A 90-Minute Virtual Physician Consultation

Why Do I Feel This Way?

A longer-format physician consultation for women experiencing complex, overlapping symptoms that have not fit neatly into a single specialty — fatigue, brain fog, weight changes, sleep disruption, mood shifts, hormonal changes, inflammation, burnout, and the sense that something is off even when previous workups have come back unremarkable.

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  • 90 minutes one physician, one sitting
  • $950 one-time, outside insurance
  • Written summary assessment, plan & next steps
  • 100% virtual secure Google Meet

For women whose bodies no longer feel predictable

This consultation is for those carrying several symptoms at once — symptoms that haven't presented clearly in single appointments, remain scattered across multiple specialists, or have been dismissed as stress, age, weight, or anxiety.

Many of the women who request this visit describe feeling dismissed, fragmented across the healthcare system, or told that their numbers look fine while their daily experience says otherwise. The visit is designed to look at the whole picture in one sitting, with one physician.

Common reasons women request this visit:

  • Fatigue that does not lift. Brain fog and difficulty concentrating. Sleep disruption. Weight and metabolic changes. Mood shifts, anxiety, or burnout.
  • Hormonal changes through perimenopause or menopause. Inflammation, flushing, skin or gut symptoms. Sensitivity, overwhelm, or a feeling of being wired and exhausted at the same time.
  • Complex symptoms already worked up by other physicians without a clear explanation.

Why this visit is structured differently

Most appointments are fifteen to twenty minutes. That is the structure of the system, not the fault of the physicians inside it. In fifteen minutes, the flushing gets sent to dermatology, the fatigue to one workup, the bloating to another, the hormonal changes to a different specialist — and there is rarely time to ask whether these symptoms started showing up in the same body, in the same year, in the same person.

This consultation is ninety minutes. The history is taken in full. Symptoms are looked at across systems instead of split between them. Hormonal shifts are considered alongside immune signaling, autonomic regulation, sleep, metabolic markers, stress physiology, and the context of your life.

The goal is not to assign one tidy label. It is to look at the whole picture honestly, name what is established, name what is still being understood, and build a practical plan from there.

If you have already been worked up by multiple specialists and still do not have a clear picture, this is the kind of visit that was built for that situation.

What the consultation includes

Ninety-minute physician consultation

A full appointment with Dr. Misra via secure Google Meet. No rushed intake, no fifteen-minute clock.

Comprehensive history review

A thorough review of your medical history, prior workups, symptoms across systems, sleep, hormonal timeline, medications, and any records you upload before the visit.

Physician assessment

A clinical assessment that traces symptoms across systems, with honest discussion of what is established, what is emerging, and what remains uncertain.

Written summary and plan

A written summary delivered after the visit — assessment, suggested next steps, possible lab recommendations, treatment considerations, and follow-up options.

Labs, medications, imaging, and follow-up visits are not included and are billed separately.

How it works

How it works

Availability is limited and visits are intentionally high-touch, so each request is reviewed personally — not every request results in an appointment offer.

  1. 01

    Step 1

    Submit an appointment request

    Request through the Contact page. Include a brief summary of what is going on, your location, and any context Dr. Misra should review.

  2. 02

    Step 2

    Upload prior labs & records

    Upload prior labs, imaging, records, testing, symptom timelines, or clinical notes if available. Existing workups are reviewed in context to avoid unnecessary repetition.

  3. 03

    Step 3

    Dr. Misra reviews your case

    Each request is reviewed individually. Because availability is limited, not every request results in an appointment offer.

  4. 04

    Step 4

    Ninety-minute visit

    Conducted virtually through secure Google Meet, with comprehensive history review, physician assessment, and discussion of overlapping symptoms.

  5. 05

    Step 5

    Written summary & plan

    After the visit you receive a written summary outlining assessment, recommendations, possible next steps, and follow-up considerations.

Topics commonly discussed may include perimenopause, fatigue, weight and metabolic changes, sleep disruption, mood changes, libido concerns, inflammation or histamine overlap, ADHD symptom overlap, stress physiology, burnout, GLP-1 related questions, and complex symptoms that have not fit neatly into a single diagnosis or specialty evaluation.

Bring what you already have

Prior records help — most workups may not need repeating

Upload whatever prior labs, imaging, records, testing, timelines, or clinical notes you already have. The visit is more useful when the history that already exists can be reviewed in context.

  • Prior lab results and bloodwork
  • Imaging and any specialist notes
  • A symptom timeline (when things started)
  • Your current medication and supplement list

If you have nothing to upload, that is fine. The intake is designed to meet you where you are — whatever you can put together is enough to start.

Pricing

The investment

Offered outside of insurance. Labs, medications, imaging, and follow-up visits are billed separately. Appointments are scheduled only after a request has been reviewed and an invitation issued.

Most popular

"Why Do I Feel This Way?" Visit

$950 one-time

Ninety-minute virtual physician consultation, including written summary and plan.

Get started

Everything included

  • 90-minute visit with Dr. Misra
  • Comprehensive history review
  • Physician assessment across systems
  • Written summary & recommended next steps

About the physician

Sulagna Misra, MD · BCMAS · MSCP

Dr. Sulagna Misra is a board-certified physician with training in Internal Medicine and Integrative Medicine, certified in Menopause Care by the North American Menopause Society (MSCP), and a Board-Certified Medical Affairs Specialist (BCMAS). She leads Misra DPC, where she evaluates and treats menopause and perimenopause symptoms, metabolic and weight-related concerns, thyroid and hormonal changes, chronic conditions, and complex overlapping symptom presentations.

She teaches physicians nationally through VuMedi, develops CME-level education on women's health and primary care, and participates in discussions focused on access to care and Direct Primary Care reform.

Her work centers on helping patients navigate medical complexity with clarity, continuity, and evidence-based care — with longer visits that allow patterns across systems to be recognized rather than missed.

As featured in Forbes, First For Women, CBS News, Health, AP News, Men's Health, The Epoch Times, Doctors on Social Media, and additional national outlets.

Frequently asked questions

Is this visit covered by insurance?

No. This ninety-minute virtual physician consultation is offered outside of insurance and is self-pay.

Who is this consultation designed for?

Women experiencing complex, overlapping, or persistent symptoms that may not fit neatly into a single diagnosis or specialty — fatigue, brain fog, hormonal changes, sleep disruption, metabolic concerns, burnout, inflammation, histamine-related symptoms, ADHD overlap, mood shifts, libido concerns, and symptoms that continue despite prior evaluations.

Do I need an existing diagnosis before booking?

No. Many patients requesting this consultation have never received a clear diagnosis despite prior testing, specialist visits, or years of symptoms.

Can this still help if I already saw multiple specialists?

Yes. The purpose of the consultation is to review the entire picture together and assess whether patterns across systems may have been missed.

What should I upload before the appointment?

Any prior labs, imaging, timelines, specialist notes, medication lists, or testing you already have. Existing records often help reduce unnecessary repeat workups.

What if I do not have prior labs or records?

That is completely okay. Prior records can be helpful but are not required to request a consultation. If additional labs, imaging, or testing are recommended, you may choose to follow up through your primary care physician, specialists, standalone follow-up visits, or ongoing Misra DPC membership if appropriate.

What platform is used for visits?

All consultations are conducted virtually through secure Google Meet. Appointment details are provided after scheduling is confirmed.

Do I need to live in California or New York?

You must be physically located in California or New York at the time of the virtual visit.

What is included in the consultation?

The consultation includes a ninety-minute physician visit, comprehensive history review, clinical assessment, and a written summary with recommendations and possible next steps.

Are labs, imaging, or medications included?

No. Labs, imaging, medications, supplements, and follow-up visits are billed separately if needed.

What happens after the consultation?

You receive a written summary with assessment, recommendations, and follow-up considerations if appropriate.

Are follow-up visits available?

Yes. Follow-up visits are available as standalone à la carte appointments ($500/hour or $350/half hour). Ongoing continuity care through Misra DPC membership may also be discussed if appropriate.

What is the cancellation and refund policy?

Payment in full, intake forms, and signed agreements are required prior to the appointment. Because consultation time is reserved specifically for each patient, fees are generally non-refundable once the visit is confirmed and scheduled. Appointments canceled within forty-eight hours and missed appointments are non-refundable.

How does scheduling work?

Scheduling begins with a request through the Contact page. If the visit appears appropriate and availability allows, you receive intake forms, office agreements, payment instructions, and appointment details electronically before the consultation is confirmed.

Ready to be seen as a whole picture?

Submit a request and Dr. Misra will personally review your case. Selected patients are invited to book from a limited set of appointment slots.

Request this consultation