Sample member
Weight trend, 8 weeks
203lb from 214 lb at week 0
Sample numbers. Individual results vary.
Medical weight care for women 40+
Weight care for the metabolism you have now.
A licensed physician and a named clinician plan your care, from labs and strength work to GLP-1 medication when it fits. A licensed clinician always decides eligibility.
Individual results vary.
Physician check-inJoanna Petrakis, NP · Thursday 10:30
Week 8Labs at homeWeek 11 panel scheduled
ScheduledStrength plan2 of 3 sessions logged this week
On track- Same-week visits
- Your own physician
- Labs at home
Our approach
A physician-led approach for midlife metabolism
Metabolism changes after 40. Sleep, muscle mass, thyroid function, estrogen and insulin sensitivity all shift, and a plan written for a 25-year-old tends to miss.
Ondine starts with a physician-led review of your history, current medications and labs. Then a licensed clinician decides, with you, whether a medication belongs in the plan at all. Some members begin with nutrition, strength and sleep work alone. Others add a GLP-1 medication when their history and goals support it.
Care is unhurried. You have a named clinician who knows your chart, same-week visits when a clinician has availability, and messaging between visits for questions that cannot wait.
- i.One named clinicianThe same physician or nurse practitioner reviews your plan at every check-in.
- ii.Decisions documentedEach medication choice is recorded with the reason, the alternatives and the labs behind it.
- iii.Muscle and bone in the planProtein, strength work and bone health are part of the program from week one.
Medications
Semaglutide and tirzepatide, brand-name or compounded
Both medications act on incretin hormones that help regulate appetite and blood sugar. The version you receive changes how it is made, sourced and billed, so we name it before anything is prescribed.
| Medication | Brand-name | Compounded |
|---|---|---|
| Semaglutide | Manufacturer-made, fixed-dose pen. Reviewed by the FDA for safety and effectiveness. | Prepared by a pharmacy from semaglutide. Not FDA-approved. Strength and preparation can vary by pharmacy. |
| Tirzepatide | Manufacturer-made, fixed-dose pen. Reviewed by the FDA for safety and effectiveness. | Prepared by a pharmacy from tirzepatide. Not FDA-approved. Strength and preparation can vary by pharmacy. |
| Cost | Set by the manufacturer and your insurance plan. Quoted to you before you start. | Sample figure from $210/mo, billed by the pharmacy. |
| Clinician decision | Your clinician reviews the label, your history and your labs before any prescription. | Used only when a clinician documents the reason and names a licensed pharmacy. |
Compounded medications are not FDA-approved.
The FDA does not approve compounded medications and does not review them for safety, effectiveness or quality before they are sold. Ask your clinician which version you would receive before you agree to a plan.
Eligibility is always decided by a licensed clinician. A medication is one option in your plan, not the starting point.
Membership + Weight Care
What's included
Everything runs through one care team. Nothing is billed as an add-on after you start.
Physician review
A physician or nurse practitioner reviews your history, medications and labs before any decision about treatment.
Labs at home
Baseline and follow-up panels drawn at home, with results reviewed at your next visit and explained in plain language.
Same-week visits
Visits booked within the same week when a clinician has availability, plus messaging between visits for questions.
Medication management
Prescribing decisions, dose reviews and pharmacy coordination, all recorded in your chart.
Protein and nutrition plan
Written protein and calorie targets from your clinician, reviewed at each check-in and adjusted to your labs.
Strength program
A two-to-three-session weekly strength plan, with progressions reviewed at each check-in.
The first 12 weeks
A 12-week sequence, one step at a time
Each phase depends on the one before it. Medication is considered only after the baseline review and labs are complete.
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Weeks 1–2
Intake, history and baseline labs
You complete the assessment. Labs are drawn at home, and your physician reviews the results before your first visit.
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Weeks 3–4
Physician visit and plan
A licensed clinician decides eligibility and whether a medication fits. Your protein target and strength plan start the same week.
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Weeks 5–6
Medication start, if prescribed
Dose schedule set and pharmacy confirmed. The week 6 panel is drawn at home, and the first check-in covers tolerance and side effects.
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Weeks 7–9
Dose review and strength build
Dose reviewed at each check-in. Strength sessions progress, and the protein target is adjusted to your week 6 results.
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Weeks 10–11
Follow-up panel and maintenance planning
The week 11 panel is reviewed. Your clinician confirms, lowers or stops the medication, and writes the maintenance plan.
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Week 12
Program review
A full review with your physician, a written plan for the next phase, and a clear decision about what continues.
Guidance
Protecting muscle and bone after 40
Weight change can take muscle and bone with it. These four areas are built into every plan and reviewed at each check-in.
Protein, every day
Most members work toward a daily protein target set by their clinician, spread across meals. Protein supports lean mass during weight change.
Resistance training
Two to three resistance sessions each week, planned with your clinician or a trainer, and progressed as strength improves.
Calcium, vitamin D and bone density
Calcium and vitamin D intake are reviewed and levels checked with labs. A bone density scan (DXA) is ordered when your clinician finds it appropriate.
Sleep and stress
Sleep and stress are tracked at each check-in, because both change appetite, recovery and training capacity.
Guidance is general and clinician-guided. Individual needs vary.
Pricing
One plan, with medication billed separately
Membership + Weight Care
Physician-led weight care
$389/mo
- Membership at $189/mo, plus Weight Care
- Named physician or nurse practitioner
- Same-week visits and messaging between visits
- Labs at home, with follow-up panels
- Protein and strength plan, reviewed at each check-in
Questions
Five questions we hear most
You see a licensed physician or nurse practitioner, and your named clinician reviews your plan at every check-in. Coordinators handle scheduling and pharmacy calls. They do not make prescribing decisions.
No. Compounded medications are not FDA-approved. Before anything is prescribed, we name the product, strength and pharmacy that would be used in your plan.
Yes. Baseline labs are drawn at home in weeks 1 and 2, with follow-up panels at week 6 and week 11. Your clinician decides which panels your history requires.
Then the program continues without it. Nutrition, strength, sleep and labs stay in the plan, and your clinician explains the decision in writing.
Tell us at your next check-in, or message your care team between visits. Severe abdominal pain, vomiting that will not stop, or any trouble breathing or swallowing needs emergency care right away, not a message.
Safety
Important Safety Information
BOXED WARNING: RISK OF THYROID C-CELL TUMORS
In rodent studies, semaglutide and tirzepatide caused thyroid C-cell tumors. It is not known whether they cause thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in people. Do not use if you have a personal or family history of MTC or of multiple endocrine neoplasia syndrome type 2 (MEN 2). Tell your clinician about symptoms of thyroid tumors, such as a lump or swelling in the neck, trouble swallowing or shortness of breath.
This medication is not for people with a personal or family history of MTC or MEN 2.
Common side effects include nausea, diarrhea, vomiting, constipation and stomach pain.
Serious side effects can include pancreatitis, gallbladder problems, low blood sugar (hypoglycemia, especially with other diabetes medicines) and kidney problems, including kidney failure that can follow dehydration from vomiting or diarrhea.
This medication is not for use during pregnancy.
Compounded medications are not FDA-approved.
Individual results vary. A licensed clinician decides whether a medication is appropriate for you.
Start with a same-week visit.
Answer the assessment, and a licensed clinician reviews it before any next step. Individual results vary.