Questions about your goals, your health and your history. You'll see a personalized projection, find out what a physician is likely to recommend, and request your consultation time. Your answers go straight to the clinic.
Pick everything that applies — most patients choose two or three.
— The physicians of BodyReformMD
Hormone panels, dosing and reference ranges differ. This is a clinical question, not an identity one — you can tell us more at your visit.
Metabolic rate, hormone decline and recovery all move with age. We calibrate to yours.
That makes you —.
This is the honest starting line. Nobody sees it but your care team.
BMI is a screening number, not a diagnosis — it can't tell muscle from fat. Your physician will pair it with labs and body composition.
Drag to your goal weight. We cap the slider at a clinically healthy floor — no plan here will chase a number that hurts you.
Deadlines are useful. If there isn't one, that's a perfectly good answer too.
These genuinely move your projection — we'd rather be right than flattering.
Both show up in your hormones and in your results, so both shape your plan.
Straight answers help your physician choose what's safe for you. They stay between you and your care team.
No judgment here — knowing what failed tells your physician a great deal.
These change what's safe and what's indicated. Select any that apply, or none.
List anything you react to and what happens, for example “penicillin — hives”.
List prior surgeries and the approximate year. Add as many as you need.
Include prescription and over-the-counter medications, vitamins, peptides, hormones and supplements.
Check any significant family history, or none.
Check any symptoms you're currently experiencing. Skip this if none apply.
Rate each from 1 (not important) to 10 (extremely important).
What other health, wellness, longevity or performance goals would you like to pursue? A paragraph about where you are in your wellness journey, and where you'd like to go, is perfect.
Rate your interest in pursuing each test to assess your overall health and wellness, from 1 to 10.
Rate your interest in pursuing each of these to improve your health and wellness, from 1 to 10.
Be truthful. Your physician will build a plan that fits the answer you actually gave.
An illustrative range, not a promise. It's modelled on outcomes typical of physician-supervised programs and adjusted for your age, starting weight and habits. Your actual results depend on your labs, your protocol and your life. Your physician sets the real target.
—
45 minutes with one of our physicians. Pick the time that suits you best and we'll email you to confirm it.
How we'll reach you to confirm your consultation.
Your answers are saved in this browser until you submit, so you can pick up where you left off. Submitting opens your email app with your answers addressed to hello@bodyreformmd.com. Nothing is sent until you press Send. We never sell patient data.
Tap any line to change it. Nothing has been sent yet.
Your email app should now be open with your intake addressed to hello@bodyreformmd.com. Press Send to submit it.
Your requested consultation · we'll confirm it by email
Email app didn't open? Send it with Gmail or Outlook.com, or copy your answers and email them to hello@bodyreformmd.com.
