— Women's Health · Encinitas · San Diego, CA

Feel like yourself again.

Your labs say "normal." But you don't feel normal. Physician-led hormone therapy, peptides, longevity medicine, and medical weight management — designed for women who deserve more than a 15-minute appointment.

Hormone Therapy Peptides Weight Management Longevity Medicine
Book Your $99 Consult →

Same-week appointments available

Book Your $99 Consult

Same-week appointments available. Tell us what's going on — we'll take it from there.

Cash pay only · No insurance
Questions? Call 760-766-7546

PhD-Founded

Built on decades of longevity research — not trend-chasing

Physician-Led

Board-certified provider. Same face every visit, no hand-offs

Same-Week Appts

Skip the 6-month waitlist. We have time for you, this week

Decades of Research

Longevity and metabolism science since 2006 — applied to your care

Concierge Access

Direct line to your provider. No phone trees, no waiting rooms

Jessica Shisler, PhD — Co-Founder & Chief Research Officer, SOM Aesthetics

— A Message from Our Founder

The research came first.
Then the practice followed.

I've been studying longevity and metabolism since 2006 — decades before it became a wellness trend. As a biochemist, I believed that aging wasn't something to accept passively. It was something to understand, measure, and address with precision.

Then I hit perimenopause myself. Despite everything I knew, I found myself in the same frustrating loop so many of my patients describe — vague symptoms, normal-range labs, and a primary care physician who didn't have the time or the tools to go deeper. That experience made this personal.

It took us time to build this program the right way. We weren't willing to bolt on a wellness offering just to check a box. What we've built is grounded in the same research I've spent two decades studying — and delivered through the concierge model our patients deserve.

Co-Founder & Chief Research OfficerTwo decades of research in longevity medicine and metabolic health. Overseeing clinical trials at SOM Aesthetics, Encinitas.

— 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 Replacement Therapy

HRT · BHRT · Perimenopause & Menopause

Hormonal 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 restore your baseline.

  • Comprehensive hormone panel & symptom review
  • Bioidentical estrogen, progesterone & testosterone
  • Perimenopause & surgical menopause support
  • Thyroid co-management when indicated
  • Ongoing monitoring & dose optimization

Peptide Therapy

Longevity · Body Composition · Recovery

Peptides 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 optimization 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 Well

Longevity 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 Composition

Weight 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

— 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 appointment4–6 monthsSame week
Consultation length12–15 minutesExtended, unhurried visits
Hormone approach"Your labs are normal"Comprehensive panels + symptoms
Weight managementEat less, move moreRoot-cause metabolic protocol
Provider continuityDifferent doctor each visitSame provider, every time
Access between visitsPhone tree → nurse → portalDirect provider access
Longevity & peptidesNot offeredPhD-backed, research-informed

— Meet Your Care Team

Expertise you can trust.

Neenah Grade, PA-C

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.

Book with Neenah →
Dr. Saami Khalifian, MD

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.

— While You're Here

SOM is more than wellness.

Our physician-led practice also offers concierge dermatology, medical aesthetics, injectables, and skin health — all under one roof. Same concierge model, same team.

Explore SOM Aesthetics → $99 Skin Check →

— Common Questions

Frequently asked.

Your $99 consultation includes a comprehensive intake covering your symptoms, health history, and goals; a review of any existing labs or the ordering of a targeted panel; a personalized care plan with recommended treatments; and a full walkthrough of pricing for any ongoing programs. No upsells, no surprises.
Most women in their 30s, 40s, and 50s experiencing symptoms like fatigue, brain fog, irregular cycles, low libido, weight changes, or mood shifts are candidates for evaluation. We don't make that determination until we've seen your full lab picture. The consultation is the first step.
Same-week appointments are typically available. After booking, you'll receive intake forms to complete before your visit. Many patients leave their first appointment with a labs order and a clear plan in hand.
Yes. We offer medical weight management including GLP-1 receptor agonists where clinically appropriate. We don't prescribe without a full evaluation — we want to make sure the approach fits your specific metabolic picture and health goals.
Yes — while our wellness program is anchored in women's health, peptide therapy and longevity medicine are available to all patients. Call us to discuss what's right for your goals.
Cash pay means we answer to you, not to an insurance protocol. Ongoing program pricing varies based on your plan — we provide full transparency at your consultation so there are never surprises. Many patients find the concierge model more cost-effective than a fragmented insurance-based experience.

Ready to feel better?

Book your $99 wellness consultation. Same-week appointments available in Encinitas.

Cash pay only · No insurance
25 East E Street, Encinitas, CA 92024
760-766-7546