A: Most clients work with me for a minimum of 6-12 months. Your individual goals, efforts, and unique makeup will determine the precise treatment duration.

A. What are GLP-1s and how do they aid in weight loss?

GLP-1s (Glucagon-Like Peptide-1 receptor agonists) are a class of medications originally developed for diabetes management. They also offer significant benefits for weight loss by reducing appetite, slowing digestion, and promoting a feeling of fullness, ultimately leading to reduced calorie intake and weight loss.

Who is a suitable candidate for GLP-1s for weight loss?

GLP-1s can be considered for individuals struggling with obesity or excess weight who have not achieved desired results through diet and exercise alone. Dr. Renée will assess your medical history and determine if GLP-1s are a suitable option for you

How are GLP-1s administered?

GLP-1s are typically administered as a subcutaneous injection, similar to insulin. Depending on the specific medication, injections can be daily, weekly, or even monthly. Dr. Renée and the compounding pharmacy will guide you on the appropriate dosing schedule.

What benefits can I expect from using GLP-1s for weight loss? 

GLP-1s have shown significant potential for weight loss, often resulting in a moderate to substantial reduction in body weight (~15-20%). In addition, they may improve metabolic markers and contribute to better blood sugar control.

Are there potential side effects associated with GLP-1s?

Like any medication, GLP-1s may have side effects. Common side effects include nausea, vomiting, diarrhea, and constipation. These effects are often temporary and tend to improve over time. Dr. Renée will discuss potential side effects and how to manage them.

How long does it take to see results with GLP-1s?

Individual responses may vary, but many people begin to see noticeable weight loss within a few weeks to a few months of starting GLP-1 therapy. Consistency with treatment, a healthy lifestyle, and regular follow-ups with your Dr. Renée contribute to optimal results

Can GLP-1s be used in conjunction with other weight loss strategies?

Yes, GLP-1s can complement other weight loss efforts such as diet and exercise. Combining GLP-1 therapy with a comprehensive approach to lifestyle changes often yields the best outcomes.

Is GLP-1 therapy a long-term solution for weight loss?

The duration of GLP-1 therapy varies for each individual. It can be used for both short-term and long-term weight management. Dr. Renée will work with you to determine the most appropriate treatment plan based on your goals and progress.

How do I get started with GLP-1 therapy for weight loss?

To begin GLP-1 therapy, schedule an initial consultation with Dr. Renée who specializes in weight management. She will evaluate your health, discuss your weight loss goals, and determine if GLP-1s are a suitable option for you

What pharmacies do my prescriptions come from?

Eterna only use PCAB/503a FDA certified pharmacies which ship to all of the states Eterna provides medical services to patients. Since Eterna is a cash-based practice, you can pay for your compounded GLP-1s via major credit cards or HSA/FSA cards.

A: Every woman on this planet, barring some tragedy, will experience menopause. The term “menopause” literally means the cessation of periods. But that is a tiny fraction of what menopause is and what it means for a woman’s health!

Menopause is the cessation of ovarian function. One of the primary jobs of the ovaries is to produce estrogen, and so when a woman transitions through menopause, she loses her estrogen and all of the hormonal rhythms that are foundational to female health.

Estrogen is antiinflammatory. It is cardio- and neuro-protective. It is essential to proper immune system functioning. It plays a critical role in the health of the gut microbiome. Virtually every cell in the female body has receptors for estrogen.

Consequently, when a woman transitions through menopause, every organ and system in her body suffers.

At Eterna Vitality and Wellness by Dr. Renée, we understand that menopause is not just about the loss of your periods. We have a wide range of therapies that support your body through this transition and beyond. We utilize bioidentical hormone replacement, supplements that lower inflammation and reverse midlife weight gain, and lifestyle routines that improve sleep, metabolic health, and mood.

In the Eterna Menopausal Transitions BHRT program, we assess and address the health of your:

• Heart and cardiovascular system

• Diabetes risk factors

• Muscle and bone composition

• SleepMood and mental health

• Skin

• Hair

• Nutrition

• Fitness

  Menopause affects your whole body. We provide comprehensive, whole-body solutions so you can look and feel your best though your menopausal years and far, far beyond.

  We Only Prescribe Bio-Identical Hormonal Replacement Therapy for Women

  Bio-identical hormones have the same molecular structure as those naturally found in our body. Because these hormones are exact replicas they mimic the pathways and signaling of normally occurring hormones in the body. The names of these hormones are testosterone, estrogen, thyroid progesterone, DHEA and pregnolone.

  Conventional synthetic hormone therapy (CHT) is not identical to naturally occurring hormones. These hormones have a structure that is similar but are not exactly the same produced by our body. CHT include medications such as Premarin™, Provera™ (medroxyprogesterone acetate), Evista™, Activella™, all oral contraceptives, levonorgestrel and norethindrone.

  Dr. Renée specializes in the evaluation and treatment of women’s hormones and alleviating the symptoms of hormone deficiency

  Signs of Hormone Deficiency

• Hot flashes / night sweats

• Weight gain / inability to lose weight

• Foggy thinking

• Decreased libido

• Hair loss

• Vaginal dryness

• Breast tenderness

• Depression

• Arthritis / joint pains

• Migraines / headaches

• Insomnia / sleep disturbances

• Poor concentration

• Fatigue

• Inability to build / maintain muscle

• Irritability / mood swings

• PMS

• Anxiety

• Bloating

• Impaired immune system / frequent infections

  Why choose our Menopause Program?

  At Eterna Vitality and Wellness by Dr. Renée we understand the roles played by estrogen, progesterone, and testosterone in maintaining optimal health, but are not one-dimensional in our thinking.

  We appreciate the many systemic changes taking place during the menopause, and we craft treatment programs that address the many complexities of this transition and of the final chapter of a woman’s life, potentially extending for 50 years.

  BHRT replacement can be a safe and effective way of turning back many symptoms of low or unbalanced hormones.  Women can be treated by a variety of different methods.  At Eterna we deliver BHRT with creams, gels, pills, troches, nasal sprays, suppositories and injections. We do NOT offer pellet hormone therapy.

  We begin the process of creating your individualized treatment plan by taking an extensive personal history that covers past medical conditions, as well as examining toxic chemical exposures, stress-inducing life events, patterns of physical activity and sedentary behaviors, personal relationships, quality of sleep, dietary patterns, and many other complicating factors.

  We then proceed with advanced testing that details your hormonal, metabolic, and inflammatory status, your nutritional status; and a myriad of other factors as indicated by your personal history.

  We work with you, and only with your agreement, to optimize your hormones with bioidentical hormone replacement, and fine tune your nutritional status, your level of fitness, control your stress, optimize your skincare, and offer the highest quality of natural supplementation.

  We will work with you to enable you to stay strong, vital, and happy through the decades to come.

A: What are GLP-1 medications and how does microdosing work?

GLP-1 (Glucagon-Like Peptide-1) medications are innovative treatments that work with your body's natural systems to regulate blood sugar, appetite, and metabolism. Think of microdosing as a gentle introduction – by starting with smaller, precisely calculated doses, Dr. Renée can help your body adapt more comfortably while minimizing potential side effects. This thoughtful approach allows for better tolerance and can be particularly effective when combined with other treatments.

How does Dr. Renée determine if GLP-1 microdosing is right for me?

Dr. Renée believes in understanding your complete health story before recommending any treatment. She starts with a comprehensive evaluation that examines your medical history, current health status, and personal health goals. Depending on your personal history she may need to gain further insight through detailed blood work analysis and careful consideration of your lifestyle factors, Dr. Renée creates a clear picture of your metabolic health. This thorough assessment helps ensure that GLP-1 microdosing aligns with your specific needs and health objectives.

Can GLP-1 microdosing be combined with Bioidentical Hormone Replacement Therapy (BHRT)?

When appropriate, combining GLP-1 microdosing with BHRT can create a powerful synergy in your treatment plan. This integrated approach addresses multiple aspects of your health simultaneously – from hormonal balance to metabolic function. Dr. Renée carefully coordinates these treatments to complement each other, potentially enhancing your results in areas such as energy levels, body composition, and overall well-being.

Key benefits of this combined approach include:

• Enhanced metabolic regulation

• Optimized hormonal balance Improved energy and vitality

• Better body composition outcomes

  What makes Dr. Renée's approach to GLP-1 microdosing unique?

  Dr. Renée takes an integrative approach to GLP-1 microdosing that sets her practice apart. She understands that each patient's journey is unique, requiring a personalized treatment strategy. By combining her medical expertise with careful monitoring and ongoing education, she helps patients achieve sustainable results. Her approach emphasizes understanding not just the what, but the why behind your treatment plan, ensuring you feel confident and informed throughout your health journey.

  What kind of support and results can I expect?

  Your treatment journey begins with clear expectations and continues with consistent support. Dr. Renée provides regular monitoring and adjustments to ensure your treatment remains optimal. While results vary by individual, many patients experience improvements in metabolic function, energy levels, and overall well-being. Treatment duration is customized to your specific needs and response, with regular evaluations to track your progress and adjust your plan as needed.

A. Approximately 40 million women in the United States experience some form of sexual dysfunction. This can affect multiple aspects of a woman’s life, including psychological well-being and the relationship with their partner.

Low Libido Causing Your Problems?

You Need Low Sex Drive Treatment. Wouldn’t it be nice to have a higher sex drive? Perhaps, you need low sex drive treatment!

Low libido (aka hypoactive sexual desire disorder) is a common complaint among women. It is characterized by lack or absence of sexual fantasies and desire for sexual activity (low sexual desire).

There are multiple factors that can decrease our desire such as hormonal changes, medications, menopause, family and stress. As time goes on, the situation can cause emotional distress, depression and even alienation from your partner. This is why it is important to seek answers to why you may not feel as sexually healthy as you used to.

In order to determine the best course of treatment, at Eterna Vitality and Wellness by Dr. Renée, we will consider your medical history and pertinent information while undergoing a thorough evaluation. Dr. Renée provides effective treatment for your low libido to help you obtain the sexual drive you are lacking.

Arousal Disorder

Women with arousal problems may or may not have the desire for intercourse, but they have difficulty maintaining arousal during foreplay or sex, or have difficulty becoming aroused.

Arousal disorder affects approximately 30% of women. Signs of arousal disorder can be lack of vaginal lubrication, decreased genital stimulation and a decrease in genital swelling.

Dr. Renée is an expert at treating this problem. We form an effective treatment plan for your symptoms of decreased sexual arousal allowing you to function at your best.

Problems with Orgasm

Orgasmic Disorder

Almost 20% of women are unable to obtain an orgasm. This can be extremely frustrating for you and your partner. Female orgasmic disorder can be defined as a delay or absence of attaining an orgasm following sufficient sexual stimulation and arousal. This can cause personal distress and problems with many other aspects of life.

Pain with Intercourse

Pain with intercourse can occur at any age. Younger women can experience pain with intercourse and pain can occur in the period just before or after menopause.  The effects of pain with intercourse can be devastating to many women and they may stop or avoid having intercourse with their partner and lead to relationship and insecurity problems. Some common causes of pain are menopause, inflammation, infection, muscle spasm and abnormal nerve pain.

Are you in need of pelvic pain treatment?

Lets us diagnose and help solve your problem.

A: Growing a family is one of the great transitions in a woman’s life. When everything goes well, it is a time of great joy and optimism. But for couples with health complications such as:

• PCOS (polycystic ovary syndrome)

• Irregular menstruation

• Obesity

• Cardiovascular disease

• Diabetes

• Unexplained infertility

  Conception and pregnancy can be difficult and scary. At Eterna Vitality and Wellness by Dr. Renée, we believe that a healthy pregnancy starts with healthy parents, and the best time to establish that health is months before a couple even begins trying to conceive.

  We provide comprehensive and holistic healthcare to women and their partners who want to build their families through pregnancy.

  Our program includes:

• Advanced testing to determine health risk factors, hormonal profiles, and environmental toxin exposures

• Genetic testing

• Supplements to address nutritional deficiencies and treat chronic conditions such as inflammation, insulin resistance, and hypertension

• Integrative therapies to address chronic and persistent health conditions

• Nutritional, fitness, and lifestyle counseling

  Most of our preconception patients, even those facing persistent infertility, usually achieve natural pregnancies that result in healthy, live births. For those patients that are not able to achieve a natural pregnancy, we will continue to support you as you work with a fertility center. For local patients, we are happy to recommend fertility clinics that have served our patients exceptionally well in the past.

  At Eterna, we do not offer complete obstetric care but we will work closely with your obstetrician or midwife to closely monitor you throughout your pregnancy and to help you recover fully after delivery.

  Coming Soon in 2025! 

  Dr. Renée is the co-founder (along with her hubby, Chef Omar Powell - a classically trained french chef) of the 16-week program " From Plate to Pregnany and Beyond Framework^TM thoughtfully created to boost your fertilty and optimize your chances of a successful pregnancy and a healthy baby. Our bespoke program focuses on chef-inspired and doctor-approved fertility nutrition and lifestyle transformation with delicious curated recipes/meal plans, personalized cutting-edge diagnositic testing, 1:1 coaching and live cooking classes and workshops.

  This program is for women who want to give themselves the best chance of natural, healthy pregnancy and delivery and give their babies the healthiest start to life possible.

A: At Eterna Vitality and Wellness by Dr. Renée, we understand that health is a whole-body experience that goes beyond the absence of disease.

Many health conditions impact the condition of your skin, your body’s largest organ. Additionally, the natural aging process can impair both skin health and hair health.

For both men and women, physical health, skin health, and hair health are inextricably intertwined. Addressing the aesthetic impacts of health conditions is part of whole-body healthcare. And when our external appearance reflects our inner vitality, we feel just that much better.

We have a range of therapies that can effectively treat:

• Loss of skin elasticity

• Scalp hair loss due to alopecia or aging

• Uneven skin tone

• Unwanted facial and body hair

• Wrinkles

  To support whole-body health, we offer medical-grade skincare and hair health products.

A: Eterna Vitality and Wellness by Dr. Renée does NOT participate in private or government-funded health insurance, PPO, or HMO plans or panels and has opted out of Medicare. We are a self-pay integrative medicine private practice and do not accept insurance. We will not bill any third-party health insurance plans for the services provided. However, good news is that many of our services qualify for HSA or FSA reimbursement.

As an “out of network” practice, Eterna Vitality and Wellness by Dr. Renée cares for and treat you based on your needs - not on the needs of an insurance company. We offer you comprehensive care, often consisting of lifestyle, holistic, and complementary treatments, along with advanced laboratory tests, all of which are frequently deemed “experimental” to exclude them from insurance companies’ covered benefits. Because of our medical services falls outside of coverage by insurance carriers, our financial arrangement is with you.

It is expected that you will pay for the care you receive at the time of service or if you are a patient member, most costs (outside of medications and lab tests) are covered by your monthly membership fee.

After payment is made to our practice, we can provide itemized bills/receipts for your records. You may submit these to your PPO/HMO insurance plan for potential out-of-network reimbursement according to each individual insurance plan. Please note that any insurance reimbursement process must be handled directly by you – our office cannot assist with insurance claims or reimbursement.

We strongly encourage you to contact your insurance company to understand your specific out-of-network coverage and reimbursement process.

We are not providers for any HMO insurance, nor are we Medicare providers.

Medicare patients are also required to pay at time of service and will NOT be eligible for Medicare reimbursements.

A: We are currently licensed in Colorado, Florida, Georgia, Maryland, New Jersey, Ohio, and Washington, with plans to expand to additional states soon. We are currently accepting patients for virtual telemedicine consultations for Colorado, Connecticut, Florida, Georgia, Illinois, Maryland, New Jersey, Ohio, and Washington and Wisconsin at this time. Expanding soon to accept Pennsylvania and Texas patients!

A: Initial consultations are 45 minutes, with follow-up sessions typically 30 minutes, allowing time for thorough discussion and personalized care planning

A: We require 24-hour notice for cancellations. Additionally, appointments must be confirmed 6 hours before the scheduled time, or the unconfirmed appointment spot will be opened to another patient and you will have to reschedule with the rescheduling link.

A: Treatment frequency varies based on your individual needs and goals. Typically, we begin with monthly sessions, adjusting as needed throughout your care journey.

A: Yes, when appropriate and necessary for your treatment plan. We also frequently recommend and prescribe supplements when needed.

A: No. We are a specialty consultative practice only and do not provide primary care or emergency services. All emergencies should be directed to 911 or your nearest emergency room. All patients are required to maintain a relationship with a local primary care provider and/or general OBGYN physician.

A: We accept Visa, Master Card, Discover, Apple Pay and American Express. We also accept HSA/FSA cards. Payment is required at the time of service.

A: We use a HIPAA-compliant telemedicine platform. Once yo become a patient, you will receive secure login credentials with simple instructions to protect your privacy and streamline documentation.

A: New patients can schedule through our online booking system. We'll send necessary paperwork to complete before your first visit. Once you become a patient you will have access to our patient portal where you have the ability to schedule all your follow-up consultation visits.

A: Your initial consultation includes a comprehensive review of your health history, current concerns, goals, and the development of your personalized treatment plan.

A: The benefit of telemedicine visits is that you can show up in your pajamas or whatever makes you comfortable for our encounter. The intake questionnaire is required to be completed at least 72 hours before your visit. That gives us adequate time to review the information provided and prepare appropriately for our virtual face-to-face visit. 

A: Yes, certain treatment plans require recent lab work (within 6 months). All labs must be ordered through our practice - we do not review outside lab results. Ordered testing will not be billed through insurance but can be paid via credit cards or FSA/HSA.

The costs for laboratory testing are set by the labs themselves. We have made every effort to secure the best rates at the most advanced laboratories. After payment for your lab tests is made to our practice, we can provide itemized bills/receipts for your records. You may submit these to your PPO/HMO insurance plan for potential out-of-network reimbursement according to each individual insurance plan.

Please note that any insurance reimbursement process must be handled directly by you – our office cannot assist with insurance claims or reimbursement.

A: The majority of our treatment plans utilize specialty functional medicine labs that require direct payment via credit card or FSA/HSA.

While we occasionally use standard labs that can be billed through insurance at local facilities, this is extremely rare. Patients should be prepared that most required testing will be specialty labs requiring out-of-pocket payment.

A: We are a cash-based practice and do not accept insurance.

However:

• All medical services are tax-deductible as healthcare expenses

• All Major credit cards, Apple Pay and FSA/HSA cards are accepted.

• Most medications will be specialty compounds requiring direct payment

• Some basic prescriptions may be covered by your insurance when sent to local pharmacies

Note: Given our functional/integrative medicine approach, most labs and prescriptions will require direct payment .

It is expected that you will pay for the care you receive at the time of service or if you are a patient member, most costs (outside of medications and lab tests) are covered by your monthly membership fee.

After payment is made to our practice, we can provide itemized bills/receipts for your records. You may submit these to your PPO/HMO insurance plan for potential out-of-network reimbursement according to each individual insurance plan.

Please note that any insurance reimbursement process must be handled directly by you – our office cannot assist with insurance claims or reimbursement.

We strongly encourage you to contact your insurance company to understand your specific out-of-network coverage and reimbursement process.

We are not providers for any HMO insurance, nor are we Medicare providers.

Medicare patients are also required to pay at time of service and will NOT be eligible for Medicare reimbursements.