Hygenerate
Verified listingPricing
Initial consultation
$225
Copied from the clinic's own published pricing on their site, checked 2026-10-13. Prices change — confirm with the clinic before you book.
About Hygenerate
What is Hygenerate?
Hygenerate is a hormone and metabolic care practice at 112 Wall St. in Oxford, North Carolina, run by nurse practitioners. Julianne M. Tondreau, DNP, FNP-BC, is its founder and clinical director, with over a decade of clinical experience. Alexandria Ross, FNP-C, is also listed as a prescriber.
Most of the work is hormone care: testosterone therapy for men, and perimenopause, menopause and thyroid support for women. The practice also offers metabolic and weight management, which it says may include GLP-1 based medications within a wider plan. It lists immune and inflammatory care and stress and HPA axis care as well. Patients are seen in person in Oxford and by telehealth in several states where it is permitted. Henderson, Roxboro, Wake Forest, Durham and the greater Raleigh area are also named as places it serves. It has a 4.8 rating on Google from 97 reviews.
This listing is for its Oxford office at 112 Wall St..
What does it cost?
Hygenerate lists a $225 fee per visit and a $225 consultation fee. It does not say whether medication is included in the visit fee. New patients book online, and a deposit holds the appointment. In its own words: "A non-refundable booking deposit secures your appointment and is applied toward your visit fee." It does not list the deposit amount. Late cancellations and missed appointments may result in losing the deposit.
Some services, including hormone replacement therapy and certain metabolic visits, may be covered by insurance when the clinic is in-network and medical criteria are met. It does not publish prices for weight loss medication or hormone therapy, and it does not list self-pay fees for functional medicine visits.
What should you ask before you book?
Ask which clinician will sign your prescription, since both Julianne M. Tondreau and Alexandria Ross are listed as prescribers. Ask whether the $225 visit fee includes medication, and whether any medication is brand name or compounded. Ask which GLP-1 medication would be used, since none is named, and what it costs each month. Ask what lab work costs, whether it is billed separately, and how often follow-up is required.
Ask which states the telehealth service covers, because the states are not named. Ask for the deposit amount and the cancellation terms in writing. In its own words: "We do not schedule new patient appointments by phone or email." If you plan to use insurance, confirm that the clinic is in-network with your plan before you book.
Who is it a good fit for?
This is a good fit if you want hormone or metabolic care from nurse practitioners who follow you over time, and you live near Oxford or one of the towns it names, or can be seen by telehealth in your state. It is a poor fit if you need a published medication price before you book, since none is listed.
Sources: hygeneratellc.com, hygeneratellc.com/post/hormone-optimization-oxford-nc, hygeneratellc.com/metabolic-weight-management, hygeneratellc.com/men-s-optimization-1/testosterone-therapy, hygeneratellc.com/contact, hygeneratellc.com/our-clinical-staff, hygeneratellc.com/fees-insurance
Services Offered
What we confirmed
Read off Hygenerate’s own website on 2026-10-13. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “Precision evaluation for weight resistance, energy instability, and long-term metabolic health — including structured medical weight loss when appropriate.” source
- ✓Hormone therapy — listed on their site as “DNP-led testosterone therapy available via telehealth, grounded in comprehensive laboratory evaluation, hormonal regulation, and long-term physiologic stability.” source
- ✓Longevity / anti-aging — listed on their site as “Advanced Functional & Longevity” source