Services
Women with the same diagnosis may need different care plans. One size does not fit all. The Inheren service programs offered are individualized based on your physiology and life style and includes longitudinal follow-up after the initial consultation. All services are video telehealth based.
Inheren Preeclampsia Path
You had preeclampsia. Or gestational hypertension, or another placental-vascular complication. Or you are pregnant now and your doctor told you that your pregnancy is high-risk. The standard pathway will offer you low-dose aspirin if you fit the ACOG history criteria, and not much else. After delivery, the cardiovascular follow-up infrastructure is missing — your obstetric care ends at six weeks and your primary care will not begin focused cardiovascular surveillance for decades.
The Inheren service is built on the concept that preeclampsia is not inevitable and studies show that the risk of developing this disease can be reduced significantly. This requires incorporation of all the scientific evidence base. In addition preeclampsia is one of the strongest signals of lifetime cardiovascular risk a woman ever receives.
The Inheren Preeclampsia Path is led by a Maternal-Fetal Medicine physician with over twenty-five years of clinical practice. The work begins with first-trimester combined screening using the validated Fetal Medicine Foundation algorithm — more precise than the ACOG history-only criteria. From there, the full prevention toolkit is utilized and individualized based on your data: aspirin with pharmacogenetic screening for the patients who need a different dose or alternative; calcium assessment and supplementation where deficient; metformin consideration in PCOS, prior GDM, obesity, or insulin resistance; vitamin D, omega-3, magnesium dosed to your baseline; Mediterranean anti-inflammatory dietary pattern; sleep and sleep-disordered-breathing review; stress-reduction protocols; aerobic exercise; and early blood pressure treatment when indicated, not waiting for severe-features thresholds.
The path adapts based on where you are. Currently pregnant at elevated risk: full prevention protocol. Prior preeclamptic pregnancy planning a future one: preconception optimization. Postpartum after a hypertensive pregnancy: structured cardiovascular follow-up across the first postpartum year and beyond, because preeclampsia is a window into lifetime cardiovascular risk that the standard pathway closes at six weeks.
What the consultation service provides:
Initial MFM video consultation and risk assessment
First-trimester FMF combined screening interpretation, where applicable
Personalized prevention or postpartum cardiovascular management plan
Individualized laboratory workup design and interpretation
Pharmacogenetic interpretation across the medication regimen
Structured review of home blood pressure data
Longitudinal follow-up across pregnancy, the first postpartum year, and beyond
Mediterranean and DASH-based nutrition guidance.
Sleep, stress, and exercise prescription dosed to evidence-supported intensity
Coordination with your obstetric provider, primary care, and cardiology
What is billed separately: laboratory fees, imaging fees, and pharmacogenetic testing (when ordered). Each is paid directly to the laboratory or imaging facility — typically HSA/FSA eligible.
The design of an individualized prevention or follow-up plan, the interpretation of FMF screening data, and the pharmacogenetic-informed medication strategy are the substantive components of this service, distinct from the fees above.
This service is a fit for: women currently pregnant at elevated preeclampsia risk; women with a prior preeclamptic pregnancy planning a future one; women in the first postpartum year after a preeclamptic, gestational hypertensive, or chronically hypertensive pregnancy.
This service does not provide acute or emergency management of severe hypertensive disease in pregnancy. If you are pregnant and experiencing severe hypertension, this requires acute in office or inpatient management and your obstetrician needs to be notified directly. This is an emergency with high risk of severe complications.
Schedule a free 20-minute Discovery Call to discuss how this service can help you.Inheren Gestational Diabetes Care
You had gestational diabetes. Or you have it now and you were handed a meter and a one-page diet sheet. The standard pathway ends roughly there. Almost half of women in your situation will develop type 2 diabetes within ten years. Most will never receive a postpartum glucose test, let alone structured follow-up.
The Inheren service is built on the understanding that your pregnancy is one of the most informative metabolic event of your life — and the window after it is the most important window for your long-term metabolic and cardiovascular health foreshadowing what medical complications you may develop.
Inheren Gestational Diabetes Care is led by a Maternal-Fetal Medicine physician with over twenty-five years of clinical practice using an integrative toolkit standard care pathway often leave out. Continuous glucose monitoring is central — your data, your values, not population averages, drive the diet, the exercise regimen, and the medication decisions. Vitamin D and magnesium are tested and repleted where deficient. Inositol is considered in the relevant subgroups. Sleep architecture and stress, both of which directly affect glucose control, are part of the work. Where metformin enters the picture, pharmacogenetic interpretation informs dosing.
The program runs across the rest of pregnancy and continues through structured postpartum follow-up at six weeks, three months, six months, twelve months, and beyond.
What the consultation service provides: Initial MFM video consultation and assessment Personalized glycemic management plan CGM-centered monitoring with macronutrient and exercise prescription dosed to your data Individualized laboratory workup design and interpretation Pharmacogenetic interpretation where pharmacotherapy is involved Monthly follow-up across pregnancy and structured postpartum follow-up Mediterranean and DASH-based nutrition guidance Coordination with your obstetric provider.
What is billed separately: laboratory fees, CGM device and supplies, pharmacogenetic testing (when ordered), and any prescribed medications. Each is paid directly to the laboratory, device manufacturer, pharmacy, or testing laboratory — typically HSA/FSA eligible.
The design of an individualized metabolic plan, the interpretation of CGM data, and the construction of your personalized management strategy are the substantive components of this service, distinct from the fees above.
For whom: women with a current diagnosis of gestational diabetes, women with a prior GDM pregnancy planning to optimize before the next one, and women in the first postpartum year after a GDM pregnancy.
Schedule a free 20-minute Discovery Call to discuss whether this service is a fit.
Inheren Recovery Support
Recovery is not an endpoint. It is a journey of a resilient full life based on you have accomplished— and the work you have already done to reach stability is the work that makes everything that follows possible. What comes next is harder to find than the recovery itself: a longitudinal home that supports sustained stability while doing the long-term health work you now want and deserve. You should not have to choose between continuing in an opioid treatment program, returning to specialty addiction care, attempting to manage through unprepared primary care, or self-managing alone.
The standard care options are lacking in some significant ways. Direct-to-consumer addiction telehealth manages medications— often missing is individualized integration of recovery support. In-person addiction medicine and opioid treatment programs rely on frequent visits and focus on medication dispensing. Very little attention is paid to nutritional repletion, sleep architecture, pharmacogenetic-informed prescribing, or the longevity and metabolic health work that patients are now ready to engage. Deep concierge addiction medicine offers in-person treatment but is not cost effective and has limited geographic availability. Inheren recovery support offers integrated, individualized, longitudinal, online-first care that combines Maternal-Fetal Medicine clinical depth with integrative breadth and future-health connection that is otherwise difficult to find.
Inheren Recovery Support brings twenty-five years of high-risk clinical practice and fourteen years of BRIGHT integrated buprenorphine-based addiction medicine experience to women who have reached recovery stability and now want a longitudinal home for the work that follows.
The intake is a 75-minute video visit. From that foundation we build a personalized monitoring and management plan anchored by four central design features.
First, comprehensive pharmacogenetic interpretation. The full panel — drug-metabolism enzymes, neuropsychiatric receptors and transporters, drug-safety markers, and longevity-relevant variants — informs medication selection across the regimen, from SSRI and SNRI choices to naltrexone consideration to adjunctive medications.
Second, continuous wearables monitoring. Sleep architecture, heart rate variability, resting heart rate, activity, and skin temperature data are interpreted as an early-warning system. Pattern shifts function as a signal for stability deterioration before the patient herself may be fully aware.
Third, substance monitoring framed as health monitoring. Initial drug screening establishes the foundation and regular observed urine drug screens maintain accountability and are integrated into for-cause testing on wearables signals or self-report. They are used the same way diabetes care utilizes regular hemoglobin A1c determination. Monitoring is a tool for the patient, not a discharge trigger.
Fourth, targeted nutritional repletion. Vitamin D, B12, ferritin, magnesium, and omega-3 are measured at intake and dosed to repletion targets where deficient.
A quarterback handoff network keeps care integrated rather than fragmented. Medication for opioid use disorder prescribing, where indicated, is coordinated with appropriate licensed prescribing partners. Psychosocial recovery support and social-determinants activation are coordinated with Margaret McCraw, MBA, LCSW-C, BCC — founder and CEO of Behavioral Health Leadership Dynamics (BHLD). BHLD operates a Maryland-licensed Psychiatric Rehabilitation Program and brings twenty-five years of executive consulting depth in behavioral health systems, including engagements with the Maryland Department of Health & Mental Hygiene, Sheppard Pratt Health System, and the Centers for Medicare & Medicaid Services. Primary care and psychiatry stay with your established providers. The role of this service is to integrate, not to replace.
A longevity and wellness aware strategy runs in parallel. Exercise prescription, sleep architecture, nutrition, stress, and metabolic health are the long-term health work for patients in recovery ready to invest into their future health. The same physiologic work that supports stability today protects against the chronic diseases that would otherwise come.
What the consultation service provides:
Comprehensive 75-minute initial video consultation and assessment
A personalized longitudinal monitoring and management plan
Individualized laboratory workup design, including toxicology testing at intake and regular follow up intervals.
Comprehensive pharmacogenetic panel interpretation across the medication regimen.
Continuous wearables data review and pattern-based early-warning interpretation.
Nutritional repletion plan based on actual laboratory values.
Longitudinal individualized follow-up.
Coordination with prescribing partners, psychosocial recovery support partners (Behavioral Health Leadership Development), and your established primary care and psychiatry providers.
Longevity-overlay programming integrated with recovery support
What is billed separately from the consultation service:
Laboratory and drug toxicology fees: the charges for the blood draws, hair test, urine drug screens, and confirmatory testing performed by the laboratory. Paid by you directly to the laboratory of your choice. Typically HSA/FSA eligible; your insurance may apply at the laboratory's discretion.
Pharmacogenetic testing: the laboratory fee for the comprehensive PGx panel. Paid directly to the testing laboratory.
Wearables device: the cost of the wearable device itself and any subscription fees. Paid through your device of choice (Oura, Garmin, Apple Watch, WHOOP, or comparable).
Medication: where prescribed by partner providers, medication cost is paid to the pharmacy. Generic formulations are widely available at low cash price; pharmacy discount programs are an option.
The design of an individualized clinical, laboratory, pharmacogenetic, and longevity plan, the interpretation of wearables and laboratory data, and the construction of the quarterback handoff network are the substantive components of this service, distinct from the laboratory, device, pharmacy, and partner-provider fees above.
Who may benefit from the Inheren Recovery Support: women who have reached recovery stability and want longitudinal integrated care that combines recovery support with the long-term health and longevity work that a life in recovery calls for.
This service does not provide acute detoxification or initial induction onto medication for opioid use disorder. Patients in active need of induction are referred to appropriate prescribing partners. Consultation will include information about cutting edge treatments available and Inheren can help guide you towards appropriate treatment options.
Schedule a free 20-minute Discovery Call to discuss whether this service is a fit and what your engagement would look like.
Post Partum Depression and Trauma
Perinatal mental health is among the most under-addressed dimensions of obstetric care. Depression and anxiety during pregnancy, postpartum depression, birth trauma, NICU-related stress, and the longer postpartum adjustment period are common and often unrecognized. Standard obstetric care typically ends at six weeks. Standard mental health care rarely begins. The gap between them often spans the year when biologic and psychosocial vulnerability is highest.
This service exists to occupy that gap. It is a structured longitudinal program for women navigating perinatal mood disorders, anxiety, birth trauma, and postpartum recovery. The work sits within MFM scope, with warm coordination to specialty perinatal psychiatry when clinical complexity requires it.
The work begins with a thorough video consultation: a careful review of your symptoms, your pregnancy and delivery experience, your prior mental health history, your medication history, your social and family context, and the biologic factors that may be contributing. From that foundation we build a personalized assessment and management plan.
What the consultation service provides:
Initial MFM video consultation and clinical assessment
Structured screening for perinatal mood disorders, anxiety, and trauma
A personalized monitoring and management plan
Individualized laboratory workup design: thyroid, B12, folate, vitamin D, ferritin, and additional testing selected for your clinical picture
Laboratory orders sent directly to the facility of your choice
Clinical interpretation of all results
Medication management within MFM scope when clinically appropriate
Warm referral and coordination with specialty perinatal psychiatry when indicated
Longitudinal follow-up across pregnancy and the first postpartum year
Nutritional and behavioral guidance
What is billed separately from the consultation service:
Laboratory fees: the charges for the blood draws and tests performed by the laboratory. Paid by you directly to the laboratory of your choice (Quest, LabCorp, or your hospital laboratory). Typically HSA/FSA eligible; your insurance may apply at the laboratory's discretion.
Medication: any prescriptions are sent electronically to the pharmacy of your choice. Medication cost is paid to the pharmacy and varies by formulation, pharmacy, and your coverage.
The design of an individualized clinical, laboratory, and pharmacologic plan is itself a substantive component of this service, distinct from the laboratory and pharmacy fees above.
For whom: women experiencing depression or anxiety during pregnancy or postpartum; women with a history of perinatal mood disorder seeking optimization before or during a future pregnancy; women recovering from birth trauma, NICU stress, or perinatal loss. A centering-format group option is in development.
Self-pay. Schedule a Consultation to begin.