Become a Patient

The first step is for you to call the office and make an appointment to see Dr. Nagel for an "Initial Visit".

Please contact our office by phone at 530-566-9700, or email our receptionist at, and she will be happy to contact you to schedule your appointment.

After an on-phone screening and scheduling your appointment, you will be sent a packet of information, forms, and a lab requisition.  (You'll need to get your labs taken on a specific day and time so we have them in time for your initial appointment.)


Your initial appointment with us will be about 1½ hours, and follow up appointments are about 30 minutes. 

At your initial visit, Dr. Nagel will conduct a new patient assessment and review your labs.  If indicated, he will prescribe a hormone replacement therapy regimen that works for you.

You will then see the in-office treatment coordinator for about an hour who will go over dietary and lifestyle recommendations and hormone therapy instructions by Dr. Nagel.

Follow up visits are typically every 4 months for the first year, then every 4-6 months thereafter depending on your particular hormone balancing needs.



Initial Appointment: $475

Follow Up Appointments: $195

(We are a non-insurance practice)


Per California state law, your initial appointment must be conducted in person.  All follow-up appointments may be conducted via phone, Zoom, Skype, (or in person).


Quality of Life Medicine has many out of state patients. We realize that it is difficult for some people to get to our office to see the physician personally.

If you're traveling from out of town/state/country to see us, you will fly into Sacramento International Airport, rent a car, and drive about an hour and fifteen minutes North to Chico.  (Bring a friend and visit the wine country while you're here.)


Blood serum labs are required to help you get and keep your hormones balanced.  We encourage you to use Quest Diagnostics or every time you get your labs done.  You'll need to get an initial lab panel and follow up labs every few months to maintain your hormone prescriptions.  

If you already have some of the labs we require taken within 6 months, you'll only need to get the ones you don't have.

Average Cost Paid to Lab: $60-$340 


We use advanced bioidentical hormone replacement therapy protocols designed to get hormones balanced and keep them balanced.  There are a couple different protocols we use.  Dr. Nagel will start you off on a protocol he believes may work best for you, and may need to change your if indicated as the goal is to get your hormones balanced.

Average Cost Paid to Pharmacy: $130-$180 per month

Hormone Balancing Course for Women

Some women need a program to learn how to balance their hormones and keep them balanced in addition to getting hormone replacement therapy. The Hormone Sweet Spot Course was clinically developed to help women learn what it takes to get hormones balanced the right way.  This course is strongly encouraged for optimal female hormone balancing.