Chapel Hill Wellness Collective is a small integrative clinic, and Dr. Otter is its medical director and the clinician behind the hormone care. Her Perimenopause and Menopause Jumpstart Program opens with a consult about symptoms and goals, then builds a plan that can combine menopausal hormone therapy with lab work, meal and exercise guidance, and IV nutrient or NAD+ infusions. She writes hormone plans from current research and a patient's own lab results. Dr. Otter came out of emergency medicine and is also board certified in obesity medicine, so weight and metabolic health sit at the center of how she treats midlife symptoms, and GLP-1 medication is part of the program for women who need it. For what the clinic does not do itself it reaches outward, working with the Medical Day Spa of Chapel Hill on hormonal skin changes and with local pelvic floor therapists, and it offers the O-Shot for sexual health. Care is in person at the single Chapel Hill office, which is open four days a week.
Concierge Medicine of Chapel Hill is Dr. Repine's solo membership primary care practice, which opened in April 2026 for adults, families and midlife patients, with the panel size deliberately kept small. A family physician and Menopause Society Certified Practitioner, she pairs primary care with women's health, covering birth control, perimenopause and postmenopause care, hormone replacement therapy, lifestyle medicine and mental health. She is trained in osteopathic manipulative treatment, which she uses for pain and tension when appropriate. Members get unlimited extended visits plus 24/7 direct messaging, phone and email access to her. Virtual visits are offered only as a supplement to in-person care and need prior approval. Point-of-care testing and minor procedures, including IUD and Nexplanon insertion and removal, joint and trigger point injections and skin biopsies, are done in the office rather than referred out.
