Wellness Coaching Build a Better You
Complete our chat-based intake, and Dr. Akram, a board-certified emergency physician, assigns you to one of our nine focused tracks for your monthly check-ins and curates a personalized plan built around you.
$0
Physician Fit Review
$150
First Month
$99
Per Month
Your first month includes the initial wellness assessment and plan. Membership then renews at $99 monthly until you cancel. Labs and imaging are paid separately. Available to adults 18 and older located in Texas or Florida.
How Wellness Coaching Works
A free physician review comes first. You pay nothing until Dr. Akram accepts your enrollment into the Ayah Health Wellness Program and you've agreed to all terms.
Our intake chat asks the questions. Dr. Akram curates each plan, personalized to you based on your answers and needs. The chat never orders, prescribes, or decides on a medicine.
- 1
Chat Through Your Intake
Up to 40 questions about your goals, history, eating, movement, sleep, stress, and preventive care. Questions that don't apply to you are skipped, and every one can be answered with "Prefer not to answer." It's free.
- 2
Dr. Akram Reviews Your Fit
Dr. Akram reads your intake and decides whether to accept you, ask for more information, or explain why another kind of care would serve you better. This review costs nothing.
- 3
Agree to the Terms and Begin
After you're accepted, you'll see the full terms and agree to recurring billing in its own step. Your first month is $150 and includes your initial wellness assessment and plan. After that, membership is $99 per month.
- 4
Receive Your Track and First Plan
Dr. Akram assigns you to the track that fits your top priority and curates your first plan, personalized to you based on your answers and needs.
- 5
Check In Every Month
A guided conversation in your patient portal picks up from your own goals and last month's action items. Dr. Akram reviews your check-in and curates an updated plan based on your latest answers and needs.
Wellness care that remembers where you started
Your goals, history, and last check-in stay in the conversation. Dr. Akram reviews your progress each month and adjusts your plan as your life changes. Start with a free physician fit review, then decide whether to enroll.
Your first month
$150
A one-time first-month payment after Dr. Akram accepts you and you agree to the terms.
- Initial wellness assessment with Dr. Akram
- A personalized plan for the track that fits your goals
- A clear starting point for the months ahead
Every month after
$99 per month
Renews monthly, starting one calendar month after your first payment.
- A guided monthly intake chat that picks up from your last check-in
- Dr. Akram's review, updated plan, and messaging about your wellness care
- A quarterly review, with video if you prefer
- An annual wellness review, including clinically appropriate lab ordering and results review
Appropriate lab ordering and results review are included; Quest tests (cash or insurance), imaging and acute care are billed separately.
Why Ayah Health
- One physician, your context
- Dr. Akram sees how this month's answers connect to your history, goals, and prior plan.
- A rhythm you can keep
- Monthly check-ins make room for small adjustments between deeper quarterly and annual reviews.
- Testing with a reason
- At your annual review, Dr. Akram can order appropriate labs and review the results with you. You choose how to pay the lab.
How the Memberships Differ
These programs have different scopes. Compare the care and testing included, as well as the price.
| Program | Published price | Main focus | Lab costs |
|---|---|---|---|
| Ayah Health | $150 first month, then $99/month | Monthly wellness chat, physician review and messaging; quarterly review with optional video; annual wellness and appropriate lab review | Testing paid separately, by cash or insurance through Quest |
| Function Health | $365/year advertised first-year membership | Lab-focused membership with 160+ lab tests annually and clinician review of results | Included tests are part of the advertised membership |
| Parsley Health | $275/month self-pay, with a 12-month commitment | Functional medicine care with clinician visits, nutrition coaching, and messaging | Testing and insurance costs vary by plan and coverage |
Good to know before you pay
- Renews monthly
- Your membership renews every month until you cancel, whether or not you complete that month's check-in.
- Agreed separately
- You'll agree to recurring billing in its own step, with the date of your first $99 renewal shown, before you pay the $150.
- Cancel any time
- Under Account settings in your patient portal. Cancelling stops future renewals, and your access continues through the period you've paid for.
- Refunds
- Refund requests are reviewed by Dr. Akram, case by case. If Dr. Akram graduates you from the program, billing stops.
Prices are the same for all nine tracks. Read the Wellness Membership Terms, Care and AI Consent, and Privacy Notice before enrolling.
Start Your Free Fit ReviewNine Tracks, One Focus at a Time
After reviewing your intake, Dr. Akram places you in the single track that matches your top concern. The track adds depth where it matters most, and your monthly check-in still covers all six lifestyle pillars.
Metabolic Health and Weight
Insulin resistance, prediabetes, weight and body composition, fatty liver risk, and the quality and timing of what you eat.
A Good Fit If
You have weight goals, prediabetes or early type 2 diabetes, fatty liver, a larger waist measurement, or PCOS with metabolic features.
What We Follow
- Weight
- Waist
- Glucose or A1c
- Triglycerides
- Liver enzymes
- Cravings
- Eating window
Sample Check-In Questions
- On how many days this month did you take a 10-minute walk within 30 minutes of a meal?
- How many nights a week did you eat after dinner, and what drove it: hunger, boredom, stress, habit, or company?
- Have you noticed any wins that aren't on the scale, like clothes fitting differently, more energy, or fewer cravings?
Reviewed first: Weight-loss targets, calorie advice, and fasting wait for Dr. Akram's clearance if you have a history of disordered eating, are pregnant or breastfeeding, have type 1 diabetes, or take insulin or a sulfonylurea. Questions about weight-loss medicine go to Dr. Akram, and the chat never recommends one.
Heart Health and Longevity
Blood pressure, cholesterol, cardiovascular risk, fitness, and healthy aging, including bone, brain, and cancer screening.
A Good Fit If
You're 40 or older or have a strong family history, you have high blood pressure or cholesterol, or your goal is healthy aging.
What We Follow
- Home blood pressure
- LDL or ApoB
- Resting heart rate
- Activity minutes
- Strength
- Screening completion
Sample Check-In Questions
- What was your average home blood pressure this month, morning and evening?
- On how many days did you use olive oil as your main fat?
- Which screenings did you complete this month: a lipid panel, colon screening, bone density, or a dental visit?
Reviewed first: Chest tightness, unusual shortness of breath, or leg cramping when you walk that eases with rest go to Dr. Akram before any exercise plan. High-intensity work waits for clearance after a recent cardiac event or while your blood pressure is uncontrolled.
Stress, Mood, and Resilience
Chronic stress, burnout, mild-to-moderate anxiety or low mood, coping skills, connection, and a sense of meaning.
A Good Fit If
You carry high stress, screened positive on a short mood and anxiety check without a severe result, are a caregiver under strain, or lean on alcohol or food to cope.
What We Follow
- GAD-7 (anxiety)
- PHQ-9 (mood)
- Stress score
- Minutes of practice
- Connection
Sample Check-In Questions
- On how many days did you practice something calming, and for how many minutes?
- How many nights did a racing mind keep you awake?
- On how many days did you check work after hours?
Reviewed first: This track builds stress-management skills and habits. It isn't treatment for depression or anxiety disorders. A high screening score, or any thought of self-harm, brings Dr. Akram in before any track content, and 988 information appears right away.
Sleep, Energy, and Recovery
Insomnia patterns, your body clock, sleep apnea screening, fatigue, and strategies for shift work.
A Good Fit If
You sleep too little or too poorly, feel tired all the time, work shifts, snore, or have a new baby at home.
What We Follow
- Sleep hours
- Sleep consistency
- Time to fall asleep
- Energy
- Daytime sleepiness
Sample Check-In Questions
- On how many days did your wake time stay within 30 minutes of your usual time?
- On how many days did you get outdoor light within an hour of waking?
- Have you felt drowsy while driving this month?
Reviewed first: Signs of possible sleep apnea, such as loud snoring with daytime tiredness, prompt a conversation about a sleep study before any advice to restrict your sleep. Drowsy driving gets an immediate safety message. Fatigue with red flags, such as unintended weight loss or night sweats, goes to Dr. Akram for a medical workup first.
Digestive and Gut Health
Bloating, constipation, diarrhea, reflux, and other functional symptoms, along with the food triggers behind them.
A Good Fit If
You have ongoing digestive symptoms with no warning signs, IBS-type patterns, or reflux.
What We Follow
- Top-symptom severity
- Stool pattern
- Trigger log
- Fiber intake
- Fermented foods
Sample Check-In Questions
- Which type on the Bristol stool chart is most common for you?
- On how many days did you have bloating this month? What about abdominal pain?
- Which foods clearly set off your symptoms this month?
Reviewed first: This track only opens when there are no warning signs. Blood in the stool or black stool, unintended weight loss, trouble swallowing, persistent vomiting, or symptoms that wake you at night send you to Dr. Akram for evaluation first.
Women's Health and Hormonal Balance
Cycle health, PCOS, PMS and PMDD, perimenopause and menopause, plus preconception and postpartum health.
A Good Fit If
You have cycle, hormone, or menopause concerns.
What We Follow
- Cycle regularity
- Symptom burden
- Hot flashes and night sweats
- Bone-loading activity
Sample Check-In Questions
- How many hot flashes do you have on a typical day, and how many night sweats a week?
- How bad was your period pain this month, from 0 to 10?
- On how many days did you do brisk walking, stairs, or strength work?
Reviewed first: Very heavy bleeding, any bleeding after menopause, a breast lump or nipple discharge, and severe pelvic pain go to Dr. Akram first. Fasting and herbal advice are held back during pregnancy, and herbs meant to bring on a period or raise milk supply are never suggested without approval.
Men's Health and Vitality
Energy, drive, body composition, urinary symptoms, testosterone questions, fitness, and prostate screening.
A Good Fit If
You've noticed changes in energy, drive, sexual function, or urinary symptoms, or you feel a midlife decline.
What We Follow
- Libido
- Erection quality
- Strength
- Waist
- Sleep
- Urinary symptoms
Sample Check-In Questions
- On a scale of 0 to 10, how were your energy and drive this month?
- How many nights a week did you wake up to urinate?
- How many strength sessions did you finish compared with what you planned?
Reviewed first: A testicular lump or pain, blood in the urine, painful or blocked urination, or erection problems together with chest pain go to Dr. Akram first. Any steroid, SARM, or non-prescribed testosterone use goes to Dr. Akram before advice, and the program doesn't recommend "testosterone booster" supplements. Ayah Health doesn't prescribe testosterone.
Strength, Movement, and Pain
Strength training, mobility, joint and back pain, injury recovery, and functional fitness.
A Good Fit If
You're mostly sedentary, live with joint or back pain, are recovering from an injury, worry about losing muscle as you age, or have sport and performance goals.
What We Follow
- Pain scores
- Function score
- Sessions completed
- Strength benchmarks
Sample Check-In Questions
- Name up to three activities that are hard right now, and rate each from 0 (can't do it) to 10 (no trouble).
- How many sessions did you plan this month, and how many did you finish?
- How many push-ups can you do in a row?
Reviewed first: Pain that wakes you at night or happens at rest, numbness or weakness, bladder or bowel changes, fever or weight loss with pain, a major recent injury, or a hot, swollen joint go to Dr. Akram before any exercise plan.
Whole-Person Foundations
A structured 12-week on-ramp across all six pillars, plus getting your screenings and vaccines done.
A Good Fit If
You're generally healthy, have several small goals, are new to lifestyle change, or no other track clearly fits. At your quarterly review, Dr. Akram can move you to a specialized track if a specific issue has emerged.
What We Follow
- Pillar scores
- Habit adherence
- Screenings completed
Sample Check-In Questions
- From 1 to 10, how satisfied are you with your eating, movement, sleep, stress and recovery, connection, and substance use?
- Which two areas do you want to improve first, and why?
- Which screenings, vaccines, or labs are due, and what's getting in the way of scheduling them?
Reviewed first: This track has no extra holds of its own. The safety checks that run for every patient apply here too.
Sample questions are illustrative. The chat asks them conversationally, using your own goals and last month's action items.
What the Intake Asks
Up to 40 questions, in an order meant to feel comfortable: motivating questions first, sensitive topics only after some rapport. A typical patient answers about 34 to 37, because questions that don't apply to you drop out.
- Goals and Motivation
- About You
- Health History
- Medications and Allergies
- Nutrition
- Movement
- Sleep and Energy
- Stress, Connection, and Mental Health
- Substances
- Preventive Care
- Wrap-Up
- Every question includes “Prefer not to answer.”
Built on the six pillars of the American College of Lifestyle Medicine, the American Heart Association's Life's Essential 8, and the screenings recommended by the U.S. Preventive Services Task Force.
Your Monthly Check-In
Every month, everyone answers the same core questions on all six pillars, whatever their track. Your track's questions come next, then a short close: anything you want Dr. Akram to look at, and what to focus on next.
It starts from your own goal and last month's action items rather than generic questions. Areas that are stable and going well get one quick question, and deeper ones appear when something slips. It's designed to take about 15 to 20 minutes.
- 1
- 2
- 3Review
- 4
- 5
- 6Refresh
Every third check-in adds a quarterly review of your wellbeing, goals, and track, with video if you prefer. Every sixth adds a six-month refresh of diagnoses, medicines, screenings, and vaccines. Your annual wellness review includes clinically appropriate lab ordering and results review; lab testing is paid separately.
Six Pillars, Every Month
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Nutrition
Eating quality, whole-food days, vegetables and fruit, sugary drinks, and eating late at night.
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Movement
Days of moderate activity, strength days, steps if you track them, and any pain limiting you.
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Sleep and Energy
Hours, quality, nights with trouble, snoring, and how your energy holds up.
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Stress and Mood
Your stress score, minutes of calming practice, and the same four-question mood and anxiety screen as intake.
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Connection
How connected you feel to people, and any big life events that changed your month.
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Substances
Alcohol in a typical week, and nicotine and cannabis compared with last month.
Every check-in also asks about new symptoms and any change to your medicines or supplements. If you have a blood pressure cuff, smart scale, or wearable, you can add those readings, and you can upload new lab results.
Safety Checks Run Before Advice
Your answers are screened as you give them. What happens next depends on what they suggest.
Possible Emergency
Chest pain or pressure, trouble breathing, fainting, or a sudden severe headache brings up a message to call 911 or go to the nearest ER right away, and flags your chart for Dr. Akram.
Thoughts of self-harm bring up 988 and emergency guidance immediately. This program isn't staffed for crisis response.
Dr. Akram Looks First
Warning signs such as blood in the stool, unintended weight loss, trouble swallowing, heavy bleeding, a breast or testicular lump, or pain at night pause your plan until Dr. Akram has reviewed them. Your track doesn't start until then.
Some Advice Waits
Specific advice is held back until Dr. Akram clears it:
- Weight-loss targets and fasting, with a history of disordered eating
- Fasting during pregnancy, or with type 1 diabetes or insulin
- Herbs and supplements alongside blood thinners or blood pressure or diabetes medicines
- High-intensity exercise after a cardiac event
- Cutting back alcohol after heavy drinking
What We Don't Use
Herbal laxatives, "cure-all" remedies, and testosterone-booster supplements. Herbs and supplements are never first-line here, and anything that could interact with a medicine you take needs Dr. Akram's approval first.
Who This Is For
Adults 18 and older who are physically located in Texas or Florida during care. Wellness coaching supports prevention and habits. It isn't emergency care, prenatal or obstetric care, or treatment for depression or anxiety disorders, and Ayah Health doesn't prescribe controlled substances, including testosterone. Screening results are not diagnoses.
Questions People Ask
Who Chooses My Track?
The chat can suggest a track and show its reasoning, but Dr. Akram decides after reviewing your intake. If two tracks fit, your first-choice goal breaks the tie. At each quarterly review you can ask to switch.
Can I Be in More Than One Track?
One at a time. Your monthly check-in still screens all six pillars, so a patient whose top concern is heart health is still asked about sleep, stress, and substances every month.
Do I Have to Answer Every Question?
No. Every question includes "Prefer not to answer," and questions that don't apply to you are skipped. Some answers help Dr. Akram keep your advice safe, so share what you're comfortable sharing.
What If I'm Pregnant, Breastfeeding, or Have Struggled With Eating?
The program adjusts. Fasting, weight-loss, and supplement advice is held back until Dr. Akram has reviewed your chart. Ayah Health doesn't provide prenatal or obstetric care.
How Do I Cancel?
Under Account settings in your patient portal. Cancelling stops future renewals, and your access continues through the period you've paid for. Your records stay yours, and you keep access to plans already released to you.
Is My Information Private?
Your answers become part of your medical record with Ayah Health and are protected under HIPAA. You can read the details in our HIPAA Notice of Privacy.