Hormone and metabolic health telemedicine for men and women across Washington State. We start with comprehensive labs — the markers standard checkups skip — then sit down together and go through what they actually mean.
"You've had blood work done. Your doctor said everything looks normal. But you're still tired all the time, still carrying weight you can't get rid of, still not sleeping well. You don't feel like yourself anymore. And nobody seems to know why."
You deserve a real answer — not "everything looks fine." There usually is one. It just takes the right tests and a provider who takes the time to look.
Patients across Washington State — from Ellensburg and upper Kittitas County to Seattle, Tacoma, and Olympia, the Snoqualmie Valley, and the San Juan Islands — get the same level of care from the comfort of home. Every visit is 60 minutes with a board-certified nurse practitioner who has read your chart before you join the call.
Stubborn weight, fatigue after meals, blood sugar that keeps creeping up — these are signs of insulin resistance, and standard labs almost never catch it early. We check fasting insulin, HOMA-IR, and advanced metabolic markers to find the real problem and fix it. Nutrition guidance for metabolic health, stress and cortisol management, and sleep support are built into every metabolic care plan.
Metabolic →Low testosterone in men, perimenopause and menopause in women — hormone changes are real, measurable, and treatable. We evaluate your labs in context of how you actually feel and build a personalized hormone therapy plan when the evidence supports it.
Most chronic disease starts quietly — years before symptoms appear. Cardiovascular risk assessment and advanced lipid testing — ApoB, fasting insulin, and cardiovascular risk markers reveal what's building under the surface. We catch it early, when lifestyle changes still make the biggest difference.
Preventive Medicine →Nutrition, movement, sleep, and stress are not soft recommendations — they are medicine. We build lifestyle protocols that work alongside clinical treatment and monitor your progress with regular lab re-testing and follow-up visits.
Lifestyle Medicine →We take a thoughtful, individualized approach to hormone replacement therapy. Hormones are prescribed only when lab results and symptoms align, at the lowest effective dose, and with careful follow-up monitoring. This is not one-size-fits-all care.
Hormone therapy for women is about far more than managing hot flashes. When started at the right time and tailored to the individual, it is a proactive strategy to support resilience, protect long-term health, and sustain quality of life — well beyond the menopausal transition.
Testosterone therapy is not just about energy and libido — it is a proactive investment in long-term health. Healthy testosterone supports metabolic function, cardiovascular resilience, cognitive clarity, and body composition in ways that go well beyond symptom relief.
I'm a board-certified Family Nurse Practitioner with nearly 20 years of experience in healthcare. Over time, I became increasingly disillusioned with a "sick care" system that often profits from chronic disease rather than preventing it.
Beacon Hormone & Wellness reflects a different philosophy — one centered on prevention, partnership, and meaningful outcomes. My clinical interests include lifestyle medicine, insulin resistance, metabolic health, and hormone therapy for men and women.
Many of the people who find us have already been somewhere. They've been prescribed something that didn't help, or told their labs were normal when they clearly weren't fine. That's the work we do best.
"Sergio was thorough, explained things well, and did not try to get me on medications that were not indicated — in fact, he helped me wean off one I had been taking for far too long."
"He has helped me uncover the mechanisms behind certain health issues that have been difficult for other practitioners to figure out."
We're not here to add another prescription to your list. Sometimes the honest answer is a different approach entirely — and sometimes it's stopping something you never needed. If you've been through this already and still don't have answers, that's exactly the conversation worth having.
Most of us have felt it — the rushed appointment, the hand on the door, the sense that no one really looked. That isn't anyone's fault. It's the system. Here's how a cash-pay model changes what's possible.
You're not paying for a quicker prescription. You're paying for time, attention, and a provider who actually looks for the cause.
We're a cash-pay practice, which means no insurance gatekeeping, no surprise bills, and more time focused on your actual care.
Most people have never had a truly comprehensive look at their metabolic and hormone health. This is that look — plus the time to understand it.
Prefer to talk before testing? Or already have recent labs you'd like a closer look at? Start here.
Entirely optional. For patients who want continued partnership — many take their roadmap and run with it.
Most practices talk first and test later. We can do it the other way around — so your visit is spent understanding your results, not guessing.
Begin with a comprehensive panel — the metabolic and hormone markers standard checkups often skip. One flat fee covers your labs and the visit that follows. Your order goes out right away.
Get your blood drawn at a location near you, anywhere in Washington. Results typically take about a week — then we're ready to sit down with real data about your body.
A thorough 60-minute video visit to review your results together, in plain language — followed by a personalized action plan built around what your labs actually show.
We're a fully telemedicine practice — expert, personalized care available no matter where you live in Washington State. From Ellensburg and Suncadia in upper Kittitas County, to North Bend and Snoqualmie along I-90, to Mercer Island and the Eastside, to Bainbridge and the San Juan Islands — we can see you.
Labs are ordered to a Quest Diagnostics draw site near you. Prescriptions sent to your local pharmacy or by mail. Everything else happens through a secure, HIPAA-compliant video platform.
Appointments from home, your car, or your office.
Serving men and women statewide — urban and rural.
All visits via encrypted, compliant video platform.
Labs ordered to a draw site near you — simple and convenient.
Beacon Hormone & Wellness serves Washington State residents via telemedicine — from the Puget Sound metros to the mountain and island communities where unhurried specialty care is hardest to find.
Available to all Washington State residents statewide via secure video.
Real experiences from real patients across Washington State.
"Sergio has been a champion for my health journey. I struggled for almost a year and was very sick — he listened compassionately and went above and beyond any provider ever has. He opened doors to new opportunities and is now advocating for hormonal health in women. Saving sanity one hormone treatment at a time."
"Sergio is very caring and knowledgeable. I really appreciate the time he took researching the best plan for my hormone replacement therapy. He always answers my questions quickly and thoroughly and encourages me in my health journey."
"Sergio has been my provider for a few years now. My blood pressure is controlled, labs have improved, and he has taken the time to help me with low testosterone therapy. He follows up and encourages me to take my health seriously. I appreciate his dedication and care."
"Sergio listens to his patients and does complete work-ups, proper lab orders, imaging, and more. I have experienced genuine care and concern for my health and wellness. It's so easy to have a great provider available anytime. I highly recommend Sergio for your health."
"It's so nice to have a provider that understands and listens to my concerns. With my busy schedule it can be hard to visit a provider in person. This gives me the flexibility to meet virtually and better understand my symptoms and how to best manage them. I'm thankful for Sergio walking me through the best treatment options and being available to help."
"Sergio took the time to listen to my concerns, give me options for treatment, and most importantly did not push for unnecessary testing or medications. He understood I preferred lifestyle approaches and worked with me to do that."
"I stand by Sergio as a healthcare provider 100%. He listens, takes his time to understand me. I was taking 3 medications and after careful deliberation and monitoring, am still off them after a year. That is due to his proactive, preventative approach in changing my lifestyle."
"I cannot say enough about Sergio — one of the best providers I've ever had the privilege of working with. He takes the time to listen deeply and develops a solid plan moving forward. When it comes to male fertility and male hormones, you can't beat him. He researches constantly, stays up to date, and is willing to work outside the box to find the perfect solution."
"Sergio has been so great in helping me navigate perimenopause and is a wealth of knowledge on hormone therapy. He listens and answers questions with detail, using words I can understand. He cares about the whole patient, and I appreciate his holistic approach to healthcare."
"Sergio was thorough, explained things well, and did not try to get me on medications that were not indicated — in fact, he helped me wean off one I had been taking for far too long. He's followed up with me several times to make sure I am doing well. Would not hesitate to recommend him."
"Sergio has been an integral part of my health journey the last couple of years. He has helped me uncover the mechanisms behind certain health issues that have been difficult for other practitioners to figure out. He is knowledgeable, attentive and takes the time to actually listen, and from there does the best he can to provide a personalized plan to help you get better. I wouldn't want to work with anyone else as closely as I work with Sergio. If I really need help with something, he is my go-to. I highly recommend him to anyone that needs personal and focused healthcare."
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Spots are limited — Sergio takes a focused caseload by appointment.
Check AvailabilityA few of the things people most often ask. For everything else, see our full FAQ.
Many online hormone clinics follow a one-size-fits-all approach — a quick intake, a standard protocol, and a prescription. Beacon is built differently. Every patient receives a comprehensive evaluation of symptoms, health history, and in-depth lab work before any treatment is recommended. Hormone therapy is offered only when clinically appropriate, not as a default. And lifestyle changes are always foundational, because no prescription fixes what daily habits create.
Yes. We work with both men and women, commonly addressing low testosterone, perimenopause-related symptoms, fatigue and low energy, weight gain and metabolic concerns, and brain fog or poor sleep.
No. Beacon Hormone & Wellness is a cash-pay practice. This allows for longer visits, more personalized care, and freedom from insurance-driven limitations. Your comprehensive lab panel is included in your evaluation price — so there is no separate lab bill and no insurance runaround on testing.
Our $350 comprehensive evaluation includes your full lab panel and a 60-minute visit to review the results and build your plan — no separate lab bill. Prefer to meet first? A $175 initial consultation is also available. Ongoing care is optional through a $135/month membership. Medications are billed separately. See full pricing →
We currently serve patients located in Washington State only. You must be physically present in Washington at the time of your telehealth visit.
Choosing a provider you've never met is a real decision, and it deserves more than a leap of faith. If you have questions, or you'd simply like to hear how we'd approach your situation, start here — no commitment. Not sure where to begin? Take our 2-minute symptom self-check first.
A free 15-minute video call to see if we're the right fit. We'll talk through what's going on, how we work, and whether this practice makes sense for you. No pressure, no obligation — just an honest conversation.
Send a note and Sergio will personally respond — usually within one business day.
Begin with a $350 comprehensive evaluation — your full lab panel and a 60-minute visit to review the results, included. Prefer to meet first? A $175 initial consultation is also available. Care with Sergio Fernandez, FNP-C, available to all Washington State residents from home. No referral needed.
Questions first? Call (509) 906-1935 or email sergio@beaconhormone.com