The Alignment Session
You know something
is off.
Let's get aligned.
A focused 20-minute conversation about what you have been experiencing, how Thryva approaches root cause care, and whether this is the right next step for you. No pressure. Just clarity.
$97
Session Investment
20 minutes. Applied toward your first program if you enroll.
No medical advice or prescriptions are provided on this call.
Dr. Shakeeka Misher
DNP, APRN, FNP-C | Founder, Thryva Wellness
Non-Refundable Investment
Your $97 investment is non-refundable once the session has begun. This holds space for your care and Dr. Shakeeka's time.
Reschedule Up to 24 Hours Prior
Life happens. You may reschedule your session to a different date or time up until 24 hours before your scheduled appointment.
No-Show Policy
If you do not attend and have not rescheduled, your $97 investment is forfeited. We respect your time and ask the same in return.
Investment Applies If You Enroll
If you move forward with a Thryva program after your session, your $97 is applied toward your first program investment.
Sound familiar?
You are not just tired.
You are being dismissed.
You have brought your symptoms to providers and been told your labs are "normal." But you are not feeling normal. There is a name for this gap, and there is a better way forward.
Brain Fog That Won't Lift
You used to be sharp. Now you are searching for words mid-sentence, forgetting why you walked into a room, and running on caffeine just to function.
Weight That Won't Budge
You are doing the work and nothing is moving. Your body has changed and the old playbook is not working anymore. This is not a willpower problem.
Exhausted No Matter What
Eight hours of sleep and you still wake up drained. Fatigue this deep is not just lifestyle. Something hormonal or metabolic is driving it.
Hot Flashes and Night Sweats
The temperature swings are unpredictable and relentless. Your sleep is wrecked, your mood follows, and you are done being told this is just "part of aging."
Low Drive, Low Mood
The motivation, the libido, the spark, it has all quietly faded. You do not feel like yourself and you cannot explain it. This is one of the most common hormone stories we hear.
Dismissed by Your Provider
Your numbers came back "in range" but you still feel terrible. You deserve a provider who reads labs for optimal function, not just survival.
What we address
Programs designed around
your biology
Thryva Wellness offers a full spectrum of hormone optimization and root cause programs for men and women. Every plan is personalized. Every visit is unhurried.
Women
Hormone Optimization Program
Comprehensive hormone balancing for perimenopause, menopause, and beyond. We target optimal ranges for estrogen, progesterone, testosterone, thyroid, and cortisol, not just "normal."
Women
Metabolic Reset Program
A root cause approach to stubborn weight, insulin resistance, and metabolic dysfunction. We pair advanced lab work with a personalized protocol that works with your hormones.
Women
Sexual Wellness Program
Low libido, vaginal dryness, and painful intimacy are not things you have to accept. We address the hormonal and physiological root causes directly.
Men
Testosterone Optimization
For the man who is tired of feeling flat and low-energy. We assess your full hormone panel and build a protocol that restores vitality, clarity, and drive.
Men + Women
Low Dose Naltrexone (LDN) Therapy
LDN is used for immune modulation, chronic inflammation, pain, and mood support. If you have been told there is nothing else to try, LDN may be worth exploring.
Men + Women
GLP-1 Wellness Program
Beyond weight loss, our 6-month program focuses on metabolic health and body composition. Medication is one tool in a comprehensive plan, not the whole plan.
Men + Women
Root Cause Lab Panel
Advanced labs that go beyond the standard annual panel, interpreted for optimal function. We look at markers your regular provider is likely not running.
Men + Women
Lab Decode Review
Have existing labs? Bring them. We interpret your results through a functional medicine lens and tell you what they actually mean for how you feel right now.
Your provider
Dr. Shakeeka Misher
DNP, APRN, FNP-C
I built Thryva Wellness because I lived this story. With over 18 years in women's health and a doctoral degree in nursing practice, I sat in a provider's office with real symptoms and was dismissed. That experience became my mission.
At Thryva, we practice functional and integrative medicine with one non-negotiable: we look for the root cause, not just the quickest fix. Our patients are not lab values. They are whole people who deserve appointments that actually go deep enough to find answers.
I am board-certified as a Family Nurse Practitioner, currently pursuing NAMS menopause credentialing, and licensed to practice in Texas, New Mexico, North Carolina, New York, Illinois, and Washington. I also serve as a nursing faculty educator and active advocate through the Texas Nurses Association.
18+
Years Clinical Experience
6
Licensed States
DNP
Doctoral Prepared
Is this the right session for you?
Honest about who
this is for
This session is for you if...
- You are a man or woman between 35 and 65 who feels a slow but unmistakable shift in how you feel, think, and function
- You have been told your labs are normal but nothing actually feels normal
- You are tired of managing symptoms with band-aid solutions and want someone to look for the why
- You are ready to invest in your health and want to understand your options before committing to a program
- You have questions about hormone therapy, LDN, GLP-1s, or root cause testing and want real clinical answers
- You are high-functioning but quietly running on empty and know something has to change
- You want a provider who will actually listen, not just glance at your chart
This is not the right fit if...
- You are looking for a prescription on the call. This is a discovery conversation, not a clinical visit. No medical advice or prescriptions are provided.
- You are in an acute medical crisis or need urgent or emergency care
- You are not located in one of our licensed states: TX, NM, NC, NY, IL, or WA
- You are not open to a root cause or functional approach to care
- You are not prepared to attend at your scheduled time. Please note our no-show policy before booking.
- You are not ready to invest time and energy into your health. This work is a partnership.
Common questions
Before you book
What exactly happens during The Alignment Session?
We spend focused time on your health story. We want to hear what you have been experiencing, how long it has been going on, what you have already tried, and what you are hoping for. From there, we share how Thryva works and which program may be the right fit. You are never pressured to enroll. The goal is alignment, not a sales pitch.
Why is there a $97 fee for this session?
The Alignment Session is a real clinical conversation with a doctoral-prepared provider, not an automated intake form. The $97 investment ensures that the time is protected for people who are genuinely ready to explore their options. If you move forward with a Thryva program, the full $97 is applied toward your program investment.
What is the cancellation and no-show policy?
Your $97 investment is non-refundable once the session has begun. You may reschedule your session to a different date or time up until 24 hours before your scheduled appointment at no additional charge. If you do not attend and have not rescheduled, your investment is forfeited. We respect your time and ask the same in return.
Will I receive medical advice or a prescription on this call?
No. The Alignment Session is a discovery conversation, not a clinical appointment. No medical advice, diagnoses, or prescriptions are provided during this session. If we move forward as partners, that is when the full clinical work begins.
I am a man. Is Thryva for me?
Absolutely. Thryva serves men experiencing low testosterone, fatigue, mental fog, weight gain, low libido, and the general sense of not being themselves. Our Men's Testosterone Optimization program is built for men between 35 and 65 who are tired of being told everything looks "fine" when they feel anything but.
What is LDN and should I ask about it?
Low Dose Naltrexone is a compounded medication used off-label for autoimmune conditions, chronic inflammation, pain, and mood support. It is not the right fit for everyone, but for some patients it has been a meaningful part of their protocol. If you are curious, mention it during your Alignment Session and we can talk through whether it warrants exploration.
Do you accept insurance?
Thryva operates as a direct care, cash-pay practice. This allows us to spend real time with patients rather than being constrained by insurance billing limitations. Many patients find that investing in root cause care saves them money long term compared to years of symptom management that never resolves the underlying issue.
Reserve your session
The clinical conversation that decides your next 12 months of health.
You have been carrying this long enough. Let's have an honest conversation about what is going on and whether Thryva is the right next step.
$97 | | Real Answers
Reserve My Alignment Session
Investment is non-refundable once session begins. Rescheduling available up to 24 hours prior. No-shows forfeit investment. No medical advice or prescriptions provided.