Photo of Alisha Ghajar

Alisha Ghajar

Naturopathic doctor · Integrative medicine

6–10 years of experience

Menopause Society Certified Practitioner

About Tilia Health Collective

Alisha Ghajar is a naturopathic doctor who sees women in perimenopause and menopause from an office in Seattle, and by video for anyone living in Washington. Washington lets naturopaths prescribe, and she does prescribe hormone therapy, though she also runs a hormone-free track of food, movement, stress work and herbs for women who cannot or would rather not use hormones. First visits run 60 to 90 minutes, and you fill out long health questionnaires and upload past lab results before you come in. Once a woman is past menopause she shifts the focus to long-term risk, naming osteoporosis, heart disease and type 2 diabetes as what she wants to head off. Weight and body composition are a large part of the practice, and she will use weight-loss medication when nutrition and training are not enough. She does not work as a primary care doctor and asks every patient to keep their own PCP for anything outside her focus.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Weight medication
  • Supplements & lifestyle
  • Lab testing

Particular focus

  • Bone health
  • Heart health
  • Weight & metabolism

Cost and insurance

Insurance

Doesn’t accept insurance

Provides itemized receipts you can submit for out-of-network reimbursement.

Self-pay

New patient hormone assessment (60 minutes)
$315
New patient comprehensive wellness assessment (90 minutes)
$365
Returning patient visit (45-60 minutes)
$245 per visit
Returning patient visit (15-30 minutes)
$145 per visit
  • Free consultation
  • HSA and FSA accepted

Lab tests and imaging are often billed to the patient's own insurance, which lowers the total out of pocket cost.

Verified September 2026.

Qualifications

ND, MSCP