How This Really Works: Every Question You Have About Sesh Diagnostics, Answered

You’re curious, but you’re also a little skeptical. Good. You should be.

If you’ve spent years being told your bloodwork is “normal” while you still feel exhausted, foggy, and not like yourself, you’ve earned the right to ask hard questions before you hand over your trust (and your card). So we’re going to answer them. All of them. No funnel tricks, no fine print buried at the bottom.

Here’s exactly how Sesh Diagnostics works, start to finish.

What is Sesh Diagnostics, in one sentence?

We’re a women’s health platform that pairs real lab testing with clinician-guided protocols and the training and nutrition to back them up. The framework is simple: labs, protocol, results. We look at what’s actually going on inside your body, build a plan around what we find, then give you the tools to make it stick.

Said plainly: most programs hand every woman the same generic plan and hope it works. We measure first, so your plan fits you.

Pull quote: most programs hand every woman the same plan. We measure first, so your plan fits you.

Who is this actually for?

Women, mostly in their 30s, 40s and 50s, who are doing the work and not seeing the results. You sleep badly. You’re wired and tired at the same time. The body composition that used to respond to effort suddenly won’t budge. You’ve been told this is “just aging” or “just stress” or “just hormones,” and sent home with nothing.

A woman at a table in a dark green room, holding her phone up near her face.

It isn’t just aging. A lot of what you’re feeling is measurable, and most of it is fixable. That’s the whole point of starting with data instead of guesswork.

You don’t need to be a health expert to start. Most of our patients are beginners or somewhere in the middle, and that’s exactly who we built this for.

How do I actually get started? Do I have to do labs first?

No. There are three doors in, and you can walk through whichever one fits where you are right now:

Three ways in to Sesh Diagnostics: diagnostic labs if you want answers before committing, 1:1 coaching if you'd rather start with a person who looks at your whole picture, or a prescription if you already know what you're after and want a clinician to confirm the fit. Labs are recommended when you're unsure, not required.

The first door is diagnostic labs, if you genuinely don’t know what’s going on and you want answers before you commit to anything.

The second door is 1:1 coaching with our lead health strategist, Shae Davis, FDN-P, if you’d rather start with a human who can look at your whole picture and tell you where to focus.

The third door is a clinician-guided prescription, if you already know what you’re after (say, a GLP-1 for weight, or NAD+ for energy) and you want to get moving.

We usually suggest labs if you’re unsure, because data makes every other decision easier. But labs are the recommended starting point, not a toll booth you’re forced through. You choose.

Not sure which door is yours? The free 3-minute evaluation is built to answer exactly that.

How do the labs work?

This is where most “normal” results fall apart. A standard annual physical checks whether you’re sick. Our panels check whether you’re optimal, which is a completely different question.

Comparison. A standard annual physical is built to catch disease, compares you against being sick, and ends at everything looks normal: it answers whether anything is wrong. SeshDx panels look at hormones and the full cortisol curve, gut microbiome and digestive markers, metabolic and nutrient status, and where you sit within the healthy range: they answer whether you are optimal.

Here’s the flow. You order the test that fits your symptoms. The kit ships to you, or you book a blood draw, depending on the panel. You collect the sample (many of our hormone and gut tests are at-home saliva, urine, or stool, so no clinic visit required), and send it back in the prepaid packaging. The lab processes it, and then we walk you through what it actually means. Not a PDF of numbers you can’t read. A real interpretation of what’s driving how you feel.

An at-home DUTCH Plus hormone test kit opened on a kitchen counter with its collection tubes.

We offer panels across the areas that the typical physical skips, including:

  • Hormones and cortisol, through the DUTCH Complete and DUTCH Plus tests, plus a dedicated DUTCH Adrenal Stress Test. These show your sex hormones and your full daily cortisol curve, which is often the missing piece behind the 3pm crash and the 2am wake-up.

  • Gut health, through the GI-Map, which maps your microbiome, hidden infections, and digestive markers.

  • Food sensitivities, through our Food Sensitivity Test, if inflammation or stubborn symptoms might be diet-driven. To be clear about what this one is: it is not an allergy test and it is not a diagnosis. It is a map for a structured elimination trial, so you’re removing foods on evidence instead of guessing.

  • Metabolic and nutrient status, through our Metabolic Health Panel, Female Wellness Panel, and Micronutrient Panel.

Shae Davis holding a stack of lab test kits: a DUTCH Plus kit, an MRT food sensitivity draw kit and a gut test kit.

Lab pricing runs from around $325 for a focused blood panel up to roughly $695 for the most comprehensive hormone testing, and every result comes with guidance on what to do next. A number with no plan attached is useless, and we don’t do that. Pay-over-time is available on diagnostic lab panels ordered directly through us.

How do the prescriptions work? Who actually writes them?

Let’s clear up the question everyone is too polite to ask: yes, a real, licensed clinician reviews and writes your prescription. Always.

When you request a prescription product, you complete an intake about your health history and goals. A licensed clinician, licensed in your state, reviews it and confirms whether the prescription you’ve chosen is a good fit for you. If it is, they write it. If it isn’t, they won’t, and they’ll tell you why. That gate is the point. It’s what makes this medicine and not a vending machine.

Three steps to a prescription: you complete a health intake; a clinician licensed in your state confirms whether your chosen prescription is a good fit; if it is, a licensed compounding pharmacy prepares it and your care team is available for questions. If it isn't a fit, it isn't written.

Our clinicians come through a nationwide telehealth network, so wherever you live in the US, you’re matched with someone licensed where you are. Depending on the prescription and your state, your visit may happen live or asynchronously. Your care team will tell you which applies to you before anything is prescribed.

Your medication is then prepared by a licensed compounding pharmacy. Most prescriptions ship directly to your door; some require a lab visit first, and you’ll know which is which up front. It arrives with instructions, and your care team is there if you have questions.

A quick honest note on compounded medications. These are prepared by licensed pharmacies for individual patients under a clinician’s prescription. They are not FDA-approved, and they are not reviewed by the FDA for safety or effectiveness. Published clinical trials of these medications were run on FDA-approved products, not on compounded preparations. That’s also exactly why a clinician’s review matters so much. “Generally well tolerated” is not the same as “right for you,” and that’s exactly why you’re never doing this alone.

What can I actually be prescribed?

Our launch catalog covers the areas women ask about most:

Weight and metabolism. Semaglutide and Tirzepatide, the GLP-1 medications you’ve heard about, available in standard doses for meaningful weight loss. Semaglutide also comes as a daily pill that dissolves between cheek and gum, if needles are what’s been stopping you. We also offer low-dose microdose versions of semaglutide and tirzepatide for women who want the metabolic and longevity benefits without the full therapeutic dose.

A bottle of SeshDx oral semaglutide tablets beside a vial of compounded injectable semaglutide.

Energy and longevity. NAD+ in three forms (injection, nasal spray, and liquid oral drops) so you can choose between the strongest, most reliable delivery and a gentler, needle-free entry point. NAD+ can help when you’re feeling consistently drained or run down. To be straight with you: the evidence is strongest for energy, fatigue, and focus, and thinner for the bigger metabolic claims you may see elsewhere. We’d rather tell you that than oversell it.

A vial of SeshDx compounded NAD+ on a desk beside a notebook and glasses.

Targeted support. Sermorelin to support your body’s own growth hormone, B12 and MIC for energy and methylation, Glutathione for antioxidant and detox support, Methylene Blue for cellular and cognitive support, and Lipo-C and L-Carnitine for fat metabolism and recovery.

Every one of these is dosed and monitored by your clinician, not picked off a shelf.

How do the training and nutrition fit in?

Here’s the part that makes the whole thing actually work, and it’s included.

Every Sesh Diagnostics prescription client gets the SeshDx Blueprint (a strength plan and a nutrition guide, in the Sesh Fitness App) from day one. Not a discount. Included. It comes out of the same training and nutrition platform that 500,000 women have trusted with their workouts and their eating.

Shae Davis lifting a dumbbell in warm side light.

This matters because a lab result or a prescription on its own is half a plan. A GLP-1 can help you lose weight, but without resistance training and adequate protein, too much of what you lose is muscle, and muscle is the thing that keeps you strong, metabolically healthy, and feeling like yourself for the long run. The medication or the lab is the lever. The training and nutrition are what make the result last.

So when you start a prescription with us, you’re not just getting a vial. You’re getting the workouts, the nutrition guidance, and a structure to put it all into practice, in one place.

What’s the difference between the standard GLP-1 and the microdose?

Both are the same class of medication. The difference is the dose and the goal.

The standard dose of semaglutide or tirzepatide is aimed at meaningful weight loss, with the appetite and metabolic effects most people associate with GLP-1s.

The microdose uses a much lower amount. It’s for the woman who isn’t chasing significant weight loss but wants the metabolic, inflammation, and longevity benefits, with a gentler effect on appetite. A lot of our patients in perimenopause land here, because they want to feel sharper and protect their metabolism without the full therapeutic dose.

Said simply: standard dose is for losing weight. Microdose is for optimizing how your body runs. Your clinician will help you choose based on your goals and your labs, not a guess.

Can I do this if I’m in perimenopause or menopause?

Yes, and this is exactly the window where a lot of women find us. The shifts in sex hormones, cortisol, sleep, and body composition that define this stage are the things our testing was built to measure and our protocols were built to address.

This is also why “normal” results are so frustrating in your 40s and 50s. A standard panel can call you normal while your hormones are in freefall, because “normal” is measured against being sick, not against feeling like yourself. We test the markers that actually explain what you’re experiencing, then build from there.

What if my labs come back “normal”?

Then you’ll finally know what normal actually looks like for you, with numbers attached, and that’s worth a lot on its own. But normal on a standard scale and optimal are not the same thing, and our interpretation looks at where you sit within the healthy range, not just whether you cleared the bar for “not sick.”

Often the answer isn’t that nothing’s wrong. It’s that the right marker hadn’t been looked at yet, or that the issue is in how your numbers relate to each other rather than any single value. Either way, you walk away with a clearer picture than a one-line “everything looks fine” ever gave you, and a recommendation for what to do with it.

How is this different from my primary care provider, a med spa, or other telehealth brands?

Your primary care provider is trained to catch and treat disease, which is essential, but it means “you’re not sick” is often where the conversation ends. We pick up where that leaves off and focus on optimal, not just acceptable.

A med spa can hand you an injection, but rarely the testing to know if you need it or the training and nutrition to make it work. A typical telehealth brand ships you a single product through a quick form and moves on.

What’s different here is that the labs, the clinician-guided prescriptions, the coaching, and the training and nutrition all live in one place and actually talk to each other. You’re not the one stitching together a provider, a pharmacy, a trainer, and a nutrition app and hoping they agree. We built it so they do.

What happens after I start? Is this a one-time thing or ongoing?

It depends on what you start with. A lab is a snapshot, so many women retest periodically to see how things are moving. Prescriptions are ongoing while they’re right for you, with refills and check-ins handled through your care team on a regular cadence, and your clinician reassessing as you go.

A closed loop: test with labs to see what's going on, plan a protocol around what we find, support with a prescription or coaching if right for you, the SeshDx Blueprint strength and nutrition plan for prescription clients, then retest to see how things are moving.

The SeshDx Blueprint is yours to use the whole way through, which is what turns a short-term result into a lasting one. And you can step up or step back. There’s no long-term contract holding you in place. You cancel before your next renewal, with at least 72 hours’ notice ahead of your billing date, and your service runs through the end of that cycle. The full terms are on our refund policy page.

What does coaching include, and who is Shae?

If you want a human in your corner, our 1:1 coaching is led by Shae Davis, FDN-P, CPT, our lead health strategist. She handles lab ordering, interpretation, and ongoing coaching, so the person reading your results is the same person helping you act on them.

Shae Davis, FDN-P, smiling at her laptop.

Coaching is $895 for three months, with one lab included. It bundles the testing, the interpretation, and the coaching together, so you’re not stitching it together yourself. Coaching is an optional layer, not something that’s automatically attached to a lab or a prescription.

What does all of this cost?

We don’t hide pricing, so here’s the honest shape of it.

Labs range from about $325 to $695 depending on how comprehensive the panel is, and pay-over-time is available on lab panels ordered directly through us. Coaching is $895 for three months, with one lab included. Prescriptions are priced per product and depend on the medication and dose your clinician determines is right for you, and your care team will lay out the exact cost before you commit to anything. You’ll always see the number before you say yes.

What you won’t find: surprise charges, long-term contracts you can’t leave, or upsells dressed up as “your results.” You pay for what you choose.

Is this safe? Is it legitimate?

Fair question, and the most important one. A few straight answers:

Licensed clinicians review and write everything. No medication reaches you without a licensed clinician reviewing your specific health information and confirming it’s appropriate for you.

Your medications come from licensed pharmacies, prepared for you as an individual patient, in line with how compounded and telehealth medications are regulated. As above: compounded medications are not FDA-approved and are not reviewed by the FDA for safety or effectiveness.

Your data is protected. Health information is handled in line with HIPAA, the same framework that protects you at any medical practice.

And we tell you the truth about what works. When the evidence behind something is strong, we’ll say so. When it’s thinner, we’ll say that too. We’re not interested in scaring you into a purchase or promising a miracle. The whole brand is built on the opposite of that.

How fast will I see results?

It depends on what you start with and what your body needs. Some women feel a difference in energy or sleep within a few weeks. Body composition and hormone-driven changes usually take longer, often weeks to months, especially when we’re doing it the durable way with training and nutrition alongside.

Anyone promising you a transformation in days is selling you something. We’re playing a longer game, because the goal isn’t a quick before-and-after. It’s a version of you that holds.

So what’s the actual first step?

If you already know what you want, start with the product or prescription that fits and let a clinician take it from there. If you’re not sure (and most women aren’t, because no one ever actually tested them), the simplest first move is to understand what’s going on inside your body by ordering the labs that match your symptoms, then build from there.

Either way, you’re not guessing anymore, and you’re not doing it alone. We test so you stop guessing. You get a plan built for your body, the medical and coaching support to run it, and the training and nutrition to make it last.

You, but optimal. That’s the whole idea.

Portrait of Shae Davis, FDN-P, Lead Health Strategist at SeshDx.

Still have a question we didn’t answer here? Book a 1:1 with me, or email me at shae@seshdiagnostics.com and I’ll get back to you.

Shae Davis, FDN-P, CPT, Lead Health Strategist

This content is educational and does not constitute medical advice. Sesh Diagnostics provides health information and access to licensed clinicians and coaching. It is not a substitute for emergency care. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety or effectiveness. Prescriptions are issued only when a licensed clinician determines they are appropriate for you; not all patients qualify. Please consult a licensed healthcare provider before starting any new health protocol. Pricing and product availability reflect the status as of September 2026.

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