Tired All the Time? Let's Find Out Why.

Two reasons. First, standard primary care panels typically test for disease, not dysfunction — so a result can fall within the "normal" reference range while still being far from optimal for how you feel. Second, most standard panels don't include the markers that actually matter for fatigue: ferritin, free T3, reverse T3, fasting insulin, methylmalonic acid, 4-point cortisol, inflammatory markers. We run the panel that would actually answer the question.

No. Defiance Health is direct-access — you can book with us directly without a referral. Many patients continue seeing their primary care doctor for general health needs while working with us for the specialized hormone, thyroid, and fatigue workup.

Pricing depends on the depth of testing your situation calls for. A basic hormone-and-thyroid workup starts at a few hundred dollars; a comprehensive workup with expanded testing (cortisol patterns, advanced thyroid antibodies, inflammatory markers) costs more. We'll outline the expected cost during your consultation before any labs are ordered, so you can decide what makes sense. HSA/FSA cards are accepted and we provide superbills for out-of-network insurance reimbursement.

It depends on the root cause. Iron deficiency and vitamin D deficiency often produce noticeable improvement within 2-4 weeks of treatment. Thyroid replacement takes 6-8 weeks to fully dial in. Hormone optimization (TRT or BHRT) typically shows early improvements within 2-4 weeks and full effects by 3 months. Multi-factorial cases take longer because we fix one thing at a time and verify with lab rechecks.

Our workup is designed to identify serious conditions that need specialist referral — autoimmune disease, sleep apnea, undiagnosed diabetes, anemia with an underlying cause, thyroid cancer markers, and others. If we find something outside our scope, we refer you to the right specialist with your full labs and workup in hand. We're not trying to be everything to everyone — we're trying to find the answer.

Yes for patients in Colorado, Arizona, California, and Washington. We can conduct the intake, order labs at a nearby Quest or LabCorp location, review results, and manage treatment entirely virtually. Some treatment options (like IV therapy or in-office injections) require an in-person visit, but the evaluation itself can be done from anywhere in our service states.

Not necessarily. Nutrient deficiencies are correctable — once iron, B12, or vitamin D are restored and dietary sources are optimized, many patients can stop supplementing or taper. Hormone optimization is usually ongoing because the underlying decline is age-related. Thyroid replacement is typically lifelong when there's a true deficit. Your treatment plan depends on the cause, not a blanket policy.

Defiance Health is direct-pay and doesn't bill insurance. However, we provide detailed superbills that you can submit to your insurance for potential out-of-network reimbursement — many patients get partial or full reimbursement for labs and consultations. HSA and FSA cards are accepted. CareCredit and Cherry financing are available for larger treatment plans.

Fair question — it's a legitimate concern in this space. Our providers are WorldLink-certified in hormone medicine, and our practice runs on licensed medical clinicians using evidence-based treatments. We don't sell proprietary supplements, and we don't push expensive interventions you don't need. If your fatigue is from vitamin D deficiency and 4 weeks of D3 fixes it, that's the answer — no protocol to upsell. Our goal is finding the cause and treating it appropriately.

Book a consultation. The first visit is a deep intake conversation — we go through your symptoms, timeline, history, and any prior labs. At the end, we design a testing plan tailored to your situation and clearly explain the expected cost. Nothing moves forward without your decision. Book online or call (719) 480-2400.