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Thank you for reaching out to Silence Medical PLLC!
I am Alexis N. Silence, NP, and I provide direct, personalized metabolic care and GLP-1/GIP therapy for patients across Arizona, Colorado, and Oregon.

Below is a complete breakdown of our clinical process, pricing, and next steps.

How Our Process Works

  • Initial Telemedicine Consultation (60 Minutes):

    We meet 1-on-1 via a secure, HIPAA-compliant video link (Google Meet) to review your comprehensive medical history, health goals, and previous weight management attempts to determine the safest and most appropriate protocol for you.

  • Medication Prescription & Direct Delivery:

    Your prescription is sent to one of our licensed partner compounding pharmacies (Strive Pharmacy or Red Rock Compounding), which ships your medication and supplies directly to your door.

  • Ongoing Clinical Support & Monitoring:

    We schedule a follow-up after your first vial, and every 3 to 6 months thereafter, to evaluate your progress, monitor safety labs, adjust dosing, and prioritize lean muscle retention.

Transparent Cash-Pay Pricing

Transparent Cash-Pay Pricing

Consultation Fees

  • Initial Telehealth Consultation (60 min): $75 (Friends & Family rate: $50)

  • Follow-Up Consultations: $50

Metabolic Plans

(Includes medication, syringes, home shipping, and ongoing clinical care. Formulated with B12 or glycine to reduce nausea and help preserve lean muscle mass).

  • Semaglutide:

    • 2.5 mg vial (Starting dose, lasts 6–12 weeks): $180 ACH / $185 CC

    • 5 mg vial (Medium dose, lasts 5–10 weeks): $250 ACH / $255 CC

    • 10 mg vial (Max dose, lasts ~4 weeks): $350 ACH / $355 CC

    • 15 mg vial (Max dose, lasts 6+ weeks): $360 ACH / $370 CC

    • 20 mg (Two 10 mg vials; max dose, lasts 8+ weeks): $515 ACH / $525 CC

  • Tirzepatide:

    • 20 mg (8-week starting dose, or 10 weeks microdosing): $275 ACH / $280 CC

    • 30 mg (4-week medium dose, or 17 weeks microdosing): $385 ACH / $395 CC

    • 40 mg (8 weeks at 5 mg dose): $450 ACH / $460 CC

    • 60 mg (8 weeks at 7.5 mg dose): $550 ACH / $560 CC

    • 90 mg (9 weeks at 10 mg dose): $690 ACH / $710 CC

Zero Hidden Fees: Silence Medical PLLC operates as a direct cash-pay practice. You only pay for consultations and medication refills when needed—there are no monthly subscription fees, unexpected charges, or recurring memberships.

Ready to Lock In Your Consultation?

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(Note: Telehealth services are available strictly for individuals physically located in Arizona, Colorado, or Oregon at the time of their visit).