Most clinics either nickel-and-dime you per visit or bundle everything into a flat fee that incentivizes cutting corners. We built a model where Dr. Strand's only financial incentive is to keep you as a member, which means keeping you healthy.
Before you can understand why our model exists, you need to see how most clinics are structured and where the financial incentives point.
Traditional & Many Boutique Clinics
You pay for every single interaction. A visit fee. A prescribing fee. A refill fee. Need to ask a question? They will not answer it over email or text because the provider does not get paid for that. Instead, they tell you to schedule an appointment. Another fee.
Generate as many billable interactions as possible. The more you need help, the more they charge. Your questions become their revenue.
Most Online TRT & GLP-1 Clinics
One flat monthly fee covers everything including medications. Sounds ideal until you realize what that means: every lab they order, every medication they prescribe, and every minute of provider time comes directly out of their profit margin.
Compress your care. Order fewer labs. Skip the nausea medication for your GLP-1. Minimize provider contact. Low-dose patients subsidize high-dose patients. Every dollar spent on your care is a dollar less in profit.
We separated the money from the medicine. Dr. Strand's income comes from the membership. Your medications and labs are passed through at cost. His only financial incentive is keeping you healthy enough to stay.
This is where we make our money
Zero markup. Zero profit for us.
Why this matters: Because we make zero profit on medications, Dr. Strand has zero financial incentive in what he prescribes. He can use any medication, any dose, add nausea medicine alongside your GLP-1, order extra labs when something looks off. None of it affects his income. Only your health matters.
Nausea meds, ancillary therapies, dose escalation. Whatever works best.
No cutting corners to protect margins. Tested as often as medically appropriate.
Text, call, or email. No appointment required, no fee attached.
What the pharmacy charges us is what you pay. Compounded, generic, or specialty.
From your first lab draw to ongoing optimization, every step is guided by Dr. Strand and built around your biology.
Your journey starts with a one-time evaluation package ($199 to $1,299 depending on your goals). This includes advanced diagnostic lab work at Labcorp, a 60-90 minute consultation with Dr. Strand, and a personalized Patient Handbook with your treatment plan. The evaluation determines which membership tier fits your needs.
This is the foundation. Without real data, any treatment plan is guesswork.
Based on your evaluation, Dr. Strand recommends the membership tier that matches your situation: Weight Loss ($99/mo), Optimize ($117/mo), or Primary Care+ ($135/mo). Your membership covers every appointment, dosage adjustment, protocol change, and communication going forward.
You are not locked in. If your needs change, your tier can change with you.
You pay separately for labs and medications at cost as you need them. Dr. Strand monitors your progress, adjusts your protocol, orders follow-up labs, and communicates with you directly. No visit fees for questions. No prescribing fees. No surprises.
Each patient is treated as a unique individual. Your cost reflects what you need, not what other patients need.
First prescription is always the same starting dose, so this cost is predictable for the first several months.
After the initial phase, your cost depends on your individual progress. Some patients stabilize on a low dose and their medication cost drops. Others require dose escalation, which costs more.
The range is real: a low-dose injection might cost ~$10, while a high-dose injection could be ~$120. In an all-inclusive model, you would be paying a flat fee that averages everyone together. Here, you pay for exactly what you need.
And if you need nausea medication, a metabolic support supplement, or extra labs? We prescribe them without hesitation, because it does not affect our bottom line.
Common questions about the Asymmetric Health model, what you pay, and why it is structured this way.
Your membership covers all of Dr. Strand's time: every appointment, follow-up, dosage adjustment, care decision, and communication. Text him a question at 9 PM, call about a side effect on a Saturday, schedule a follow-up to review labs. It is all included. The membership also covers the overhead of running the practice: staff, technology, facilities, and coordination. Think of it as paying for the relationship and the expertise, not individual transactions.
You pay for your labs and your medications separately. Labs are completed at Labcorp (you can submit to insurance for reimbursement). Medications are passed through at whatever the pharmacy charges the practice. Zero markup, zero profit for us. Some patients spend very little on meds (a low-dose generic might be a few dollars). Others on higher-dose specialty compounds spend more. The point is you pay for exactly what you need, nothing more.
Because it creates a financial incentive to give you less care. When a clinic includes meds in a flat fee, every prescription they write comes out of their profit. That means fewer labs, no ancillary medications (like nausea medicine alongside your GLP-1), and pressure to keep you on the cheapest option regardless of what works best. We separated medications from the membership specifically so Dr. Strand can prescribe whatever is medically best for you without a financial conflict.
In the insurance model, your doctor gets paid per visit. That means every question requires a scheduled appointment, every concern becomes a billable interaction, and the 15-minute visit window leaves almost no time for real conversation. At Asymmetric Health, Dr. Strand's time is covered by your membership. There is no financial incentive to rush you, limit your questions, or make you come back for a follow-up just to generate another bill.
That is exactly what the tiered membership structure is for. If you need focused hormone optimization and are otherwise healthy, the Optimize tier ($117/mo) covers TRT or BHRT management without paying for primary care services you do not need. You only pay for the level of care that matches your situation.
Yes. If your needs change (for example, you start with Optimize for TRT and later want to add primary care services) you can upgrade your membership. Dr. Strand will discuss the right tier during your evaluation and adjust as your care evolves.
No. The evaluation is required and it is the foundation of your care. It includes advanced diagnostic lab work, a 60-90 minute consultation with Dr. Strand, and your personalized Patient Handbook. This is where Dr. Strand identifies the root cause, builds your treatment plan, and determines which membership tier fits your needs. Without it, any treatment would be guesswork.
For the first 3 months, most patients pay approximately $140 to $165 per month total (membership + medication). After that, it depends on your individual progress and dosing needs. Some patients stay on a low dose and pay less. Others require dose escalation and pay more. Because we do not use an all-inclusive model, your cost reflects exactly what you need. You are not subsidizing other patients on higher doses.
Choose your evaluation, complete your labs, and start a membership where the only financial incentive is keeping you healthy.
Lacey, WA clinic. Telehealth available statewide in Washington.
