LabXMD

About LabXMD

What is LabXMD?

LabXMD is a physician-led concierge medical practice in the Pacific Heights neighborhood of San Francisco, at 2100 Webster Street. It is built around female longevity medicine, with hormone optimization as a core part of the work: the practice describes its approach as "optimizing hormones through personalized risk assessments specifically tailored to brain, bone, and heart disease." Dr. Krista Ramonas, M.D., FAAO, is the prescriber. She is an ophthalmologist by original training, with a fellowship in ocular oncology from UCSF completed in 2005, and she has been in clinical practice in San Francisco for more than 20 years. She founded LabXMD in 2021 to focus on this niche.

Beyond hormone work, the practice offers tailored healthy aging plans for the body and skin, along with what it calls regenerative aesthetics, which it frames as distinct from fillers. Care is delivered both in person and by telehealth, though the website says this medical care is "delivered only by a Board certified Longevity medical doctor," meaning Dr. Ramonas herself rather than a broader clinical team. The practice also mentions nutrition and meditation coaches as part of its support structure. It describes itself as intentionally limiting how many patients it takes on.

What does it cost?

LabXMD does not publish prices anywhere on its site. It describes its membership as a "telemedicine annual membership tailored to your needs" and directs anyone interested to email the practice directly for details. There is no listed consultation fee, no stated cost for labs or follow-up visits, and no mention of whether insurance is accepted or billed in any way. If you are trying to compare this against other practices, you will need to ask for a full number before you commit, not just the membership fee.

What should you ask before you book?

Ask what the annual membership actually includes: visits, labs, medications, coaching sessions, and whether anything is billed separately once you are enrolled. Ask whether any hormone therapy or other medication would come from a compounding pharmacy or as brand-name product, and what that would cost on top of membership. Since Dr. Ramonas is named as the sole prescriber providing care, ask whether she personally sees every patient or whether other staff handle parts of the visit. Also ask about cancellation terms for the annual membership, since nothing on the site describes how or when you could end it, and ask whether a missed appointment carries a fee, since general terms on the site mention a 48 hour cancellation window for appointments.

Who is it a good fit for?

This is a good fit if you are a woman looking for a small, physician led practice centered on hormone and longevity care rather than general primary care or weight loss, and you are comfortable requesting full pricing and membership terms directly before signing on. It is less of a fit if you want costs published upfront or need a larger clinical team beyond a single prescribing physician.

Sources: labxmd.com, labxmd.com/about

Services Offered

Location