Frequently Asked Questions
What is functional and longevity medicine, and how is it different from my regular doctor?
Functional and longevity medicine looks for the root cause behind symptoms instead of just treating them individually. Rather than a 15-minute visit focused on one complaint, we look at your hormones, metabolism, nutrition, and lifestyle together to build a personalized plan aimed at how you feel and function long-term, not just "normal" lab numbers.
What kinds of concerns do you help with?
Common reasons patients come to us include fatigue, brain fog, weight changes, hormone imbalances (perimenopause/menopause), low energy, poor sleep, and a general sense that "something's off" even when standard labs look fine. We also work with patients who feel well but want to optimize their health and slow the effects of aging proactively.
Do you accept insurance?
Arcadia operates as a concierge practice, which means we don't bill insurance directly. This lets us spend far more time with you than a typical insurance-based visit allows, and build a plan that isn't limited by what insurance will cover. We can provide documentation for HSA/FSA reimbursement where applicable.
How much do your programs cost?
Begin with a $275 Comprehensive Consultation, a 60–75 minute visit to review your health history, concerns, goals and priorities. We then recommend appropriate testing or next steps. Ongoing care options and any additional costs are explained before you enroll.
Do I need to be sick to come see you?
Not at all. Many of our patients feel "fine" by standard medical standards but want to feel and perform at their best, catch issues early, and build a proactive plan for long-term health. Others come to us because they've been told their labs are "normal" but they still don't feel right — we dig deeper in both cases.
What's the difference between your program levels?
Metabolic & Hormone Optimization is our primary ongoing pathway for individualized hormone and metabolic care. Other care options may be appropriate depending on your needs. We explain the recommended plan, what it includes and its cost before you decide.
Do you see patients outside of Wilmington?
Yes. In addition to seeing patients in-office in Wilmington, we offer telemedicine visits for patients located anywhere in North Carolina.
What happens at my first visit?
Your first visit is a 60–75 minute Comprehensive Consultation with Beth Panoff, FNP-C. We review your health history, medications, current concerns, goals and priorities, then decide which testing or next steps are appropriate for you.
How is hormone therapy monitored?
Hormone therapy is closely monitored through regular lab work and follow-up visits, so your plan is adjusted over time based on how you're actually responding — not a "set it and forget it" prescription.
How do I get started?
Book your $275 Comprehensive Consultation using the button below. If you want to explore your physical function first, our free StrengthSpan Quiz is another way to learn about your starting point.