FAQ

Elevé is a concierge telehealth practice based in Los Angeles, built on the belief that good medicine requires time, attention, and a clinician who understands your full story. We practice primary care through a functional medicine lens, addressing the whole picture rather than isolated symptoms. Services include thyroid care, hormone optimization, metabolic health, gut health, longevity, medical advocacy, complex case management, and sick visits. All care is tailored to your labs, your symptoms, and your goals.

Concierge telemedicine combines the model of concierge medicine with the convenience of telehealth. In a traditional practice, physicians manage thousands of patients, which limits appointment time, access, and the depth of care each patient receives. In a concierge model, the patient panel is intentionally small so the clinician can offer longer visits, direct access, and care built around your full history rather than your most recent problem. At Elevé, that means a clinician who knows your labs, your goals, and your story, available by secure message between visits and managing your care longitudinally rather than reactively.

Conventional medicine is designed to diagnose and treat disease. It excels at acute care, emergency medicine, and managing established conditions. What it is less equipped for is the long stretch before a diagnosis exists, when symptoms are real but labs are normal, when something is clearly wrong but nothing has a name yet. Functional medicine asks a different question. Instead of asking what disease you have, it asks why your body is functioning the way it is, looking at metabolism, hormonal balance, gut function, nutrient status, sleep, and inflammation to identify underlying drivers. At Elevé we integrate both. We practice evidence-based primary care and use functional medicine as a deeper diagnostic lens, not as a replacement for conventional medicine but as a more complete version of it.

Root-cause medicine starts from a simple idea: most chronic conditions are not diseases that appear out of nowhere. They are the end result of upstream dysfunction that has been building for years, sometimes decades, before it gets a name. High cholesterol is not always about a high fat diet. It can be driven by insulin resistance, thyroid dysfunction, or inflammatory patterns that a statin does not touch. Resistant hypertension is not always about salt. It can reflect cortisol dysregulation, sleep apnea, or metabolic dysfunction that has never been properly evaluated. Conventional medicine tells you what to call it. Root-cause medicine asks what caused it. Personalized healthcare can change the trajectory.

Traditional practices are often limited by time, volume, and insurance-driven workflows. Elevé is not. Visits are longer, the patient panel is intentionally small, and care is built around your full clinical picture. We use advanced diagnostics, look for underlying drivers, and manage your care longitudinally. You are not given a prescription and sent on your way.

Many functional platforms rely on high volume, rotating clinicians, and templated protocols. At Elevé, you work with one clinician who knows your history, your labs, and your goals. We integrate conventional and functional medicine, using advanced diagnostics alongside evidence-based care rather than replacing it.

Both. Elevé provides full primary care via telehealth including acute concerns, chronic disease management, preventive care, medication management, and referral coordination. We also go deeper than most primary care practices on thyroid optimization, hormone health, metabolic health, gut health, and longevity medicine. Your thyroid, your hormones, your metabolic health, your cardiovascular risk, and your day-to-day primary care needs are all held by one clinician who knows your full story.

Direct primary care, or DPC, is a membership model focused on unlimited primary care access at a flat monthly fee, typically without insurance. Concierge medicine typically involves a higher membership fee with more comprehensive services, longer appointments, and often a smaller patient panel. The key difference is depth and scope. DPC is built around access and availability. Concierge medicine is built around the thoroughness of care. At Elevé we operate as a concierge practice with a direct-pay model, combining the access of DPC with the diagnostic depth and clinical scope of a specialized practice.

For the vast majority of functional medicine care, yes. Lab ordering, result interpretation, medication management, hormone therapy, GLP-1 prescribing, thyroid optimization, and care plan development are all well suited to telehealth. The clinical relationship, the depth of evaluation, and the quality of the diagnostic workup do not require an in-person visit. What telehealth cannot replace is a hands-on physical exam, and when that is needed we coordinate it. For most patients managing chronic conditions, hormonal imbalances, metabolic health, and longevity goals, telehealth removes barriers without compromising the quality of care.

Elevé is a strong fit for people who feel unheard by conventional medicine, have symptoms that have been dismissed or attributed to stress, and want a clinician who will actually dig into their labs. We work well with patients navigating thyroid conditions, hormonal imbalances, weight concerns, gut issues, fatigue, and those focused on prevention or longevity. This is best suited for people ready to take an active role in their health.

No. Many patients come to Elevé without a diagnosis, only symptoms. That is exactly the kind of clinical situation we are built for. We work through your history, labs, and presentation to understand what is actually driving how you feel.

Most patients begin with the Elevé Panel to establish a comprehensive baseline. If you have a specific concern or prior diagnosis, you may start with a targeted consultation or a focused protocol. If you already have recent labs, a 1-hour integrative lab review is appropriate. If you are unsure, book a Meet Elevé call to guide next steps.

Yes. Elevé provides full primary care via telehealth for patients in California and Arizona. This includes acute concerns, chronic disease management, preventive care, medication management, lab interpretation, and referrals when needed. For our concierge primary care patients in Los Angeles, annual physical exams are conducted in the comfort of your home. When in-person care is required, we coordinate it.

Elevé provides full telehealth care for patients in California and Arizona. Licensing is state-specific, and we are actively expanding. If you are located elsewhere or planning a move, reach out and we will clarify what is possible.

New patient appointments are typically available within one to two weeks. If you have an urgent concern, reach out directly and we will do our best to accommodate you.

Once your intake is received you will be contacted to schedule your first visit. Your provider reviews your intake and any submitted labs in advance so your visit can be focused and clinically productive from the first minute.

No. Elevé is a direct-pay practice, and that is intentional. Insurance reimbursement structures are built around brief visits, standard labs, and billable diagnosis codes. They do not reimburse for the time, the advanced diagnostics, or the depth of evaluation that defines how we practice. Most of the testing we consider foundational including advanced lipid panels, DUTCH hormone testing, GI-MAP, micronutrient analysis, and biological age panels is not covered by insurance at all. Practicing outside of that system means we can order what is clinically appropriate, spend the time your case actually requires, and build care plans around your health rather than your coverage. Services are typically HSA and FSA eligible. We recommend maintaining insurance for hospitalizations, emergency care, imaging, and specialist referrals.

Pricing varies based on the services and protocols involved and is transparent at booking. There are no surprise fees. Lab costs, medications, and compounded therapies are separate and vary based on your care plan. Services are typically HSA and FSA eligible.

Yes. We provide superbills for potential out-of-network reimbursement. Coverage depends on your specific plan.

We ask for at least 24 hours notice for cancellations or rescheduling. Late cancellations and no-shows are subject to a $75 fee. We handle this reasonably and in good faith.

Visits are conducted via secure video through Healthie. You complete an intake beforehand so the visit can be focused and efficient. Initial visits are longer. Follow-ups are typically 30 to 45 minutes. You leave with a clear plan, appropriate labs, and direct access for follow-up questions.

Every protocol at Elevé is built around your specific labs, symptoms, and goals. Most begin with a comprehensive diagnostic evaluation, a results consultation, and a personalized care plan. Protocols vary by focus area and include lab panels, provider visits, follow-up interpretation, and in some cases access to a functional nutrition coach or compounded therapeutics. Pricing and inclusions are detailed at booking.

Messaging is available through the patient portal for non-urgent questions, prescriptions, and lab clarification. Response time is typically within one business day. Elevé is not an emergency service.

Yes. Elevé often acts as the integrating provider, ensuring your care is cohesive across specialties.

We will guide and coordinate referrals when physical exams, imaging, or procedures are needed.

Lab orders are sent directly to you through Rupa Health. Most standard testing is drawn at a Quest Diagnostics patient service center, with thousands of locations throughout California and Arizona. Specialty testing including DUTCH hormone panels, GI-MAP, and micronutrient analysis is completed at home with a kit mailed directly to you. Results are reviewed at a dedicated follow-up visit, not sent with a portal notification and no explanation.

We offer both standard and advanced diagnostics. This includes comprehensive thyroid panels, metabolic markers, hormone testing, inflammation markers, gut testing, micronutrients, and cardiovascular risk markers. Testing is always selected based on your symptoms and clinical picture, not a one-size-fits-all panel.

Yes. Our signature Elevé panel includes 125 biomarkers and a biological age calculation. We also offer a full range of advanced testing, including DUTCH hormone testing (DUTCH Plus and Cycle Mapping + Plus), GI Effects, GI-MAP, SpectraCell micronutrient analysis, Cell Science Systems testing, 3x4 Genetics, and more. Every panel is chosen intentionally to answer a specific question, not just to generate more data.

Yes. You can book a 1-hour integrative lab review to go through outside labs in detail. We ask that all labs be submitted at least 48 hours before your visit so your provider can review them in advance and come prepared with a thoughtful, clinically grounded interpretation.

This is one of the most common reasons patients come to Elevé. Reference ranges are broad and do not always reflect optimal function. A lab can fall within range while still correlating with symptoms like fatigue, brain fog, weight resistance, or hormonal imbalance. We interpret labs in the context of your symptoms, your history, and patterns across markers, not just whether a number is flagged.

TSH is a signal from the brain telling the thyroid to produce more hormone. It is not a measure of how much active thyroid hormone is actually available to your cells. A normal TSH tells you the signal is being sent. It does not tell you whether the thyroid is responding adequately, whether T4 is converting to the active form T3, whether reverse T3 is blocking that conversion, or whether thyroid antibodies are quietly driving autoimmune inflammation. Many patients with normal TSH have suboptimal Free T3, elevated reverse T3, or positive antibodies that explain every symptom they are experiencing. At Elevé we evaluate the full thyroid picture, not just the signal. If your TSH is normal but you still feel like your thyroid is off, there is often a clinical reason and it is worth finding.

T4 is the storage form of thyroid hormone. Your body converts it to T3, the active form your cells actually use. Most conventional thyroid treatment uses levothyroxine, a synthetic T4, on the assumption that your body will convert it adequately. For many patients it does. For others, conversion is impaired by inflammation, nutrient deficiencies, cortisol dysregulation, or genetic variants that affect the enzymes responsible for that process. T3 treatment options include liothyronine, combination T4/T3 therapy, and desiccated thyroid including brands like NP Thyroid and Armour, which contain both T4 and T3 in a natural ratio derived from porcine thyroid tissue. At Elevé we evaluate conversion as part of every thyroid workup and discuss all treatment options based on your full picture, not just your TSH.

Yes. Thyroid management is well suited to telehealth. Lab ordering, result interpretation, medication management, and dose adjustments can all be handled remotely. At Elevé we order comprehensive thyroid panels through national labs with patient service centers throughout California and Arizona, so you can get tested locally and have results reviewed at a dedicated visit. If we identify a concern that warrants in-person evaluation or imaging such as an ultrasound, we will coordinate that referral. For the vast majority of thyroid patients, everything they need can be managed through a single clinician via telehealth without sacrificing the depth or quality of care.

Thyroid optimization means looking beyond TSH to understand the full picture. We evaluate Free T3, Free T4, reverse T3, and thyroid antibodies, while also assessing cofactors and common mimics of thyroid dysfunction, including nutrient deficiencies, inflammation, cortisol patterns, and metabolic factors. Your treatment plan is guided by both your labs and how you actually feel.

Yes. We address both hormone levels and the autoimmune component, including gut health and inflammatory drivers.

Yes. At Elevé we prescribe compounded GLP-1 therapy including semaglutide and tirzepatide via telehealth for patients in California and Arizona. Every patient undergoes a thorough clinical intake including medical history review, contraindication screening, and appropriate baseline labs before a prescription is issued. GLP-1 therapy at Elevé is one tool within a broader metabolic strategy that addresses insulin resistance, thyroid function, cortisol patterns, nutrition, and body composition. Compounded GLP-1 medications are prepared by FDA-registered, California Board of Pharmacy licensed compounding pharmacies and shipped directly to you.

Yes. We prescribe compounded GLP-1 therapy through FDA-registered, California Board of Pharmacy licensed compounding pharmacies. Every patient undergoes a thorough clinical intake, including medical history review, contraindication screening, and appropriate baseline labs. Prescribing is always based on a real clinical relationship.

Brand-name GLP-1 medications are FDA-approved and manufactured to strict quality standards. Compounded versions use the same active ingredient and are prepared by FDA-registered, California Board of Pharmacy licensed compounding pharmacies, but are not FDA-approved as finished products. They are typically more affordable. We discuss this clearly so you can make an informed decision.

No. Medication is one tool within a broader strategy. We address metabolic, hormonal, and lifestyle drivers including insulin resistance, thyroid function, cortisol patterns, sleep, and gut health. For patients who want additional support, we also offer access to a functional nutrition coach.

Weight is one marker of metabolic health. It is not the same thing. Metabolic health refers to how well your body produces and uses energy at a cellular level, including how efficiently you process glucose, how sensitive your cells are to insulin, how your body stores and mobilizes fat, and how your hormones, inflammation levels, and organ function support or undermine those processes. A person can be at a normal weight and have significant metabolic dysfunction. A person can carry extra weight and have excellent metabolic markers. The goal is not a number on a scale. It is a body that functions well, ages well, and feels well.

Standard labs ordered at a yearly physical rarely answer the question of why weight loss is difficult. The most important markers to evaluate include fasting insulin and HOMA-IR, which identify insulin resistance before glucose becomes abnormal. A full thyroid panel including Free T3, Free T4, and reverse T3, because suboptimal thyroid conversion is one of the most common and most missed drivers of weight resistance. Cortisol patterns, because chronic stress elevates cortisol which drives fat storage particularly around the abdomen. Advanced lipids including ApoB and sdLDL, which reflect the metabolic environment more accurately than standard cholesterol. Inflammatory markers including hs-CRP and homocysteine. Sex hormones including estrogen, progesterone, and testosterone, which influence body composition directly. Gut health, because microbiome imbalance, intestinal permeability, and poor digestive function all contribute to inflammation, insulin resistance, and weight that does not respond to diet and exercise. And a comprehensive metabolic panel to evaluate liver and kidney function, blood sugar, and electrolytes. At Elevé we evaluate all of these as part of our metabolic workup rather than starting with a prescription and hoping for the best.

Most women who come to Elevé with a hormone concern have already been told their labs are normal. The most common signs include irregular or heavy periods, worsening PMS, fatigue that does not improve with rest, difficulty losing weight despite consistent effort, mood changes including anxiety and irritability, poor sleep, brain fog, low libido, hair thinning, and skin changes. Perimenopause adds another layer, with symptoms that often begin years before periods become irregular, including night sweats, temperature dysregulation, and accelerating changes in energy and cognition. The challenge is that standard hormone panels frequently come back normal even when symptoms are significant. Advanced hormone testing including DUTCH Plus and Cycle Mapping evaluates hormone production, metabolism, and daily patterns in detail, not just a single snapshot in time.

Bioidentical hormone therapy, when prescribed appropriately and monitored carefully, has a strong and growing evidence base for perimenopausal and menopausal women. The fear around hormone therapy largely stems from a 2002 study that has since been significantly reanalyzed and recontextualized. The risks it identified were overstated, applied to synthetic hormones rather than bioidentical ones, and did not reflect what happens when therapy is initiated at the right time in the right patient. For women who are good candidates, hormone therapy can improve sleep, cognition, mood, cardiovascular health, bone density, and quality of life in ways that few other interventions can match. At Elevé we evaluate candidacy carefully, discuss the evidence honestly, and build protocols around your labs, your symptoms, and your personal risk profile. The goal is never to prescribe reflexively. It is to give you the information you need to make the right decision for your body.

Yes. Hormone replacement therapy can be prescribed via telehealth in California. At Elevé we evaluate candidacy through a thorough intake process including medical history review, symptom assessment, and advanced hormone testing using DUTCH Plus or DUTCH Cycle Mapping before prescribing. This is not a symptom checklist and a prescription. It is a clinical evaluation built around your labs, your history, and your full hormonal picture. Compounded bioidentical hormones are dispensed through licensed compounding pharmacies and shipped directly to you. Follow-up visits monitor your response, adjust dosing, and ensure your care is evolving with you over time.

Yes. We take a comprehensive and data-driven approach to hormone care. We typically begin with advanced hormone testing using DUTCH Plus or DUTCH Cycle Mapping + Plus to understand hormone production, metabolism, and daily patterns. This allows us to build a treatment plan that reflects what is actually happening in your body, not just a single snapshot in time.

Yes. We support patients who are trying to conceive or preparing for pregnancy through a clinical lens. Fertility is rarely just a reproductive problem. It is often a reflection of broader metabolic, hormonal, thyroid, and nutritional health. We evaluate and address the underlying factors that influence egg quality, cycle regularity, and reproductive hormone balance, including thyroid optimization, insulin resistance, inflammation, micronutrient status, and mitochondrial health. We also support patients through the preconception period with targeted protocols including CoQ10, folate, and other evidence-based interventions that support egg quality and early pregnancy outcomes. This is not a replacement for reproductive endocrinology, but for many patients it is the missing piece that conventional fertility workups do not address.

Longevity care at Elevé focuses on identifying early drivers of disease and optimizing long-term health. This includes advanced metabolic testing, inflammation markers, hormonal optimization, gut health, and cardiovascular risk assessment, alongside our 125-biomarker panel and biological age calculation. The goal is not just to extend lifespan, but to improve how you feel and function over time.

A longevity panel goes well beyond what a standard annual physical measures. At Elevé our signature panel includes 123 biomarkers covering thyroid function, metabolic health, cardiovascular risk, inflammation, fatty acid balance, digestive function, liver health, key micronutrients, and a biological age calculation. The goal is to identify patterns that predict how you will age before they become clinical problems.

The biomarkers that most reliably predict long-term health are not the ones most doctors order at a yearly physical. The strongest predictors cluster around four areas: cardiovascular risk, metabolic function, inflammation, and hormonal health. Within cardiovascular risk, ApoB and Lp(a) tell you far more than standard cholesterol. Within metabolic function, fasting insulin and HOMA-IR reveal insulin resistance years before glucose becomes abnormal. Within inflammation, hs-CRP and homocysteine reflect the chronic low-grade dysfunction that drives cardiovascular disease, cognitive decline, and accelerated aging. Within hormonal health, thyroid, sex hormones, and cortisol influence nearly every other system. Beyond labs, VO2 max is among the strongest single predictors of all-cause mortality we have. And biological age, calculated from a combination of metabolic markers, gives us a composite picture of how your body is actually aging relative to your chronological age.

Lifespan is how long you live. Healthspan is how well you live while you are living. The distinction matters because modern medicine has become very good at extending lifespan without necessarily preserving the quality of the years added. The goal is to remain cognitively sharp, physically capable, metabolically healthy, and hormonally balanced as long as possible. Healthspan medicine focuses on the decade before disease appears, when the upstream work is still possible and the trajectory is still changeable. That is where Elevé operates.

Yes. These are core markers in our longevity and metabolic panels. Standard cholesterol testing misses a significant portion of cardiovascular risk. ApoB measures the number of atherogenic particles directly and is a stronger predictor of cardiovascular events than LDL-C alone. LDL-P and sdLDL characterize particle size and density, which matters independently of total LDL. Lp(a) identifies inherited cardiovascular risk that statins do not address. HOMA-IR gives us a meaningful picture of insulin resistance before glucose is overtly elevated. OmegaCheck evaluates your omega-3 to omega-6 ratio and fatty acid balance, which influences inflammation and long-term cardiovascular risk. We interpret these together, not as isolated numbers, but as a complete metabolic and cardiovascular risk profile. Additional advanced lipid markers are ordered based on your personal history, family history, and clinical picture.

Yes. Muscle mass is one of the most underappreciated determinants of long-term health. Loss of muscle, sarcopenia, accelerates metabolic dysfunction, increases fall and fracture risk, impairs glucose handling, and is strongly associated with all-cause mortality. We recommend DEXA body composition scanning as a baseline for most patients, whether they are focused on longevity, metabolic health, weight optimization, or general prevention. It gives us precise data on lean mass, visceral fat, and bone density that a scale or BMI cannot. From there we build individualized protocols addressing protein targets, resistance training, and the hormonal, metabolic, and inflammatory factors that drive muscle loss, including insulin resistance, thyroid dysfunction, cortisol dysregulation, and low anabolic hormone levels.

Yes. These are objective measurements we consider essential to a complete longevity evaluation. DEXA provides precise data on lean mass, visceral fat, and bone density that a standard physical cannot. Coronary artery calcium scoring tells us what is actually happening inside the arteries, not just what blood markers suggest, and is one of the strongest tools available for risk stratification in patients who appear healthy on standard labs. VO2 max is among the most powerful predictors of long-term survival we have, more predictive than most biomarkers we routinely measure. We coordinate referrals for all three, guide patients through where to get tested, and interpret results at a dedicated follow-up visit in the context of your full metabolic, cardiovascular, and hormonal picture.

Cardiovascular disease remains the leading cause of death, and most of it is preventable. Blood pressure is one of the most modifiable risk factors we manage, and we do not wait for a patient to cross a diagnostic threshold before addressing it. Elevated blood pressure rarely exists in isolation. We look at the full picture, including insulin resistance, cortisol patterns, thyroid function, sodium handling, sleep quality, and vascular inflammation, to understand what is driving it. Beyond blood pressure, cardiovascular prevention at Elevé includes advanced lipid testing, ApoB, Lp(a), sdLDL, and OmegaCheck, alongside metabolic markers, inflammatory markers, and CAC scoring as part of a comprehensive cardiovascular risk evaluation. The goal is to identify and address cardiovascular risk years before it becomes a clinical event.

Sleep is not a lifestyle preference. It is a clinical variable with measurable downstream effects on nearly every system we manage. Poor sleep drives insulin resistance, elevates cortisol, disrupts hormone production, impairs cognitive function, accelerates cardiovascular risk, and undermines the results of almost every other intervention we recommend. We ask about sleep in every intake, not as a checkbox but as a clinical finding. When sleep is disrupted, we assess contributing factors including cortisol patterns via DUTCH testing, thyroid function, metabolic health, and underlying conditions like sleep apnea that are frequently undiagnosed in our patient population. We also work with patients on circadian rhythm optimization, addressing light exposure, sleep timing, and the hormonal and metabolic patterns that regulate the body's internal clock. We build protocols that address root causes rather than layering supplements on top of a problem that has not been properly evaluated.

No. Elevé is a clinical practice. Our foundation is evidence-based primary care, advanced diagnostics, and longitudinal patient relationships. We are not a wellness center that happens to have a provider on staff. Adjunct therapies including targeted supplementation and IV micronutrient support are available and appropriate for specific patients based on lab findings, but they are never the centerpiece of care. If a practice is leading with NAD drips and peptides before addressing blood pressure, insulin resistance, thyroid disease, or cardiovascular risk, something is out of order. We address the fundamentals first, and we do not recommend interventions without a clinical reason to do so.

Nutrition is one of the highest-leverage interventions available and one of the most consistently underprescribed in conventional medicine. We assess dietary patterns, protein adequacy, and metabolic response as part of every comprehensive evaluation. Protein intake is particularly critical for muscle preservation, metabolic health, satiety, and hormonal balance. Most patients are significantly under-consuming protein relative to what the evidence supports for their age and body composition, and most have never been given a specific target. We provide individualized guidance based on your labs, body composition data, and clinical picture rather than generic recommendations. For patients who want deeper nutritional support, we also offer access to a functional nutrition coach.

NAD+ is a coenzyme involved in cellular energy production, mitochondrial function, and DNA repair. Levels decline with age. Supplementation may support energy, cognitive clarity, and cellular resilience. We incorporate it selectively based on your clinical picture.

Leaky gut, more precisely intestinal permeability, and SIBO, small intestinal bacterial overgrowth, are distinct conditions that often overlap and contribute to a wide range of symptoms including bloating, gas, abdominal discomfort, food sensitivities, fatigue, brain fog, and skin issues. SIBO is diagnosed through a lactulose or glucose breath test, which measures hydrogen and methane gas produced by bacteria in the small intestine. Intestinal permeability is evaluated through the GI-MAP or GI Effects panel, which measures markers of gut barrier integrity, immune activation, and microbial balance with a level of precision that traditional stool cultures cannot match. At Elevé we select testing based on your symptom pattern and clinical history rather than running every panel by default.

The gut influences hormones and weight through several interconnected pathways. The estrobolome, a collection of gut bacteria, regulates how estrogen is processed and reabsorbed. An imbalanced microbiome can lead to estrogen recirculation, contributing to estrogen dominance, PMS, and hormonal symptoms that persist despite normal lab values. Gut permeability drives systemic inflammation, which disrupts insulin signaling, elevates cortisol, and impairs thyroid conversion. Poor gut health also affects the production of short chain fatty acids that regulate appetite, blood sugar stability, and fat storage. Weight that does not respond to diet and exercise is frequently a downstream consequence of gut dysfunction that has never been evaluated. At Elevé we look at the gut as part of every metabolic and hormonal workup, not as a separate specialty concern.

The GI-MAP is a comprehensive stool test that uses DNA analysis to identify and quantify microorganisms in the gut, including bacteria, parasites, fungi, and viruses, with a level of precision that traditional stool cultures cannot match. It measures pathogenic organisms that can drive chronic symptoms, markers of gut barrier integrity, immune activation markers, digestive enzyme output, and inflammatory markers including calprotectin. It also evaluates the balance of commensal bacteria and opportunistic organisms that can overgrow when the microbiome is disrupted. At Elevé we use the GI-MAP as a primary diagnostic tool for patients with chronic gut symptoms, autoimmune conditions, hormonal imbalances, skin issues, and unexplained fatigue, because the gut is frequently where the upstream dysfunction begins.

Your privacy is built into how we practice. Elevé does not collect personal health data through our website. When you become a patient, you are directed to Healthie, a dedicated healthcare platform built to HIPAA standards with end-to-end encryption, strict access controls, and no third-party data sharing. Your health information lives in a clinical environment designed to protect it.

A smartphone, tablet, or computer with a working camera and microphone is all you need. No software download is required. You will receive a secure link through Healthie before your visit. A reliable internet connection and a private, quiet space will make for the best experience.

Elevé offers refunds in limited situations. If your provider determines during your initial consultation that you are not medically eligible for treatment, you will receive a full refund. Refunds are also issued in the case of verified billing errors.

No. Once your medical intake has been reviewed and a prescription has been processed, services are considered rendered and are non-refundable. This includes provider evaluation and pharmacy fulfillment.

No. All supplements and wellness products are final sale due to safety and quality control standards.

If a subscription is canceled after a charge has been processed, that charge is non-refundable. Cancellation applies to future billing cycles only.

Refund requests must be submitted in writing within 28 days of the original payment date. Instructions for submitting a request are provided in our full Refund Policy.

Our full Refund Policy, including all terms and conditions, is available here.