Through comprehensive lab testing, unhurried 60-minute visits, and a lifestyle-first approach, we identify what's actually driving how you feel — and build a personalized plan to help you get your energy back, balance your hormones, and take control of your health for the long term.
"You've had bloodwork done. Your doctor said everything looks normal. But you're still exhausted, still gaining weight, still not sleeping well — still not feeling like yourself. You've been told it's stress, or age, or just how things are now."
You deserve a better answer than "everything looks fine." There usually is one — and we're here to find it.
Many patients come to us after being told their labs are normal — yet they still feel exhausted, stuck, and unwell. We dig deeper. Here's what we most commonly help with.
Insulin resistance, prediabetes, and stubborn weight gain often trace back to hormonal and metabolic dysfunction. We identify the root cause and build a lifestyle-first plan — with the goal of improving or eliminating medications, not adding more.
Metabolic →Fatigue, brain fog, low libido, and mood changes often reflect hormonal decline. We evaluate testosterone, estrogen, thyroid, and more — prescribing only when labs and symptoms align, at the lowest effective dose.
We assess cardiovascular risk, metabolic markers, and lifestyle factors to catch problems early — before they become chronic disease. Advanced lab work and imaging go far beyond what a standard annual checkup covers.
PreventiveHealth is a journey. Regular follow-up visits, lab re-testing, and plan adjustments keep you moving toward your goals with a provider who knows your full history and is invested in your long-term outcomes.
ContinuityA structured clinical program for adults with insulin resistance, prediabetes, or stubborn metabolic weight gain. Lab-guided, lifestyle-first, and led by a board-certified nurse practitioner — not a health coach.
If you've been told your blood sugar is "borderline," you're on metformin and wondering if there's another way, or you have weight that won't move no matter what you try — this program was built for you.
Over 12 weeks, we evaluate your metabolic health with comprehensive labs, build a personalized nutrition and lifestyle protocol, and meet three times via video to track your progress and adjust the plan. The goal is measurable improvement — in energy, weight, blood sugar, and how you feel — without adding more prescriptions.
Not sure if this is right for you? Start with a $175 initial consultation and we can discuss whether the Metabolic Reset is the best fit for your goals.
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 optimization is not just about energy and libido — it is a proactive investment in long-term health. Optimized 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.
We're a cash-pay practice, which means no insurance gatekeeping, no surprise bills, and more time focused on your actual care.
Your first comprehensive virtual visit to review health history, symptoms, and goals — and determine the right path forward.
A structured clinical program for insulin resistance, prediabetes, and metabolic weight gain. Lab-guided and lifestyle-first.
Continuous, comprehensive care with regular check-ins, lab reviews, prescription management, and plan adjustments.
The following are not included in practice fees and may be covered by your insurance.
Getting started is straightforward — no referrals, no waiting rooms, no runaround.
Schedule your initial consultation from anywhere in Washington State in minutes — no referral needed.
A thorough 60-minute video visit with Sergio to review your symptoms, health history, and goals. Labs ordered to a site near you.
Review your results together and receive a personalized care plan — lifestyle-first, root cause focused, and built around you.
We're a fully telemedicine practice — expert, personalized care available no matter where you live in Washington State. Seattle, Spokane, Tacoma, the Tri-Cities, rural Eastern WA — we can see you.
Labs are ordered to a 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.
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Real experiences from real patients across Washington State.
"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."
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Spots are limited — Sergio sees patients on Fridays and takes a focused caseload.
Check AvailabilityTransparent answers about how this practice works, what to expect, and whether it's the right fit for you.
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. We look at metabolic health, cardiovascular risk, thyroid function, and hormone levels together — not in isolation. 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.
Beacon Hormone & Wellness is a telehealth-based hormone and lifestyle medicine practice serving adults throughout Washington State. We focus on identifying root causes of symptoms like fatigue, weight gain, low energy, and hormone imbalance — using personalized, evidence-based care rather than rushed visits or one-size-fits-all solutions.
Longer, unhurried visits. Root-cause, lifestyle-focused care. Telehealth convenience without sacrificing depth. This practice was built around compassion, integrity, and purpose — not volume. We're not a "pill mill" that puts everyone on the same protocol. The goal is to help you truly heal, not just manage symptoms indefinitely.
No. Beacon Hormone & Wellness is a specialty telehealth practice focused on metabolic health, hormone balance, and cardiometabolic prevention. We encourage patients to maintain a relationship with a local primary care provider for urgent concerns, acute illnesses, and broader medical needs outside our specialty focus.
This practice is ideal for adults who feel exhausted or stuck, have been told their labs are "normal" but still feel unwell, want a thoughtful personalized approach to hormone and metabolic health, and are motivated to improve through lifestyle changes — not just medications.
It may not be the right fit if you need 24/7 on-demand care, want medication without evaluation, need urgent or emergency services, or strongly prefer in-person visits.
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.
Our goal is to improve how you feel now while also protecting your long-term health.
Cardiometabolic health screening looks at your risk for conditions such as heart disease, stroke, and metabolic disease — often years before symptoms develop. Evaluation may include advanced lipid testing, insulin and glucose markers, inflammatory lab markers, blood pressure assessment, and CAC scoring or carotid ultrasound when appropriate. We believe prevention should be proactive, not reactive.
Yes. Hormone therapy can often be safely and effectively managed via telemedicine, depending on your medical history, symptoms, and lab results. All care is provided in accordance with Washington State regulations and clinical best practices.
When appropriate, yes — including hormone therapy or other medications based on clinical need. We emphasize lifestyle-first care and aim to minimize unnecessary medications whenever possible.
When clinically appropriate, evidence-based medications — including GLP-1s — may be considered as part of a broader treatment strategy. Decisions are individualized and made collaboratively after a thorough evaluation. Safety and long-term sustainability are always priorities.
No — we don't offer quick-fix or crash dieting programs. Weight changes often reflect deeper metabolic or hormonal imbalances. Our focus is improving physiology first — supporting insulin sensitivity, hormone balance, and metabolic health — so weight regulation becomes more sustainable over time.
No. Beacon Hormone & Wellness is a cash-pay practice. This allows for longer visits, more personalized care, and freedom from insurance-driven limitations. You may still use insurance for labs and medications when applicable.
The initial consultation is $175. Ongoing care is available through a $135/month membership that covers visits, follow-up care, and secure messaging. Labs, medications, and supplements are billed separately and may be covered by your insurance.
Labs, imaging (including coronary artery calcium scans), medications, and supplements are billed separately. Insurance may be used for these services when possible. All results are reviewed together in detail so you understand your numbers and risk profile.
After your initial comprehensive visit, patients enroll in a monthly membership that includes ongoing follow-up visits as needed, secure messaging between visits, detailed lab interpretation and plan adjustments, continued guidance and accountability, and ongoing hormone and cardiometabolic monitoring.
Yes — there are no long-term contracts. The goal is to help you as long as needed, not lock you in. Please provide 30 days' written notice to cancel your membership.
This varies based on your individual needs. Most patients start with an initial evaluation, have more frequent follow-ups early on, then transition to less frequent visits once stable and optimized.
Secure messaging is available for non-urgent questions and follow-up needs. Messages are typically answered within one business day.
Your appointment time is reserved exclusively for you. Payment in full is required at the time of booking. If you need to cancel or reschedule, please provide at least 24 hours' notice — initial visit fees are fully refundable or transferable when changes are made within that window. Appointments canceled with less than 24 hours' notice or missed without notice are non-refundable.
We currently serve patients located in Washington State only. You must be physically present in Washington at the time of your telehealth visit.
Many patients come to us seeking deeper support for metabolic or hormone concerns. While we manage conditions within our specialty focus, we recommend establishing care with a local primary care provider for acute illnesses, urgent needs, and comprehensive medical care outside our scope. We're always happy to collaborate with other providers when appropriate.
You can book an initial consultation directly through our website using the "Book Now" button. If you're unsure whether this practice is the right fit, you're welcome to review our services or reach out by phone or email with any questions.
Schedule a virtual consultation with Sergio Fernandez, FNP-C — available to all Washington State residents from the comfort of home.
Questions first? Call (509) 906-1935 or email