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

Hormone Replacement Therapy

Services Coming Soon

What We Do

 Weight management through personalized dosing of

weight management medications with continuous guidance & support.

exclusively via secure tele health for Washington residents

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)

 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

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