Root-cause hormone & metabolic care

Hormones work as a system. When your thyroid, stress hormones, sex hormones and metabolism fall out of balance, you feel it as fatigue, poor sleep, weight gain, brain fog, low libido, mood changes or hot flashes. Instead of treating one symptom at a time, we look for the root cause. In your program, we build a personalized plan around your whole body and life.

What we look at

Thyroid: full thyroid testing, not just TSH.
Cortisol & adrenal health: stress, energy and sleep patterns.
Sex hormones: estrogen, progesterone and testosterone, including bioidentical hormone therapy (BHRT) when appropriate.
Metabolism: blood sugar, insulin, weight, cholesterol and inflammation.
Nutrition & lifestyle: food, movement, sleep and stress, guided by a registered dietitian.

Who it’s for

Mainly women 40+ in perimenopause and menopause, and men noticing changes in energy, weight or drive. Everyone is welcome to book a discovery call.

How it works

Free discovery call (15 min). We talk about your symptoms and goals and whether this is a good fit. No cost, no pressure.
Comprehensive consult with labs. A full health history, lab testing (included) for thyroid, cortisol/adrenal, sex hormones and metabolic markers, a review of your results together, and a recommendation for the program that best fits your symptoms, history and labs.
Choose your path. Opt in to the recommended program, or decline with no obligation. Your personalized plan is created inside the program.
1. - Hormonal: balancing thyroid, adrenal and sex hormones, including BHRT when appropriate.
  - Executive: for busy professionals focused on energy, stress and performance.
  - Optimal: comprehensive longevity and metabolic optimization.
  - Program details are being finalized; ask on your discovery call.
Ongoing membership. After your program, stay supported with ongoing check-ins, lab monitoring and adjustments to your plan.

Book a free discovery call

Why Native Wellness

Two credentials in one provider: Physician Assistant (PA-C) and Registered Dietitian (RD).
Unhurried virtual visits from home, anywhere in Hawaii.
Labs included in your consult, drawn at a partner lab near you and explained in plain language.
A clear program recommendation after your consult, then a holistic, personalized plan inside your program: nutrition and lifestyle first, plus medication or BHRT when it helps.

Common questions

Do you take insurance?

It depends on the service. Hormone & medical care (PA): 100% self-pay; insurance is not billed. Nutrition (dietitian) services in Hawaii: in-network with HMSA (Blue Cross Blue Shield of Hawaii) and Medicare. All other plans and states: you pay at the visit and receive a superbill, which you can submit to your insurance for possible reimbursement.

Do I need to live in Hawaii?

For hormone and medical care, yes. Nutrition services are available in 17 states.

Is everything virtual?

Yes, visits are by video.

How do labs work?

Your lab testing is included in your consult. Blood is drawn at a partner lab location near you on your island, and Julianne reviews every result with you during your consult.

What happens after the consult?

Julianne recommends the program that best fits your symptoms, history and labs. You choose whether to join. Your personalized plan is built inside the program.

Looking for nutrition only?

I still offer nutrition appointments with a registered dietitian.

Nutrition appointment (60 min): $175

Hawaii residents: in-network with HMSA (Blue Cross Blue Shield of Hawaii) and Medicare.

All other plans: you pay at the visit and receive a superbill you can submit to your insurance for possible reimbursement.

Nutrition services are available in 17 states (see list below).

Hormone & medical care is for Hawaii residents only. Nutrition services are available in 17 states.

States for nutrition (dietitian) services: Arizona, California, Colorado, Connecticut, Hawaii, Illinois, Indiana, Massachusetts, Michigan, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Texas, Virginia, Wisconsin

Hormone and medical care, including labs and prescriptions, is provided by Julianne Penner, PA-C, for patients located in Hawaii. Nutrition care is provided by Julianne Penner, RD.

Book a free discovery call

Dietitian (nutrition) visits for Hawaii residents are in-network with HMSA (Blue Cross Blue Shield of Hawaii) and Medicare (Hawaii). For all other plans, you pay at the visit and receive a superbill you can submit to your insurance for possible reimbursement. Hormone and medical (PA) care is 100% self-pay. These visits are best suited for general nutrition support, preventative health and basic lab review. Please note: coverage and referral requirements vary by plan. Functional testing and advanced protocols are not typically covered.

Verify Insurance

Dietitian (nutrition) appointment with a registered dietitian. Hawaii residents: in-network with HMSA (Blue Cross Blue Shield of Hawaii) and Medicare. All other plans: you pay at the visit and receive a superbill you can submit to your insurance for possible reimbursement.