Consultations & Logistics

How long is the initial consultation?

The initial evaluation lasts 60–90 minutes to ensure a deep and unhurried assessment.

What are the follow-up appointments like?

Follow-up consultations are 30 minutes long, focused on adjustments, education, and monitoring your progress.

Are the consultations in person?

No. All programs are 100% virtual, which allows us to accompany you wherever you are.

Do you work with health insurance?

No. Aviv by Marsella is a private practice (cash-pay) to offer the dedicated time, deep analysis, and close follow-up that this type of specialized care requires.

Treatment & Results

Does every woman use hormones or GLP-1 medications?

No. Every plan is personalized. We only indicate these therapies when they are clinically justified by your evaluation.

Does every patient use peptides?

No. Peptide therapy is indicated only when appropriate, based on your clinical evaluation and specific health goals.

How long does it take to see results?

Every body responds at its own pace. However, many women begin to notice changes in energy, mental clarity, and well-being within the first few weeks, with results being progressive and sustainable.

Laboratory Testing

What type of laboratories do you use?

We utilize functional laboratories and advanced testing to understand your biology, including:

• Functional metabolic and hormonal panels.

• DUTCH Plus (Comprehensive hormone mapping).

• GI-MAP (Gut microbiome health).

• TruHealth TrueAge (Biological age measurement).

• Nutrigenetics (Genetic nutritional response).

• Evaluations for inflammation, toxicity, and longevity.

Note: Specific tests are indicated based on your unique clinical case.

Payment & Financing

What are the payment options?

We offer flexible payment options to facilitate your process:

Direct Payment: Credit Card, Zelle, and HSA/FSA.

Flexible Financing (Subject to availability): Affirm, AfterPay, and Klarna.

Why offer financing?

These options allow you to start your journey now and distribute the investment in a way that is comfortable and accessible for you.