Clinical care for the years ahead
Whether you are protecting your strength while taking a GLP-1, rebuilding your metabolism without one, trying to understand changes in your hormones, thyroid, or gut, or concerned about a family health risk, we begin with what matters most now and build from there.
Care by Dr. Sheri Erwin, DNP, APRN, FNP-C
Board‑Certified Family Nurse Practitioner
Telehealth care in AZ · CO · FL · ID · KY · MT · OR · WA · WY
What brought you here?
Choose the door that fits your situation today. Each one leads to the care built for it, and you can always talk it through with me first.
Protect your muscle, strength, and metabolic health while staying on the medication, or prepare for a clinician-guided transition with your own prescriber.
Explore GLP-1 care →Understand what is driving changes in your weight, energy, strength, or laboratory markers, and choose the appropriate level of metabolic care.
Explore metabolic care →Bring hormones, thyroid, gut health, metabolism, nutrition, and long-term healthspan into one clinical plan with one clinician.
Explore the Metabolic Healthspan Reset →Clarify inherited and personal risk factors, identify appropriate testing, and build a more informed prevention plan.
Explore the Early Advantage →Need help with something simple today?
Not every concern needs a long-term program. Quick Care provides an approximately 20-minute telehealth visit for straightforward concerns such as sinus symptoms, uncomplicated UTIs, sore throats, allergies, minor rashes, pink eye, yeast infections, and certain stable medication refills.
Available in AZ, CO, FL, ID, KY, MT, OR, WA, and WY.
Not sure where you belong?
Know Your Number gives us a focused clinical starting point using your laboratory results, biological age, goals, and health history. From there, I will recommend the level of care that fits. The fee credits toward the Metabolic Healthspan Reset if you continue within 30 days.
You may also enroll directly in the Metabolic Healthspan Reset when you already know you want active, structured care. Curious what goes into the number? Read what biological age testing measures.
Start Know Your Number, $299 Book a Free ConsultationAlready have recent labs from the last 90 days? Bring them for $199 →
How personalized care works
Care begins with understanding what is happening now. That may come from Know Your Number, recent laboratory results, or the assessment included in a focused program. I then bring the findings together into a plan designed around your priorities, risks, and desired level of support. You get any GLP-1 from your own provider or pharmacy, and I provide the metabolic care and support around it.
Your plan is built around your own laboratory findings and your situation, including whether you are staying on a GLP-1, preparing to transition off one, already off, or working without one. It protects your muscle and metabolism and includes its own bloodwork. When active, structured metabolic care is the right step, the Metabolic Healthspan Reset is the 16-week program.
Continuing care comes in two forms. Ongoing Metabolic Care is focused metabolic follow-up: visits with your nurse practitioner, monitoring, and member pricing on labs and supplements. Comprehensive Healthspan Membership is the broader longitudinal relationship, where ongoing hormone and thyroid management and your whole-health clinical care continue with one clinician over time.
Any precise muscle-mass measurement (a DEXA body-composition scan or D3-creatine where available), supportive therapies, and supplements are billed separately, at member pricing, so they never inflate your program price.
The whole picture
One clinician connecting the findings and the plan, so nothing is treated in isolation. These are the areas I work through with you.
Are you eating enough to support your muscle and blood sugar?
Are you preserving muscle mass, or just losing weight?
Is constipation, bloating, or poor motility affecting your results?
What is happening with your insulin sensitivity and blood sugar?
Are your thyroid and other hormones supporting your goals?
Stress and poor sleep can override your progress, so we address them alongside everything else.
When you want these areas looked at together and actively improved, the Metabolic Healthspan Reset is the 16-week program that evaluates your hormones and thyroid as part of your full metabolic picture and builds the plan from your own labs.
The Early Advantage is specialized prevention care for women with meaningful family history or elevated risk who want a deeper look before disease develops, from a clinician who spent years in oncology.
Personal and family history mapped, with genetic testing when it's indicated.
The changes that most reduce your risk, and a screening calendar built for you.
I coordinate anything that needs a closer look, and your surveillance continues in your ongoing care.
Your $695 covers two visits: a 60-minute initial consult for your cancer-risk assessment, and a 45-minute follow-up visit where we review your results and build your screening calendar together. Genetic testing, when indicated, is ordered through an outside genetics lab and billed separately, commonly around $250, and many plans cover it. HSA and FSA welcome.
Simple, direct care
Root & Remedy Integrative Care is a direct-pay practice. Insurance is built around short, problem-focused visits, and the longer, root-cause care I practice is time it does not usually cover. Working with you directly is what protects that time and keeps your plan guided by what you actually need. I work to keep it as affordable as I can, and HSA and FSA cards are welcome. If it is helpful, I am glad to provide a superbill you can submit to your insurance for possible out-of-network reimbursement.
Good questions
A wellness coach can help with accountability, habits, and implementation. As a board-certified family nurse practitioner, I can evaluate symptoms, order and interpret laboratory testing, assess clinical risk, and develop a plan that accounts for your health history and current medical care. Coaching may support the plan, but it does not replace clinical assessment.
Insurance is generally structured around shorter, problem-focused visits. Root & Remedy Integrative Care uses a direct-pay model so there is time to examine patterns across your symptoms, laboratory results, history, and long-term goals.
You keep using your insurance for prescriptions, imaging, specialists, emergencies, and surgeries. The membership is the ongoing relationship and management insurance was never built to provide.
No. Your GLP-1 stays with your own prescribing clinician, who manages the medication and any dosing decisions. My work is the metabolic care around it: protecting your muscle, bone, and metabolic rate, monitoring your labs, and building the nutrition and strength plan, whether you are staying on a GLP-1, considering a transition off, or building metabolic health without one.
For women everywhere
Clinical care is limited to the states where I am licensed. The Metabolic Defense Project is a nationwide education and coaching membership, open in all 50 states, for women who want a practical, muscle-first, protein-forward approach to metabolic health.
Book a Free Consultation. We'll talk through what you're experiencing and find the right first step together, with no pressure.
Book a Free Consultation