Question 1

1. What conditions do you treat?

Accepted Answer

I provide specialty endocrine care for perimenopause and menopause, thyroid disease, insulin resistance, prediabetes and type 2 diabetes, weight and metabolic concerns, PCOS, osteoporosis and bone health, and other endocrine conditions. I also provide second opinions when diagnosis is unclear or treatment is not working as expected.

Question 2

2. Do I need to join a program to become a patient?

Accepted Answer

No. You can start with Specialty Endocrine Consultation for a specific endocrine concern without joining a program. If your needs are broader or require more ongoing support, we can discuss whether Focused Midlife Care or the Midlife Optimization Program is a better fit.

Question 3

3. What is the difference between Specialty Endocrine Care, Focused Midlife Care, and the Midlife Optimization Program?

Accepted Answer

Specialty Endocrine Care is targeted expert care for a specific endocrine concern. Focused Midlife Care is a comprehensive 3-month assessment and treatment process for women with multiple interconnected midlife concerns. The Midlife Optimization Program is an ongoing physician relationship for women who want proactive management, care coordination, treatment adjustment, and direct access over time.

Question 4

4. How do I know where to start?

Accepted Answer

If you are not sure, start with a Specialty Endocrine Consultation. We can evaluate your concerns and then discuss which part is right for you. A consultation may be all you need. If your symptoms involve several overlapping issues, Focused Midlife care may be more appropiate. If you need ongoing monitoring and adjustment, the Midlife Optimization Program may be the better fit. If you are still not sure where to start, book a discovery call

Question 5

5. What is included in Specialty Endocrine Care?

Accepted Answer

Specialty Endocrine Care includes a 50-minute initial consultation for $600, focused review of relevant records and labs, targeted diagnostic testing when indicated, treatment recommendations, and 30 days of secure messaging after the consultation. Follow up visits are 30 minutes and $400 each, scheduled as needed.

Question 6

6. What is included in Focused Midlife Care?

Accepted Answer

Focused Midlife Care is a 3-month comprehensive assessment and treatment process for $1,800. It includes a 50-minute initial consultation, comprehensive medical record and questionnaire review, a broader diagnostic strategy based on the full clinical picture, two 30-minute follow-up visits, and HIPAA compiant direct secure messaging, phone, and SMS access during the care period.

Question 7

7. What is included in the Midlife Optimization Program?

Accepted Answer

The Midlife Optimization Program provides an ongoing physician relationship for $600 per month with a 6-month minimum. It includes comprehensive evaluation, ongoing care coordination, laboratory and medication management, unlimited visits as clinically indicated, and HIPAA-compliant direct secure messaging, phone, and SMS access during the care period. We refine your treatment plan as your health care needs evolve.

Question 8

8. Can I start with an Endocrine Consultation and move into another care option later?

Accepted Answer

Yes. You do not need to decide on a longer-term program before meeting with me. If your evaluation shows that your concerns are broader or would benefit from ongoing management, we can discuss transitioning into Focused Midlife Care or the Midlife Optimization Program.

Question 9

9. How is OpExMD different from online menopause or hormone clinics?

Accepted Answer

Many online platforms focus primarily on symptom treatment or access to prescriptions. OpExMD provides board-certified endocrinology care across menopause, thyroid, metabolic, and bone health. The goal is to understand the full clinical picture, identify overlapping causes, and choose the level of care that matches the complexity of your needs.

Question 10

10. Do you accept insurance?

Accepted Answer

OpExMD is a direct-pay medical practice and does not bill insurance for physician services. Specialty Endocrine Care is billed per visit, Focused Midlife Care is a prepaid, defined 3-month program, and the Midlife Optimization Program is billed monthly. Labs, imaging, and prescriptions can often be billed separately to your insurance. Because of applicable legal and billing requirements, we currently cannot provide care to patients enrolled in Medicare or Medicaid.

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“Dr. Polotsky didn’t just look at labs, she listened. She saw the whole picture and created a thoughtful, down-to-earth plan that made sense. I felt supported, not judged.”

Specialty Endocrine Care

Focused Midlife Care

Midlife Optimization Program

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What fails women in midlife isn’t their biology. It’s fragmented care.

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