Hormone Optimization
Personalized hormone therapy for men and women — addressing fatigue, mood, sleep, libido, and stubborn weight by looking at the whole picture.
Optimize your health from home.
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.
Testosterone (TRT)
Peptides
Weight Loss GLP-1
Hormones
Thyroid
1:1 careThe same two providers, every visit
No office visit — see us by video
Medications mailed to your door
Affordable at-home or local labs
Simple cash-pay pricing
What we offer
Care tailored to how you actually feel
Four core services, one philosophy: find the root cause and build a plan that's unique to you.
Medical Weight Loss
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.
Thyroid Optimization
A closer look at thyroid function than a standard panel — treating the underlying cause, not just a lab result that reads "normal."
Functional Wellness Workup
A comprehensive, whole-person evaluation to uncover metabolic imbalances and other drivers of how you feel and your long-term health.
Hormone Optimization
Care for men and women
Hormones shift through every stage of life. We evaluate the full picture and design a plan for where you are now.
Perimenopause
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.
Menopause
Individualized hormone support for hot flashes, sleep, mood, energy, and long-term wellbeing — tailored to your history and goals.
Postpartum
Support for the hormonal shifts, fatigue, and mood changes that can follow childbirth — with attentive, whole-person care.
Men's Hormones
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 visit
Where 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
Simple, from first visit to follow-up
Everything happens from the comfort of home — or wherever your day takes you.
Book your visit
Schedule online and meet your provider by video. Your first visit is a full hour to understand your history and goals.
Simple lab testing
Test from home with a mailed kit, or use a discounted local lab — often for less than insurance pricing.
Your individualized plan
We investigate the root cause and design a plan built for your body and your goals — not a template.
Care your way
Pick up your prescriptions at a local pharmacy or compounding pharmacy, or have them shipped to your door — with convenient telemedicine follow-ups to adjust and optimize your care over time.
Our approach
We look for the root cause — not just the symptom.
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.
Individualized by design
Every plan is built for one person. No templates, no one-size protocol.
Root-cause focus
We investigate metabolic and hormonal imbalances that affect how you feel and your long-term health.
Comprehensive labs
Meaningful testing, interpreted by your own provider — working toward your optimal, not just "in range."
Modern, supervised therapies
Including peptides where clinically appropriate and legally available.
Your care team
Meet your providers
You'll see the same two providers at every visit — real continuity you can build a relationship with.
Ayvee Lavender, APRN, FNP-C
Functional Wellness Provider
Originally from Texarkana, Texas, Ayvee began her nursing career in 2012 after graduating from The University of Central Arkansas. Her nursing background in acute care and experience in the cardiovascular ICU sparked her passion of helping patients prevent chronic illness. She graduated with her Master's in Nursing from the University of Texas at Arlington in 2017 and began practicing in the DFW area in family practice, internal and functional medicine. Her passion is to help men and women optimize hormone health, thyroid imbalances, and postpartum hormone changes. Ayvee strives to help patients identify the causes of metabolic health issues and restore wellness using a blend of natural remedies, nutrition, lifestyle changes and medications tailored to each individual person.
Kara Osuna, APRN, FNP-C
Functional Wellness Provider
Since graduating from the University of Texas at Arlington in 2021, Kara has had the privilege of caring for patients in family practice, gaining valuable experience treating a wide range of acute and chronic health conditions. While she enjoys the diversity of primary care, her true passion lies in functional medicine — helping patients uncover the root causes of their health concerns. She has a special interest in hormone optimization, gut health, thyroid function, and sustainable weight management. She believes every patient deserves a personalized approach that looks beyond symptoms to create lasting wellness, and her goal is to empower patients with the knowledge, tools, and support they need to take control of their health and feel their best.
Simple, transparent pricing
How pricing works
Everyone begins with an initial visit; follow-ups continue your care from there.
Step 1 · Start here
Initial Visit
$150
1 hour · required for new patients
- A full hour with your provider
- Complete history & goals review
- Your personalized starting plan
- Lab guidance & next steps
Step 2 · Ongoing
Follow-up Visits
$100
30 minutes · as needed to optimize
- 30 focused minutes with your provider
- Plan adjustments & optimization
- Prescription management
- Ongoing support between visits
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
Testing made simple. Medications to your door.
- At-home test kits — mailed to you and done on your own schedule.
- Discounted local labs — often priced better than going through insurance.
- Interpreted by your provider — treating toward your optimal range, not just "normal."
- Medications your way — pick up at a local pharmacy or compounding pharmacy, or have them shipped to your door.
Questions
Frequently asked
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 pharmacy or 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.
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Ready to feel like yourself again?
Book your first visit through our secure patient system. For general questions, email us anytime — we're glad to help.
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