Patient resources
Everything about how our practice works, what to expect as a new patient, and the science behind hormone therapy — in plain language.
New patients
Fill out the new patient inquiry form with a brief description of your symptoms and goals. I'll review it and reach out within 1–2 business days.
Your first appointment is a conversation — your health history, current symptoms, lifestyle, and what optimal looks like for you. Plan for 15-30 minutes. This will allow me to
I'll order a complete hormone panel tailored to your situation. Labs are drawn at a facility of your choice and paid for directly by you. I'll review the results in detail at your follow-up.
Based on your labs and consultation, I build your individualized treatment plan — including hormone type, dose, delivery method, and monitoring schedule.
Hormone therapy is a process, not a prescription. I monitor your response with follow-up labs, adjust your protocol as needed, and stay engaged with your progress.
Pricing & billing
Mamima Health does not bill insurance and does not participate in Medicare or Medicaid. Consultation and treatment fees are paid directly by the patient. Lab work is ordered by Dr. Pham but paid for separately and directly by you at the lab facility of your choice.
You pay directly for your care — no insurance claims, no prior authorizations, no surprise bills. Consultation and treatment fees are transparent and known upfront. Lab work is ordered by Dr. Pham but billed separately by the lab; you pay the lab directly.
Yes. Medical consultations and hormone therapy are generally eligible expenses under HSA and FSA plans. I recommend confirming with your plan administrator, as eligibility can vary.
Operating outside the insurance system allows Dr. Pham to spend more time with each patient, order the labs that are actually needed, and build a treatment plan based entirely on your individual physiology and goals — rather than what a third party will approve.
Hormone health 101
Bioidentical hormones are compounds that are molecularly identical to the hormones your body naturally produces — estrogen, progesterone, testosterone, DHEA, and others. Unlike synthetic hormones used in conventional HRT, bioidentical hormones are designed to fit your body's receptors exactly, producing a more natural physiological response.
Hormone production naturally declines with age. In women, estrogen and progesterone drop significantly during perimenopause and menopause — typically beginning in the mid-40s. In men, testosterone declines gradually from the mid-30s onward, a process sometimes called andropause. Thyroid function can also diminish with age, stress, or autoimmune processes. These declines are normal, but their effects — fatigue, cognitive changes, mood shifts, sleep disruption, and reduced physical performance — are not inevitable.
When properly prescribed and monitored, bioidentical hormone therapy has a strong safety profile. Much of the concern around HRT stems from older studies using synthetic hormones — particularly the Women's Health Initiative (2002), which used conjugated equine estrogen and synthetic progestin. These findings do not apply equally to bioidentical protocols. Current evidence supports the safety and efficacy of bioidentical hormone therapy when individualized, appropriately dosed, and monitored with regular lab work.
Common signs of hormonal imbalance include persistent fatigue, difficulty sleeping, mood changes (anxiety, irritability, depression), cognitive fog, reduced libido, weight changes, hot flashes or night sweats, and reduced physical performance or recovery. These symptoms often overlap with other conditions, which is why a thorough evaluation — including a complete hormone panel — is essential before drawing conclusions. Many patients have been told their labs are 'normal' when in fact their levels are suboptimal for their age and symptoms.
I'm happy to answer questions before you commit to a consultation. Reach out and I'll get back to you.
