The questions people actually ask us.

Everything runs through telehealth. You start with a conversation with a member of the Vivo care team, complete lab work, and an individualized plan is built around your goals and results. Your care and protocol are reviewed and overseen by licensed medical professionals, with treatment and prescribing decisions made by appropriately licensed providers. Follow-up, adjustments and repeat labs happen on a schedule that fits your plan.

Yes. Consultations, plan reviews and follow-ups are virtual. Lab work is done locally at a draw site or with a kit, depending on what is being tested.

Vivo operates as a nationwide telehealth practice. Availability in any given state depends on clinician licensure at the time you enroll, so our team will confirm your state when you start.

Start with your new patient intake on the Get Started page. The team follows up from there, and then it is lab work, a provider review and your plan.

Either. Vivo can order labs for you, or you can bring recent results and the clinical team will tell you whether anything additional is needed.

A conversation about your goals, your history and what you have already tried, plus what testing makes sense. It is a discussion, not a sales call.

From your goals, history, symptoms and lab results together, with the aim of the simplest plan that fits you. Your care and protocol are reviewed and overseen by licensed medical professionals, with treatment and prescribing decisions made by appropriately licensed providers.

It depends on the plan. Baseline labs are only the beginning, and what matters is how clinically relevant markers move once treatment begins.

Yes. Men's and women's hormone care are handled differently, because the physiology and the appropriate conversation differ.

Thyroid function is part of the standard evaluation, because it overlaps with symptoms often attributed to sex hormones.

Yes, as part of metabolic health rather than as a standalone weight-loss product. Treatment is individualized and not everyone is a candidate for every option.

Peptides are a broad category used or investigated for different purposes, from recovery to metabolic health. Evidence, legal status and sourcing vary by compound, which is why selection is individualized and medically supervised.

Vetted U.S. pharmacy partners, including appropriately licensed 503A and 503B compounding facilities where applicable. Sourcing, sterility standards and clinical oversight are things we take seriously.

Yes, and we encourage it. Vivo is not a replacement for primary care.

Through your plan and your care team, with adjustments made as your labs and goals change.

Yes. A second opinion on an existing protocol is a common reason people come to Vivo.

Getting started with Vivo includes a $200 onboarding and initial consultation fee. Once you become an active Vivo patient by beginning your care through Vivo, ongoing consultations and care-team support are included at no additional charge while you remain active. If you complete onboarding but do not begin care through Vivo, you are not an active patient. Consultations, lab work or care-team access after that point are quoted separately.

Vivo does not bill insurance. Beyond the onboarding fee, treatment is individualized based on your evaluation, your labs and which services you actually need, so cost is discussed directly with the team rather than published as a menu.