Hormone Optimization
Personalized hormone therapy for men and women — addressing fatigue, mood, sleep, libido, and stubborn weight by looking at the whole picture.
Bespoke Wellness is a telemedicine practice for men and women, focused on hormone optimization, peptide therapy, medical weight loss, and thyroid — with individualized, root-cause care. Based in Texarkana, serving all of Texas.
What we offer
Four core services, one philosophy: find the root cause and build a plan that's unique to you.
Personalized hormone therapy for men and women — addressing fatigue, mood, sleep, libido, and stubborn weight by looking at the whole picture.
A medically supervised, individualized approach that pairs metabolic and hormonal insight with modern options — including peptides such as growth hormone and GLP-1 medications for weight loss where clinically appropriate. Not a one-size program.
A closer look at thyroid function than a standard panel — treating the underlying cause, not just a lab result that reads "normal."
A comprehensive, whole-person evaluation to uncover metabolic imbalances and other drivers of how you feel and your long-term health.
Hormone Optimization
Hormones shift through every stage of life. We evaluate the full picture and design a plan for where you are now.
The years before menopause can bring shifting cycles, sleep changes, mood swings, and weight changes. We help you understand what's happening and support you through it.
Individualized hormone support for hot flashes, sleep, mood, energy, and long-term wellbeing — tailored to your history and goals.
Support for the hormonal shifts, fatigue, and mood changes that can follow childbirth — with attentive, whole-person care.
Low energy, brain fog, poor sleep, changes in strength, mood, or libido can all trace back to hormones. We evaluate what's driving it and build an individualized plan — reviewed and adjusted over time with your provider.
Book a first visitWhere clinically appropriate and legally available, individualized physician-supervised therapies — including peptides — may be part of your plan. Your provider will discuss what's right for you.
What to expect
Everything happens from the comfort of home — or wherever your day takes you.
Schedule online and meet your provider by video. Your first visit is a full hour to understand your history and goals.
Test from home with a mailed kit, or use a discounted local lab — often for less than insurance pricing.
We investigate the root cause and design a plan built for your body and your goals — not a template.
Pick up your prescriptions at a local compounding pharmacy or have them shipped to your door — with 30-minute follow-ups to adjust and optimize over time.
Our approach
Two experienced providers, taking the time to understand what's really driving how you feel. Every case is unique, and every plan is built for one person.
Every plan is built for one person. No templates, no one-size protocol.
We investigate metabolic and hormonal imbalances that affect how you feel and your long-term health.
Meaningful testing, interpreted by your own provider — working toward your optimal, not just "in range."
Including peptides where clinically appropriate and legally available.
Your care team
You'll see the same two providers at every visit — real continuity you can build a relationship with.

Functional Wellness Provider
Originally from Texarkana, Texas, Ayvee began her nursing career in 2012 and began practicing as a nurse practitioner in 2017. She practiced in the DFW area in family practice, internal and functional medicine. Her passion is to treat the root causes of health issues to restore wellness using a blend of natural remedies, nutrition, lifestyle changes and medications to treat the whole body.
Functional Wellness Provider
Short bio coming soon. This is where your background, credentials, and what you love about patient care will go.
Bio & headshot to comeSimple, transparent pricing
Everyone begins with an initial visit; follow-ups continue your care from there.
No membership required. Affordable lab testing available separately — at-home kits or discounted local labs, often priced better than insurance. Questions about what's included? Contact us.
Labs & medications
Questions
It's a root-cause approach to health. Instead of treating symptoms in isolation, we investigate the underlying metabolic and hormonal factors affecting how you feel — and build an individualized plan around them.
Yes. Bespoke Wellness is a telemedicine practice — you meet your provider by video, from home or on the go. Initial visits are one hour; follow-ups are 30 minutes. No office visit is required.
Based in Texarkana, we care for patients throughout all of Texas via telemedicine — from the comfort of home or on the go, anywhere in the state. Prescriptions are issued only where our providers are licensed.
You have options: a test kit mailed to your home, or a visit to a discounted local lab. Our lab pricing is often lower than going through insurance. Your provider reviews the results with you and interprets them toward your optimal ranges.
When your provider prescribes a medication as part of your plan, you can pick it up at a local compounding pharmacy or have it shipped directly to your door — whichever is more convenient for you.
Where clinically appropriate and legally available, individualized, physician-supervised therapies — including peptides — may be part of your plan. Your provider will discuss what is right for you during your visit.
Appointments are direct-pay — insurance can't be used for visits, which keeps care simple and transparent. Insurance can be applied to labs and to non-compounded medications. HSA and FSA funds are eligible for both appointments and medications.
Click Book Now to schedule through our secure patient system. Your health information and appointments are all handled there — this website doesn't collect any personal or medical information.
Get started
Book your first visit through our secure patient system. For general questions, email us anytime — we're glad to help.
Texarkana, TX · serving all of Texas