Our Approach: Time to Understand Your Health
You want to explain what is happening, ask your questions, and know your concerns are taken seriously. You do not need to know the diagnosis or the treatment to request before you come in.
Dr. Kiswani-Barley takes time to get to know you, review your current health and medical history, and understand your goals. Together, you explore what may be contributing to how you feel and build a plan that fits your life, with follow-up from the same physician.
See what this means for medical weight loss"I trained in Family Medicine because I wanted to know my patients, their families, their stress, the way their work and sleep and history all fit together. I built Thrive RX so I could practice that way."
Vandhana Kiswani-Barley, MD
Board-certified in Family Medicine, Obesity Medicine, and Pain Management, plus a Fellow of the American College of Healthcare Executives (FACHE)
Understand. Investigate. Plan. Reassess.
One physician carries you through all four steps, so each visit builds on the last.
- 1
Understand
Time to hear your story
You complete an online intake before the visit, and Dr. Kiswani-Barley reviews it in advance. The visit starts with what brought you in, what you have already tried, your history, medications, sleep, lifestyle, and goals.
- 2
Investigate
Look for possible contributors
When tests are appropriate, she orders them. Labs are billed separately and are typically drawn through Access Labs, or you can use a Quest requisition with insurance. Evaluation looks for possible contributors; it cannot guarantee a single root cause.
- 3
Plan
Decide together, in plain language
You review results together and talk through options. A plan may include lifestyle, nutrition, FDA-approved medications when indicated, referral, and follow-up. A video visit has no hands-on exam; in-person care is directed when needed.
- 4
Reassess
Follow up with the same physician
Visits after the first build on your history. Plans are adjusted when clinically appropriate. The patient portal is available between visits, though response times are not guaranteed and it is not an emergency service.
Two examples of the method in practice follow. Direct pay, no membership: $250 initial consultation, then follow-ups by complexity ($100 to $250). Labs and medications are billed separately. Evenings and weekends by appointment.
How Thrive RX Does Medical Weight Loss Differently
Our goal is to help you build better habits with food and lifestyle. Medication, when clinically indicated, supports that work, with a plan to work toward coming off weight-loss medication while keeping your new habits. Your health, history, and goals guide the plan you build with Dr. Kiswani-Barley.
Nutrition and lifestyle come first
Build sustainable eating habits, with attention to nutrition, sleep, movement, and resistance training to help preserve muscle. Medication supports these efforts rather than replacing them.
We learn your weight story
Your weight history, what you have tried before, your current health, medical history, medications, and what you want for yourself. Time and one continuing physician make this possible.
We look at relevant contributors
Metabolic and medical factors such as blood sugar, thyroid, sleep, medications, or hormones are considered when relevant, with tests chosen for you. Tests are not automatic, and a single cause is not always found.
Treatment fitted to you
FDA-approved medication is considered only when it is clinically appropriate and safe. It is a supportive tool, not the whole plan, and the decision is made together.
An ongoing relationship
With follow-up from the same physician, you work toward coming off weight-loss medication while keeping your new habits. Dr. Kiswani-Barley reviews progress and safety with you; any medication change is individualized and physician-supervised.
When appropriate, low-cost lab testing is available through our partner, Access Labs, and billed separately. If you prefer to use insurance, a requisition for Quest is available. Treatment and results vary by person.
Hormone Care That Treats You, Not Just Your Lab Results
Your lab values are part of the picture, not the whole story. Dr. Kiswani-Barley listens to how you feel, explores your symptoms and their possible root causes, and considers your health history, sleep, nutrition, and lifestyle alongside appropriate testing. Your care is individualized, not based on a number alone.
A member of The Menopause Society with expertise in bioidentical hormone replacement therapy, Dr. Kiswani-Barley discusses whether treatment is appropriate for you, including its benefits, risks, and alternatives.
You Are Not Left to Figure It Out Alone
Starting a hormone protocol is the beginning of care, not the end. You have access to Dr. Kiswani-Barley through follow-up visits and patient-portal messaging to discuss persistent or new symptoms, review how you are responding, and make adjustments when clinically appropriate.
You should not have to piece together treatment advice from social media, peers, or AI. You have an expert physician who knows your health history and supports you in making decisions about your care.
Follow-up care and portal communication are not a 24/7 or emergency service. Response times and appointment availability vary.
Patient perspectives
Time, attention, and care that patients notice
Selected reviews originally posted on Google. Individual experiences vary.
Outstanding medical care and professional staff
"I highly recommend Dr. Kiswani-Barley to anyone looking for a compassionate and professional physician. The level of medical expertise and attentiveness is unmatched. Staff included provide exceptional care. They take the time to answer all questions and never make you feel rushed."
Originally posted on Google
Can't say enough good things
"I can't say enough good things about Dr. Kiswani! I am currently a hormone therapy patient of hers, but she has gone above and beyond to help me with my health. She truly cares about her patients and takes the time to listen and understand your concerns."
Originally posted on Google
Frequently Asked Questions
Book Your First Visit
Be heard. Understand your health. Work toward feeling your best with the same physician at your visits.
Initial consultation $250 · Follow-ups $100 to $250 by complexity · No subscriptions · FSA/HSA eligible · Insurance invoice provided
Primary Care Services
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Statewide telehealth primary care
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At-home sleep study with physician interpretation