Telehealth-first care · Ankeny, Iowa

Integrative and functional medicine for men and women — built around comprehensive 3–6 month wellness programs, not pay-per-visit care.

[ Telehealth-first ][ Ankeny, IA ]
// The approach[ 01 ]

Health + Hormones is a personalized, integrative healthcare practice focused on helping men and women achieve meaningful, lasting improvements in their health.

We believe healthcare should go beyond managing symptoms, chasing lab values, and offering temporary solutions. Our approach combines comprehensive laboratory evaluations, personalized genetic insights, and specialty testing when appropriate to better understand the factors influencing each individual's health.

Guided by five foundational pillars—hormone balance, gut health, blood sugar and metabolic regulation, stress and nervous system health, and nutrient optimization—we develop individualized treatment strategies that may incorporate hormone replacement therapy, medical weight management, GLP-1 medications, targeted supplementation, nutrition, and lifestyle interventions.

Rather than traditional pay-per-visit healthcare, our signature 3–6 month wellness programs emphasize ongoing collaboration, education, personalized treatment, and measurable progress. We recognize that meaningful change takes time, and our programs are designed to provide the structure and support needed to build sustainable improvements.

Ashli listening to a patient across a walnut desk

Personalized care. Beyond the standard.

20+

Years of emergency and flight nursing experience behind every plan.

3–6

Month wellness programs — ongoing collaboration instead of isolated appointments.

A man on a telehealth call at home

Program timeline

3–6 months

M1M2M3M4M5M6
// Five foundational pillars[ 02 ]

My goal is to look beyond conventional reference ranges and one-size-fits-all treatment plans to identify contributing factors and help patients build a healthier foundation.

01

Hormone Balance

Estrogen, progesterone, testosterone and thyroid evaluated in context.

02

Gut Health

Digestion and the microbiome as a foundation for how you feel.

03

Blood Sugar & Metabolic Regulation

Insulin resistance, body composition and metabolic markers.

04

Stress & Nervous System Health

Cortisol, sleep and nervous system regulation.

05

Nutrient Optimization

Nutritional and micronutrient status, guided by testing.

Our goal is to help patients better understand their health, make informed decisions, and create meaningful changes that last beyond their time in our programs.

// Services & programs[ 03 ]

Health + Hormones offers personalized, integrative healthcare designed to help individuals achieve meaningful, sustainable improvements in their health. Rather than focusing on isolated, fee-for-service appointments, our primary offerings are comprehensive 3–6 month wellness programs that provide ongoing medical guidance, individualized treatment plans, education, and progress monitoring.

  • 3–6 month programs
  • Telehealth-first
  • Men & women
  • Lab-guided care
A woman on a sunrise walk
01

Comprehensive Wellness & Health Optimization

Personalized programs designed for individuals seeking to improve energy, address ongoing symptoms, optimize overall health, and take a proactive approach to long-term wellness.

Care may include comprehensive laboratory evaluations, genetic insights, targeted supplementation, nutrition guidance, lifestyle modifications, and specialty testing when clinically appropriate.

A man in his 40s strength training
02

Medical Weight Management & Metabolic Optimization

Individualized weight management programs that look beyond the number on the scale to address metabolic health, insulin resistance, body composition, and sustainable lifestyle changes.

Treatment may incorporate GLP-1 medications when appropriate, nutrition and protein optimization, continuous glucose monitoring (CGM), resistance training recommendations, and ongoing metabolic assessments.

A woman in a sunlit kitchen
03

Women's Hormone Health & Optimization

Personalized care for women navigating perimenopause, menopause, hormonal symptoms, and other hormone-related concerns.

Services include comprehensive hormone evaluations, bioidentical hormone replacement therapy (BHRT), estrogen and progesterone management, testosterone therapy when appropriate, and individualized lifestyle and nutritional support.

A man in a home office
04

Men's Hormone Health & Testosterone Optimization

Comprehensive evaluation and management of men's hormonal health, including symptoms of testosterone deficiency, changes in energy, body composition, libido, and overall well-being.

Treatment may include testosterone replacement therapy (TRT) when clinically indicated, ongoing laboratory monitoring, metabolic optimization, and individualized treatment strategies.

Lab vials beside a tablet showing health charts

Personalized Genetics & Advanced Testing

We incorporate genetic insights and advanced diagnostic testing to help inform individualized wellness strategies.

  • Personalized genetic testing, including 3X4 Genetics
  • Comprehensive bloodwork and advanced metabolic markers
  • Gut microbiome and gastrointestinal testing
  • Cortisol and stress hormone assessments
  • Comprehensive hormone evaluations
  • Cardiometabolic and cardiovascular risk assessments
  • Nutritional and micronutrient evaluations
  • Continuous glucose monitoring

Testing is selected based on each patient's history, symptoms, goals, and clinical needs rather than a one-size-fits-all protocol.

Amber supplement bottles and a prescription bottle on stone
01

Prescription & Supplement Support

When clinically appropriate, individualized treatment plans may incorporate prescription medications, bioidentical hormone therapy, testosterone therapy, GLP-1 medications, and professional-grade nutritional supplements.

Medications and supplements are considered alongside nutrition, lifestyle, and other foundational aspects of health—not as substitutes for them.

A provider on a telehealth call from a warm home office
02

Concierge Wellness Experience

For individuals seeking a more elevated and personalized healthcare experience, our concierge option offers enhanced provider access, greater continuity, and individualized guidance throughout their wellness journey.

This experience is designed for patients who value a collaborative relationship, proactive health planning, and ongoing support as they work toward their long-term wellness goals.

Ongoing care

Meaningful improvements in health often require more than a single appointment or treatment plan.

// Where it begins[ 04 ]

Personalized care isn't one-size-fits-all. Your investment in your health shouldn't be either.

At Health + Hormones, we believe meaningful, lasting change begins with understanding the whole person. That's why every patient journey starts with a comprehensive initial consultation and laboratory review.

A lab-review conversation at a desk90–180 minutes

Comprehensive Initial Consultation & Lab Review

90–180 minutes · Program details and investment are reviewed during your consultation.

A printed lab report, a laptop and tea on walnut

Appointment length

90–180min

Pillars reviewed

5

Your comprehensive evaluation may include:

  • Detailed medical history and symptom assessment
  • Review of your Five Foundational Pillars of Health
  • Comprehensive review and interpretation of laboratory results
  • Evaluation of hormone, metabolic, and nutritional health
  • Discussion of genetic insights and specialty testing when appropriate
  • Identification of health priorities and contributing factors
  • Initial personalized recommendations and treatment planning
  • Guidance on the most appropriate level of ongoing care

Laboratory testing is an additional expense and is not included in the consultation fee. Recommended testing is individualized based on your medical history, symptoms, and health goals.

// Three levels of care[ 05 ]

For individuals seeking a more elevated healthcare experience, our concierge care option provides enhanced provider access, greater continuity, and a higher level of personalized guidance.

Tier 01

Foundational Wellness

Your personalized roadmap to better health.

Designed for motivated individuals who want to better understand their health and take an active, self-guided approach to making meaningful changes.

Following your comprehensive consultation and laboratory review, you'll receive an individualized wellness plan focused on your unique needs and the Five Foundational Pillars of Health.

Recommendations may include personalized nutrition, lifestyle modifications, targeted supplementation, and strategies to support metabolic health, hormone balance, gut health, and nervous system regulation.

This program emphasizes education, independence, and self-directed implementation, with limited follow-up support.

Program details and investment are reviewed during your consultation.

Tier 02

Comprehensive Health Optimization

Personalized medical care with ongoing guidance and support.

Designed for individuals who would benefit from a more hands-on, collaborative approach to improving their health, including ongoing prescription medication management when clinically indicated.

This program builds upon foundational wellness strategies and may incorporate bioidentical hormone replacement therapy (BHRT), testosterone replacement therapy (TRT), GLP-1 medications, other appropriate prescription therapies, targeted supplementation, and laboratory monitoring.

With scheduled follow-ups, progress assessments, and individualized treatment adjustments, we'll work together to address your health priorities and support sustainable improvements.

Program details and investment are reviewed during your consultation.

Tier 03

Concierge Wellness

An elevated healthcare experience with enhanced access and personalized support.

Our most comprehensive level of care, designed for individuals who desire a closer partnership with their healthcare provider and a higher level of ongoing guidance.

Concierge Wellness includes comprehensive health optimization and prescription management when indicated, along with enhanced provider access, more frequent follow-up opportunities, individualized support, and greater continuity throughout your wellness journey.

This experience is ideal for those who value proactive care, personalized attention, and additional accountability as they work toward their health goals.

Program details and investment are reviewed during your consultation.

One Philosophy. Three Personalized Paths.

Whether you prefer a self-guided approach, ongoing medical management, or a concierge-level experience, every program begins with understanding your unique health needs.

Programs typically range from 3–6 months. Your recommended program will depend on your health goals, clinical needs, and desired level of support.

Laboratory testing, medications, and supplements are billed separately unless otherwise specified.

// Meet Ashli[ 06 ]
Ashli Schultz, ARNP
FounderAshli Schultz, ARNP · Health + Hormones

Founder | Health + Hormones

With more than 20 years of experience in emergency and flight nursing, I've spent much of my career on the front lines of healthcare, caring for patients during some of life's most critical moments. I've witnessed firsthand the incredible capabilities of modern medicine and the lifesaving impact of conventional healthcare.

But my perspective on health and healing changed when I found myself on the other side of the healthcare system—as a patient.

After struggling to find answers to my own health concerns, I experienced the frustration of searching for explanations without finding the clarity or solutions I needed. That journey eventually led me to functional medicine, and it completely changed the way I viewed health, wellness, and the role of healthcare.

For the first time, I began looking at health through a different lens—one that considered the connections between our body's systems, the influence of genetics and lifestyle, and the importance of understanding why symptoms may be occurring rather than simply addressing them individually.

That experience changed not only my personal health journey but the direction of my professional career. I stepped away from the traditional healthcare model to pursue a more personalized, proactive approach to medicine—and I've never looked back.
Ashli Schultz, ARNP
20+ Years Emergency & Flight NursingBoard-Certified Family Nurse PractitionerFunctional Medicine TrainingBHRTTRTTelehealth-First Care
My Philosophy

My Philosophy

Because feeling “fine” shouldn't be the finish line.

01

I believe there's a difference between managing someone's health and truly helping them improve it. The best healthcare starts with listening, understanding the individual, and recognizing that health is influenced by far more than any single symptom or lab result.

02

My approach combines clinical expertise, advanced testing, and a deeper understanding of each person's unique physiology. It's rooted in curiosity, collaboration, and the belief that patients deserve to understand their health—not just follow a treatment plan. I want my patients to feel empowered with the knowledge, guidance, and support to make informed decisions about their health.

03

I also believe meaningful, lasting change requires more than an occasional appointment or a one-time treatment plan. Real progress takes time, consistency, and a willingness to make adjustments along the way. That's why I've chosen a more comprehensive, collaborative approach to care—one that allows us to connect the pieces that may have been overlooked, work together toward your goals, and create sustainable improvements that extend well beyond our time together.

// Patient stories[ 07 ]

Patients who feel heard.

Real stories are shared only with each patient's written permission.

1 / 3
A woman in her late 40s outdoors
For the first time, someone connected the dots instead of treating each symptom on its own.
Patient storyComprehensive Health Optimization
// The Wellness Library[ 08 ]

Resources for better health, beyond the appointment.

At Health + Hormones, I believe education is one of the most powerful tools for creating lasting change. Understanding your body and the factors that influence your health empowers you to make informed decisions and take an active role in your wellness journey.

I've created this space to share some of my favorite books, podcasts, educational resources, and wellness tools that align with my approach to personalized, whole-person healthcare.

Whether you're interested in hormone health, metabolic wellness, nutrition, gut health, or stress and nervous system regulation, these resources are here to help you continue learning and making meaningful changes at your own pace.

Because your health journey doesn't end when your appointment does.

Books on a linen table
Books

My Favorite Reads

A curated collection of books that have influenced my approach to health, wellness, nutrition, hormones, and personal growth.

Headphones on a walnut desk
Listen

Podcasts Worth Listening To

Thought-provoking conversations about health, longevity, hormones, metabolism, and the science behind feeling and functioning your best.

Amber supplement bottles on stone
Dispensary

Professional-Grade Supplements

Access my Fullscript Dispensary, featuring professional-grade supplements selected for quality and transparency.

A glucose monitor on an arm during a morning walk
Tools

Tools for Everyday Wellness

Explore some of my favorite resources for supporting sleep, metabolic health, nutrition, movement, and nervous system regulation.

Printed guides and a tablet
Learn

Education & Patient Resources

Helpful guides and educational materials designed to make complex health topics easier to understand and apply in everyday life.

Personalized care. Beyond the standard.

Whether you're navigating hormonal changes, struggling with weight or metabolic health, experiencing unexplained symptoms, or simply looking to optimize your health, Health + Hormones offers a proactive, individualized approach to helping you feel and function at your best.

// FAQ[ 09 ]

Not sure where to start?

You don't need a diagnosis or a specific treatment in mind.

  • At Health + Hormones, we believe healthcare should be personalized, proactive, and focused on long-term wellness. Rather than addressing symptoms in isolation, we consider how hormones, genetics, metabolism, gut health, nutrition, and lifestyle influence your overall well-being.

    Our comprehensive programs provide the time, education, and ongoing support needed to develop individualized treatment strategies and make meaningful, sustainable changes.

  • Our signature wellness programs typically last 3–6 months and are designed around your individual health concerns and goals.

    Your journey begins with a comprehensive evaluation of your medical history, current symptoms, lifestyle, and health priorities. From there, we develop an individualized plan that may include laboratory testing, genetic insights, prescription treatments, supplementation, and lifestyle recommendations.

    Throughout your program, we monitor progress, review results, and adjust your plan as needed.

  • Meaningful improvements in health often require more than a single appointment or treatment plan. Hormone balance, metabolic health, nutrition, and lifestyle changes can take time to evaluate, implement, and refine.

    Our programs allow us to work together consistently, address challenges as they arise, and make thoughtful adjustments based on your progress.

    We believe this collaborative approach creates a stronger foundation for sustainable improvements.

  • Not at all! Many patients come to us because they don't feel like themselves, have unexplained symptoms, or simply want to take a more proactive approach to their health.

    You don't need a diagnosis or a specific treatment in mind. We'll work together to understand your concerns, identify appropriate next steps, and determine which program best fits your goals.

  • No. You don't have to feel unwell to benefit from personalized healthcare.

    We also work with individuals who feel relatively healthy but want to better understand their bodies, evaluate potential health risks, improve metabolic health, or take a proactive approach to healthy aging and long-term wellness.

  • Our primary areas of focus include:

    • Perimenopause and menopause
    • Women's and men's hormone health
    • Low testosterone and testosterone deficiency
    • Weight management and metabolic health
    • Insulin resistance
    • Fatigue and low energy
    • Thyroid health
    • Gut and digestive concerns
    • Stress and nervous system regulation
    • Nutrient deficiencies
    • Preventive health and wellness optimization

    We evaluate each individual's needs to determine whether our services are appropriate or whether additional specialty care is recommended.

  • Yes. When medically appropriate, treatment options may include bioidentical hormone replacement therapy (BHRT), testosterone replacement therapy (TRT), GLP-1 medications, and other prescription therapies.

    Medication decisions are individualized based on your medical history, symptoms, laboratory findings, treatment goals, and potential risks and benefits.

    Not every patient will need or benefit from prescription treatment.

  • Genetic testing can provide valuable insights into inherited variations that may influence certain biological pathways and health-related traits.

    We may incorporate personalized genetic testing, including 3X4 Genetics, to help guide individualized nutrition, lifestyle, and wellness recommendations.

    Genetic testing is one piece of the bigger picture and is considered alongside your medical history, symptoms, laboratory results, and other clinical findings. It is not required or appropriate for every patient.

  • Depending on your individual needs, testing may include comprehensive bloodwork, hormone evaluations, advanced metabolic and cardiovascular markers, nutritional assessments, genetic testing, gastrointestinal testing, cortisol assessments, and continuous glucose monitoring.

    We believe testing should have a purpose. Recommendations are based on your clinical needs rather than ordering every available test.

  • Health + Hormones operates as a self-pay practice, allowing us to offer more personalized care without structuring every visit around insurance reimbursement.

    Insurance may be available for certain laboratory tests, medications, or outside services, depending on your individual coverage and the provider or laboratory used.

    Program fees and any additional costs will be explained before you begin.

  • Each program has specific inclusions based on the level of care and support provided. Additional testing, prescription medications, and supplements may involve separate costs.

    We believe in transparent pricing and will review recommended services and anticipated expenses with you before proceeding.

  • Our concierge experience is designed for individuals seeking an elevated level of personalized healthcare.

    Depending on the program, concierge care may include enhanced provider access, additional follow-up opportunities, more frequent communication, and individualized support throughout your wellness journey.

    It's an option for those who value a closer, more continuous relationship with their healthcare provider.

  • Yes! Health + Hormones is primarily a telehealth practice, making it easier to receive personalized care without frequent trips to an office.

    Limited in-person appointments may also be available when appropriate.

    Patients must be physically located in a state where the provider is authorized to practice at the time of their appointment.

  • No. Health + Hormones focuses on integrative wellness, hormone health, metabolic optimization, and individualized treatment programs.

    We recommend maintaining an established primary care provider for routine screenings, vaccinations, acute illnesses, and other general healthcare needs.

    Our goal is to complement your existing healthcare team, not replace it.

  • Getting started begins with finding the right level of care for your needs.

    Explore our wellness programs or schedule an initial consultation to discuss your concerns, health goals, and whether Health + Hormones is the right fit.

// Contact[ 10 ]
Get started

Getting started begins with finding the right level of care for your needs. Health + Hormones is primarily a telehealth practice; limited in-person appointments may also be available when appropriate.

Book a Consultation

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