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Your health is not one-size-fits-all.

Personalized concierge telehealth care for Iowa residents—designed around your goals, your needs, and your pace.

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our mission to you:

Personalized care. Thoughtful testing. Sustainable results.

healthcare à la carte means care tailored to your needs—not a predetermined membership or treatment schedule. Your care may be simple and focused or more comprehensive and ongoing, depending on what your health requires. Recommendations are guided by clinical assessment, evidence, and your response to treatment—not trends or one-size-fits-all protocols.

Welcome to healthcare à la carte!

I’m Sarah, a Nurse Practitioner focused on helping patients make sense of complex health concerns through thoughtful, individualized care.
My clinical background includes functional and integrative medicine, where I learned the value of looking beyond isolated symptoms to understand how health history, physiology, and lifestyle intersect. I bring that perspective into my practice with a focus on clinical assessment, thoughtful prioritization, and clear next steps.

How Care Works:
Care begins with a comprehensive consultation. We review your health history, symptoms, previous lab work, current health concerns, and goals to develop a complete clinical picture. From there, I determine the most appropriate next steps for evaluation and treatment.
Additional testing is recommended selectively and only when it is likely to provide meaningful clinical information or change the treatment plan. This may include standard laboratory testing, hormone evaluation, or more advanced testing when clinically indicated.
You do not need to know which tests you need before you come in—that is part of my role in your care.

My Approach:
Rather than focusing on isolated symptoms or single lab values, I look at how your systems are functioning together and consider the factors that may be contributing to your health concerns.
Depending on your individual needs, your care plan may include:
• Lifestyle and nutrition strategies tailored to your physiology and daily life
• Targeted supplementation when appropriate
• Medications when clinically indicated
• Stepwise adjustments guided by your clinical response
Care is structured, intentional, and individualized—not based on trends or one-size-fits-all protocols.

What You Can Expect:
Sustainable change takes time. We move through care in a structured, stepwise way so that progress is measurable, intentional, and manageable.
My role is to help you make sense of your health, identify what deserves attention, and guide you toward a clear, realistic plan for long-term improvement.


Care At Your Pace:
Not every patient needs ongoing care, and not every patient needs the same frequency of follow-up. Some therapies, such as hormone or thyroid management, require regular monitoring and adjustment. In other cases, once we identify the right strategy and your health is stable, you may reach a point where little or no ongoing management is needed.
We won't know what your care will look like—or how long you'll need it—until we've evaluated you and understand your individual situation. There is no predetermined number of visits, membership commitment, or timeline. We start where you are, determine what you need, and adjust from there.

The goal isn't to keep you in care indefinitely. The goal is to give you the care you need, for as long as you need it.

Thoughtful care. Clinical guidance. Your health, à la carte 🤍 

how we can support you

hormone health support

care focused on hormonal shifts that affect how you feel day to day.
  • premenstrual syndrome (PMS), heavy cycles, perimenopause & menopause symptoms
  • mood, sleep, and energy changes
  • hormonal balance concerns and testing
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Helping you feel more steady, clear, and like yourself again.

"At my first appointment, it was difficult to pinpoint why I was not living my fullest life. Sarah Gates carefully listened, focused on my complete health history, then asked thoughtful questions that spanned all aspects of my life. Her thorough assessment helped me understand my current meds and explore the benefits of a holistic approach to feeling good. And it worked! Today, two years after that first appointment, I feel SO MUCH BETTER! Together, we explored med side effects, food allergies, lifestyle and future goals. I felt heard and respected in every interaction. Sarah's attention to detail in every step, along with her proven expertise made a meaningful difference in my quality of life." a la carte has truly changed my life. The personalized care has helped me find balance and well-being."

Kathy K.

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