Your results came back normal. You still don’t feel like yourself.
Specialty thyroid, metabolic, and hormone care through secure video visits — for adults across New York State. One nurse practitioner, a thorough evaluation, and a plan built around how you actually function.
Twenty minutes, at no cost. No diagnosis is made and no medication is prescribed on this call.
Thyroid, Metabolic & Hormone Care for Adults Across New York State
You may be in the right place if...
- Your thyroid or metabolic results have been described as normal, and your symptoms have continued anyway.
- You have been managing fatigue, weight changes, or difficulty concentrating without a clear explanation.
- You are losing strength or daily function and want that taken seriously.
- Your care has been divided across short appointments with different clinicians.
- You want a thorough evaluation rather than another quick fix.
Three ways to begin
All care is provided through secure video visits to patients physically located in New York State at the time of the visit.
Introductory Call
Complimentary · 20 minutes
A short conversation to determine whether Raven is the right fit and to explain how care works. Not a medical consultation.
Comprehensive Initial Evaluation
$495 · 90 minutes
A full review of your history, symptoms, medications, and previous laboratory work, followed by a written plan.
Ongoing Clinical Management
$149 per month
Continued monitoring and adjustment of thyroid and metabolic care, including GLP-1 therapy when clinically appropriate.
What care here looks like
A more complete picture
Your history, symptoms, medications, and previous laboratory work are reviewed together and in context — before anything is recommended.
A plan built around function
Strength, energy, nutrition, and daily capacity are treated as outcomes that matter, not as details to sort out later.
One clinician, over time
The same nurse practitioner reviews your results, adjusts your plan, and answers your questions at every visit.
A clear starting point
Every patient follows the same opening sequence. What happens after it is individual.
Introductory call
Twenty minutes to discuss what you are experiencing, explain how the practice works, and decide together whether it makes sense to continue.
Comprehensive assessment
Before your first appointment you complete a detailed written assessment covering symptoms, history, medications, nutrition, movement, and goals. It is reviewed in advance, so the visit begins with substance rather than paperwork.
Initial evaluation
A ninety-minute video visit to work through your history and previous laboratory results together, identify what is worth pursuing, and agree on priorities.
Your plan, then ongoing care
You receive a written plan with clear priorities and next steps. Follow-up frequency is determined by your clinical needs and applicable standards of care — typically more frequent early in treatment, less frequent as things stabilize.
Function before weight
Weight is one measurement among many. Strength, energy, sleep, and what you can do in a day are the outcomes that shape daily life, and they are tracked accordingly.
Medication is one tool
GLP-1 medications are prescribed when clinically appropriate. They are part of a broader plan, never the whole of it, and never a substitute for assessment.
Assessment before treatment
A thorough review comes first. Treating before understanding tends to produce short-lived results and unanswered questions.
Accountability without shame
Honest conversations about what is and is not working, held without judgment. Shame is not a clinical tool.
Bernadette Spencer, RN, MSN, FNP-C, FMACP
Board-certified family nurse practitioner, licensed in New York State.
I have practiced in corrections medicine, skilled nursing, and hospital settings — environments where patients arrive with long histories, several conditions at once, and a record that nobody has read end to end. That work shaped how I practice now: read everything first, ask about function, and say plainly what is known and what is not.
Raven exists to give thyroid and metabolic concerns the time they need. One clinician, a full evaluation, and continuity long enough to see whether a plan is actually working.
Is this the right fit?
Raven may be a good fit if
- You are an adult located in New York State at the time of your visits.
- You have thyroid or metabolic concerns that have not been fully addressed.
- You want a thorough evaluation and are willing to complete a detailed assessment.
- You are looking for continuity with one clinician over time.
- You want to understand your own results, not just be handed a prescription.
Raven is not the right fit if
- You need primary care. Raven is a specialty practice and does not replace your primary clinician.
- You need urgent or emergency care.
- You will be physically located outside New York State at the time of your visits.
- You are seeking medication without evaluation or follow-up.
- You are looking for a rapid weight-loss program rather than ongoing clinical care.
Start with a conversation
Twenty minutes, at no cost, to find out whether this is the right place for what you are dealing with. No diagnosis is made and no medication is prescribed during this call.