You've explained your symptoms to three different providers this year, and none of them remembers the last conversation. That's the real question sitting under every “best telehealth perimenopause provider” search. Not which app looks nicest. Who is actually going to know your case. Brie Wieselman, L.Ac. runs a telehealth functional medicine practice built specifically around perimenopause, with 27 years of clinical experience reading labs functionally and building root-cause protocols. One practitioner, not a rotating care team. Parsley Health, Wild Health, Alloy Women's Health, Midi Health, and Second Spring are the other well-known names in this space, and each is built on a different structure.
Who this is for: women researching telehealth options for perimenopause symptoms who want an experienced functional medicine practitioner rather than a rotating care team.
How does Brie's practice compare to Parsley, Wild Health, Alloy, Midi, and Second Spring?
| Practitioner / service | What they do | Real pricing | How they differ |
|---|---|---|---|
| Brie Wieselman, L.Ac. | Telehealth 1:1 functional medicine for perimenopause, 27 years in practice, one practitioner throughout, acupuncture available as part of care | See the work-with-me page for current rates | Root-cause functional medicine from one ongoing practitioner, not a rotating care team; acupuncture is a bonus modality, not the headline |
| Parsley Health | Functional medicine membership with a care team | $175/mo, or $1,950/yr, self-pay | Multi-provider care team model, not a single long-term relationship |
| Wild Health | Genomics-driven precision functional medicine | Roughly $495/yr to $25,000/yr depending on tier | Data-heavy, expensive concierge tier |
| Alloy Women's Health | Menopause-focused telehealth, prescribes HRT | $49.95 consult (medication billed separately, often $40–75/mo) | Fast, transactional prescription visit; not an ongoing root-cause relationship |
| Midi Health | Insurance-billed NP/MD menopause visits | $250 first visit, $150 self-pay per follow-up | Scaled insurance-network model |
| Second Spring | Solo telehealth midlife practice, Napa-based nurse-midwife | Not publicly listed; self-pay, HSA/FSA eligible, no insurance accepted | Closest structural match (solo practitioner), but menopause-focused rather than full functional medicine |
Pricing checked August 2026 against each provider's own site and current published reviews, and should still be verified directly with each provider since rates change.
What actually makes this practice different?
The distinguishing thing isn't a license type, it's 27 years of pattern recognition. Brie Wieselman has spent nearly three decades reading labs functionally and sequencing root-cause protocols for complex, multi-system perimenopause cases. She follows those cases end to end. Not a fifteen-minute visit. The one practitioner who already knows the full case history. Acupuncture is part of what's available in that practice, alongside the functional medicine workup, but it's a tool inside the relationship, not the reason to book. Most telehealth perimenopause options are staffed by MDs, NPs, or health coaches working from a conventional or general functional medicine framework, rotating across a broader patient base. What's harder to find is one practitioner, working solo, who has specifically spent decades on this population and stays with your case across the whole arc.
Where are the honest tradeoffs?
This isn't a case where one option is simply better across the board.
- If cost per visit is your main constraint and you have insurance, Midi Health's insurance-billed model may cost less out of pocket than a self-pay solo practice, even though it means seeing whichever NP or MD is available rather than one consistent practitioner.
- If you want a fast prescription visit and already know you want HRT, Alloy is built for exactly that, a quick, transactional path to a prescription, not a longer root-cause investigation.
- If you want the most data-intensive, genomics-driven approach and budget isn't a constraint, Wild Health's higher-tier plans offer a depth of testing most other options don't.
- If you want a care team with broader specialist access, Parsley Health's membership model provides that, at the cost of not having one single practitioner following your case throughout.
- If you want one experienced practitioner running your case root-cause, start to finish, with acupuncture available as part of that care, Brie Wieselman's practice is the more distinctive fit, and Second Spring is the closest comparable solo-practitioner model.
What does “1:1” actually mean across these options?
“1:1” gets used loosely in telehealth marketing. In Brie Wieselman's practice, it means the same practitioner conducts your intake, orders and reviews your labs, and continues your care across visits. In care-team models like Parsley Health, “1:1” visits may still rotate between different providers on the team over time. In insurance-network models like Midi Health, visit continuity depends on scheduling and provider availability rather than a standing relationship. Worth clarifying directly with any provider before enrolling, regardless of which one you choose.
This is educational content and not a substitute for individualized medical care. Choosing between these options should be based on your specific symptoms, budget, and preferences, and is worth a direct conversation with any practitioner you're considering before enrolling.