HormoneSynergy® Services
People come to HormoneSynergy® for different reasons. Some are seeking a comprehensive approach to longevity medicine, preventive cardiology, hormone health, and healthy aging. Others have a particular medical concern they would like to discuss with a physician or want specific diagnostic testing without entering an ongoing concierge relationship.
Our services are designed to accommodate these different needs. Patients can begin with a comprehensive Optimal Aging Assessment, arrange an individual medical consultation, or choose from selected stand-alone diagnostic services.
Three Ways to Begin
Comprehensive Longevity Medicine: An in-depth Optimal Aging Assessment with Dr. Kathryn Retzler, with the option of continuing into concierge medical care.
Individual Medical Consultations: Focused physician visits with Dr. Elise Schroeder for women and men seeking individualized evaluation and treatment without concierge membership.
Stand-Alone Diagnostic Testing: Selected testing for bone health, body composition, vascular health, and coronary artery plaque without requiring concierge enrollment.
Comprehensive Longevity Medicine
Our comprehensive longevity medicine model is designed for patients who want a detailed understanding of their health, individualized recommendations, and the option of ongoing physician oversight. It begins with the Optimal Aging Assessment conducted by Dr. Kathryn Retzler.
Optimal Aging Assessment — $2,995
The Optimal Aging Assessment is an in-depth medical evaluation designed to establish a meaningful baseline for long-term health and prevention. Rather than focusing on one symptom or laboratory value, it brings together multiple areas of health that can influence how we function as we age.
The assessment includes:
- Advanced new-patient laboratory testing
- Carotid artery ultrasound with VasoLabs® CIMT analysis
- SECA body composition analysis
- Hologic® DEXA hip and lumbar spine bone density testing, whole-body composition, and visceral fat assessment
- CNS Vital Signs neurocognitive testing
- Assessment of fracture risk and other relevant clinical findings
- A comprehensive 2–3 hour physician visit with Dr. Kathryn Retzler
- An individualized written medical plan and recommendations
Dr. Retzler integrates these findings with your medical history, symptoms, medications, family history, hormonal status, cardiovascular risk, metabolic health, body composition, bone health, cognitive function, and lifestyle.
The purpose is to identify meaningful health risks, understand which findings deserve attention, and develop recommendations that are appropriate for the individual patient. Treatment may involve nutrition, exercise, hormone therapy, prescription medication, additional testing, or consultation with other healthcare professionals.
Completing the Optimal Aging Assessment does not obligate you to become a concierge patient. You may continue with HormoneSynergy® for ongoing care or share your results and treatment plan with another healthcare provider.
Learn more about our Personalized Longevity Medicine approach
Concierge Longevity Medicine — $150/month
Patients who would like ongoing medical management after their Optimal Aging Assessment may enter our concierge program. The membership provides continuity, access to medical-record communication, coordination of treatment, and ongoing monitoring of important health measurements.
Dr. Retzler continues to direct comprehensive assessments and preventive longevity medicine. Depending on the patient's needs and clinical circumstances, follow-up visits and ongoing treatment may be provided by Dr. Retzler or Dr. Elise Schroeder.
Membership includes:
- Access to the treating physician through our private electronic medical-record messaging system
- Ongoing medical and laboratory coordination
- Medication and prescription management when clinically appropriate
- Annual CNS Vital Signs neurocognitive testing
- Annual SECA body composition testing
- $100 monthly RetzlerRx® supplement credit
Physician consultations are billed separately according to the treating physician's fee schedule and appointment length. Laboratory testing, imaging, prescriptions, and other services may involve additional charges.
Concierge membership is intended for patients who want continuing medical oversight rather than a single consultation or isolated test. The Optimal Aging Assessment remains the entry point for new patients enrolling in this comprehensive model.
Weight Management & GLP-1 Therapy
Medical weight management, including GLP-1 therapy when clinically appropriate, is provided through our concierge longevity medicine program rather than as a stand-alone weight-loss service.
Our approach considers weight alongside body composition, visceral fat, insulin resistance, cardiovascular risk, nutrition, protein intake, muscle preservation, physical activity, gastrointestinal health, sleep, and hormonal status. Medication decisions are made within the context of the patient's broader medical evaluation and individual risk factors.
Patients interested in this level of medical weight management begin with the Optimal Aging Assessment and may continue treatment through concierge care.
Learn about GLP-1 treatment and medical weight management
Individual Medical Consultations Without Concierge Membership
Not every medical concern requires a comprehensive longevity assessment. Some patients want help understanding hormonal changes, discussing laboratory results, evaluating persistent symptoms, or exploring treatment options for a particular health concern.
HormoneSynergy® offers focused medical consultations with Dr. Elise Schroeder, ND, without requiring patients to enroll in our concierge program or complete the Optimal Aging Assessment first.
Individualized Medical Care With Dr. Elise Schroeder
Dr. Schroeder brings more than 25 years of experience in hormone medicine, fertility, laboratory interpretation, and integrative care. Although much of her professional background has focused on women's hormonal health, she also provides individualized care for men experiencing hormonal and related health concerns.
Her clinical interests include perimenopause, menopause, hormone replacement therapy, thyroid health, metabolic concerns, persistent fatigue, sleep disturbances, and the relationships among hormones, stress, nutrition, and overall well-being.
Dr. Schroeder's approach begins with understanding the person behind the symptoms. An initial consultation includes a discussion of medical history, current concerns, previous laboratory findings, medications, lifestyle, and the patient's goals. She considers laboratory results in the context of symptoms and clinical history, recognizing that a result within a reference range does not always resolve the question of why someone feels unwell.
Depending on the situation, treatment may involve additional laboratory evaluation, prescription medication, hormone therapy, nutrition, targeted supplementation, and practical lifestyle strategies. Recommendations are individualized, with attention to clinical evidence, potential risks, patient preferences, and the feasibility of following the treatment plan.
Patients may return for follow-up visits as needed without committing to ongoing concierge membership. When more comprehensive evaluation or long-term care becomes appropriate, the clinic can discuss additional options.
Dr. Schroeder's Consultation Fees
| Appointment | Fee |
|---|---|
| New Patient Consultation — 60 minutes | $360 |
| Follow-Up — 15 minutes | $85 |
| Follow-Up — 30 minutes | $165 |
| Follow-Up — 45 minutes | $245 |
| Extended Follow-Up — 60 minutes | $320 |
| Extended Consultation — 75 minutes | $395 |
| Extended Consultation — 90 minutes | $475 |
Appointment duration depends on the clinical situation. Shorter follow-up appointments are generally intended for established patients. Laboratory testing, imaging, medications, and other services are billed separately when applicable.
Dr. Schroeder also provides ongoing care for appropriate patients within HormoneSynergy's concierge program following their Optimal Aging Assessment with Dr. Retzler.
Contact our office about an individual medical consultation
Advanced Diagnostic Testing Without Concierge Membership
Selected diagnostic services are available without enrolling in concierge care or establishing an ongoing treatment relationship. These services can provide objective information about bone health, body composition, vascular health, and cardiovascular risk.
Hologic® DEXA Bone Density & Body Composition
DEXA Bone Density + Whole-Body Composition — $250
Includes diagnostic hip and lumbar spine bone density testing, whole-body composition, regional lean and fat mass, visceral fat assessment, and SECA body composition analysis. The evaluation provides information about both skeletal health and body composition.
Existing HormoneSynergy® patients: $200
DEXA Whole-Body Composition — $135
Measures total and regional fat mass, lean mass, body-fat percentage, and visceral fat. Includes SECA analysis. This service does not include dedicated diagnostic hip and lumbar spine bone density testing.
Existing HormoneSynergy® patients: $100
Both DEXA options include the applicable Hologic® reports and an overview with a medical assistant. An optional 15-minute physician review of the complete DEXA assessment with Dr. Retzler is available for an additional $100.
SECA Body Composition Analysis — $50
SECA bioelectrical impedance analysis provides measurements of skeletal muscle mass, body fat, body water, and related body composition characteristics. These measurements may be useful for establishing a baseline or monitoring changes over time, particularly alongside changes in nutrition, physical activity, weight, or muscle mass.
VasoLabs® Carotid Ultrasound + CIMT — $250
This noninvasive ultrasound evaluates the carotid arteries for plaque and measures carotid intima-media thickness. The examination is performed at HormoneSynergy® and analyzed through VasoLabs®.
Carotid ultrasound may provide additional information about atherosclerotic plaque and vascular health. Results should be considered alongside clinical history, blood pressure, lipid measurements, and other cardiovascular risk factors. CIMT measurements alone do not determine whether treatment is needed.
Read our Carotid Ultrasound & CIMT Guide
Cleerly® Coronary Plaque Analysis
Cleerly® uses AI-assisted analysis of coronary CT angiography (CCTA) to evaluate coronary artery plaque, including calcified and noncalcified plaque. It can provide information about coronary atherosclerosis that may not be captured by a coronary calcium score alone.
Cleerly® analysis requires a coronary CT angiogram performed by an independent imaging center. Because CCTA involves radiation and iodinated contrast, appropriate clinical evaluation is necessary before proceeding.
Cleerly® With the Optimal Aging Assessment — $995 Add-On
Patients completing Dr. Kathryn Retzler's comprehensive Optimal Aging Assessment may add Cleerly® coronary plaque analysis when clinically appropriate.
- Cleerly® analysis — $995: Collected by HormoneSynergy® and paid to Cleerly® for the analysis.
- Outside CCTA imaging — typically $1,200–$1,400: Paid by the patient directly to the imaging center.
Estimated additional out-of-pocket cost: $2,195–$2,395. This is in addition to the $2,995 Optimal Aging Assessment. The estimated combined cost of the assessment, Cleerly® analysis, and outside imaging is $5,190–$5,390.
Stand-Alone Cleerly® Evaluation — $1,995
Patients who are not participating in the Optimal Aging Assessment may receive a stand-alone Cleerly® evaluation when clinically appropriate. The $1,995 fee paid to HormoneSynergy® includes:
- $995 Cleerly® analysis fee, collected by HormoneSynergy® and paid to Cleerly®.
- $1,000 HormoneSynergy® physician services, including clinical evaluation, CCTA coordination, interpretation and consultation with Dr. Retzler to discuss the findings and potential next steps.
Outside CCTA imaging typically costs an additional $1,200–$1,400 and is paid directly to the imaging facility. The estimated total out-of-pocket cost is $3,195–$3,395, including the HormoneSynergy® fee and outside imaging.
Imaging fees vary by facility and location. Patients should confirm the self-pay charge with the imaging center before scheduling. Cleerly® testing is not appropriate for everyone and is not a substitute for the evaluation of urgent cardiac symptoms or emergency cardiovascular care.
Explore Preventive Cardiology at HormoneSynergy®
Understanding Stand-Alone Testing and Medical Consultations
There is an important distinction between purchasing a diagnostic test and establishing medical care with a physician.
Stand-alone diagnostic testing includes the selected test, applicable report, and any specifically described educational overview. Unless physician interpretation or consultation is expressly included, these services do not establish an ongoing physician-patient relationship or include medical diagnosis, prescribing, or treatment management.
Individual medical consultations involve evaluation by a treating physician, review of relevant findings, clinical assessment, and recommendations appropriate to the visit. Follow-up care may be arranged according to individual needs without requiring concierge membership.
Comprehensive longevity medicine begins with Dr. Retzler's Optimal Aging Assessment and may continue through concierge membership for patients who want coordinated, ongoing care.
If stand-alone testing identifies concerns that warrant medical follow-up, patients may discuss the results with their own healthcare provider or inquire about available physician consultations at HormoneSynergy®.
Transparent Direct-Pay Medicine
HormoneSynergy® is a direct-pay medical practice. We do not bill commercial insurance and do not accept Medicare, Medicaid, or Tricare for our services.
We provide clear information about consultation fees, diagnostic services, and potential additional expenses so patients can understand the financial commitment before proceeding. Outside laboratory testing, prescription medications, and imaging services may involve separate charges.
HSA and FSA funds may be used for eligible services, subject to individual plan requirements. We can provide receipts for patients who wish to seek reimbursement through eligible accounts.
HormoneSynergy® does not function as a primary care or urgent care clinic. Patients are expected to maintain an established primary care clinician for routine general medical needs, acute illness, and other services outside our scope of care.
Not Sure Where to Start?
Choosing the appropriate level of care depends on what you want to accomplish.
If you are interested in a broad evaluation of cardiovascular, metabolic, hormonal, cognitive, bone, and body composition health, Dr. Retzler's Optimal Aging Assessment offers a comprehensive starting point.
If you have a more focused medical concern, would like to discuss hormonal changes or laboratory findings, or need individualized treatment without an ongoing membership, a consultation with Dr. Schroeder may be a more appropriate first step.
If you are interested primarily in a particular measurement, such as bone density, body composition, or carotid ultrasound, our stand-alone diagnostic services may provide the information you are seeking.
Our team can explain the available services and help you determine which appointment or testing option best fits your goals.
Email: daniel@hormonesynergy.com
Phone: 503-230-7990
HormoneSynergy® Longevity Medicine
9 Monroe Parkway, Suite 260
Lake Oswego, Oregon 97035
The HormoneSynergy® Approach
HormoneSynergy® has evolved through more than 25 years of clinical experience and a continuing interest in the relationships among hormones, cardiovascular health, metabolism, cognition, bone health, and aging.
Our approach combines medical history, thoughtful clinical evaluation, objective measurements when useful, and individualized treatment. We believe diagnostic testing should answer meaningful questions, medical recommendations should be understandable, and patients should participate actively in decisions about their care.
Whether someone needs a comprehensive assessment, a focused medical consultation, or a specific diagnostic test, our intention is to provide appropriate care without requiring services that are not necessary for that person's needs.