The Sage Balance Journey Discovery
We are excited that you're interested in optimizing your health - let's get you applied and on a call.

• Due to a limited number of new patient openings we only accept individuals who are ready to make a permanent change in their life, so we want to make sure that you're a good fit! 
• Your life WILL improve in all areas including health, confidence, work and relationships, but many people are not ready for that kind of change to occur.
• We wish to ONLY serve those who are ready to FIX their hormones, their thyroid, and their life. 

PLEASE NOTE THE FOLLOWING:

• We do NOT take insurance.
• We DO accept HSA & FSA cards for payment
• We DO accept direct-pay, cash or credit card for payment.
• We won't be reviewing labs on the call so no need to have those prior to your call!
• We will review labs in the program once you join us!
• No shows/no answer will not be allowed to reschedule.

If you schedule a call and need to change the time please text us to reschedule: 623-688-2105

This appointment request will be reviewed and a follow-up email/text will be sent to confirm it.
 
Some Questions to Get Started:

• Are you a driven individual ready to invest in your health and ready to make a permanent change?
• What is the top challenge you would like us to help you overcome?
• What have you/your doctor(s) tried so far to support your health - that has or has not worked?
• How many doctors/specialists/practitioners have you seen in the past? 
• Do you currently have a primary care provider?
• How willing are you at this point to find your answers and make changes?
• If you were to wake up tomorrow without this challenge and set of frustrations - how would your life be different?

We look forward to being a very helpful part of your health journey!
Dr. Viva Zima, DNP, MSN, APRN, FNP-C
Nurse Practitioner @Sage Hormone Health
623-688-2105

This booking is for established patients.
Book this consult when you have started your journey, and are ready for a follow-up visit.

A hormone consultation serves as the cornerstone for understanding and addressing hormonal imbalances that can significantly impact overall health and quality of life. A consult allows for a deep dive into your symptoms, lifestyle, and medical history to review precise, personalized approach to restoring hormonal balance.
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If you are New to Sage Balance Programs, please to Book A Free 15-Minute Consult here to ask questions.
OR - Iff you know you are ready to get started - book a Sage Balance Initial Consult or The Sage Balance 4 Month Program (More About This Program Here)

Book this consult when you are ready to get started optimizing your hormones!
Once this consult is booked, we will send you new patient intake documents; including an evidence-based symptom assessment questionairre to get to know you, and a lab order for you to take to the lab.*

Book this appointment for approximately 2 weeks after you are able to get lab work completed (results can take approximately this amount of time), that way we can review your both your symptoms and lab results, and then make plans to address them!

A hormone consultation serves as the cornerstone for understanding and addressing hormonal imbalances that can significantly impact overall health and quality of life. Hormones are powerful chemical messengers that influence nearly every function in the body, from energy levels and metabolism to mood and reproductive health. A consult allows for a deep dive into your symptoms, lifestyle, and medical history to develop a precise, personalized approach to restoring hormonal balance.

This Consult Includes:
1) An evidence-based hormone assessment to identify common hormone-related problems,
2) Ordering a hormone panel of labs* and reviewing them with you in fine detail,
3) Hormone replacement therapy treatment plan* as needed.
*Cost of labs and meds not included. 

This consult is an excellent starting point to understanding and treating hormones. It is recommended to sign up for our Sage Balance Monthly plan or Quarterly plans -- to support your ongoing hormone balancing care.
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Why Get a Hormone Consultation?

1. Comprehensive Understanding of Symptoms
   • Hormonal imbalances often present with nonspecific symptoms (fatigue, weight gain, mood swings, poor sleep).
   • A consult helps identify whether these symptoms are hormonal or linked to other health conditions, ensuring accurate diagnosis and targeted treatment.
     
     
2. Personalized Care
   • Hormones are not a one-size-fits-all situation.
   • Individualized testing and discussion ensure a tailored approach based on your unique biology, goals, and lifestyle.
     
     
3. Proactive Health Management
   • Unchecked hormonal imbalances can lead to long-term health risks like osteoporosis, cardiovascular disease, or Type 2 diabetes.
   • Early identification and management can prevent these complications.
     
     
4. Education and Empowerment
   • Learn how hormones work and their impact on your physical and emotional well-being.
   • Gain actionable insights into managing your health through lifestyle, nutrition, and treatment options.

What are the Benefits of a Hormone Consultation?

1. Accurate Diagnosis through Comprehensive Testing
   • Advanced lab testing assesses key hormones like estrogen, progesterone, testosterone, cortisol, and thyroid function.
   • Identifies imbalances often missed in standard medical checkups.
     
     
2. Improved Energy and Vitality
   • Correcting imbalances can restore energy levels, improve sleep quality, and reduce feelings of fatigue.
     
     
3. Weight Management Support
   • Hormonal balance plays a crucial role in metabolism, making it easier to lose or maintain a healthy weight.
     
     
4. Enhanced Mood and Mental Clarity
   • Stabilizing hormones reduces mood swings, irritability, anxiety, and brain fog.
   • Patients often report feeling more like themselves again.
     
     
5. Restored Sexual and Reproductive Health
   • Addressing low libido, erectile dysfunction, or irregular menstrual cycles improves confidence and quality of life.
     
     
6. Skin, Hair, and Bone Health
   • Balanced hormones improve skin elasticity, reduce acne, and slow hair loss.
   • They also support bone density, reducing the risk of fractures.
     
     
7. Preventative Care for Aging
   • Hormone optimization supports longevity by mitigating age-related changes and maintaining vitality as you age.

What Can You Gain with a Hormone Consult?

• Clarity on what’s happening in your body.
• A roadmap to feeling so much better.
• A trusted partner to guide you through the journey to balance, health, and thriving.

*Cost of labs not included. 

Book this appointment if you are an established patient with Sage Hormone Health, so we have completed a full hormone health assessment, including collected pre-treatment labs. If you are ready to get established, please book a consult (click this link here). 

Hormone Pellets provide a convenient option for hormone replacement therapy, especially for people who prefer to avoid the daily or bi-weekly treatments that come with cream or injectables.  Women need smaller doses versus men, but may opt to have pellets inserted more frequently, such as every 3 to 4 months versus 5 to 6 months for men.

Remember to review the treatment information and consents (they will be sent to you upon completion of booking), especially to plan for no high-intensity activity or exercise for ~5 days post pellet insertion to avoid trauma to the insertion site which can result in negative outcomes overall.

Book this appointment if you are an established patient with Sage Hormone Health, so we have completed a full hormone health assessment, including collected pre-treatment labs. If you are ready to get started an established, please book a consult (click this link here). 

Hormone pellets provide a convenient option for hormone replacement therapy, especially for people prefer to avoid the daily or bi-weekly treatments that come with cream or injectables. 

Men typically require larger doses then women, and opt for treatment approximately every 5 to 6 months, versus women at 3 to 4 months.

Remember to review the treatment information and consents(these will be sent to you upon booking), especially to plan for no high-intensity activity or exercise for ~5 days post pellet insertion to avoid trauma to the insertion site which can result in negative outcomes overall. 

This appointment is for an in-person visit with the practitioner, for established patients. 

If you are ready to get established, we have a free call - The Sage Balance Initial Consult 

This appointment is for established patients with Sage Hormone Health - if you are ready to get ?established, please book here

To review plan and make any changes as needed.

This appointment is for an in-office blood test to collect hormone labs.

Remember

• Book a follow-up - here is the Telehealth Appointment Link to book
• Plan to book the follow-up usually within approximately 3-5 days after collecting the lab
• Avoid taking medication right before your lab to avoid getting a false "high" for that medication (for example, if you are taking a thyroid medication in the morning, often we will recommending taking that medication right after your lab test. Same with Testosterone, avoid taking it right before the test, take your dose right after the lab test).
  
  
  
  
  

Cash Discount: $299 - payment can be made by Zelle to [email protected]
HSA, FSA Credit Card Fee: $310.

Book this appointment for in-office follow-up hormone lab testing (bloodwork)
Following up on inital labs is important to assess how the plan and treatment is working. 
It can be extremely motivating to see the progress from one report to another, and also it's important to see if there are any opportunities to work on.

Remember

• Book a follow-up - here is the link Telehealth Appointment to review the labs
• Plan to book the follow-up usually within approximately 3-5 days after collecting the lab
• Avoid taking medication right before your lab to avoid getting a false "high" for that medication (for example, if you are taking a thyroid medication in the morning, often we will recommending taking that medication right after your lab test. Same with Testosterone, avoid taking it right before the test, take your dose right after the lab test).

This appointment is for an in-person visit with the practitioner, for established patients. 

If you are ready to get established, here is the booking link for The Sage Balance Initial Consult

IV Infusions

Methylene Blue is a synthetic compound first created in 1876. It belongs to a class of chemicals called phenothiazines and was originally developed as a textile dye. Soon after, it was discovered to have important medical uses, and by the early 20th century, it became one of the first drugs ever used to treat infections like malaria. Today, medically pure methylene blue (USP-grade) is recognized for several important actions:

• It acts as a redox agent, meaning it can donate and accept electrons inside the body, helping repair damaged mitochondria and enhance ATP (energy) production.
• It crosses the blood-brain barrier, making it particularly valuable for neurological health.
• It serves as a potent antioxidant, neutralizing reactive oxygen species (ROS) that contribute to aging, inflammation, and cellular damage.
• In high doses, it’s used in hospitals to treat methemoglobinemia, a condition where red blood cells can't carry oxygen properly.
• It also has antimicrobial properties (antibacterial, antiviral, and antifungal).

In functional and integrative medicine, methylene blue is used at low doses to optimize brain function, mitochondrial energy, reduce fatigue, fight chronic infections, and support recovery from environmental toxin exposures.

Methylene blue is a powerful mitochondrial booster, brain protector, and cellular antioxidant originally discovered as a dye but now recognized for major therapeutic benefits at controlled, medical-grade doses.

Methylene Blue (MB) is a synthetic compound originally developed as a dye and later approved for medical use as an antimicrobial and metabolic enhancer. In functional and integrative medicine, it is recognized for its ability to improve mitochondrial function, act as a potent antioxidant, enhance cognitive performance, and support cellular energy (ATP) production. It crosses the blood-brain barrier and is highly bioavailable, making it especially valuable for neurological and systemic therapeutic applications.

Who Might Benefit:Patients seeking to optimize cognitive, mitochondrial, and systemic function may benefit, particularly individuals experiencing:

• Cognitive decline (e.g., Alzheimer’s disease, mild cognitive impairment)
• Chronic fatigue syndrome (CFS/ME)
• Neurodegenerative disorders (e.g., Parkinson’s disease, ALS – experimental use)
• Post-concussion syndrome or traumatic brain injury (TBI)
• Depression (notably treatment-resistant depression)
• Mitochondrial dysfunction (age-related or genetic)
• Chronic infections (e.g., Lyme disease, mold illness, chronic viral syndromes)
• Interstitial cystitis (adjunctive bladder pain management)
• Post-sepsis recovery and cellular hypoxia
• Exposure to environmental toxins (carbon monoxide, cyanide – acute settings)

Standard Dosing Protocols:

• IV Therapy:
  • Frequency: Typically once weekly to once monthly depending on therapeutic goals and patient response.
• Oral Capsule Therapy:
  • It is critical that pharmaceutical-grade (USP) Methylene Blue be used orally to avoid contamination risks.

Important Considerations:

• Patients with G6PD deficiency should not use Methylene Blue due to the risk of hemolysis.
• May interact with serotonergic medications (risk of serotonin syndrome) — careful review of medications is essential.

Telehealth Consult 15 Minutes