Choose lasting
good health.
Licensed clinicians who look at your labs, know your whole story, and build a custom medical weight loss plan so you can live well.
- One membership at $299/month — 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.
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 or your first month back
If after your first month you feel GoodLife Health isn't right for you, we'll refund your membership in full. No questions asked.
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 not six separate problems. They are one interconnected system. 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 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 billed today for your first two months. Cancel anytime after.
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.
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. The clinic is exceptionally clean and well-maintained, with a calm and welcoming environment. 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
"What I really like about this clinic is that, unlike most other places, they offer primary care along with the aesthetic side. Kristin is great — she's caring, professional, and really takes the time to listen. It feels good knowing I can come here for my regular health and wellness needs and be treated with genuine compassion."
Raul
"Dr. Kristin took the time to understand my concerns and helped me find the best treatment for my hair. The results have been incredible — it's truly been a life-changing experience. Not only is the team incredibly professional, they also helped me regain a sense of confidence and empowerment I haven't felt in years."
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. Since moving to Tucson I've struggled — every time I establish a relationship with a PCP, they change offices. And when I do get seen, I feel more like something on a conveyor belt than a patient. 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."
I just had my appointment last week, and it was the most wonderful experience. 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. The staff was so awesome! Shout out to Kelly and Alvia for being kind and amazing! You guys rock!
"The best of the best doctor."
I needed a new PC physician. Her practice welcomed me in immediately. They ordered a complete blood work up before the visit, something my previous physician failed to do for years.
Then I met NP Kristin Makinajyan! Oh my gosh!! She listened, I mean really listened to me as the physical began. She addressed every one of my concerns and added a few from the results of the blood tests.
She went through my lengthy list of medications and tweaked them, schooled me, and left me feeling as though I had seen the best of the best doctor.
I feel so relieved and comfortable having visited NP Makinajyan and her team. Every one I met made me confident that my health was their number one professional goal!!
"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 today, 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.
Dr. Kristin Makinajyan, FNP, DNP
Medical Director · AZ, CA
Kim Fahle, FNP
Family Nurse Practitioner
Kim Endean, RN
Registered Nurse
Makayla Stepnowski, LVN
Licensed Vocational Nurse
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 — 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 is month-to-month with no contract. Your first month is fully refundable if GoodLife Health isn't the right fit.
- GoodLife Health serves all 50 U.S. states. Our clinicians practice independently in Arizona and California, with the remaining states served through collaborating physician partnerships. 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 not weight loss. It's weight management.
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.
