Sippa

Physician-led midlife care

Get real treatment for the weight and hormone changes of midlife

Pay by visit. Not by month.

Medical care for GLP-1, hormones, and the symptoms midlife brings together. Clear visit pricing. No monthly membership. No pharmacy lock-in.

Start your visit
  • Real medical care
  • No required membership
  • Pharmacy flexibility
  • FSA & HSA accepted

Why Sippa

Not just weight loss. Not just hormones. The full midlife picture.

Hot flashes don't show up alone. They come with poor sleep, brain fog, weight gain, mood changes, hair shedding, low libido. The list is long because midlife is connected. Sippa treats the connections, not just the one symptom that finally got loud enough.

Care paths

Three ways to start

GLP-1 & Weight Care

I want help losing weight.

Initial visit

$129

Then $89 per follow-up

FSA & HSA accepted

Best for

Women evaluating GLP-1 therapy or other medical options for weight that won't move with diet and exercise.

What's included

  • Physician visit for medical weight evaluation
  • GLP-1 review including Wegovy, Zepbound, and compound options
  • Personalized treatment plan
  • Lab orders when needed
  • Prescription options: local pharmacy, insurance, or compounding
Start with weight care

Medication and labs billed separately

Most complete

Complete Midlife Care

I want the full picture.

Initial visit

$299

Then $159 per follow-up

FSA & HSA accepted

Best for

Women dealing with both weight changes and hormone symptoms. This is where most of our patients start.

What's included

  • Physician visit covering weight, hormones, sleep, and energy
  • GLP-1 evaluation when indicated
  • HRT evaluation including estrogen, progesterone, testosterone
  • Integrated treatment plan across systems
  • Prescription options: local pharmacy, insurance, or compounding
Start full care

Medication and labs billed separately

Hormone Care

I want help with hormone symptoms.

Initial visit

$199

Then $129 per follow-up

FSA & HSA accepted

Best for

Women dealing with hot flashes, night sweats, mood changes, low libido, brain fog, or other peri- and menopause symptoms.

What's included

  • Physician visit for hormone evaluation
  • HRT evaluation including estrogen, progesterone, testosterone
  • Personalized hormone plan
  • Lab orders when needed
  • Prescription options: local pharmacy, insurance, or compounding
Start hormone care

Medication and labs billed separately

Pharmacy freedom

Your prescription, your pharmacy. That's how medicine should work.

Sippa doesn't operate its own pharmacy, like most national groups. We are focused on treating you, not making money off your prescriptions. So your physician writes the prescription, and you choose where to fill it. Local pharmacy, your insurance plan, or a licensed compounding pharmacy.

Local pharmacy

Quick and convenient.

  • CVS, Walgreens, Walmart, or local independent
  • Most prescriptions covered by insurance
  • Cash pricing help when they're not

Insurance & mail order

Cost-effective for monthly meds.

  • 90-day supply refills
  • Delivered to your door
  • Through your insurance plan

Compounding pharmacy

For specialty medications.

  • GLP-1s: semaglutide, tirzepatide
  • HRT: estradiol, progesterone, testosterone
  • Licensed and medically appropriate

How we compare

How Sippa compares Only one practice gets all five right.

Clear pricing No subscription Your pharmacy Weight + hormones Live visits
Sippa
GLP-1 weight clinics
Menopause-only clinics
Telehealth subscription brands

All five. One yes. This is why Sippa exists.

Getting started

We listen first. Then we treat.

  1. 01

    Pick your path

    Weight care, hormone care, or the complete picture. Your call.

  2. 02

    Tell us your story

    A short intake about your symptoms and medical history.

  3. 03

    Meet your physician

    Live video visit with a physician trained in midlife women's medicine.

  4. 04

    Get your plan

    A treatment plan tailored to your symptoms, with medication options and labs when needed.

  5. 05

    Follow up as needed

    Schedule follow-ups based on your care plan. Not on a fixed subscription.

Before you start

Questions women ask us.

Do I need a monthly membership?

No. Sippa is visit-based. You pay for the visits you have. There is no required subscription.

Can Sippa help me get GLP-1s?

Yes. Sippa evaluates women for GLP-1 medical therapy including semaglutide and tirzepatide. If GLP-1 therapy is right for your situation, your physician will prescribe it based on your medical history, labs, and symptoms.

Can Sippa help me get HRT?

Yes. Sippa evaluates women for hormone replacement therapy including estradiol, progesterone, and testosterone. If HRT is right for your situation, your physician will recommend a plan based on your symptoms and labs.

Can I use my own pharmacy?

Yes. Sippa does not operate a captive pharmacy. Prescriptions can go to your local pharmacy, your insurance plan's preferred mail-order pharmacy, or a licensed compounding pharmacy when medically and legally available.

Are medications included in the visit price?

No. Medications are billed separately by the pharmacy that fills your prescription. Visit prices cover the physician visit, your treatment plan, and any prescriptions written.

Are labs included?

No. Labs are billed separately, and many are covered by insurance. Your physician will order only the labs that are clinically relevant and help you find the most cost-effective path.

Can I pay with my FSA or HSA?

Yes. Sippa visits are eligible for FSA and HSA payment. Use your FSA or HSA debit card at checkout, or pay out of pocket and submit for reimbursement through your plan.

How often do I need follow-ups?

It depends on your treatment plan. GLP-1 patients typically follow up monthly during dose adjustments, then quarterly. Hormone patients typically follow up 6 to 8 weeks after starting, then 1 to 2 times per year. Follow-ups are scheduled based on your care, not on a fixed subscription.

What if I need both hormones and weight loss help?

Most women dealing with midlife changes need both. Complete Midlife Care is built for this. Your physician will evaluate hormones, metabolism, sleep, and energy together, and build a treatment plan that addresses the full picture.

What if I only want GLP-1 care?

Start with GLP-1 & Weight Care. If GLP-1 therapy is right for your situation, your physician will prescribe it. You can always add hormone care later if your symptoms suggest you need it.

Midlife is real. So is the help.

Start your visit