Online Hormone Health for Women and Men & Primary Care Services
Compassionate, personalized care for your hormonal health and primary care needs. Our licensed professionals are here to help you feel your best-naturally, with convenience and confidence.
How It Works
Easy Steps to Begin Treatment Online
Tailored treatment plans to support your hormonal health and overall well-being.
Connect With the Support You Seek
Ready to get started? Contact us today to find the right service for your goals and lifestyle.
Select a Provider
Select a Provider
Find the right provider by exploring our licensed and board-certified healthcare professionals.
Book your Session
Book your Session
Book your confidential video consultation when your schedule permits.
Begin Treatment
Begin Treatment
Contact our online provider to begin your journey toward better hormonal health, well-being, and balance.
PERSONALIZED HEALTHCARE
Feel Like Yourself Again.
Real Support That Meets You Online
I’m Lana Welsh, a board-certified Family Nurse Practitioner with a background in emergency medicine 20+ years and urgent care. I’ve spent years caring for people in moments of crisis – listening closely, acting quickly, and trusting my clinical instincts. But the hardest experience I faced wasn’t in the ER. It was quietly happening in my own body.
As I entered midlife, things began to change in ways I didn’t recognize or expect. My sleep became fragmented. My energy faded. My mood, focus, and sense of self felt unfamiliar. I knew something was wrong – yet I struggled to find care that truly listened, connected the dots, or took my symptoms seriously. After multiple labs and diagnostics testing I was told variations of “everything looks normal,” even when I didn’t feel normal at all.
That disconnect was deeply unsettling – especially as a medical provider.
What I realized is that so many women are living this same experience in silence: questioning themselves, pushing through exhaustion, and wondering why their bodies feel like strangers. Perimenopause and menopause are not just hormonal events – they are identity-shifting seasons that deserve time, understanding, and thoughtful care.
That realization made me shift my focus on and became my passion: my work centers on perimenopause, menopause, and whole-body wellness through a model that blends medical evaluation, hormone therapy when appropriate, and wellness screening. I take the time to listen fully, to honor symptoms even when labs don’t tell the whole story, and to look at the foundations – sleep, metabolism, stress, and lifestyle – because healing doesn’t happen in isolation.
I created this practice because I wanted a different experience for my patients than the one I had. One where you feel heard. Where your concerns are validated. Where care is collaborative, unhurried, and rooted in both the latest evidence-based science and compassion.
This work is personal. I know what it’s like to feel disconnected from your body. And I also know how powerful it is when care finally aligns, understanding replaces doubt, and you begin to feel like yourself again. I provide respectful, evidence-based care that treats all patients-men and women-equitably, listens to their concerns, and individualizes treatment based on their unique needs.
My specialization in
The Value of Online Care
Private & Protected
Connect with a licensed provider who offers a confidential space tailored to your unique health goals.
Experienced Professionals
Access trusted support from experienced professionals dedicated to your well-being.
Convenient Appointment times
Flexible scheduling with evening and weekend appointments available.
Anywhere Access
Attend sessions from wherever you feel most comfortable—no travel required.
Affordable Care
Transparent pricing and flexible plans designed to fit your budget and schedule.
Professional Medical Care for a Healthier and Happier Life
Feeling burnt out, tired, or physically stuck can happen easily. Finding real, professional medical care should not add to that heavy burden. True recovery works best when it fits your specific daily life.
A Personalized Healthcare Service means your unique life story drives every single medical and therapy plan. We focus directly on balancing adult hormone changes, managing primary health needs, and easing deep emotional weariness. Licensed nurse practitioners map out a plan designed exclusively for your situation.
Working with a reliable Total health care Provider in De and VA of USA allows you to skip stressful traffic and busy waiting rooms. Consultations happen online whenever you feel ready to open up. You get premium, clinical attention right from your own comfortable couch.
Our dedicated family nurse practitioners bring deep medical and emotional expertise to every single conversation. This dual approach ensures your mind and body receive complete, connected care.
Total life Care helps you mend broken loops, target fatigue at the root, and reclaim absolute control over your everyday health. Total Health Care provides compassionate, remote primary care and hormone therapy in DE and VA of USA to help you feel like your true self again.
testimonials
What Our Clients Say
“The scale said 136 this morning! As someone who has always valued a healthy lifestyle, the past few years have been discouraging. I started perimenopause around 38 and got up toe 150 pounds even still working out as I always have. Doctor’s saying there’s no solution and just feeling defeated, I refused to accept that! Now being on hormone replacement, my body is back to feeling normal! The brain fog is gone, the sluggish depressive mentality is gone. Don’t accept that there’s nothing that cane be done.”
Lana has been an exceptional provider for my husband and our family. After months of conflicting diagnoses and frustration with multiple specialists, we found the comprehensive care we were looking for with her. Lana took the time to thoroughly investigate his health concerns, connect the dots, and develop a thoughtful treatment approach. Her knowledge, compassion, and dedication have given us confidence and peace of mind during a challenging time. I highly recommend Lana to anyone seeking a caring and skilled practitioner.
Meeting Georgia was life-changing. Eight months ago, I was struggling with chronic back pain, fatigue, insomnia, low energy, and no sex drive. Georgia educated me about hormone therapy and helped me make an informed decision. After seven months of treatment, my back pain is gone, I sleep well, have more energy, and feel like myself again. Georgia’s knowledge, support, and ongoing care have made a huge difference in my well-being. I highly recommend her to any woman looking to improve her quality of life.
Simple, transparent pricing
TLC Pricing
No insurance required
You may use insurance for medications, laboratory, and diagnostic work
Membership plans available and may include or discount follow-up visits
depending on the tier selected.
Initial Visit - 40 minutes
150$
Includes comprehensive evaluation of a new health concern (such as hormone concerns, sleep issues, or acute symptoms) review of available labs, clinical assessment, and personalized care plan.
What counts as a new concern?
Any new or unrelated issue that has not been previously evaluated requires an initial visit.
Follow-Up Visit - 20 minutes
75$
No insurance required
You may use insurance for medications, laboratory, and diagnostic work
Membership plans available and may include or discount follow-up visits
depending on the tier selected.
our blog
Hormone Health Insights and Support Resources
Practical guidance, emotional insights, and support for everyday life.

