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

Welcome to Your R.E.S.E.T.

Reset your metabolism and finally feel at home in your body again.

Lose those stubborn pounds that showed up during perimenopause (and refuse to leave) using our R.E.S.E.T. GLP‑1 Concierge Plan.

Board-Certified Family Nurse Practitioner

Month-to-Month, No Contracts

Meds Shipped to Your Door

Why Nothing Has Worked. Until Now

You've tried...

Whole 30

Peloton Streaks

Fasting

Macro Tracking

Whole 30

Peleton Streaks

Fasting

Macro Tracking

Much to your dismay.... the scale still creeps up

while your energy slides down. 🤬

Friends (and doctors) shrug and say "Just eat less and move more."

But you’re not asking for miracles.

Just a plan that lets you enjoy the occasional Taco Tuesday (or date‑night margaritas) without the scale staging a revolt.

Here’s the truth. Shifting hormones hijack your metabolism.

It’s not a willpower problem.

It’s a hormone problem.

What you need is a science‑backed partnership where we create the plan together, tailored to your unique body and lifestyle.

MEET the

R.E.S.E.T. Method™

Reveal

Engage

Sync

Extend

Touchpoint

Pinpoints the real culprits instead of guessing.

Meds match your biology for smoother results

Adjust dose, crush plateaus and never left hanging

Locks in results long‑term so weight stays off

Ask anything, anytime. Your safety net day or night

45‑min tele‑visit to uncover metabolic clues & order targeted lab work

Personalized GLP‑1 kick‑start with side‑effect safeguards. Flexible enough for Taco Tuesday

Monthly check in with optional 20‑min Tele‑Titration visit

Maintain & Taper Plan

Unlimited email support (≤ 2‑business‑day reply)

MEET the

R.E.S.E.T. Method™

Reveal

Pinpoints the real culprits instead of guessing.

45‑min tele‑visit to uncover metabolic clues & order targeted lab work

Engage

Meds match your biology for smoother results

Personalized GLP‑1 kick‑start with side‑effect safeguards. Flexible enough for Taco Tuesday

Sync

Adjust dose, crush plateaus and never left hanging

Monthly check in with optional 20‑min Tele‑Titration visit

Extend

Locks in results long‑term so weight stays off

Maintain & Taper Plan

Touchpoint

Ask anything, anytime. Your safety net day or night

Unlimited email support (≤ 2‑business‑day reply)

Ditch the willpower grind.

Leverage GLP‑1 therapy with a practitioner who listens.

What We Do

 Weight management through personalized dosing of

weight management medications with continuous guidance & support.

exclusively via secure tele health for Washington residents

Medication & supplies

shipped to your door (GLP-1s, oral meds)

One 20‑minute video visit

(optional but included. Use it when you need it)

Unlimited email support

with replies within two business days

Food & Symptom Log

review at any visit

Lifestyle add-ons:

optional nutritional support plan

Your plan, your pace

Freedom to cancel or pause anytime

INTRODUCING

Your R.E.S.E.T Options

Semaglutide

  • Receive up to 4 weeks of medication

  • all necessary supplies, shipped directly to your door

  • optional monthly sync visit

  • unlimited email support with Karine

$389/mo

Tirzepatide

  • Receive up to 4 weeks of medication

  • all necessary supplies, shipped directly to your door

  • optional monthly sync visit

  • unlimited email support with Karine

$449/mo

How Do I Know Which One Is Right For Me?

You'll go over your goals and lifestyle and budget with Karine at your Reveal session, and together you will choose the best option. Typically Trizepatide is a popular choice as there tend to be less side effects, but every body is different, and so we create the plan specific

Ready For the next step?

If you're ready to see if a GLP-1 is the next step for you, then schedule our $99 Reveal session to go over your history and goals.

This is fully refundable if we find that medication is not the right choice for you

 Meet Karine Ingraham, ARNP, FNP-C

I’m a board‑certified family nurse practitioner with 11  years of experience in medicine, first as a critical care nurse and now caring for patients of my own. I built Hormone & Health Co. so midlife women (and men) finally get the time and answers they need.

My concierge model pairs judgment‑free coaching with medical tools including labs and medications that fits real life (tacos included). As a mom of two girls, I’m determined to make hormone conversations and healthy lifestyle interventions standard care. Not a whispered afterthought.

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

member, obesity medicine association

Why Choose

Hormone & Health Co.?

The $99 App "Clinic"

  • Upload a selfie, answer five multiple‑choice questions, and an algorithm ships you meds.

  • They promise “live support,” but you never know who’s on the other end and they’re skimming a two‑line note about you.

Cheap? Yes. Personalized?

Not even close.

The R.E.S.E.T Way

  • 1:1 Reveal Call + unlimited follow‑up access.

  • You meet directly with Karine, review comprehensive labs, and get a dosing plan adjusted in real time.

Personalized & not rushed

Seven‑Minute Primary‑Care Visit

  • Upload a selfie, answer five multiple‑choice questions, and an algorithm ships you meds.

  • Lacking time to dig in or knowledge about the options, they fall back on the tired "eat less, move more" script and an outdated pamphlet.

You leave unheard, unsure and frustrated

The R.E.S.E.T Way

  • 20‑Minute optional Monthly Syncs

  • Enough time to tackle plateaus, side‑effects, and real‑life challenges.

Here for you when you need us

Drive-Thru Customer Service

  • Support tickets answered by bots

  • Rotating staff who don't know your story

  • You answer the same questions and feel like each visit starts at the beginning.

Left to try and figure it all out yourself

The R.E.S.E.T Way

  • Direct Line to Karine.

  • Email or portal messages answered by your practitioner (not an assistant) within 2 business days.

What actual support looks like

Bottom line is...

If you’ve been burned by one‑size‑fits‑all apps, discover how true concierge medicine feels. The experience is personal, proactive, and proven.

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

Frequently Asked Questions

Is GLP‑1 therapy safe?

We follow FDA‑approved protocols, start at the lowest effective dose, and monitor labs and side‑effects closely.

Will I gain the weight back when I stop?

Our Extend phase creates a tapered exit strategy + lifestyle routine so results stick.

How long will I need to be on the medication?

Everyone’s journey is different. Most patients remain on therapeutic dosing for 8–12 months before graduating to a taper‑and‑maintain plan that preserves results while easing off the medication.

Do I need a referral or in‑person visit?

No. All appointments are via secure telehealth for clients located anywhere in Washington state.

What if we decide medication isn’t right for me?

Your Reveal Session fee is fully refunded, and we discuss alternate hormone‑balancing options.

Can I cancel anytime?

Yes. There’s no long‑term contract. Simply cancel your membership 5 days before your next supply of medication ships.

Everyone is welcome

Hormone & Health Co. celebrates and serves every gender identity, sexual orientation, body type, and background. While much of our conversation spotlights how shifting hormones impact women during midlife, we also support men, and anyone, seeking a science‑backed alternative to the tired “eat less, move more” refrain. If hormones are holding you back, you belong here, and you’ll receive evidence‑based, judgment‑free care.