Gender-affirming care

Gender-affirming hormone therapy, with you at the center.

Compassionate, evidence-based hormone therapy for transgender and gender-diverse people—individualized to your goals, with careful cardiovascular and metabolic monitoring throughout your care.

Individualized HT · informed, affirming, monitored care

Care led by Luke Swift, DNP · individualized, DNP-led telehealth

Gender-affirming care should feel like care—unhurried, respectful, and centered on your goals. We provide evidence-based hormone therapy for transgender and gender-diverse people, individualized to you and monitored carefully every step of the way.

The same optimal-medicine standard applies here as everywhere in our practice: real time with your clinician, clear and collaborative decision-making, and a plan built around your goals—delivered by secure telehealth.

Our approach

Care built around your goals.

Individualized to your goals

Your hormone therapy is tailored to you and the outcomes that matter to you—not a template. We talk through options, benefits, and trade-offs so decisions are truly yours.

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Monitoring that matters

Hormones affect the whole body, so we watch what counts—cardiovascular and metabolic health, labs, and how you feel—and adjust as needed over time.

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You, at the center

Affirming care, without the runaround.

You deserve a clinician who listens, explains, and partners with you—not a system that makes you fight to be seen. Care here is respectful, evidence-based, and built around your goals.

Because it’s delivered by secure telehealth with the same provider over time, you get continuity and real conversations—so you can focus on feeling like yourself.

Getting started

Your initial consultation is $350—and it’s really two appointments in one. First is an in-depth visit (about 90 minutes) where Luke Swift, DNP, reviews your full history, symptoms, and goals. He then orders comprehensive labs, and you return for a second visit to review those results together and map a plan. Both visits are included in the single fee.

Book a virtual consultation →

Common questions

Gender-affirming care, answered plainly.

How does care work here?

Care is individualized and centered on your goals, with clear, collaborative decision-making. We start by understanding what you want from therapy, review your history, and build a plan together, then monitor and adjust it over time.

What does monitoring involve?

Because hormones affect the whole body, we track cardiovascular and metabolic health along with relevant labs and, most importantly, how you feel. Monitoring lets us keep your care both affirming and safe as it evolves.

Is care delivered virtually?

Yes. Care is provided by secure telehealth, so you can be seen from the comfort and privacy of home, with the same clinician over time.

Do you accept insurance?

Within You Therapeutics is a private-pay practice. Working outside insurance lets us spend real time with you and build care around your needs rather than billing codes. Many patients use HSA or FSA funds; confirm eligibility with your plan administrator.

Begin

Ready to feel like yourself again?

Book a virtual consultation and we’ll build the plan around you—your symptoms, your labs, your goals.