Services & Pricing
Flexible plans
to suite your specific needs.
Our complete range of services:
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Perimenopause and menopause full hormonal evaluation and treatment
Insulin resistance and weight gain during perimenopause/menopause
Cardiovascular risk assessment during perimenopause/menopause
PCOS (Polycystic Ovarian Syndrome)
Osteoporosis
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Addison’s disease (adrenal insufficiency)
Cushing’s syndrome
Adrenal nodules
Pheochromocytoma
Hyperaldosteronism
Congenital Adrenal Hyperplasia
Evaluating a person for possible adrenal disease, or managing known adrenal disease is quite complex and time consuming. The tiny adrenal glands that sit on top of our kidneys like little “hats” are some of the most vital glands in the body. They secrete cortisol (our main “stress hormone”), aldosterone (maintains normal blood pressure), and epinephrine (often referred to as “adrenaline”) among other things. When there is too much or too little of any adrenal hormones, we can become pretty ill. Evaluation often includes extensive blood or urine testing, and imaging studies like CT and MRI.
The advantage of working with our practice if you have adrenal disease, is that we have the time it takes to collect all your history and records, explain everything thoroughly, and create a plan that you can feel confident about.
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Osteoporosis and Low Bone Mass (Osteopenia)
Hypercalcemia
Hyperparathyroidism
Vitamin D deficiency
What is osteoporosis?
Osteoporosis is a common chronic disease that causes weak, brittle bones and increases your risk of fractures. Common places for osteoporosis-related fractures are your spine, wrists, and hips. To measure your bone density and diagnose osteopenia or osteoporosis, a DEXA or “bone density exam” is performed- which is like having an xray of your spine, hips and wrist. Dr. Costello has many years of experience interpreting bone density exams, conducts very thorough evaluations, and is up to date on all the latest treatments available. She will also counsel you on lifestyle measures including exercise and nutrition, as they relate to bone health.
How are calcium, parathyroid hormone and vitamin D related to bone health?
Our tiny parathyroid glands (located in the neck) control the level of calcium in our blood. Sometimes they can become overactive and cause an elevated calcium, which can cause kidney stones, bone thinning and issues with muscle function. Vitamin D also plays a role in our calcium level, and is extremely important for bone health and optimal function of many other tissues in the body. Vitamin D deficiency is extremely common, and is best treated under the care of a physician with experience in nutrition and gut health. It is important to be guided toward the right formulation of vitamin D, and to ensure your body is absorbing nutrients properly.
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Type 1
Type 2
Gestational
Prediabetes
Insulin pump management
Continuous glucose monitoring
How does our practice stand out when it comes to taking care of our patients with diabetes?
Aside from many years of experience diagnosing and managing all forms of diabetes, Dr. Costello has a unique approach that many of her patients find truly reassuring and refreshing. Diabetes affects all organ systems, and more health care resources are spent on diabetes than any other condition. Prevention, early diagnosis, and aggressive treatment are key factors in managing this disease effectively.
In today’s world of medicine, large practice size and time constraints have had an increasingly negative impact on the quality of care being delivered. Our patients benefit from the extra time and attention that a small practice can provide. Dr. Costello will meet with her patients as long and often as is necessary to ensure all concerns are addressed- from optimizing blood sugars, blood pressure, and cholesterol, to discussing lifestyle and diet. She also works closely with her team to get the best medication pricing possible for her patients.
“Diabetes is often time consuming and expensive. I do everything I can to reduce the burden of diabetes for my patients.”
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Obesity
Overweight
Post bariatric surgery care
Medical weight loss/GLP-1 Therapy
Gut health/Microbiome
Metabolic liver disease
Polycystic Ovarian Disease
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General Nutrition Education
Functional Nutrition/Microbiome Health
Anti-Inflammatory and Clean Eating
The Mediterranean Diet
Weight Loss/Maintenance
Intermittent Fasting
Carb Cycling
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Prolactinoma
Hyperprolactinemia
Hypopituitarism
Cushing’s Disease
The pituitary gland is located just beneath the brain, and uses hormones to control your endocrine glands. It is often called “The Master Gland”. If a person has certain symptoms, we can conduct blood and urine testing, as well as imaging such as CT or MRI to evaluate for an abnormality in the pituitary.
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Hypothyroidism
Hyperthyroidism
Thyroid nodules
Thyroid cancer
Thyroid disease during pregnancy
Direct Care Pricing (Non Insurance)
Endocrine Care
New Patient Consult $350*
Monthly Endocrine Membership $89
Fee for Service Appointment $250
*Includes a $150 non-refundable booking fee.
Weight Management
Program Fees
Monthly Membership $125
Nutrition Visits $25/$50
Nutrition visits are held with our Director of Nutrition. Includes office visits, telehealth visits and phone calls with Dr. Costello.
RMR Metabolic Testing
$75 (optional)
Commercial Insurances Accepted:
Aetna
Blue Cross Blue Shield
Harvard Pilgrim
Mass General Brigham
Tufts
*Please note we do not take any plans combined with Medicare or Medicaid