identify the factors contributing to your symptoms and build a plan that fits your life.
We offer individualized support around nutrition, movement, sleep, stress, blood sugar balance, and lifestyle habits without shame, crash dieting, or unrealistic expectations.
Hormonal shifts, thyroid dysfunction, PCOS, insulin resistance, perimenopause, menopause, medications, poor sleep, chronic stress, and under-fueling can all affect metabolism.
While GLP-1s can be an effective tool for some patients, we also explore lifestyle foundations, hormone and thyroid optimization, supplements, and other pharmaceutical interventions depending on the patient's history, goals, risks, and clinical needs.
We understand that choosing a procedure is a deeply personal decision. Here are answers to some of the most common questions about treatment, recovery, results, and the overall Alpenaura experience.
No. GLP-1 medications are one possible tool, but our approach includes lifestyle counseling, nutrition support, hormone and thyroid evaluation, PMOS and insulin resistance care, supplements when appropriate, and other pharmaceutical interventions depending on the patient.
Yes. PMOS and insulin resistance are common drivers of weight changes, cycle irregularity, acne, hair growth, fertility challenges, and energy fluctuations. We evaluate the broader metabolic and hormonal picture to guide care.
Yes. We emphasize protein intake, strength training, metabolic labs, symptom monitoring, and long-term maintenance, especially when medications are used for weight loss.
Explore simple medication support or a more guided membership with monthly check-ins, provider visits, supplies, and included labs on select tiers.
Best for patients who want medication access and pharmacy coordination with visits/labs handled separately.
Best for patients who want structure, accountability, supplies, labs on select tiers, and follow-up built in.
| Pathway | Semaglutide | Tirzepatide | Best Fit |
|---|---|---|---|
| Basic GLP Support | $225-$325/mo | $275-$499/mo | Lower-touch support; visits and labs handled separately. |
| Comprehensive Reset | $325-$475/mo | $375-$625/mo | More structure: supplies, monthly MA check-ins, quarterly provider visits, labs on Standard/Advanced tiers. |
Comprehensive Standard and Advanced Reset memberships include an Expanded Metabolic Panel at initiation and a Basic Weight Loss Safety Panel at 6 months; both annually thereafter. Microdose Reset and Basic GLP Support patients may choose cash-pay labs a la carte, if they opt out of billing through insurance.
Medication is prescribed only when clinically appropriate.
Titration is based on tolerability, goals, and response.
Standard/Advanced Reset tiers include baseline and 6-month labs.
Monthly check-ins help you stay supported between visits.
| Start-Up | Commitment | Good To Know |
|---|---|---|
| $149 one-time enrollment/setup fee | 3-month initial commitment for medication-inclusive plans | Medication is not guaranteed. Eligibility, medication choice, and dose are determined after clinical review. |
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