Dr. Shakeeka Misher, DNP, APRN, FNP-C
Founder · Thryva Wellness · Board-Certified Nurse Practitioner
You already have the labs.
Finally — a coaching session that actually tells you something.
You did everything right. You asked for the testing, you got the results — and then your provider glanced at the page, said "everything looks normal," and moved on. You walked out with a printout and zero answers. If your labs are "normal" but you still feel terrible, you are not imagining it. You just haven't had someone actually sit with your numbers and explain what the pattern really means.
You're holding everything together — your career, your family, your life. But your body is sending signals that something has shifted. And no one has taken the time to explain what your hormone labs are actually showing.
You're not broken. You're not dramatic. You're a woman in perimenopause — or heading there — who deserves someone who will actually sit with your numbers and help you understand the full picture.
Whether your labs were ordered by your OB, your internist, a functional medicine provider, or a direct-to-consumer lab — Dr. Shakeeka walks through them with you through a hormone optimization and functional wellness lens that most standard appointments never apply. This is educational coaching for women over 35 navigating perimenopause, hormone imbalance, fatigue, weight changes, and brain fog. We go beyond the reference range to what the numbers actually mean for you — so you can walk into your next provider visit informed, confident, and ready.
Individual markers tell part of the story. The pattern across all of them tells the full one. We look at how your hormones, thyroid, metabolic markers, and inflammation indicators are interacting — not in isolation. This is the kind of hormone lab coaching that connects the dots your standard appointment never does.
Lab reference ranges are built around averages — not around a high-achieving woman in her 30s, 40s, or 50s who wants to thrive. We walk through your results against functional optimal ranges, not just disease thresholds. Because "normal" and "optimal" are not the same thing.
Your symptoms are data. We connect what you're experiencing — the fatigue, the weight changes, the mood shifts, the brain fog — to what your hormone labs are showing, and explain what may be driving it. No more guessing.
We identify what your labs may be missing, what patterns suggest further exploration, and what your most logical next step looks like. You leave with direction — and the language to advocate for yourself with your provider.
No jargon. No brushing past the numbers. Everything explained in plain language so you can advocate for yourself — with your current provider or a new one — and know exactly what questions to ask. Because you deserve to understand your own body.
"Normal" is a range built for the average.
You are not average.
If your labs are "normal" but you still feel terrible — that's not a you problem. That's a gap in how your results are being understood. This coaching session closes that gap.
Your output is non-negotiable. But your body is changing the rules mid-game. You need someone to actually walk through your hormone labs with you and give you clarity that matches your pace — without a three-month wait for a specialist.
You've read the studies. You know something is off with your hormones. But your provider dismissed your questions and moved on. Now you want a real coaching conversation — from someone who will actually engage with what you've found.
You've been told your labs are fine, your symptoms are stress, and to try yoga. You've been dismissed by doctors who never looked beyond the reference range. You're not here for more of that. You're here for real education about your hormones.
If you have hormone labs and no clear explanation for what they mean — this coaching session was built for you. Available virtually, anywhere. No referral required. Bring what you have. We'll work with it.
Shakeeka Misher, DNP, APRN, FNP-C Founder · Thryva Wellness
I'm Dr. Shakeeka — a board-certified Family Nurse Practitioner with a Doctorate in Nursing Practice, and the founder of Thryva Wellness. I built this practice because I lived what you're living. I sat across from a provider — as a clinician myself — described my symptoms, and was told everything was fine. It wasn't fine. And I knew it.
That experience is the reason every session at Thryva is designed around what's actually missing from standard care: time, depth, and a provider who looks at the full picture — not just the number on the page.
These coaching sessions are not clinical care. They are educational conversations where I bring everything I know about functional hormone health and share it with you — so you can walk into your next provider appointment fully informed, empowered, and ready to advocate for yourself.
These coaching sessions are educational — and the clarity they deliver is very real.
I have been to four different doctors in two years. All of them told me my labs were normal. Dr. Shakeeka spent 45 minutes actually explaining what each marker meant and why my estrogen-to-progesterone ratio was telling a completely different story. I walked out of that call knowing more about my hormones than I ever had — and knowing exactly what to ask my OB at my next visit.
The async video review was worth every penny. She went through every single marker, flagged three patterns my doctor had never mentioned, and gave me a list of questions to bring to my next appointment. It was like finally getting a translator for my own body.
I had been Googling my results for months and only felt more confused. Dr. Shakeeka's video explanation was clear, calm, and specific. She explained the difference between where my levels were and where they should be for a woman my age who actually wants to feel good — not just "not sick."
I booked the Deep Dive because I wanted to ask questions in real time. Best decision. She didn't rush me. We covered everything — thyroid, cortisol, estrogen, why my ferritin was tanking my energy. Then she told me exactly what to say to my doctor. I went from dismissed to diagnosed in one appointment after that call.
The more context you can provide, the deeper and more useful your coaching session will be.
Your labs can come from any provider — LabCorp, Quest, your OB, your internist, a functional medicine provider, or a direct-to-consumer lab like Ulta or Walk-In Lab. Any format works as long as you can share a PDF or clear photo of the results. No referral needed. No insurance required.
You don't need all of these — bring whatever you have. Partial panels are covered just as thoroughly. You will be asked to upload your lab results after booking.
Whether you want your coaching delivered on your schedule or want to sit across from Dr. Shakeeka in real time — we have you covered.
Loved your coaching session and ready for actual hormone optimization — testing, treatment, and ongoing clinical management? Dr. Shakeeka accepts patients for full clinical care through Thryva Wellness. As a licensed provider in the states below, she can order labs, prescribe, and partner with you on a personalized hormone optimization protocol.
Live outside these states? Coaching sessions are available regardless of location — and we're actively expanding our licensed footprint.
Everything you need to know before booking your session.
No — and that distinction matters. These sessions are educational coaching and wellness support, not clinical care. Dr. Shakeeka will not diagnose you, prescribe medication, or create a treatment plan. What she will do is walk through your labs with you through a functional wellness lens, explain what the patterns mean, and give you the language and knowledge to have a much more productive conversation with your own licensed healthcare provider.
Always consult your provider before making any changes to your medications, supplements, or health protocols. If you're ready for actual clinical care, see the section above about becoming a Thryva patient in your state.
The Lab Decode Review ($197) is asynchronous — you upload your labs, Dr. Shakeeka records a personalized video walkthrough, and delivers it within 48 hours of purchase. You can watch it on your own schedule, as many times as you like.
The Deep Dive Lab Consult ($247) includes everything in the Lab Decode Review plus a live 45-minute one-to-one virtual session with Dr. Shakeeka. You'll receive real-time education on your lab result patterns, a guided walkthrough of what your markers mean in plain language, and supportive coaching to help you process what you're seeing — with a focus on building the advocacy language you need to take back to your provider. It also includes a credit toward a Thryva signature program if booked within 3 days.
You don't need a specific set of labs — bring whatever you have. Whether it's a basic thyroid panel, a full hormone workup, or a metabolic panel from your annual physical, Dr. Shakeeka will review it thoroughly and give you meaningful information from what's available.
That said, the more comprehensive your panel, the more complete the picture. Useful markers include hormone panels (estrogen, progesterone, testosterone, DHEA, SHBG), thyroid markers (TSH, Free T3, Free T4, Reverse T3, antibodies), metabolic markers (fasting glucose, insulin, HbA1c), inflammatory markers (CRP, ferritin), and nutrient levels (vitamin D, B12, magnesium). Part of the session may also identify gaps in testing worth discussing with your provider.
Not through a coaching session. These sessions are educational coaching only — no prescriptions, lab orders, or clinical management are provided.
If you're located in Texas, New Mexico, North Carolina, New York, Illinois, or Washington, you may be eligible to become a Thryva Wellness patient, where Dr. Shakeeka can order labs, prescribe evidence-based hormone optimization protocols, and provide full clinical care.
Coaching sessions are available to anyone, anywhere — there are no state restrictions for educational coaching. You do not need to reside in a specific state to book.
For those who wish to transition into full clinical care (lab orders, prescriptions, ongoing medical management), Dr. Shakeeka is currently licensed in Texas, New Mexico, North Carolina, New York, Illinois, and Washington. We are actively expanding.
After booking or purchasing, you'll receive instructions for uploading your lab results securely. A PDF from your patient portal, a scanned copy, or a clear photo of printed results all work. Labs from LabCorp, Quest, your OB, internist, functional medicine provider, or any direct-to-consumer lab (Ulta Lab, Walk-In Lab, etc.) are all accepted.
Your personalized video will be delivered within 48 hours of purchase. You'll receive a notification with your video link when it's ready. There's no expiration — watch it as many times as you like and share it with your provider.
Many clients use their session as a launching pad — either to have a better conversation with their existing provider, or to transition into full clinical care with Dr. Shakeeka at Thryva Wellness (available in TX, NM, NC, NY, IL, and WA). Deep Dive Consult clients also receive a credit toward a Thryva signature hormone optimization program if booked within 3 days.
If you're not yet in a licensed state, Dr. Shakeeka's digital programs and community at Thryva Wellness are available to support your wellness journey wherever you are.
All purchases are non-refundable once your appointment is confirmed or your lab review has been initiated. If you have questions before purchasing, please reach out through the Thryva Wellness website before booking.
By purchasing this service, you acknowledge that the Bring Your Labs coaching sessions conducted by Shakeeka Misher, DNP, APRN, FNP-C are provided for educational, informational, and wellness coaching purposes only. These sessions do not establish a provider-patient relationship with Thryva Wellness or any of its clinicians, and do not constitute a medical diagnosis, treatment plan, or medical advice. The information shared is intended to help you understand your labs, advocate for yourself, and make more informed decisions in partnership with your own licensed healthcare provider — whom you should always consult before making any changes to your health, medications, or supplements. Clinical care including lab orders, prescriptions, and ongoing medical management is available only to eligible patients in states where Dr. Misher is licensed to practice (TX, NM, NC, NY, IL, WA). All purchases are non-refundable once your appointment is confirmed or your lab review has been initiated. If you are experiencing a medical emergency, call 911 immediately.