Island Balance Clinic
Verified listingAbout Island Balance Clinic
What is Island Balance Clinic?
Island Balance Clinic is a cash-pay practice that offers four services: hormone replacement therapy (HRT), testosterone replacement therapy (TRT), NAD+ therapy and weight management. Hormone care is the center of the practice, and weight management is one of the four services. The clinic names Hilo as its main location and also lists offices in Waimea and Honolulu.
The clinic names one prescriber, Mie Fowler, APRN, MSN. Her profile cites over 17 years of clinical experience and calls her the founder of the clinic. The weight management program pairs habit-building with medication when needed, and the clinic names GLP-1 medications among its options. Its Google listing shows a rating of 5 from 2 reviews, so there is little public feedback to read yet.
This listing is for its Hilo office at 101 Aupuni St Ste. 301-302.
What does it cost?
The clinic does not publish a price for weight management, HRT or TRT, and it does not state a consultation fee. One listing line gives a range of $140 to $999 per month, but nothing says what that range covers. Its weight management program is listed as including an initial consultation, follow-up visits, nutritional counseling and ongoing support, without a price for any of them.
It accepts cash, check and major credit cards, and it provides receipts that patients can submit for possible insurance reimbursement. Its FAQ mentions payment plans, with no terms given. In its own words: "Transparent pricing with no hidden fees." The fees themselves are not shown. It does not say whether a monthly fee includes medication, and it states no membership or cancellation terms.
What should you ask before you book?
Ask who writes the prescription, and whether Mie Fowler, APRN, MSN will be the one prescribing for you. Ask whether any monthly fee includes the medication, and if not, what the medication costs each month. For HRT and TRT, ask which hormones and medications are used, and whether they are brand-name or compounded, since the clinic names no hormone medication for either. Ask what the lab work and follow-up visits cost, because lab work comes before hormone therapy, but it is not priced. Ask how a monthly plan is cancelled and whether there is a fee to stop. Ask whether telehealth visits are available, since that is not mentioned. Finally, confirm which Hilo address and phone number belong to the office you will visit, because the clinic shows two addresses and two phone numbers for Hilo, and its hours are listed two different ways.
Who is it a good fit for?
This is a good fit if you already plan to pay cash, you can reach Hilo, Waimea or Honolulu, and you want written prices before you commit to anything. If you need a published price list or a telehealth visit, ask about both before booking, since neither appears in its materials.
Sources: islandbalanceclinic.com, islandbalanceclinic.com/therapy/weight-management
Services Offered
What we confirmed
Read off Island Balance Clinic’s own website on 2026-10-13. These are their words, not ours.
Hours
Mo,Tu,We,Th,Fr,Sa,Su 09:00-17:00