Member Hub
Care that fits into your life.
Many questions, refills, and treatment check-ins can happen between visits — without taking time off work, sitting in traffic, or waiting for another appointment. When a visit is helpful or needed, you can schedule one.
Message my provider
Log in → tap Messages → select Crystal Burke → Create New Message. (Setup forms may show first — skip past them.)
Open portal → Running low on medicationRequest a refill
Same medication/dose → refill form (7+ days before you run out). Think it needs adjusting? Complete the tracker first instead.
Refill request → Not sure it's workingCheck my progress
Your plan can be reviewed and adjusted between visits — no need to wait for your next appointment.
Fill out the tracker → get a written summary of recommendations within 5 business days. Have a specific concern? Message your provider instead — we'll respond within 24–48 business hours with the appropriate next step.
Open tracker → Want to talk it throughBook a visit
Not for testosterone — use the testosterone booking banner above for that. Tracker check-in comes first — so we walk in already knowing your data.
Book a visit →🚨 In an emergency, don't wait for us — messages aren't monitored in real time. ▾
Browse your care
Find your section.
Treatment & medications
How your plan works, and how to use what you're taking.
Testosterone
Starting, continuing, and what it does beyond libido.
Weight care
GLP-1 support, when it's clinically appropriate.
Labs & screenings
Cash-pay vs. insurance labs, and preventive screening.
Pharmacy
Price, stock, backorders, and switching pharmacies.
Membership & support
Billing, records, communication, and FAQ.
New here? Start with these three. Everything you need for your first few weeks. ▾
How Care Works
Care doesn't have to wait for your next appointment.
What a typical interaction looks like, start to finish, when you message us through the portal.
Our care is built around your schedule. Instead of requiring an appointment every time you have a question, need a refill, or want us to check your progress, many routine check-ins can happen between visits through your symptom tracker and secure messaging.
Your plan can be reviewed and adjusted between visits — you don't have to wait for your next appointment just to tell us how you're doing. Complete the tracker for a routine progress review and you'll receive a written summary of recommendations within 5 business days. If you have a specific problem or question, message your provider directly and we'll respond within 24–48 business hours with the appropriate next step.
That means less time away from work, less driving and waiting, and more frequent opportunities for us to see how you're actually doing. When you'd rather talk things through, you can schedule a video visit. And when something needs a hands-on exam or in-person evaluation, we'll let you know and help coordinate the right next step. For anything urgent or an emergency, please use urgent care or the ER.
Understanding Your Treatment
This is a process, not a one-time fix.
Hormone care works by starting, settling, and adjusting over time.
What improves when — and the benefits you won't feel
The honest timeline for estrogen: which symptoms respond in weeks, which take months, and where you likely are right now (enter your dose-change date and it tells you). Plus the long-term heart, bone, brain, and metabolic benefits, in plain language.
On testosterone, or on both? This guide is estrogen-specific — your symptom tracker tracks each medication's progress separately and is the more accurate read on how you're doing.
Read the guide →Where to find your plan
Starting 8/10/26, all treatment plans will be texted to you as a private, secure link you can view anytime. To open it, confirm your last name and date of birth, then enter a one-time code we text you.
Keep that link — your plan lives there. Just starting? Read the instructions in that first plan message carefully before doing anything else — it's your starting point for how to use your medication and what to expect. For questions about your plan, message your provider in the portal.
Message your provider in the portal →Finding your dose
Your starting dose is a starting point, not a verdict. Why we start conservative, why adjusting is the plan, and why feeling fully like yourself takes three to six months.
Read the guide →Estrogen & testosterone: the in-depth guides
~25-minute member guides covering what each hormone does, the honest safety picture, timing, and what to expect.
The full education library
Every guide in one place — foundational explainers and a guide for each symptom.
Open the library →Communication
Use the right channel.
The right channel gets your message to the right person — and you get a faster response.
Why did I get a text or email from this number? ▾
Prescriptions
Refills, done without delays.
One decision, every time
- Need your same medication/dose? → Refill form, at least 7 days before you run out.
- Think your treatment needs adjusting? → Complete the tracker first. We can often review and adjust your plan between visits, and you'll receive a written summary of recommendations within 5 business days.
- Have a specific problem or concern? → Message your provider directly — we'll respond within 24–48 business hours with the appropriate next step.
- Keep your preferred pharmacy updated in the portal.
Common refill problems
- Pharmacy issue — price, stock, backorder? See the Pharmacy section below for the IF/THEN guide.
- If a pharmacy says they contacted us and you haven't heard back, see the note in the Pharmacy section before messaging us.
Your Medications
How to use your medications.
Pick what you're on for dosing, side effects, and a step-by-step how-to.
Testosterone
Your guide to testosterone.
Testosterone requires an in-person visit before you start and to keep refills going.
I want to start
Review the requirements and process — including the in-person visit needed before you begin.
I'm already taking it
Review requirements for continuing and monitoring — including the in-person visit needed to keep refills going.
What testosterone does
A body-system overview — brain, mood, energy, muscle, bones, libido, heart, eyes, and bladder.
View the overview →Testosterone: the in-depth guide
The ~25-minute member guide — what it does, realistic timing, and the evidence behind it.
Read the guide →Weight & Metabolic Care
GLP-1 weight care, when it's right for you.
For some members, GLP-1 medication is a helpful next layer — decided through its own assessment.
Quick access
Weekly Weigh-In is just your weight, every week. GLP-1 Check-In is the fuller review — every 4 weeks while titrating, quarterly once you're in maintenance.
Who it's for
- Eligibility is determined by a medical assessment — not guaranteed
- Evaluated as its own workup, not at your initial visit
- Includes dosing, titration, monitoring, side-effect support, pharmacy navigation
- A signed GLP-1 Therapy Consent is required before your first visit
Read the weight care guide
Walks through what starting involves, the realistic timeline, and the $75/month add-on, dropping to $50/month after your efficacy checkpoint (medication billed separately). The evaluation itself is included in your membership.
Read the guide →Labs
Labs, when they're actually needed.
If labs are part of your plan, your provider will outline exactly what to do. The cash-pay option is by far the simplest — results come straight to us.
Wondering whether you need labs at all? Read: Do I need to have my hormones checked? →
Cash-pay: start to finish
One flat fee, results sent directly to us. Here's the whole process:
- 1 · Send us the cash-pay message below in the portal.
- 2 · Watch your email for pricing and a payment link — pay from there.
- 3 · Get your blood drawn following the email instructions.
- 4 · That's it. Results route to us automatically — we review and message you.
Often the cheaper choice on a high-deductible plan.
Insurance: start to finish
Workable, but more falls on you — we have no visibility with outside labs, so tracking down and delivering your results is your responsibility.
- 1 · Send us the insurance message below in the portal.
- 2 · We upload your lab slip to Documents & Handouts.
- 3 · Confirm your cost before any blood is drawn — cash-pay is usually cheaper above ~$150.
- 4 · Take the slip to your in-network lab for the draw.
- 5 · Retrieve results yourself — typically 10–12 days later.
- 6 · Upload them to Documents & Handouts and message us — we can't review until you do. Step-by-step guide →
Pick your path and send it in the portal
Copy the message that matches how you want to do your labs, and paste it into your Optimantra portal.
Option A · Cash-pay (results come to us)
Option B · Insurance (results are my responsibility)
Pharmacy
Pharmacy problem?
High price · out of stock · backorder · prior authorization · want to switch
Our dedicated Pharmacy Help Guide will tell you whether to contact the pharmacy, transfer your prescription, submit a refill request, or message us — for every one of these situations.
Use the Pharmacy Help Guide →Preventive Health
Preventive screenings save lives.
As your direct primary care for this stage of life, we handle the screenings tied to it and coordinate the rest.
Part of your care here
- Lipid panel — heart health
- A1C / fasting glucose — blood sugar
- Thyroid panel
- DEXA scan — bone density
- Breast cancer screening — risk review & clinical exam
Coordinated with your other care
- Mammogram — kept with your PCP for continuity
- Colon cancer screening — ages 45–75
- Cervical cancer (Pap/HPV) — ages 30–65
- Immunizations & mental health care
Common Questions
FAQ
Membership
Membership & billing.
What your membership covers
Your membership is built around continuous care between visits — not pay-per-visit. It includes:
- Unlimited portal messaging with your provider for clinical questions
- Dose adjustments and refills managed through your tracker and messages
- Your symptom tracker and ongoing review of how you're doing
- Preventive screenings we order and manage, plus coordination with your PCP
- Lab coordination and the education library
Some add-ons are billed separately — GLP-1 weight care (+$75/month) and the testosterone rider. Medications and outside lab fees are billed by the pharmacy or lab, not by us.
Quick Access
Make the Member Hub easier to access
Add the Member Hub to your home screen so it lives one tap away — like an app.
📱 iPhone · Safari
- Open this page in Safari
- Tap the Share button at the bottom
- Scroll down and tap Add to Home Screen
- Tap Add to confirm
📲 Android · Chrome
- Tap the menu (three dots, top right)
- Tap Add to Home screen or Install app
- Tap Add to confirm