Step 1 Of 3

Policies: Please note: A 24-hour cancellation policy applies to all appointments. We understand that life happens, but please do your best to keep your committed appointment, or notify us well in advance of any need to change so that we can accomodate other people in open spots as available. Due to high demand, appointment availability is limited. Book early to secure your preferred time. Payment is due at the time of booking to confirm your appointment.

The Sage Balance Journey Application
We are excited that you're interested in optimizing your health - let's get you applied and on a call.
  • Due to a limited number of new patient openings we only accept individuals who are ready to make a permanent change in their life, so we want to make sure that you're a good fit! 
  • Your life WILL improve in all areas including health, confidence, work and relationships, but many people are not ready for that kind of change to occur.
  • We wish to ONLY serve those who are ready to FIX their hormones, their thyroid, and their life.
 
PLEASE NOTE THE FOLLOWING:
  • We do NOT take insurance.
  • We DO accept HSA & FSA cards for payment
  • We DO accept direct-pay, cash or credit card for payment.
  • We won't be reviewing labs on the call so no need to have those prior to your call!
  • We will review labs in the program once you join us!
  • No shows/no answer will not be allowed to reschedule.
If you schedule a call and need to change the time please email us to reschedule:
[email protected]

This appointment request will be reviewed and a follow-up email/text will be sent to confirm it.
 
This appointment is for a complimentary telehealth consult (online, not in-office), 
A knowledgeable member of Dr. Zima’s team will be calling you at your scheduled time to review your application and explore which program is best for you. Here is the telehealth link for your online appointment: https://doxy.me/sagefamilyhealthprivate

Some Questions to Get Started:
  • Are you a driven individual ready to invest in your health and ready to make a permanent change?
  • What is the top challenge you would like us to help you overcome?
  • What have you/your doctor(s) tried so far to support your health - that has or has not worked?
  • How many doctors/specialists/practitioners have you seen in the past? Do you currently have a primary care provider?
  • How willing are you at this point to find your answers and make changes?
  • If you were to wake up tomorrow without this challenge and set of frustrations - how would your life be different?
We look forward to being a very helpful part of your health journey!
Dr. Viva Zima, DNP, APRN, FNP-C
Nurse Practitioner @Sage Hormone Health
623-688-2105 Phone/Text
Sage Balance Plus: 4-Month Program

Ready to take charge of your health and embrace the "New You"? We’re making it easier than ever with a special offer! This transformative program is regularly priced at $7,999, but for a limited time, it’s available for JUST $1,599—or split into four manageable monthly payments of $399.This program is tailored for action-takers who are ready to level up their health and unlock the benefits of hormone optimization. If you’re ready to invest in yourself and see real results, this is your chance to make it happen! Here’s what’s included in the Sage Balance Plus program:
  • 60-minute initial consult with hormone specialist nurse practitioner,
  • Order and review full panel labs,
  • Bioidentical hormone replacement prescriptions* sent directly from pharmacy to patient home, or pharmacy-grade supplements*; as needed and opted for,
  • Lab re-check at 3 months,
  • Dietary and lIfestyle guidance,
  • Direct access and ongoing support throughout the program from the hormone specialist nurse practition
*Quantity of 3 different HRT prescriptions or supplements; enough for 3 months, if more are needed/requested, they will be an additional charge. Pellets not included.

After completion of the Sage Balance Plus program, we recommend THRIVING with Sage Monthly or Sage Quarterly programs.
Book this consult when you are ready to get started optimizing your hormones!
Once this consult is booked, we will send you new patient intake documents; including an evidence-based symptom assessment questionairre to get to know you, and a lab order for you to take to the lab of your choice*. 

Book this appointment for 2 weeks after you are able to get lab work completed (results can take approximately this amount of time), that way we can review your both your symptoms and lab results, and then make plans to address them!

A hormone consultation serves as the cornerstone for understanding and addressing hormonal imbalances that can significantly impact overall health and quality of life. Hormones are powerful chemical messengers that influence nearly every function in the body, from energy levels and metabolism to mood and reproductive health. A consult allows for a deep dive into your symptoms, lifestyle, and medical history to develop a precise, personalized approach to restoring hormonal balance.

This Consult Includes:
1) An evidence-based hormone assessment to identify common hormone-related problems,
2) Ordering and reviewing labs*,
3) Hormone replacement therapy order* as needed.
*Cost of labs and meds not included. 

This consult is an excellent starting point to understanding and treating hormones. It is recommended to sign up for our Sage Balance all-in-one plan, or our Sage Monthly or Quarterly Balance & Thrive plans -- these can help take the extra work, time and energy out of ordering labs and meds, and help keep you on track with your health goals.
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Why Get a Hormone Consultation?
  1. Comprehensive Understanding of Symptoms
    • Hormonal imbalances often present with nonspecific symptoms (fatigue, weight gain, mood swings, poor sleep).
    • A consult helps identify whether these symptoms are hormonal or linked to other health conditions, ensuring accurate diagnosis and targeted treatment.

  2. Personalized Care
    • Hormones are not a one-size-fits-all situation.
    • Individualized testing and discussion ensure a tailored approach based on your unique biology, goals, and lifestyle.

  3. Proactive Health Management
    • Unchecked hormonal imbalances can lead to long-term health risks like osteoporosis, cardiovascular disease, or Type 2 diabetes.
    • Early identification and management can prevent these complications.

  4. Education and Empowerment
    • Learn how hormones work and their impact on your physical and emotional well-being.
    • Gain actionable insights into managing your health through lifestyle, nutrition, and treatment options.
What are the Benefits of a Hormone Consultation?
  1. Accurate Diagnosis through Comprehensive Testing
    • Advanced lab testing assesses key hormones like estrogen, progesterone, testosterone, cortisol, and thyroid function.
    • Identifies imbalances often missed in standard medical checkups.

  2. Improved Energy and Vitality
    • Correcting imbalances can restore energy levels, improve sleep quality, and reduce feelings of fatigue.

  3. Weight Management Support
    • Hormonal balance plays a crucial role in metabolism, making it easier to lose or maintain a healthy weight.

  4. Enhanced Mood and Mental Clarity
    • Stabilizing hormones reduces mood swings, irritability, anxiety, and brain fog.
    • Patients often report feeling more like themselves again.

  5. Restored Sexual and Reproductive Health
    • Addressing low libido, erectile dysfunction, or irregular menstrual cycles improves confidence and quality of life.

  6. Skin, Hair, and Bone Health
    • Balanced hormones improve skin elasticity, reduce acne, and slow hair loss.
    • They also support bone density, reducing the risk of fractures.

  7. Preventative Care for Aging
    • Hormone optimization supports longevity by mitigating age-related changes and maintaining vitality as you age.
What Can You Gain with a Hormone Consult?
  • Clarity on what’s happening in your body.
  • A roadmap to feeling so much better.
  • A trusted partner to guide you through the journey to balance, health, and thriving.
Book this appointment if you are an established patient with Sage Hormone Health, so we have completed a full hormone health assessment, including collected pre-treatment labs. If you are ready to get established, please book a consult (click this link here). 

Hormone Pellets provide a convenient option for hormone replacement therapy, especially for people who prefer to avoid the daily or bi-weekly treatments that come with cream or injectables.  Women need smaller doses versus men, but may opt to have pellets inserted more frequently, such as every 3 to 4 months versus 5 to 6 months for men.

Remember to review the treatment information and consents (they will be sent to you upon completion of booking), especially to plan for no high-intensity activity or exercise for ~5 days post pellet insertion to avoid trauma to the insertion site which can result in negative outcomes overall. 

Cash discount: $499. payments can be made by Zelle to [email protected]
FSA, HSA, or credit card: $517.

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Book this appointment if you are an established patient with Sage Hormone Health, so we have completed a full hormone health assessment, including collected pre-treatment labs. If you are ready to get started an established, please book a consult (click this link here). 

Hormone pellets provide a convenient option for hormone replacement therapy, especially for people prefer to avoid the daily or bi-weekly treatments that come with cream or injectables. 

Men typically require larger doses then women, and opt for treatment approximately every 5 to 6 months, versus women at 3 to 4 months.

Remember to review the treatment information and consents(these will be sent to you upon booking), especially to plan for no high-intensity activity or exercise for ~5 days post pellet insertion to avoid trauma to the insertion site which can result in negative outcomes overall. 

Cash discount: $699. payments can be made by Zelle to [email protected]
HSA, FSA or Credit card: $724.
This appointment is for an in-person visit with the practitioner, for established patients. 

If you are ready to get established, we have a free call - The Sage Balance Journey Application that can help answer some questions, we look forward to meeting you!

This appointment is for established patients with Sage Hormone Health - if you are ready to get ?established, please book here

To review plan and make any changes as needed.
This appointment is for an in-office blood test to collect hormone labs.

Remember
  • Book a follow-up - here is the Telehealth Appointment Link to book
  • Plan to book the follow-up usually within approximately 3-5 days after collecting the lab
  • Avoid taking medication right before your lab to avoid getting a false "high" for that medication (for example, if you are taking a thyroid medication in the morning, often we will recommending taking that medication right after your lab test. Same with Testosterone, avoid taking it right before the test, take your dose right after the lab test).






Cash Discount: $299 - payment can be made by Zelle to [email protected]
HSA, FSA Credit Card Fee: $310.
Book this appointment for in-office follow-up hormone lab testing (bloodwork)
Following up on inital labs is important to assess how the plan and treatment is working. 
It can be extremely motivating to see the progress from one report to another, and also it's important to see if there are any opportunities to work on.

Remember
  • Book a follow-up - here is the link Telehealth Appointment to review the labs
  • Plan to book the follow-up usually within approximately 3-5 days after collecting the lab
  • Avoid taking medication right before your lab to avoid getting a false "high" for that medication (for example, if you are taking a thyroid medication in the morning, often we will recommending taking that medication right after your lab test. Same with Testosterone, avoid taking it right before the test, take your dose right after the lab test).

Cash discount: $150., payments can be made by Zelle to [email protected]
FSA, HSA or credit card: $155.


Telehealth Consult 15 Minutes
This booking is for established patients.
Book this consult when you have started your journey, and are ready for a follow-up visit.

A hormone consultation serves as the cornerstone for understanding and addressing hormonal imbalances that can significantly impact overall health and quality of life. A consult allows for a deep dive into your symptoms, lifestyle, and medical history to review precise, personalized approach to restoring hormonal balance.
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If you are New to Sage Balance Programsplease to Book A Free 15-Minute Consult here to ask questions.
OR - Iff you know you are ready to get started - book a Sage Balance Initial Consult or The Sage Balance 4 Month Program (More About This Program Here)
Foundational Protocol Step 1 Mockup
Cellcore's Foundational Protocol Step 1: Energy and Drainage
The products in Step 1 deliver key nutrients for supporting mitochondrial health and establishing healthy drainage pathways — both of which are essential before entering periods of detoxification.* This also helps make the detox process smoother and helps with energy production as your patient moves through the protocol.*

Step 1 consists of BC-ATP, BioToxin Binder, CT-Minerals, and KL Support. BC-ATP assists the body with ATP production, while CT-Minerals support mental clarity, immune function, cellular repair, and detoxification.* KL Support helps maintain kidney and liver function.* BioToxin Binder assists in the body’s natural detoxification processes and supports the gut microbiome, which in turn aids healthy digestion.*

Formulated with BioActive Carbon® TechnologyBioActive Carbon® Technology is a proprietary blend of fulvic acids that support cellular repair and the body’s natural ability to detoxify.* With a low pH, BioActive Carbon® Technology also helps protect ingredients from being digested by stomach acid, so that they remain intact as they enter the desired location in the body.

BC-ATP:
The highly charged organic acids support metabolism and the ATP cycle in being at peak efficiency.* These carbons also assist in the body’s natural detoxification processes and contribute to a balanced gut microbiome.* In clinical practice, BC-ATP is generally well-tolerated by sensitive individuals and may help improve protocol tolerance.

BioToxin Binder:
Our go-to starter binder. It assists in the body’s natural ability to detoxify and lends increased support to the gut microbiome, which aids in digestive and immune function.*

CT-Minerals:
Provides minerals derived from fulvic acid. Sourced from the soil and decomposed plant life, these naturally occurring minerals are typically easier for the body to digest, absorb, and utilize. This bioavailable formula supports mental clarity, energy production, cellular repair, and immunity.*

KL Support:
Combines herbs and nutrients traditionally used to support kidney and liver health, including beetroot, gromwell root, gynostemma, marshmallow root, milk thistle seed, NAC, and parsley leaf.* As an integral part of the body’s cleaning and filtering system, supporting kidney and liver function is essential for healthy drainage and detoxification during the protocol.*

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.


Step 2: Gut & Immune Support - After optimizing ATP production and healthy drainage pathways in Step 1,

Step 2 focuses on promoting the body’s natural detoxification processes and nurturing the gut microbiome.*Step 2 consists of BC-ATP, BioToxin Binder, Para 1, and Para 2. Para 1, our flagship gut and immune support supplement (made from 100% pure Mimosa pudica seed), encourages the removal of foreign organisms and occasional intestinal buildup.*Para 2 supports enhanced digestive function with herbs used traditionally to promote detoxification and gut health, including clove, neem, triphala, and vidanga.* Together, these supplements give the body the extra push it needs to support its detoxification processes.*Individuals will continue to take BC-ATP and BioToxin Binder to promote ATP production, a balanced gut microbiome, and the body’s natural ability to detoxify.*Formulated with BioActive Carbon® TechnologyBioActive Carbon® Technology is a proprietary blend of fulvic acids that support cellular repair and the body’s natural ability to detoxify.* With a low pH, BioActive Carbon® Technology also helps protect ingredients from being digested by stomach acid, so that they remain intact as they enter the desired location in the body.

After optimizing ATP production and healthy drainage pathways in Step 1, Step 2 focuses on promoting the body’s natural detoxification processes and nurturing the gut microbiome.
*Step 2 consists of 

BC-ATP- The highly charged organic acids support metabolism and the ATP cycle in being at peak efficiency.* These carbons also assist in the body’s natural detoxification processes and contribute to a balanced gut microbiome.* In clinical practice, BC-ATP is generally well-tolerated by sensitive individuals and may help improve protocol tolerance. 

BioToxin Binder -a go-to starter binder. It assists in the body’s natural ability to detoxify and lends increased support to the gut microbiome, which aids in digestive and immune function

Para 1 -Naturally gelatinous and made from 100% pure Mimosa pudica seed, Para 1 becomes jelly-like and sticky as it makes its way through the GI tract. This encourages the removal of foreign invaders and occasional intestinal buildup, supports the gut microbiome, and promotes the body’s natural ability to detoxify.*

Para 2 - Formulated with a variety of herbs to support immunity and the gut microbiome, as well as promote the body’s natural ability to detoxify.* Amla fruit, clove bud, holarrhena bark, neem leaf, and vidanga fruit team up to optimize digestion, support bowel regularity, and help maintain a healthy gut bacterial balance.*

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.



Step 3 builds momentum for deeper, whole body cleansing.
* It consists of Advanced TUDCA, CT-Minerals, Para 1, Para 3, and ViRadChem to continue to support healthy drainage pathways, aid in the removal of foreign organisms and occasional intestinal buildup, and assist in liver health and bile flow.*

Para 3 is introduced in this step to support the body’s natural detoxification processes in the cells and tissues.* ViRadChem Binder further assists systemic detoxification, while CT-Minerals supports mental clarity, energy production, and cellular repair and immunity.*

Formulated with BioActive Carbon® Technology
BioActive Carbon® Technology is a proprietary blend of fulvic acids that support cellular repair and the body’s natural ability to detoxify.* With a low pH, BioActive Carbon® Technology also helps protect ingredients from being digested by stomach acid, so that they remain intact as they enter the desired location in the body.

  • Advanced TUDCA:
    Lends increased support to the liver bile duct system and promotes healthy bile flow, essential for healthy drainage and detoxification.*
  • CT-Minerals:
    Provides minerals derived from fulvic acid. Sourced from the soil and decomposed plant life, these naturally occurring minerals are typically easier for the body to digest, absorb, and utilize. This bioavailable formula supports mental clarity, energy production, cellular repair, and immunity.*
  • Para 1:
    Naturally gelatinous and made from 100% pure Mimosa pudica seed, Para 1 becomes jelly-like and sticky as it makes its way through the GI tract. This encourages the removal of foreign invaders and occasional intestinal buildup, supports the gut microbiome, and promotes the body’s natural ability to detoxify.*
  • Para 3:
    A liquid tincture with seven herbs — including black walnut hulls, clove bud, epazote, holy basil, and tansy — to support immune function and detoxification beyond the gut.*
  • ViRadChem Binder:
    A second-step binder that assists in the body’s natural ability to detoxify while supporting cellular repair.* Acai fruit extract (Euterpe oleracea), artichoke leaf extract, broccoli sprout extract, and wheat grass extract are added to support overall system balance and the body’s free radical scavenging systems.*
*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

Methylene Blue is a synthetic compound first created in 1876. It belongs to a class of chemicals called phenothiazines and was originally developed as a textile dye. Soon after, it was discovered to have important medical uses, and by the early 20th century, it became one of the first drugs ever used to treat infections like malaria. Today, medically pure methylene blue (USP-grade) is recognized for several important actions:
  • It acts as a redox agent, meaning it can donate and accept electrons inside the body, helping repair damaged mitochondria and enhance ATP (energy) production.
  • It crosses the blood-brain barrier, making it particularly valuable for neurological health.
  • It serves as a potent antioxidant, neutralizing reactive oxygen species (ROS) that contribute to aging, inflammation, and cellular damage.
  • In high doses, it’s used in hospitals to treat methemoglobinemia, a condition where red blood cells can't carry oxygen properly.
  • It also has antimicrobial properties (antibacterial, antiviral, and antifungal).
In functional and integrative medicine, methylene blue is used at low doses to optimize brain function, mitochondrial energy, reduce fatigue, fight chronic infections, and support recovery from environmental toxin exposures.

Methylene blue is a powerful mitochondrial booster, brain protector, and cellular antioxidant originally discovered as a dye but now recognized for major therapeutic benefits at controlled, medical-grade doses.

Methylene Blue (MB) is a synthetic compound originally developed as a dye and later approved for medical use as an antimicrobial and metabolic enhancer. In functional and integrative medicine, it is recognized for its ability to improve mitochondrial function, act as a potent antioxidant, enhance cognitive performance, and support cellular energy (ATP) production. It crosses the blood-brain barrier and is highly bioavailable, making it especially valuable for neurological and systemic therapeutic applications.

Who Might Benefit:Patients seeking to optimize cognitive, mitochondrial, and systemic function may benefit, particularly individuals experiencing:
  • Cognitive decline (e.g., Alzheimer’s disease, mild cognitive impairment)
  • Chronic fatigue syndrome (CFS/ME)
  • Neurodegenerative disorders (e.g., Parkinson’s disease, ALS – experimental use)
  • Post-concussion syndrome or traumatic brain injury (TBI)
  • Depression (notably treatment-resistant depression)
  • Mitochondrial dysfunction (age-related or genetic)
  • Chronic infections (e.g., Lyme disease, mold illness, chronic viral syndromes)
  • Interstitial cystitis (adjunctive bladder pain management)
  • Post-sepsis recovery and cellular hypoxia
  • Exposure to environmental toxins (carbon monoxide, cyanide – acute settings)
Standard Dosing Protocols:
  • IV Therapy:
    • Frequency: Typically once weekly to once monthly depending on therapeutic goals and patient response.
  • Oral Capsule Therapy:
    • It is critical that pharmaceutical-grade (USP) Methylene Blue be used orally to avoid contamination risks.
Important Considerations:
  • Patients with G6PD deficiency should not use Methylene Blue due to the risk of hemolysis.
  • May interact with serotonergic medications (risk of serotonin syndrome) — careful review of medications is essential.