Choose lasting
good health.
Licensed clinicians who look at your labs, know your whole story, and build a custom cardiometabolic optimization plan so you can live well.
- One membership at $299/month, with comprehensive labs every 90 days (4 panels/year) included
- Personalized recommendations based on your actual lab results
- Ongoing clinical support from your cardiometabolic clinician
I just reviewed your labs. Your thyroid and cortisol explain a lot. We recommend hormone optimization.
Your hormones are holding up. Looks like you're following the diet and working out hard.
I'm still not losing weight!
Your A1c is 7.8. That's diabetic range. We're adding GLP-1 to your protocol.
A data-driven telehealth platform delivering precision direct primary care for longevity and chronic disease management.
- Type 2 diabetes and prediabetes
- Insulin resistance and a rising A1c
- High ApoB, LDL or triglycerides
- High blood pressure
- Fatty liver
- Chronic fatigue and brain fog
- Weight that will not move, whatever you do
- Labs your doctor called normal
- Weight that comes back after every diet
- A plateau on a GLP-1 you already take
- A dose that keeps climbing
- Muscle loss on the way down
- Side effects nobody is managing
- Compounded vials you do not trust
- Emotional eating and cravings
- A family history you want to get ahead of
- Perimenopause and menopause
- Low testosterone
- A thyroid that is “in range” but not right
- Hot flashes, night sweats, poor sleep
- Low libido, erectile dysfunction and other sexual health changes
- Mood and motivation that changed
- Hair thinning
- Symptoms a doctor dismissed
What exactly do you do and why should it matter to me?
We call ourselves a data-driven telehealth platform delivering precision direct primary care for longevity and chronic disease management. Here is what each of those words gets you.
- Data-Driven Platform
- Your labs, visits, medications and messages, once scattered across offices, now live in one place. Every panel adds to your Health Story, so you can see where you stand and what to work on next.
- Telehealth
- Video visits and messaging from home or wherever you are. No drive, no waiting room, no clipboard, no day lost to a 15-minute visit. Your only trip is a walk-in Quest draw near you, four times a year.
- Precision Direct Primary Care
- A typical primary care visit has no time to dig into your biochemistry. We start there, reading your biomarkers for your exact cardiometabolic picture, then building your protocol (nutrition, exercise and, when indicated, branded GLP‑1 or hormone therapy) and monitoring and adjusting it every 90 days.
- Longevity
- Measuring, predicting and preventing what could kill you over the next 25 years. It is designed into every panel, every plan and the portal where you follow your progress.
- Chronic Disease Management
- Heart disease, stroke, type 2 diabetes and prediabetes, high blood pressure, high cholesterol, obesity, chronic kidney disease and fatty liver disease, caught early and followed every quarter.
- Why It Matters to You
- Longevity clinics commonly charge $10,000 to $50,000 a year for a protocol built around one patient’s biomarkers. Yours is built on your own panel and history, inside $299 a month.
What can you actually help me with?
Cardiometabolic optimization
- Type 2 diabetes and prediabetes
- Insulin resistance and a rising A1c
- High ApoB, LDL or triglycerides
- High blood pressure
- Labs your doctor called normal
Medical weight loss
- Weight that comes back after every diet
- A plateau on a GLP-1 you already take
- A dose that keeps climbing
- Side effects nobody is managing
- Losing the weight, not your muscle
Hormone optimization
- Perimenopause and menopause
- Low testosterone
- A thyroid that is “in range” but not right
- Symptoms a doctor dismissed
- Low libido and other sexual health changes
Clinical trials of these medications show 17–22.5% body weight loss.
In the 68-week SURMOUNT-1 trial of tirzepatide, participants lost an average of 21% (up to 22.5%) of their body weight. In the 68-week STEP-1 trial of semaglutide, participants lost an average of 14.9% (up to 17.4%).*† Both are covered at $299/mo with pharmacy-cost medication routing.
*Tirzepatide Once Weekly for the Treatment of Obesity, NEJM (2022) · †Once-Weekly Semaglutide in Adults with Overweight or Obesity, NEJM (2021)
Lasting good health, on your terms
From month three your membership is month to month. Stay because it is working, and leave with a click if it is not.
Am I eligible?What is Cardiometabolic Optimization?
Cardiometabolic optimization means treating your metabolic, hormonal, and cardiovascular health as one system, because in your body, that is exactly what they are. Comprehensive biomarker panels every 90 days guide branded GLP-1 medical weight loss and hormone optimization, and every prescription is written by a board-certified physician who sees the whole picture. All of it runs through a concierge-style direct primary care membership: evidence-based, clinically guided, and with zero markup on your medicine. It is precision medicine applied to the cardiometabolic system: your labs, your ranges, your protocol, not a template.
Your weight, your hormones, your thyroid, your blood sugar and insulin, your lipids, and your inflammation are one interconnected system, not six separate problems. Yet the market sells fragments of it: risky compounded GLP-1 copies from platforms that never check your labs, unscientific peptide-driven med spa hormone protocols, and eight-minute primary care visits where the doctor says you are fine while you pay extra for labs nobody actually reads. These cheap shortcuts and fragmented fixes harm patients. When one axis of the system is off, it drags the others with it, and no one treating a fragment can see it happening.
Who is the best at cardiometabolic optimization? GoodLife Health identified this category as the biggest problem in American healthcare, and we chose to define our entire business model, platform, and clinical philosophy around taking ownership of it and driving patient health outcomes through it. In practice, that means comprehensive direct primary care built on quarterly Biomarker Audits, with hormone optimization and branded GLP-1 medical weight loss added the moment your labs call for them: one flat $299 monthly fee, and every medication passed through at pharmacy cost. Read the definitive guide to the category.
Go deeper into the category.
Aligned Medicine: How Zero-Markup Healthcare Actually Works
One flat fee for the doctor, zero markup on the medicine, and why most telehealth is built on the opposite economics.
Read the guide →DPC TelehealthBiomarker Audits vs Standard Blood Tests
ApoB, Lp(a), hs-CRP, and full hormone panels every 90 days: the markers your annual physical skips.
Read the guide →Metabolic HealthThe GLP-1 Dose-Escalation Trap: How Telehealth Repricing Works
GLP-1 therapy titrates upward by design, and many platforms price it so your monthly bill titrates up with it.
Read the guide →Hormone OptimizationBioidentical Hormone Therapy at Pharmacy Cost: The Real Numbers
Estradiol from about $34 a month, 90-day refills under $70: what hormone therapy costs when nobody marks it up.
Read the guide →Metabolic HealthBranded GLP-1 Pass-Through Prices: Wegovy, Zepbound, Ozempic, Mounjaro
Every dose of every branded GLP-1 at actual pharmacy pass-through, listed in one place.
Read the guide →Metabolic HealthThe True Monthly Cost of GLP-1 Telehealth: An Honest Comparison
The advertised membership is never the number you pay. An honest all-in comparison, platform by platform.
Read the guide →DPC TelehealthClinician-Owned Healthcare: Why Who Owns Your Doctor Matters
The most important fact about a healthcare company is one almost no patient checks: who owns it.
Read the guide →Metabolic HealthOral GLP-1s: Foundayo and Wegovy Tablets, Explained
The needle is no longer the price of entry: branded, FDA-approved GLP-1 therapy in a daily pill.
Read the guide →One membership. Everything for lasting good health, included.
Every GoodLife Health member gets the same thing: comprehensive cardiometabolic labs, a clinician who reads them personally, and branded FDA-approved medications when clinically indicated. Not a tier ladder. Not an upsell path. What you need is a clinical decision based on what your labs show.
Cardiometabolic Optimization Membership
$299 / month
One flat $299 monthly membership covers the comprehensive cardiometabolic labs and the ongoing clinical care. When medication is the right answer (Wegovy, Zepbound, Mounjaro, Ozempic, or FDA-approved HRT), your clinician prescribes it and the pharmacy bills you at pharmacy cost. No GoodLife Health markup. When medication isn't the right answer, you get a real protocol built for your biology.
- Comprehensive cardiometabolic labs every 90 days (4 panels/year), included
- Clinician orders and interprets your labs personally
- Branded FDA-approved medications at pharmacy cost when clinically indicated: Wegovy, Zepbound, Mounjaro, Ozempic, HRT, thyroid
- Same flat fee whether the answer is a GLP-1, hormones, thyroid, or a lifestyle protocol, no molecule upcharge
- Monthly clinician check-ins, unlimited chat with your team
- Two-month commitment to start. Cancel anytime after.
$598 held today for your first two months, charged only once you are accepted. Cancel anytime after.
Four cardiometabolic lab panels a year, included
- HeartLipid panelTotal cholesterol, LDL, HDL and triglycerides
- HeartApolipoprotein B (ApoB)The count of particles that carry cholesterol into artery walls
- HeartLipoprotein(a)Inherited cardiovascular risk that diet and exercise do not change
- Inflammationhs-CRPLow-grade inflammation linked to heart disease
- Blood sugarHemoglobin A1cAverage blood sugar over the past three months
- InsulinFasting insulinHow hard your body works to keep glucose in range
- ThyroidTSH with reflex to free T4Thyroid function, with free T4 added when TSH is out of range
- Kidney and liverComprehensive metabolic panelGlucose, kidney and liver function, electrolytes and proteins
- BloodComplete blood countRed and white blood cells, hemoglobin and platelets, with differential
Nine tests in every panel, drawn at your local Quest and fully paid through your $299 membership.
Cardiometabolic disease is the largest untreated chronic condition in American adults.
The reason a $299 cardiometabolic membership is priced where it is (above transactional GLP-1 platforms, well below concierge) is the scale and the complexity of the disease it is designed to treat. A single-molecule prescription is not the answer for a population where the underlying condition is multi-system by definition.
of American adults meet the clinical criteria for metabolic syndrome: abdominal weight that won't shift, insulin resistance building in the background, cholesterol drifting, blood pressure creeping. Nearly 4 in 10 people you know are carrying the same picture. Most of them have been told the labs are fine.
Trends and Prevalence of the Metabolic Syndrome Among US Adults, JAMA, December 2025
American adults living with the same underlying picture, undiagnosed at the protocol level. An 8-minute insurance appointment isn't enough to see the pattern, let alone treat it, which is why so many people leave their doctor feeling like something is wrong and no one will name it.
of adults with obesity are also managing insulin resistance, blood pressure, or cholesterol at the same time. This is the picture a single GLP-1 prescription can't resolve on its own, and why treating any one piece in isolation rarely holds.
The way out of this picture is a clinician who runs the right labs, reads them personally, and treats hormones, thyroid, insulin, lipids, inflammation, and weight as one connected system, because that's what they are. That's the work your $299 monthly membership pays for. It's the care you should have gotten from your last doctor.
What is the platform and what do I do with it?
Three steps, all from home
Your medical history, your identity and a walk-in draw at a Quest location near you. The portal shows you what is next and nothing else.
Every marker, every quarter
Your panel lands in your portal with where each number sits against its target and which way it moved since last time.
Cassandra, on your side
Ask Cassandra about any result, day or night. She explains what a marker like your HbA1c means and how it moved, then hands you the exact question to bring to your clinician. Education, never a diagnosis.
Your care team, in writing
Message your care team from anywhere. Non-urgent questions are answered within 24 hours, urgent ones the same day.
Your prescriptions, your pharmacy
Every prescription goes straight to the pharmacy you choose, and you pay the pharmacy directly, for pickup or delivery. Branded FDA-approved medication only, when the evidence says it is indicated. No compounded GLP-1s, no peptides, and we make nothing on any of it.
The meaning behind your numbers
Cassandra draws your visits, care notes, labs and protocol into one Health Story you can come back to, so nothing starts over from scratch.
Illustrative screens from the GoodLife Health portal, shown with a demo patient.
Begin within
a few minutes
From questionnaire to first conversation in the same week. Every step happens online, in your time, with a real licensed clinician on the other side.
Am I eligible?Fill out the medical questionnaire
Answer a few clinical questions about your health, history, and goals. Takes around 4 minutes. We use this to determine eligibility and prepare your clinical team for your first conversation.
What is your current weight?
Schedule your intake
If you are clinically eligible, you will be invited to schedule a video intake with your assigned clinician within the same week. Your clinician reviews your questionnaire and orders the labs your protocol needs; your comprehensive panel every 90 days is included in the membership, fulfilled through our partner lab network. Any additional labs are billed to you at pass-through cost.
Get your clinical recommendation
Your labs come back within a week. Your clinician reviews them carefully and explains exactly what they see. From there, you receive a personalized protocol that may include hormone optimization, GLP-1, or both, based on what your biology actually shows.
Start your treatment
When your clinician prescribes, the prescription routes direct to the pharmacy: a licensed pharmacy for your hormone therapy, or LillyDirect, NovoCare, or your insurance for branded GLP-1. The pharmacy ships to your door and bills you directly. GoodLife never touches medication or takes pharmacy margin. Your clinical team is one tap away if anything comes up.
Live your best life
The same clinical team. Every month. Every year. Your protocol evolves with you as your labs change, your goals change, your life changes. The longer you stay, the better your care gets.
What changes when someone actually looks at your labs
Jason
"Dr. Kristin is an exceptional family doctor who truly cares for her patients. She takes the time to listen, explains everything clearly, and always makes me feel comfortable and supported. Her compassion, professionalism, and dedication are unmatched. I feel grateful to have her as my doctor and highly recommend her to anyone looking for excellent care."
Sarah
"I had an excellent experience with Dr. Kristin. … Dr. Kristin and the entire staff are knowledgeable, compassionate, and take the time to ensure patients feel heard and cared for. I highly recommend Dr. Kristin."
Wade
"… Kristin is great — she's caring, professional, and really takes the time to listen."
Richard R.
"Kristin helped me greatly get my life back on track and control of my weight loss journey."
The relationship is the medicine
"I finally feel like I have a real doctor again."
After years of having a PCP who was attentive and truly knew me, he retired. … What a relief to find Dr. K and her team. They actually get to know you. They are attentive, thorough, and genuinely care. I finally feel like I have a real doctor again. Thank you!
"Dr. K really listened to my concerns."
Dr. K was amazing, she really listened to my concerns and gave me the knowledge I needed and was so caring. So happy I found an amazing provider.
"An exceptional family doctor who truly cares."
Dr. Kristin is an exceptional family doctor who truly cares for her patients. She takes the time to listen, explains everything clearly, and always makes me feel comfortable and supported. Her compassion, professionalism, and dedication are unmatched. I feel grateful to have her as my doctor and highly recommend her to anyone looking for excellent care.
"Kristin helped me get my life back."
Kristin helped me greatly get my life back on track and control of my weight loss journey.
One flat fee for the doctor. Zero markup on the medicine.
We make money when you get healthier, not when your dose gets stronger.
One membership. Everything for lasting good health, included.
Every member gets a clinician who orders and reads the right labs, and branded FDA-approved medications when clinically indicated, for one flat monthly fee. AI-powered, clinician-led, built around you.
Labs included · Medications at pharmacy cost
Two-month commitment to start · $598 held today, not charged, then $299/month. Cancel anytime after.
Am I eligible?- Comprehensive labs every 90 daysHormones, thyroid, insulin, lipids, inflammation. 4 panels a year, included.
- AI-assisted, clinician-decidedOur intelligence surfaces every signal in your labs; a board-certified clinician makes every decision.
- Monthly check-ins, unlimited messagingFirst visit is always synchronous; ongoing care on your schedule.
- Branded medications at pharmacy costWegovy, Zepbound, Mounjaro, Ozempic, HRT, thyroid. No markup, ever.
- One flat fee, whatever is prescribedNo molecule upcharge. No dose upcharge. The $299 never moves.
Five steps from "what's wrong with me" to actually living your best life.
What members truly value is time with a clinician who knows them. Someone who actually reads their labs, listens to what they say, and has the training to make sense of both.
- 1
Eligibility & medical questionnaire
5 minutes. We screen for safety and clinical fit before payment.
- 2
Membership activation
One membership, one flat fee. $598 covers your first two months, then $299 a month, month to month.
- 3
Telehealth consult with your clinician
You meet your clinician. They learn your history, your goals, your symptoms, and order the right labs for you.
- 4
Your labs
Fulfilled through our partner lab network. Your comprehensive panel every 90 days is included in the membership. Hormones, thyroid, metabolic, lipid, inflammation. Read carefully by your clinician, who designs your protocol around what they show.
- 5
Ongoing care
Monthly nurse check-ins, quarterly clinical re-evaluations, e-prescribing direct to your pharmacy, 24/7 chat with the clinical team.
Today's check-in
Meet the team behind your care.
GoodLife Health is clinician-owned and provides care in all 50 states.
Dr. Kristin Makinajyan, FNP, DNP
Kim Fahle, FNP
Family Nurse Practitioner
Kim Endean, RN
Registered Nurse
Makayla Stepnowski, LVN
Licensed Vocational Nurse
We are partnered with Beluga Health, whose board-certified physicians share our clinical protocols and carry our care to all 50 states.
Direct answers from your clinical team
- One flat $299/month Cardiometabolic Optimization Membership covers your comprehensive cardiometabolic lab panel every 90 days (4 panels per year; additional labs are billed separately by the lab), ongoing access to your clinician and the broader clinical team, monthly clinical check-ins, your protocol, and 24/7 secure messaging. When medication is clinically indicated, whether branded GLP-1 (Wegovy, Zepbound, Mounjaro, Ozempic), FDA-approved HRT, thyroid, or a cardiometabolic protocol, the prescription routes to the pharmacy and the pharmacy bills you at pharmacy cost. GoodLife Health takes no pharmacy margin.
- No. The $299/month Cardiometabolic Optimization Membership is the same regardless of which branded medication your clinician determines is right for your biology: Wegovy (semaglutide), Zepbound (tirzepatide), Mounjaro, or Ozempic. The clinical work is the same: comprehensive labs every 90 days (included, 4 panels/year), contraindication screening, dose titration, side-effect management, ongoing monitoring. Other platforms upcharge by hundreds of dollars for tirzepatide. We don't, because charging more for a different molecule penalizes biology.
- Those platforms sell prescriptions through anonymous providers. We sell access to a named, licensed clinician who knows your labs, your history, and your goals. Hormones and GLP-1 weight loss protocols are recommended within that relationship, never advertised in isolation.
- Yes. Membership begins with a two-month commitment (the time it takes to build your baseline) and runs month-to-month from there with no long-term contract. Cancel anytime from month three onward and billing stops at the next cycle.
- GoodLife Health serves all 50 U.S. states. We are partnered with Beluga Health, whose board-certified physicians share our clinical protocols and carry our care to all 50 states. The eligibility check confirms availability in your state.
- No, and that's intentional. Insurance is the reason your previous clinician had 8 minutes for you. Direct Primary Care means you pay the clinician directly, the clinician works for you, and the relationship is the product. Many members pay with HSA/FSA dollars.
Notes on lasting good health
Why "normal" labs are usually wrong for women over 40
The reference ranges most GPs use were built on a population that included sick people. Optimal isn't normal.
GLP-1 alone is weight management, not weight loss.
Why hormones, sleep, and muscle preservation matter more than the dose.
The European model arrives in America
What unhurried medicine actually looks like, and why it took an AI-native platform to make it scale.
