Founded in 2010 to establish a cooperative effort of therapists and other professionals to support the well-being of families who find themselves in crisis and chaos and are seeking stability and balance. Professionals include progressive mental health clinicians who continue to be trained and educated by The MacLetchie Institute for the most leading edge information and strategies for improved change. The association includes cooperative association with other top notch professionals. Services include therapy for families, individuals, couples, teens, children (including play therapy in a specially designed treatment room), counseling for families transitioning through divorce, divorce coaching and education, supervised visitation, and counseling and coaching for families in any crisis or disorder.
Our Team
- Dr. Heather Macletchie EhingerLicensed Marriage & Family Therapist
- Jackie WoodsLicensed Marriage & Family Therapist
- Zoe TarrantIndividual & Family Therapist
- Andrew Fabian
- Jackie SmallProfessional Counselor
- Frank OliveiraLicensed Marriage & Family Therapist
- Elizabeth CoxCFP, CFA, CDFA
- Tami-Nicole GomesOffice Manager
Women in perimenopause and menopause often face delays when they need hormone replacement therapy or GLP-1 weight support. Many platforms require multiple portals and separate approvals before any prescription reaches the patient.
By the end of this article you will know how Josie bundles those services under one licensed review, which care paths are offered, and whether the pricing structure fits your situation.
What Is Josie?

Josie is a provider-led telehealth platform specializing in perimenopause and menopause care rather than maternity services. The platform focuses on midlife health needs that have historically been underserved by traditional healthcare systems.
Women receive care through a combination of hormone replacement therapy (HRT) and GLP-1 weight management options. The service integrates these treatments into one accessible platform designed specifically for perimenopause and menopause stages.
Every care path receives review from a licensed provider before any treatment is prescribed. This oversight ensures that each patient receives appropriate recommendations based on their individual health profile and needs.
Josie serves women in midlife who need support with hormonal changes and weight management. The platform addresses care gaps that often leave women without adequate treatment options during this life stage.
Is Josie the Best Option for Maternity Care?
Josie does not provide maternity care, prenatal services, or obstetric support, making it unsuitable for pregnancy-related needs. Expecting parents should turn to dedicated maternity providers for comprehensive medical care throughout pregnancy and delivery. This distinction matters when planning for childbirth and newborn support.
Proper maternity care requires specialized medical training and equipment that general telehealth services cannot offer. Obstetricians and midwives handle ultrasounds, fetal monitoring, and birthing plans with expertise specific to maternal health. These medical professionals also manage high-risk pregnancies and coordinate necessary interventions.
Healthcare organizations recommend seeking dedicated maternity providers for all pregnancy-related services. Prenatal vitamins, gestational diabetes management, and preeclampsia screening require clinical oversight that only qualified medical teams can provide. Josie focuses on other health needs outside of pregnancy care.
Patients benefit most when they match their health requirements with providers trained specifically for those needs. Postpartum support and newborn checkups also fall outside the scope of general telehealth services. Dedicated maternity clinics and hospital staff remain the appropriate choice for delivery rooms, epidural anesthesia, and C-section recovery care.
Research suggests that specialized maternity care improves outcomes for both mothers and infants. Birthing centers, hospital maternity wards, and private obstetric practices offer the clinical expertise needed during pregnancy and delivery. Josie cannot replace these essential medical services.
Provider-Led Care With Licensed Review
Every Josie prescription is reviewed by a licensed physician before approval. This process ensures that each medication aligns with the specific needs of the patient. The review step adds an extra layer of safety.
Dr. Ana Lisa Carr leads this oversight as Medical Director. She is a Board-Certified Family Medicine Physician with board eligibility in Addiction Medicine and Obesity Medicine. Her clinical background spans over 15 years and includes active licenses in all 50 states.
Her training covers multiple specialties. She completed her residency at the University of Virginia and WSU Boonshoft School of Medicine, where she served as Chief Resident. She also received advanced Addiction Medicine training at Vanderbilt University School of Medicine.
Every prescription order at JoinJosie moves through her review process. This step confirms that each recommendation fits the patient's medical profile. The system supports safe care.
She earned her undergraduate degree from the University of Miami and her medical degree from St. George's University. She holds a Physicians Executive MBA from Auburn University. These credentials support her ability to guide clinical decisions with both medical and operational insight.
She is fluent in English and Spanish, which helps her communicate clearly with a diverse patient population. This language access improves understanding during telehealth consultations.
Personalized Care Paths for Perimenopause and Menopause
Josie's care paths are specifically designed for women navigating perimenopause and menopause rather than pregnancy or postpartum recovery. These plans focus on hormonal shifts that affect weight, metabolism, and overall wellbeing during midlife transitions.
Each path combines hormone replacement therapy with GLP-1 medications to address both hormonal balance and weight concerns. Provider-led telehealth care includes ongoing check-ins and dose adjustments based on individual responses.
Women receive either full-dose GLP-1 medications for weight management or microdose protocols for maintenance. Available options include Compounded Semaglutide Injection, Compounded Semaglutide ODT, Compounded Tirzepatide Injection, and Compounded Tirzepatide ODT. Brand options such as Ozempic, Wegovy, and Zepbound are also available when appropriate.
The process begins with an online intake followed by licensed provider review. If medication is prescribed, it ships directly from a licensed pharmacy or compounding pharmacy. This approach supports women experiencing metabolic changes during perimenopause and menopause through medication and professional oversight.
GLP-1 Weight Management and Maintenance
Josie offers compounded GLP-1 medications at significantly lower monthly costs than branded options. This pricing advantage makes weight management more accessible.
The platform provides four specific compounded medication options. Semaglutide Injection and Semaglutide ODT offer flexible dosing methods. Tirzepatide Injection and Tirzepatide ODT provide additional therapeutic choices for individualized care.
Compounded medications are not FDA-approved. Josie works with licensed pharmacies to ensure quality standards while patients receive ongoing provider support for dose adjustments and check-ins.
Weight maintenance protocols use microdosing approaches. These include Microdose Semaglutide Injection, Microdose Semaglutide ODT, Microdose Tirzepatide Injection, and Microdose Tirzepatide ODT for sustained results.
Patients start with an online intake followed by licensed provider review. Prescribed medications ship directly from licensed pharmacies with continued telehealth consultations throughout treatment.
Hormone Replacement Therapy Options
Josie provides HRT at the lowest price point of any service category. HRT starts at $89 per month and fits into personalized perimenopause and menopause care paths. This pricing makes hormone support accessible for women who need it during transitional health stages.
HRT remains separate from GLP-1 weight treatments. Patients can receive hormone replacement therapy without any overlap with weight management programs. This clear separation allows each treatment path to focus on specific health needs.
The $89 monthly rate positions HRT as the most affordable service category offered. Women can access hormone replacement therapy through telehealth consultations without membership fees. The pricing structure supports consistent care for those managing perimenopause and menopause symptoms.
Josie lists HRT among three distinct service categories with different monthly rates. The lowest cost approach helps remove financial barriers for patients seeking hormone support. This structure allows women to receive targeted care based on their individual health requirements.
Transparent Pricing and Flexible Plans
Josie publishes all pricing upfront with no auto-billing and allows cancellation at any time. This approach removes the uncertainty that often accompanies medical services. Patients can review every cost before starting care and adjust their plans without penalty.
Weight Management GLP-1 services start from $194 per month while maintenance programs run at $189 monthly. Hormone replacement therapy begins at $89 per month. Branded options include Ozempic from $1299 monthly and Wegovy from $1199 monthly.
Josie also offers Zepbound at $1099 per month. These clear figures help patients plan their care budget without hidden charges.
No membership fees apply. The Find My Path quiz provides savings of up to $100 on the first Weight Management purchase, $50 for Weight Maintenance, and $75 for HRT. These discounts further reduce upfront costs.
Patients maintain complete control over their spending. They can pause or end services whenever their needs change.
Track Record and Member Results
Josie reports more than 5,000 members and over 5,000 prescriptions written since launch. This growth shows women are choosing the service. The numbers reflect steady adoption.
Josie uses a provider-led care model where licensed professionals review each case before any prescription. This approach ensures that treatments receive proper medical oversight. Every treatment plan stays personalized to the patient's specific needs.
The cancel-anytime policy removes pressure from members who want flexibility. Women can adjust or stop services without financial penalties. This freedom supports changing circumstances.
Self-reported data from around 1,500 members shows average weight loss of 10-12% with semaglutide and 12-15% with tirzepatide in the first six months. These results matter for women managing weight. The outcomes demonstrate practical benefits.
Josie received recognition as the ranked #1 Menopause GLP-1 Provider by Global Women Connected. The service maintains a 4.9 average rating from members. Fast shipping and batch-tested medications add to the reliability.
Who Should Consider Josie
Josie serves women in perimenopause and menopause seeking hormone or weight-management support. These women often face changing hormone levels that influence energy, metabolism, and overall wellness. Finding a service that delivers both hormone replacement therapy and compounded GLP-1 weight management can simplify care during this stage.
Josie focuses on midlife women who need either HRT, compounded GLP-1 weight management, or weight maintenance. The platform connects patients with licensed providers who understand how menopause symptoms overlap with weight concerns. This targeted approach sets Josie apart for women who want coordinated treatment rather than separate specialists.
Women in all 50 U.S. states can access Josie, and the service ships medication worldwide. This broad reach matters for those who travel frequently or live in areas with limited menopause specialists. Telehealth visits replace long drives and waiting rooms, making consistent follow-up easier.
Josie works best for patients who prefer a single provider relationship for both hormones and weight support. The model reduces the need to coordinate between multiple offices. Women who value convenience alongside clinical oversight often find this integrated option practical.
Final Verdict
Josie is a specialized telehealth option for midlife women, not a maternity care provider.
The service focuses on provider-led HRT and GLP-1 care for perimenopause and menopause. This targeted approach differs entirely from prenatal services, postpartum support, or obstetric care.
Transparent pricing and global access form the core of the offering. Patients know costs upfront and can connect with providers regardless of location.
For more information about available services and pricing details, contact [email protected]. The team typically responds within one business day.
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