IOU Health Exchange LLC
Verified listingAbout IOU Health Exchange LLC
What is IOU Health Exchange?
IOU Health Exchange LLC is a weight loss and wellness clinic at 3750 US 27 North, Suite #10, in Sebring, FL 33870. Visits can be in person or by telemedicine from home. Its main work is medical weight loss, using weekly injectable GLP-1 and GIP medicines such as Semaglutide and Tirzepatide, or oral medicines such as Phentermine and Contrave. Its other services are HRT / TRT, Direct Primary Care, functional medicine, and coaching and support. To begin, you complete an online health questionnaire and book an initial consultation, which the clinic describes as virtual. The phone number is 863-306-0440.
The only clinician named is Sierra Melissa Pautke, MSN, APRN, AGNP-C, a nurse practitioner. The clinic describes a team of clinicians but does not name the others. It has a 5 rating on Google from 158 reviews.
What does it cost?
It does not publish prices. There is no consultation fee listed, and the clinic does not say whether medication is included in any monthly charge. It treats weight loss care and medication as cash pay only, a self-pay cost paid monthly as a subscription, and it gives no cancellation terms. Care Credit Financing appears in its header and a Financing page is linked, so financing may be an option, but ask what it would cover.
What should you ask before you book?
Ask who writes the prescription, and whether that would be Sierra Melissa Pautke. Ask whether the monthly subscription includes the medication, and what follow-up visits and lab work cost on top of it. Ask whether the initial consultation is charged, and whether a telemedicine visit costs the same as an in-office one. Ask whether Phentermine or Contrave falls under the same monthly fee as the injectable.
Ask whether the injectable is brand-name or compounded. The Semaglutide and Tirzepatide pages carry a disclaimer. In its own words: "Compounded products have not been approved by the FDA." Ask what that means for the product you would receive. Finally, ask how to cancel the subscription, and whether you pay for the rest of the month if you do.
Who is it a good fit for?
This is a good fit if you are ready to pay out of pocket each month, you are comfortable with a nurse practitioner as your prescriber, and you want the price, the cancellation terms, and the source of the medication in writing before you book. It is a weaker fit if you need published prices before you make a call.
Sources: iouhealthexchange.com, iouhealthexchange.com/medical-weight-loss, iouhealthexchange.com/hrt, iouhealthexchange.com/about-us, iouhealthexchange.com/faqs
Services Offered
What we confirmed
Read off IOU Health Exchange LLC’s own website on 2026-10-11. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “We offer weekly injectable GLP-1 and GIP such as Semaglutide and Tirzepatide to help jumpstart your weight loss journey and support your long-term success.” source
- ✓Hormone therapy — listed on their site as “HORMONE/TESTOSTERONE REPLACEMENT THERAPY.” source