Are you ready for a Change?
Learn how to Start.
How to become a patient of Dr. Caissa Troutman
Your physician expert that can help you feel like yourself again.
Step-by-Step : What We Do Together
1) Book Your Initial Medical Consultation
This is the real starting line. We review your health history, symptoms, goals, and priorities and outline a plan that fits your life.
Investment: $500 (applied to your membership if you enroll)
Ready to begin?
Skip the Meet-&-Greet and book your Initial Consultation now.
A form of payment is required to sign-up.
Don't worry, you will NOT be charged until after the Initial Consult is done
Get ready for your 1-on-1
2) Complete Your Intake
After you sign up, you’ll receive secure digital forms from our medical record system called Hint Health (symptom + medical questionnaires, meds & history). If recent labs are available, share them; if not, we’ll decide what’s needed.
Your Individualized Roadmap
3) Comprehensive Hormone & Health Assessment
During your consultation, we take a detailed look at the factors that guide safe, effective hormone therapy decisions:
Symptom Review: Hot flashes, sleep changes, weight shifts, mood, energy, and cognitive concerns.
Medical History: Cardiovascular, breast, bone, and metabolic health, along with surgical history.
Risk–Benefit Profile: Individualized evaluation of when MHT is safe, when it should be avoided, and which formulation (oral, transdermal, etc.) is most appropriate.
Lab Work (if needed): Targeted labs to clarify baseline health and monitor therapy.
Tools I Actually Use
4) Choose the Transformation you Want
Pick the level of support that matches your goals:
MHT Focus Track — $1,550
FDA-approved hormone therapy management for relief and long-term health.
Full Transformation — $2,350
Comprehensive midlife care: hormones plus weight-wellness under the 4M framework, strength & nutrition guidance, and behavior coaching for sustainable change.
Your $500 consult fee is credited toward either membership.
Clarity for Midlife
5) Ongoing Care & Momentum
We’ll track symptoms, labs (as needed), and progress markers.
Adjust your plan
Build consistent habits with compassionate accountability.
Most women notice more energy, better sleep, steadier mood, and—in the Upleveled Midlife track—health gains achieved with your weight loss guided by proven medical strategies.
Is our Practice Right for You?
A good fit if you want..
👍A physician expert (not a one-size protocol).
👍Clear, personalized plans rooted in science.
👍Support that addresses all four pillars, not just a prescription.
👍Sustainable results, not quick fixes.
Not a fit if you want:
🙍A one-time script without ongoing guidance.
🙍Rushed 5 minute appointments.
🙍Guaranteed results without your participation.
Want Personalized Care?
What Patients Ask Most
Will hormones make me lose weight?
On their own, MHT isn’t a weight-loss treatment. It can improve sleep, energy, and symptom relief—making the 4M plan easier to follow. For weight loss, we use nutrition, strength training, behavior design, and (when indicated) evidence-based weight medications.
Do you take insurance?
I operate a direct-care model. Memberships are cash pay; medications, labs, and imaging are usually separate. You can use any insurance you have for those services at your discretion.
Where do you see patients?
Virtual care is available. If you are seen virtually, you understand you must be physically in Pennsylvania at the time of the visit.
How soon will I feel better?
Many women notice changes within weeks, and momentum builds over months. Results vary by physiology, consistency, and the plan we tailor together.
The Flow
What to Expect After You Book
1. Secure intake forms delivered to your inbox.
2. A thorough, unhurried initial consult.
3. A written, step-by-step plan you can start right away.
4. Clear membership next steps with transparent pricing.
Ready to Start?
Skip the intro call and move straight to care.
Initial Medical Consultation — $500
(credited to your membership)
Prefer a brief intro first? Let's chat for general fit.
No medical advice given.
You don’t have to do this alone...
Get the best care to guide you!
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