Hormone care should feel like an operating system—not a shopping cart. At KAYU Health, the path is deliberate: clarify goals, gather history, run the right labs, interpret results with a named California clinician, then build a protocol only when it fits. Follow-up and titration are part of the product. Medication, when prescribed, is pharmacy-separate and billed at cost.
This page explains how clinician-led hormone care works for California residents across three pathways: men’s TRT, women’s BHRT, and metabolic support.
The pathways
Think of pathways as doors into the same building. You might enter through low energy and land in TRT evaluation, or enter through weight and discover perimenopause plus insulin-resistance patterns. The operating system is designed so clinicians can re-route without forcing you to restart as a new “product customer.”
That design also protects compliance and safety. Metabolic educational pages stay non-branded until required gates clear. Hormone pages stay labs-first. Membership pages stay pharmacy-separate. The constraints are features of accountable California care.
Men’s TRT path. Symptom recognition → eligibility conversation → TRT-oriented panel → protocol and monitoring if appropriate. Hub: /trt.
Women’s BHRT path. Peri/meno symptom mapping → candidate review → women’s labs in context → protocol and monitoring if appropriate. Hub: /bhrt.
Metabolic support path. Workup-first metabolic labs → hormone–weight bridge when relevant → GLP-support discussion only when clinically appropriate, kept non-branded on educational pages until compliance gates clear. Hub: /glp1.
Many people cross pathways—for example, low energy that involves both testosterone and metabolic markers, or perimenopause weight change that needs hormone and glycemic clarity. The OS is designed to connect those dots instead of forcing a single-product story.
First 90 days (typical shape)
Illustrative sequence only—not a service-level promise. Lab access, complexity, and scheduling change timing.
Not every patient finishes labs in two weeks. Travel, fasting requirements, and partner lab logistics vary. What should not vary is sequence: no protocol without clinical review of appropriate labs. If results are borderline, clinicians may repeat draws or expand the panel rather than guess.
During this window, lifestyle foundations still matter. Sleep, protein intake, alcohol, and training load change both symptoms and labs. Mentioning them is not “blaming the patient”—it is collecting confounders so hormone decisions are cleaner.
Illustrative sequence only—not a service-level promise. Lab access, complexity, and scheduling change timing.
Days 1–14 — Intake and orientation. Complete the quiz or book a consult ($49.99). Share history, medications, goals, and constraints (fertility plans, prior HRT, cardiovascular history, etc.). Confirm California residency and telehealth logistics.
Days 14–45 — Labs and review. Complete required bloodwork. Your clinician reviews results against symptoms—not against a marketing script. You get a clear fit / not-yet / refer decision.
Days 45–90 — Protocol and cadence. If care proceeds, you select a membership tier (Root, Branch, or Canopy) that matches follow-up intensity. Titration and safety labs follow the protocol—not a set-and-forget shipment.
Exact timing varies with lab access, clinical complexity, and your schedule. The point is sequence: labs before protocol.
Meet the clinicians
Care is delivered with named California clinicians:
- Narine Chilyan, DNP, AGNP-C — profile: /doctors/narine-chilyan
- Dr. Aram Mkhitarian, DO — profile: /doctors/aram-mkhitarian
See the E-E-A-T overview: named clinicians in California. You should always know who is accountable for medical review—not a rotating unnamed inbox.
Plans: Root, Branch, Canopy
Membership is care pricing:
| Tier | Price | Role (plain English) |
|---|---|---|
| Consult | $49.99 | Entry clinical conversation |
| Root | $199 | Foundational care membership |
| Branch | $499 | Deeper follow-up intensity |
| Canopy | $799 | Highest-touch care membership |
Pharmacy is outside membership and billed separately at cost. Compare tiers in detail: Root vs Branch vs Canopy and live pages /plans/root, /plans/branch, /plans/canopy, /pricing.
California-only gate
KAYU Health does not market multi-state convenience care. If you are not a California resident—or cannot complete telehealth visits under CA rules—we are not the right provider. That constraint is a feature of accountable licensing, not a temporary promo limit.
What we will not do
We also will not claim invented conversion rates, member counts, or payback math in educational copy. Prices are public: Consult $49.99, Root $199, Branch $499, Canopy $799 for care membership. Medication, when prescribed, is pharmacy at cost. If a competitor bundles everything into one sticky number, ask them which line is care and which line is drug—then compare honestly.
- Skip labs because a quiz “scored high.”
- Push branded metabolic medications on educational pages before required compliance gates.
- Hide pharmacy costs inside membership.
- Present anonymous clinician networks as equivalent to named accountability.
How to start
Take the /quiz to branch into hormones, weight, energy, longevity, or sleep—or /book a consult directly. Either path lands in the same OS: history → labs → clinician judgment → membership if appropriate.
Sibling hubs for deeper reading: /hormones · /trt · /bhrt · /glp1.
How quiz branches connect without fragmenting care
The public quiz already branches across hormones, weight, energy, longevity, and sleep. Those branches are intake routers, not separate companies. A weight-branch start can still surface TRT or BHRT questions. An energy-branch start can still need metabolic labs. Clinicians collapse duplicate stories into one chart logic so you are not sold three memberships for one physiology.
Shared guardrails across every pathway
- California residency and telehealth compliance
- Named clinician accountability (Narine Chilyan, DNP, AGNP-C · Dr. Aram Mkhitarian, DO)
- Labs before protocol
- Membership priced separately from pharmacy
- Non-branded GLP education until compliance gates clear
- No invented outcomes marketing in clinical education
If a page somewhere on the internet implies otherwise, this OS description is the intended standard for KAYU hormone SEO hubs.