Currently only accepting clients for our GLP-1 weight management program. Serving clients in Washington state.

It's Time To Feel Like You Again

Manage the Weight, Balance Your Hormones, Reclaim Your Confidence

Washington-based Tele health care that pairs breakthrough GLP-1 therapy

with attentive, tailored to you support.

Board-Certified Family Nurse Practitioner

Month-to-Month, No Contracts

Meds Shipped to Your Door

Why Everything You’ve Tried Isn’t Working

And yet, every doctors visit shares the same tired message....

“Work out more, eat less.” 🙄

If only it were that simple.

The reality is....

shifting hormones in your late 30s and 40s can sabotage even perfect macros and marathon Peloton streaks.

Hormone roller-coaster = stalled metabolism

One-size-fits-all weight loss apps = side-effects, rebounds

7-minute doctor visits = zero real answers

🧐

😟

🤬

You deserve medical care that treats causes.

Not just symptoms.

Our Signature Service

R.E.S.E.T. GLP-1 Concierge Plan

Labs

Meds

1:1 Support

What We Do

 Weight management through personalized dosing of

weight management medications with continuous guidance & support.

exclusively via secure tele health for Washington residents

Real Lab Data

We start with hormone & metabolic labs so your plan is tailored to you.

Unlimited Access, Human Answers

Email replies in 2 business days plus an optional monthly video check-in.

Holistic Maintenance

Guidance on tapering, lifestyle, and mindset so results stick after the meds.

complete clarity

Flat monthly pricing; cancel anytime

 Meet Karine Ingraham, ARNP, FNP-C

 Hi I'm Karine. I've spent 10+ years helping patients feel seen and heard in a health care system where you sometimes feel like a cog in a machine. Wanting to help you find resources that work for your body as it is today is why I founded Hormone & Health Co.

I'm here to provide the depth of care missing from rushed medical appointments and practitioners who overlook the impact of your weight and your hormones on your daily life.

Family Medicine Nurse Practitioner Board Certification – AANP
Member, North American Menopause Society

member, obesity medicine association

Learn More About Karine

Results Our Clients Can Feel

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Zahra Butt

It's so nice to finally feel heard by a practitioner. Karine always listens and we've come up a with a strategy that makes me excited about the future of my body, instead of confused and overwhelmed.

B.E

How do I know if I’m a good candidate for weight management?

GLP-1 medications might be right for you if you’re struggling with weight gain, feel hungry often, or have trouble losing weight despite trying.  I’ll talk with you during a telehealth visit about your health, weight goals, and any medical conditions. We may do blood tests to check things like your blood sugar and hormones. If you have struggled with weight your whole life or it has slowly become a problem, GLP-1s could help.

When will I start to see results?

With GLP-1 medications, you may start feeling less hungry within a few days to a week. Weight loss often begins within 2–4 weeks, with more noticeable results in 2–3 months as we work together. As your provider, I’ll guide you through pairing the medication with simple lifestyle changes to help you see steady progress. Everyone’s body is different, so we will check in regularly to ensure you’re on track for your goals!

Do you help with hormone therapy too?

Short answer: Coming soon!

Right now, my practice is laser-focused on evidence-based weight-management (GLP-1 medications paired with lifestyle coaching). As we grow, we will be adding a dedicated hormone therapy option as well.

While hormone-replacement therapy isn’t on the menu today, your hormones are always part of the conversation. Bring your questions to the Reveal Call and we’ll make a plan that supports your whole health journey for now and in the seasons ahead.