No. Medication is only recommended if it makes sense for your body and your goals. Some clients do well with hormone optimization and lifestyle changes alone. We'll always explain your options before recommending anything.

Most clients notice changes within 4–8 weeks — on the scale and in how they feel. Everyone's body is different, and we'll set honest expectations from the start. We're focused on results that last, not a fast number that bounces back.

We adjust your plan. Plateaus are normal and our specialty — what matters is having a team that knows how to respond. We look at what’s changed and update your approach accordingly.

Merit membership is not covered by insurance. We’ll go over all costs clearly during your consultation.

Yes — and this is more common than you think. Medication alone, without hormone support or proper oversight, often falls short. We look at what was missing before and build a more complete plan. Many of our best outcomes come from clients who felt like they’d already tried everything.

Follow-ups can be done virtually. Your initial evaluation requires an in-person visit at our Topeka or Leawood location. We’ll walk you through the details during your consultation.

Online services give you a prescription. Merit gives you a full plan — labs, hormone evaluation, nutrition guidance, and a team that monitors your progress and adjusts as you go. Medication without that support often leads to short-term results that don’t last.