Questions, answered.

Start with a free 15-minute discovery call or book a paid consultation directly. We'll review your goals and history and recommend the right path.

No. Luma is a cash-pay practice with transparent pricing. Many patients use HSA/FSA cards. We can provide superbills for out-of-network reimbursement.

Dr. Toren is licensed in Florida and New York and personally sees patients in those states. Our broader Luma provider network is licensed across all 50 states, so we can match you with a licensed provider wherever you're located.

Average weight loss is 15–20% of body weight over a year, with semaglutide at the lower end and tirzepatide at the higher end. Results vary based on dose, adherence, and lifestyle.

We start at low doses and titrate slowly. Most side effects (nausea, fatigue) improve within 2–4 weeks. If they don't, we adjust or pivot to a different protocol.

Some weight regain is common when stopping any weight loss intervention. That's why we focus on lifestyle changes alongside medication and use low-dose maintenance strategies long-term.

Perimenopause can start in your mid-30s. If you have symptoms — sleep, mood, energy, libido — labs and symptoms tell us more than age alone.

Modern, properly-dosed HRT has an excellent safety profile for most women, especially when started within 10 years of menopause. We follow current evidence-based guidelines.

All peptides are sourced from licensed US compounding pharmacies — not research-grade vendors.

Most are subcutaneous injections using a tiny insulin needle. Some are oral or topical depending on the molecule.

Medications ship directly from the pharmacy to your home with expedited, discreet shipping included.

Yes. No long-term contracts. Pause or cancel your membership at any time.

Through our secure HIPAA-compliant patient portal. Most non-urgent messages get a response within one business day.