Ian Strand
Physician · Integrative medicine
6–10 years of experience
Menopause Society Certified Practitioner
About Asymmetric Health
Dr. Strand spent years as a full-time emergency physician before opening this direct-pay clinic in Lacey in 2021. The practice treats men and women, and menopause care sits alongside testosterone therapy, weight loss and thyroid care. Care starts with a paid evaluation that bundles Labcorp lab work with a 60 to 90 minute visit, then moves to a month-to-month membership with unlimited messaging. Hormone plans can combine estradiol, progesterone, testosterone and DHEA, and medications are passed through at pharmacy cost. Visits happen in the Lacey office or by video anywhere in Washington, and most follow-ups are by video. The practice does not see anyone on Medicare, so women 65 and older cannot join.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
- Supplements & lifestyle
- Lab testing
Particular focus
- Thyroid
- Weight & metabolism
Cost and insurance
Care is by membership, and visits aren’t billed to insurance.
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Can’t see patients on Medicare, even paying out of pocket.
Self-pay
- Focused Hormone Evaluation
- $299
- Complete Hormone Evaluation
- $699
- Optimize membership
- $130 per month
- Free consultation
- HSA and FSA accepted
Labs at Labcorp and medications are paid separately at cost, and lab and imaging costs can be submitted to your own insurance for reimbursement.
Verified September 2026.
Qualifications
DO, FAAMM, ABAARM, MSCP
