Foundational. Preventive. Insight-Driven.

This visit is designed for individuals seeking a broad assessment of their overall health.

During this comprehensive consultation, we will review your medical history, current concerns, and wellness goals. Appropriate laboratory studies will be ordered based on clinical findings to provide a clear picture of your general health status.

A dedicated follow-up appointment is included. During that visit, your laboratory results will be reviewed in detail and personalized recommendations will be discussed.

This evaluation is intended for general health screening and preventive care.It does not include hormone optimization assessment or medical weight-loss evaluation.

Individuals specifically seeking hormone therapy or prescription weight management should schedule the appropriate specialized consultation.

Laboratory fees are separate and not included in the visit cost.

Juliana Mesa, MSN, APRN, FNP-C

Board-Certified Nurse Practitioner
Living Waters Health & Wellness

Private. Personalized. Delivered to You.

There are moments when you want medical care — but not the waiting room, the exposure, the inconvenience, or the rush.

Our concierge in-home visits are designed for individuals and families who value thoughtful, high-quality medical care in the comfort and privacy of their own home.

A Board-Certified Nurse Practitioner comes directly to you and provides a comprehensive, individualized evaluation tailored to your needs or the needs of your loved one.

This service is ideal for:

• Acute medical concerns• 
Ongoing health management
• Recovery support
• Mobility limitations
• Busy professionals and families seeking convenience

During your visit, your provider may:

• Perform a focused clinical assessment and exam
• Review symptoms and relevant history
• Provide point-of-care testing when indicated
• Order laboratory studies as appropriate
• Prescribe medications when medically necessary

If intravenous therapy is clinically indicated, it may be incorporated into your visit at a preferred rate.
Every in-home encounter is delivered with discretion, professionalism, and attention to detail — bringing elevated medical care directly to you.

Continue to select your appointment time.

Joshua Hoover, MSN, APRN, FNP-C

Board-Certified Nurse Practitioner
Living Waters Health & Wellness

Nutrafol is a top-rated, natural supplement formulated to promote hair growth, thickness, and strength. With clinically-backed ingredients like biotin, ashwagandha, and saw palmetto, Nutrafol addresses key causes of hair thinning—such as stress, poor nutrition, and hormonal imbalances. It’s also an ideal companion to weight loss medication, helping to maintain strong, healthy hair as you achieve your wellness goals. By purchasing Nutrafol from us, you’re not only getting it at a lower price than Amazon, but you’re also supporting a small business dedicated to your wellness. Boost your hair and overall health with Nutrafol!

3 bottles - $210. Will delivery locally. 

** I offer local delivery within Pinellas County, as well as select areas of Hillsborough and Pasco County. For deliveries to other counties, I can ship your order for a fee.**

Balance. Clarity. Strength.

If you’ve been thinking, “I don’t feel like myself anymore,” you’re not alone.

Hormonal shifts during perimenopause and menopause can affect sleep, mood, anxiety levels, weight distribution, energy, and mental clarity — often long before cycles stop.

Many women are told their labs are “normal.”Many are told it’s stress.Many are offered anxiety medication.

But symptoms matter.

At Living Waters Health & Wellness, we provide medically guided hormone optimization tailored to the individual — not a one-size-fits-all approach.

We take your symptoms seriously and evaluate whether hormone therapy is appropriate for you in a safe and responsible way.

Common Concerns:

• Fatigue or burnout
• Anxiety or mood changes
• Waking at night (especially 2–3 AM)
• Weight gain, especially midsection
• Brain fog
• Low libido
• Hot flashes or night sweats
• Heart palpitations

Start with a Hormone Assessment Call

Before scheduling a comprehensive evaluation, we begin with a brief 15-minute Hormone Assessment Call to determine whether hormone optimization is the right path for you.

If appropriate, we will guide you through the next steps.

Schedule your Hormone Assessment Call to get started.

Juliana Mesa, MSN, APRN, FNP-C

Board-Certified Nurse Practitioner
Living Waters Health & Wellness

Metabolic Support. Sustainable Results.

If you’ve tried dieting, working out harder, cutting carbs, or “starting over on Monday” — and the weight still returns — the issue may not be willpower.

Metabolic health is influenced by hormones, insulin response, inflammation, stress, and sleep. For many individuals, traditional calorie-based approaches are not enough.

At Living Waters Health & Wellness, we provide medically guided weight optimization tailored to your physiology — not a one-size-fits-all plan.

We evaluate your health history, metabolic profile, and goals to determine whether prescription options, including GLP-1–based medications, are appropriate for you.

This Program May Be Appropriate If You:

• Struggle with persistent weight gain
• Experience strong cravings or food noise
• Have insulin resistance or metabolic syndrome
• Feel stuck despite consistent effort
• Want structured, medically supervised support

Our approach focuses on long-term metabolic improvement, not extreme restriction.

Weight Optimization Assessment Call (15 Minutes)

Before scheduling a comprehensive visit, we begin with a brief Weight Optimization Assessment Call.

This professional screening conversation allows us to:

• Review your goals
• Determine whether you are a clinical candidate
• Discuss the overall process
• Ensure alignment before moving forward

If appropriate, we will guide you through the next steps, including a comprehensive evaluation and treatment plan.

Juliana Mesa, MSN, APRN, FNP-C

Board-Certified Nurse Practitioner
Living Waters Health & Wellness

Cellular Energy. Elevated Vitality.

NAD+ plays a critical role in cellular energy production, metabolic performance, and cognitive clarity. As levels decline with age and stress, energy, focus, and recovery can decline as well.

At Living Waters Health & Wellness, we offer medically supervised NAD+ therapy designed to support sustained energy, mental clarity, and cellular resilience.

Treatment Options

IV NAD+ InfusionAdministered under clinical supervision for comprehensive, high-level cellular support.

Concierge Subcutaneous NAD+ Therapy

A personalized at-home protocol prescribed and overseen by a board-certified nurse practitioner. Medication is delivered directly to your home with clear dosing guidance and ongoing medical oversight — offering a discreet, convenient option for those seeking consistent support without in-clinic visits.

All treatment plans are prescribed and monitored to ensure safety, appropriate dosing, and alignment with your health goals.

Select your preferred option on the next page to schedule your NAD+ therapy.

Juliana Mesa, MSN, APRN, FNP-C
Joshua Hoover, MSN, APRN, FNP-C

Board-Certified Nurse Practitioners
Living Waters Health & Wellness

Convenient. Professional. Accessible Care.

Need medical care without coming into the office?

We offer secure telemedicine visits for a variety of non-emergency concerns — allowing you to receive timely, personalized care from the comfort of your home.

Common Reasons for Telemedicine Visits:

• Sick visits (cold, flu, sinus infections, UTIs, etc.)
• Medication refills
• Minor acute concerns
• Lab review and follow-up
• Ongoing care management
• Travel-related illnesses
• General health questions

Each visit is conducted by a board-certified nurse practitioner and includes a thorough assessment, treatment plan, and prescriptions when clinically appropriate.
Telemedicine visits are appropriate for non-emergency medical concerns only. If you are experiencing chest pain, shortness of breath, severe symptoms, or a medical emergency, please call 911 or seek immediate care.

Schedule your Telemedicine Visit today.

Juliana Mesa, MSN, APRN, FNP-C
Joshua Hoover, MSN, APRN, FNP-C

Board-Certified Nurse Practitioners 
Living Waters Health & Wellness

Restore Strength. Energy. Confidence.

If you’re feeling tired, mentally foggy, less motivated, or not quite like yourself — it may not simply be stress or aging.

Testosterone plays a vital role in a man’s energy, strength, body composition, focus, mood, and libido. When levels decline, the changes can be subtle at first — but over time they impact performance, confidence, and overall well-being.

At Living Waters Health & Wellness, we provide medically guided testosterone optimization tailored to the individual — not a one-size-fits-all approach.

Many men are told their labs are “normal,” yet they don’t feel optimal. We take your symptoms seriously and evaluate whether testosterone therapy is appropriate for you in a safe and responsible way.

Common Concerns:

• Low energy or afternoon crashes
• Decreased libido
• Reduced muscle mass
• Increased abdominal weight
• Brain fog
• Irritability or low motivation
• Poor recovery from exercise

Start with a Hormone Assessment Call

Before scheduling a comprehensive evaluation, we begin with a brief 15-minute Hormone Assessment Call to determine whether testosterone optimization is the right path for you.

If appropriate, we will guide you through the next steps.

Schedule your Hormone Assessment Call to get started.

Juliana Mesa, MSN, APRN, FNP-C

Board-Certified Nurse Practitioner
Living Waters Health & Wellness