— Hormone Optimization · Encinitas · San Diego, CA
Feel like yourself again.
You know your body. Something has shifted. Research shows women who begin hormone optimization in perimenopause have significantly better long-term health outcomes. SOM is built to help you through this chapter.
Same-week appointments · Cash pay
Or take the 60-second symptom survey to get started →
Tell us your symptoms.
We'll show you the path forward.
Which of these sound familiar? (select all that apply)
Where are you in your hormone health journey?
Do you have recent hormone labs?
Last step — how should we reach you?
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Based on your symptoms, hormone optimization is a strong starting point.
Book your $99 consult at SOM Aesthetics, which will include a full comprehensive hormone lab assessment and a personalized care plan. Same-week appointments available. No labs needed before your visit — we'll order what's relevant.
We'll be in touch shortly. Questions? Call (760) SOM-SKIN
Cash pay only · No insurance
Questions? Call (760) SOM-SKIN
Patient Stories
Real women. Real results.
Same-week appointments. Unhurried visits. Care that actually listens.
"My OB kept telling me my labs looked fine. But I wasn't fine. Exhausted, couldn't sleep, felt like a stranger in my own body. I got an appointment at SOM the same week I called. One visit, a real plan, and within a month I felt like myself again. I didn't need to fight the system. I just needed the right provider."
47 · Encinitas · Hormone Optimization
"Seven months waiting for a hormone specialist through my insurance, and I still couldn't get in. I gave up and booked here. Labs ordered same day, protocol within two weeks. What took me nearly a year to chase down through the system took one $99 appointment to actually solve."
43 · Carlsbad · BHRT + Peptides
"Hormone optimization isn't one-size-fits-all. It takes time and adjustment to get right. Having a provider I can actually reach between visits, who knows my history and tweaks my protocol as we go, has made all the difference. That's what concierge means in practice."
51 · Del Mar · Menopause + Weight Management
Jessica Shisler, Ph.D.Co-Founder & Chief Research Officer, SOM Aesthetics
Completed her research fellowship with the National Institute on Aging at NIH in Longevity, Healthspan & Metabolism.
A Message from Our Founder
Built by a longevity researcher
who has been in your shoes.
Despite two decades of studying longevity and metabolism, I hit perimenopause and found myself in the same loop our patients describe: vague symptoms, normal-range labs, and a system that didn't have time to go deeper. That experience made this personal.
The research has caught up to what many of us already felt. A 2024 analysis in The Lancet Diabetes & Endocrinology reinforced what's now called the "timing hypothesis": women who begin hormone optimization within 10 years of menopause show significantly better cardiovascular and metabolic outcomes than those who start later or not at all. The window matters. Which is exactly why we built a program designed to catch women in perimenopause, before that window closes.
What we've built is grounded in real research and delivered through the concierge model women actually deserve. Not a bolt-on wellness offering. A program built from scratch, by someone who needed it herself.
The SOM Difference
Not your average women's health visit.
We've heard the stories. You deserve better.
| What you're comparing | Traditional healthcare | SOM Aesthetics |
|---|---|---|
| Time to appointment | 4–6 months | Same week |
| Consultation length | 12–15 minutes | Extended, unhurried visits |
| Hormone approach | "Your labs are normal" | Comprehensive panels + symptoms |
| Weight management | Eat less, move more | Root-cause metabolic protocol |
| Provider continuity | Different doctor each visit | Same provider, every time |
| Access between visits | Phone tree → nurse → portal | Direct provider access |
| Longevity & peptides | Not offered | PhD-backed, research-informed |
Our Wellness Offerings
Precision medicine for every layer of your health.
Each program is built around you — your labs, your symptoms, your goals. Not a protocol pulled from a clipboard.
Hormone Optimization Therapy
HRT · BHRT · Perimenopause & MenopauseHormonal shifts don't just cause hot flashes. Brain fog, low libido, weight gain, mood swings, disrupted sleep: these are real symptoms with real solutions. We use bioidentical hormones and comprehensive lab panels to optimize your hormone levels and restore how you feel.
- Comprehensive hormone panel & symptom review
- Bioidentical estrogen, progesterone & testosterone
- Perimenopause & surgical menopause support
- Thyroid co-management when indicated
- Ongoing monitoring & hormone optimization
Peptide Therapy
Longevity · Body Composition · RecoveryPeptides are short amino acid sequences that signal your body to do exactly what you need: repair, recover, recompose. From cellular repair to improved sleep, growth hormone support to inflammation reduction, we match the protocol to your biology.
- BPC-157, TB-500 for tissue repair & recovery
- CJC-1295 / Ipamorelin for growth hormone support
- Semaglutide / Tirzepatide for metabolic health
- NAD+ for cellular energy and longevity
- Protocols personalized to your goals and labs
Longevity Medicine
Preventive Health · Metabolic Optimization · Aging WellLongevity isn't about living forever. It's about thriving in the years you have. We combine advanced diagnostics with the latest research in metabolic health, inflammation, and cellular aging to build a proactive health strategy.
- Advanced metabolic & inflammatory biomarkers
- Biological age assessment
- Supplement & nutraceutical protocols
- Insulin sensitivity & glucose optimization
- Lifestyle & sleep architecture support
Medical Weight Management
GLP-1s · Metabolic Reset · Body CompositionWeight gain after 35 isn't a willpower problem. It's biology. Shifting hormones, slowing metabolism, and insulin resistance create a stacked deck. We address the root cause with evidence-based tools, including GLP-1 therapy where appropriate, and a plan built around your body.
- GLP-1 / GIP agonists (Semaglutide, Tirzepatide)
- Metabolic panel & body composition analysis
- Appetite regulation & insulin resistance protocols
- Integration with hormone therapy when indicated
- Ongoing check-ins and medication management
Meet Your Care Team
Expertise you can trust.
Wellness & Integrative Medicine
Neenah Grade, PA-C
Board-Certified Physician Assistant
Neenah has spent 10+ years in integrative medicine, wellness, and dermatology — with a particular focus on the hormonal and metabolic shifts that shape how women feel as they age. She approaches every patient as a whole person: hormones, skin, energy, mood, and weight are all connected, and she treats them that way. Same provider every visit, no hand-offs, no rushing.
Supervising Physician
Dr. Saami Khalifian, MD
Co-Founder & Medical Director · SOM Aesthetics
Board-certified dermatologist and co-founder of SOM Aesthetics. Dr. Khalifian brings the physician-level oversight, research infrastructure, and clinical vision that underpins everything we do — including our wellness program. His leadership ensures every protocol is held to the same rigorous, science-first standard as our dermatology care.
Cash pay · No insurance.
SOM is a cash-pay concierge practice. This means we work for you — not for your insurance company. Transparent pricing, no surprise bills, and care that's never dictated by coverage. The $99 wellness consultation covers your full intake, labs review, and personalized plan.
Common Questions
Frequently asked.
Ready to feel better?
Book your $99 wellness consultation. Same-week appointments available in Encinitas.
Book a ConsultationCash pay only · No insurance
25 East E Street, Encinitas, CA 92024
(760) SOM-SKIN