FAQs: Understanding Your Options

Appointments are provided through telehealth for patients in Idaho and Washington. You need to be physically located in one of these states during your appointment. Laboratory testing can be completed near you.

We help you use available insurance benefits to keep medication and laboratory costs down whenever possible.

• Prescription coverage: We prioritize FDA-approved medications whenever available and clinically appropriate, considering your insurance coverage and budget. Prescriptions can be sent to your preferred pharmacy.

• Existing laboratory results: We welcome relevant results from your primary care provider, OB/GYN, or another clinician—including insurance-covered testing—to avoid unnecessary repeat testing.

• GLP-1 options: When clinically appropriate, Dr. Angiletta can prescribe and monitor GLP-1 or GLP-1/GIP medications as part of medical weight-management care. Insurance coverage varies by plan, and some insurers may require prior authorization. Eligible prescriptions may be processed through your insurance by the pharmacy.

• Additional savings: Members have access to laboratory testing at practice cost and professional-grade supplements at practitioner pricing.

HSA and FSA cards are accepted for eligible medical expenses. Insurance coverage depends on your plan and its requirements.

Visits and membership are self-pay; we do not bill insurance directly. Payment is due at the time of service.

Your 60-minute visit includes a thorough review of your concerns, medical and reproductive history, medications, supplements, and available laboratory results. Dr. Angiletta discusses possible contributors to your symptoms, appropriate treatment options, and a plan for follow-up.

Your care combines scientific depth, advanced hormone expertise, and extensive clinical experience. Dr. Karina Angiletta, PhD, FNP-C, brings a UCSF doctorate, more than 25 years in healthcare, and advanced WorldLink Medical BHRT training.

Her background includes caring for thousands of patients at JumpstartMD, a leading California practice specializing in hormone therapy and medical weight management.

You work directly with her from your first assessment through ongoing care. She connects your symptoms, history, laboratory findings, hormone and thyroid health, and metabolism—then follows your response closely to refine your treatment.

Book a free introductory call to discuss your goals, ask initial questions, and learn how the practice works. Dr. Angiletta will explain the available care options and help determine whether the practice may be a good fit.

If you choose to proceed, the next step is obtaining your blood work, followed by a comprehensive clinical assessment.

The initial comprehensive 60-minute assessment is $399, with no membership commitment required. Laboratory testing, medications, and supplements are purchased separately. Membership is matched to your clinical needs.

• Selected single-hormone, peptide, or GLP-1 care — $99/month

• Women’s maintenance care, when eligible — $179/month

• Men’s comprehensive hormone & thyroid care — $199/month

• Women’s comprehensive BHRT & thyroid care — $250/month

• Fertility & preconception support — $350/month

• Comprehensive hormone, metabolic & functional medicine care, including medical weight management — $495/month

No. There is no membership commitment required to complete the initial assessment. An active membership is required if you choose ongoing prescribing, monitoring, and treatment adjustments through Full Spectrum Health & Wellness.

Depending on your selected program, membership includes scheduled follow-up, assessment of symptoms and treatment response, laboratory review, prescription management, treatment adjustments, and secure communication between visits.

Members also have access to laboratory testing at practice cost and supplements at practitioner pricing. Nutrition, supplement, metabolic, and longevity guidance are included within the scope of your program.

Laboratory tests, medications, and supplements are purchased separately.

Established patients may qualify for $179/month maintenance once their regimen is well established and their symptoms and relevant laboratory findings are stable.

Maintenance includes ongoing prescribing, routine monitoring, medication management, and periodic adjustments. Eligibility depends on clinical stability and the level of ongoing care you need.

Laboratory orders can be arranged through Full Spectrum Health & Wellness or your primary care provider, with blood draws at participating laboratory locations.

Bring any recent results; testing from the past three months may be useful if it includes the information needed for your evaluation. Additional tests are selected according to your clinical needs.

Follow-up is more frequent when you begin treatment or change medication. For many hormone and thyroid regimens, repeat testing is arranged around six to eight weeks after a change, although some treatments require earlier checks. Once your plan is stable, the schedule is individualized.

Membership cancellation requires 30 days’ notice. Continued prescription management requires an active care relationship and appropriate follow-up. If you plan to transfer care, let the practice know so your ongoing treatment needs can be discussed.

Yes. Continue routine primary care, gynecologic care, and age- and risk-appropriate preventive screening with your usual clinicians.

Dr. Angiletta reviews relevant screening history and safety considerations before and during treatment. Recommendations are individualized according to your medical history and proposed care plan.

A typical initial BHRT laboratory panel costs approximately $130. The exact cost depends on the tests needed, and blood-draw fees may apply.

Laboratory testing is offered at practice cost and is purchased separately from membership. Recommended testing and associated costs are discussed as part of your care plan.

Full Spectrum Health & Wellness does not add a practice markup to laboratory testing or prescription medications. Your care fees cover medical evaluation, individualized treatment planning, follow-up, and ongoing support. Laboratory testing and prescriptions are billed separately from your care fees.

Discounted laboratory pricing

Through our provider arrangements, you have access to discounted wholesale self-pay laboratory testing. These discounted rates are passed directly to you without an additional markup from Full Spectrum. Testing is selected according to your symptoms, medical history, and monitoring needs.

Prescriptions filled directly by licensed pharmacies

Prescriptions are sent directly to licensed retail pharmacies. When a compounded medication is prescribed, we work with licensed compounding pharmacies

You know which pharmacy is dispensing your prescription, can contact its pharmacist directly, and pay the pharmacy for your medication. Full Spectrum does not add a charge to the pharmacy’s medication price.

If you have a preferred pharmacy, we can consider it based on your prescription needs and availability.

Understanding your medication costs

Medication prices vary by pharmacy, formulation, strength, quantity, shipping, and available insurance benefits or discount programs. Eligible prescriptions may be processed through your insurance by the pharmacy, even though Full Spectrum is a cash-pay medical practice. Coverage is determined by your insurance plan.

Discounts on professional supplements

Full Spectrum patients receive 30% off eligible supplements through WholeScripts and 25% off through Thorne. When supplements are appropriate, recommendations are individualized to your health needs, laboratory findings, and goals.

Your medical care fees, laboratory charges, pharmacy costs, and supplement purchases are clearly identified so you can make informed decisions about your care.

Yes. Recent results from your primary care provider, OB/GYN, or another clinician are welcome when they include the information needed for your evaluation.

Additional testing may be recommended to answer a specific clinical question or establish an appropriate baseline. Blood draws can be arranged at participating laboratory locations near you.

Your response is reassessed so we can better understand what remains unresolved. This may involve reviewing medication use, adjusting treatment, considering other contributors to your symptoms, or coordinating additional evaluation.

The goal is to understand why you are still struggling and refine your care accordingly.

Hormone replacement therapy (HRT) uses prescription hormones to treat symptoms and conditions related to hormone changes or deficiency. In menopause care, treatment commonly includes estradiol and, when appropriate, progesterone.

Bioidentical hormones have the same molecular structure as hormones your body produces. These include FDA-approved estradiol and progesterone options.

At Full Spectrum Health & Wellness, treatment is individualized around your symptoms, medical history, goals, and relevant laboratory findings, with ongoing monitoring and adjustments.

For many appropriately selected patients, the benefits can outweigh the risks. Safety depends on the medication, dose, route, age, and personal history. A history of certain cancers, blood clots, unexplained bleeding, or other significant conditions may change the recommendation.

In February 2026, the FDA approved updated labeling for an initial group of six menopause hormone therapy products, removing cardiovascular disease, breast cancer, and probable dementia statements from their boxed warnings—the most prominent safety warnings on medication labels.

The updated guidance supports more individualized treatment decisions, with attention to your age, time since menopause, and the therapy selected. Cardiovascular and breast cancer risk information remains in systemic therapy labeling, and the endometrial cancer boxed warning remains for systemic estrogen-only products.

Yes—for appropriately selected patients, hormone therapy can support comfort, bone health, and quality of life as you age.

Menopause hormone therapy can relieve hot flashes, night sweats, and vaginal dryness while helping prevent bone loss. Relief from nighttime symptoms may also improve sleep and help you feel more rested.

Your care also considers nutrition, activity, sleep, and relevant thyroid or metabolic concerns to support your overall health.

We prioritize targeted, affordable testing that meaningfully guides your care. Tests are selected according to your symptoms, medical history, and the questions being addressed. When testing is needed, established blood tests often provide the information required, alongside your symptoms and treatment response.

Expensive DUTCH dried-urine panels and salivary sex-hormone testing are generally unnecessary for routine menopause care and are not recommended for determining hormone doses. Their results are not interchangeable with blood-test results.

Metabolic, nutritional, genetic, gastrointestinal, or other specialized testing may be considered when clinically appropriate and likely to influence your treatment plan. Recommendations and costs are discussed before testing is ordered.

Yes. Full Spectrum Health & Wellness considers selected peptide-based treatments when they are appropriate for your medical history, symptoms, and goals. Dr. Angiletta reviews the available research, safety information, and current regulatory guidance when deciding which options to include in care.

Depending on your evaluation and current availability, options may include:

Sermorelin: A prescription peptide that stimulates the pituitary gland to release growth hormone. It may be discussed with selected adults interested in recovery, sleep, or body composition, although evidence for these benefits remains limited. Compounded sermorelin is not FDA-approved, and it is not an established treatment for reversing aging.

Topical GHK-Cu: A copper peptide used in skincare formulations, with potential applications for the appearance of skin texture, firmness, and fine lines. Human clinical evidence remains limited. The formulations considered through this practice are topical.

Bremelanotide, also known as PT-141: The FDA-approved product Vyleesi may help eligible premenopausal women with a specific form of persistently low sexual desire that causes distress. Evaluation includes identifying other contributors to low desire and reviewing blood pressure, cardiovascular health, and medications.

Before treatment, we discuss the expected benefits, uncertainties, potential side effects, and monitoring needs. FDA-approved products and compounded preparations have different approval and evidence standards; compounded medications are not FDA-approved.

Treatment options are reassessed as research, regulatory guidance, availability, and your health needs change.

Yes. Low-dose naltrexone (LDN) is an option Dr. Angiletta may consider for selected patients after reviewing their symptoms, diagnosis, medical history, and current medications.

Naltrexone is an opioid-receptor blocker. At much lower doses than those traditionally used for alcohol or opioid dependence, it is being studied for possible effects on pain signaling and inflammation. One proposed mechanism involves temporary opioid-receptor blockade influencing the body’s own endorphin signaling. Researchers are also investigating its effects on immune cells and inflammatory pathways. These mechanisms are not fully established in humans.

LDN has been studied in conditions such as fibromyalgia and certain inflammatory disorders. Some patients report improvements in pain or daily function, but research findings are mixed, and benefits are not predictable. It may be considered as an additional treatment when there is a reasonable clinical rationale, with clear goals for assessing whether it helps.

Although naltrexone is an FDA-approved medication at standard doses for specific indications, its low-dose use for pain or inflammatory conditions is off-label. Low-dose preparations are often made by a compounding pharmacy and are not themselves FDA-approved.

Possible side effects include vivid dreams, sleep changes, headache, nausea, or other digestive symptoms. Dosing and timing are individualized, with follow-up to assess tolerability and response.

LDN should not be taken with opioid medications, including tramadol, because it can block their effects or precipitate withdrawal. Liver health and any anticipated need for opioid pain relief are reviewed before treatment.

LDN complements your existing care. It does not replace thyroid hormone when needed or established treatment for an autoimmune condition.

Yes. Hair shedding and thinning are common concerns, particularly during perimenopause and menopause, after pregnancy, with thyroid dysfunction, PCOS or androgen changes, and during periods of significant weight loss, including weight loss occurring during GLP-1 treatment. We take hair changes seriously because they can have a major impact on quality of life—and because identifying the underlying pattern matters before choosing treatment.

Evaluation may include looking at the timing and pattern of hair loss along with thyroid function, iron status and other nutritional factors, hormone changes, medications, recent illness or stress, pregnancy/postpartum changes, and the rate of weight loss. Adequate calorie and protein intake is particularly important during medical weight loss, as rapid weight loss and nutritional restriction can trigger telogen effluvium.

Treatment is individualized to the likely cause. Depending on the clinical situation, options we may discuss include topical minoxidil, prescription topical therapies, and—in appropriately selected patients—off-label treatments such as low-dose oral minoxidil, spironolactone, or anti-androgen therapy such as finasteride.

Nutrition is also addressed rather than automatically recommending a “hair supplement.” Iron, zinc, protein, and other nutritional deficiencies can contribute to shedding, but supplements are most useful when there is an actual deficiency or clinical need.

When appropriate, Dr. Angiletta may recommend evaluation by a dermatologist rather than trying to treat every form of hair loss hormonally.

Personalized medical care for women preparing for pregnancy, navigating PCOS or irregular cycles, or seeking support alongside fertility treatment.

Dr. Karina Angiletta combines experience in hormone, thyroid, and metabolic care with a personal understanding of fertility treatment and motherhood later in life.

Care may include:

• Review of your medical and reproductive history, menstrual patterns, and relevant fertility records

• Targeted laboratory testing and management of identified thyroid, PCOS, or metabolic concerns

• Cycle-tracking education and individualized nutrition, prenatal vitamin, and supplement guidance

• Medication and supplement review for pregnancy planning

• Coordination with your OB/GYN or fertility specialist

Initial Assessment — $399

Following a free introductory call and appropriate bloodwork or collection of recent results, your 60-minute assessment includes a comprehensive review and personalized care plan. No ongoing membership commitment is required.

Ongoing Support — $350/month

Includes regular follow-ups, secure between-visit communication, laboratory review, prescription management within your care plan, and treatment adjustments as needed.

Laboratory testing, medications, and supplements are purchased separately. Members receive laboratory testing at practice cost and professional-grade supplements at practitioner pricing.

Coordinated Care

Fertility procedures, ultrasound monitoring, and IVF or embryo-transfer protocols remain with your fertility specialist. Specialist evaluation is recommended promptly when indicated, and medical care is coordinated with your prenatal clinician once pregnancy is established.