Physician-led functional, hormonal and metabolic care—wherever you are in Virginia.

Specialized care designed for women who want to look beyond symptoms and better understand the hormonal, metabolic and functional factors influencing their health.

Women throughout Virginia can work virtually with Dr. Kourtney Sims for specialized physician care focused on functional and integrative medicine, perimenopause and menopause, hormone replacement therapy, weight and metabolic health, and thyroid optimization.

Dr. Kourtney is a board-certified OB-GYN, obesity medicine physician, menopause specialist and functional medicine physician who brings these disciplines together to provide a whole-person approach to women's health.

Dr. Kourtney Sims provides virtual specialty care for women in select states with a focus on functional and integrative medicine, hormone replacement therapy, perimenopause and menopause, medical weight management, metabolic health and thyroid optimization.

Because virtual specialty care is not intended to replace your local primary care physician or gynecologist, patients outside of Houston, Texas where Dr. Kourtney is based should maintain an established local healthcare provider for routine preventive care, physical examinations, acute concerns and conditions that require in-person evaluation.

Serving Women Throughout Virginia

Northern Virginia (Arlington/Alexandria/Fairfax/McLean/Reston) • Richmond • Virginia Beach • Chesapeake • Norfolk • Williamsburg • Charlottesville • Roanoke • and communities throughout Virginia

Areas of Virtual Clinical Care

Functional & Integrative Medicine
A whole-person approach that explores how nutrition, metabolism, hormones, gut health, lifestyle and other physiologic systems may be contributing to your health concerns. Care may include advanced laboratory evaluation, nutrition and lifestyle recommendations, supplements or botanical approaches, and medical treatment when appropriate.

Perimenopause, Menopause & Hormone Replacement Therapy
Evaluation and management of symptoms related to the menopause transition, including individualized hormone replacement therapy when clinically appropriate, along with consideration of metabolic, nutritional, lifestyle and other factors that may influence how you feel.

Weight & Metabolic Health
Physician-led weight management that looks beyond the number on the scale, with attention to metabolic health, nutrition, body composition, hormonal influences, lifestyle and appropriate medical therapies.

Thyroid Optimization
Evaluation and management of thyroid health within the context of symptoms, laboratory findings, metabolic health, nutrition and overall wellness.

Conditions Dr. Kourtney Can Manage Through Virtual Specialty Care

Functional Medicine
Perimenopause and Menopause
Hormone replacement therapy
Weight and metabolic health
Thyroid optimization

Women's Health Concerns We May Support Integratively

PCOS
Endometriosis
Fibroids
Menstrual and hormonal concerns
Gut and microbiome concerns
Other complex women's health concerns

Functional and integrative support for these concerns is designed to complement—not replace—appropriate local gynecologic or primary care evaluation and treatment.

What Virtual Specialty Care Does Not Replace

Virtual specialty care with Dr. Kourtney is not a substitute for having a local primary care physician or gynecologist. Patients should maintain local care for preventive examinations, Pap testing, breast and pelvic examinations, acute gynecologic concerns, infections, pregnancy care, procedures, imaging and conditions requiring hands-on examination or ongoing general gynecologic management.

Ready to Work With Dr. Kourtney?

→ Apply for Care

When Your Health Has Been Last on the List

For many women, midlife arrives during one of the busiest seasons of life. You may be managing a demanding career, raising children, caring for aging parents, or simply carrying years of responsibility while your own health has gradually moved further down the list.

Then something changes. Your sleep isn't the same. Your weight or body composition begins to shift. Your energy becomes less predictable. Your periods change, brain fog appears, or you simply don't feel like yourself anymore. And being told that everything is "normal" doesn't necessarily help you understand what has changed.

My approach to caring for women in Virginia is designed to look at these concerns together rather than treating each one as an unrelated problem. Depending on what you're experiencing, we may explore perimenopause and menopause, hormone replacement therapy, thyroid health, weight and metabolic health, nutrition, stress, sleep and other functional factors that may be influencing how you feel.

The goal isn't to give you an impossibly complicated wellness routine or expect you to reorganize your entire life around your health. It's to identify what matters most, understand where meaningful opportunities for change exist, and develop a plan that can realistically fit into the life you're already living.

How Virtual Care Works for Virginia Patients

You don't have to travel to Texas to work with Dr. Kourtney. Eligible patients located in Virginia can receive specialty care through secure telemedicine visits from home.

Depending on the reason you're seeking care, your evaluation may include review of your medical history, symptoms, previous laboratory results and treatments, along with additional testing when appropriate. Your care plan may incorporate conventional medical treatment alongside nutrition, lifestyle, supplements, botanical approaches and other functional or integrative strategies when appropriate.

Because this is specialty virtual care, Virginia patients should maintain a local primary care physician and gynecologist for preventive care, physical examinations, acute concerns and conditions requiring in-person evaluation.

Frequently Asked Questions (F.A.Q.)

Can I see Dr. Kourtney if I live in Virginia?

Yes. Dr. Kourtney provides virtual specialty care to eligible patients located in Virginia, with a focus on functional and integrative medicine, hormone replacement, perimenopause and menopause, weight and metabolic health, and thyroid optimization.

Can I work with Dr. Kourtney even if I'm already exercising and eating well but still struggling with weight or body composition?

Yes. Weight and metabolic health are influenced by more than exercise alone. Dr. Kourtney's approach may consider nutrition, body composition, sleep, hormonal changes, thyroid function, metabolic health, medications, lifestyle and other factors that may be contributing to changes in weight or how you feel.

Do I need to travel to Texas for appointments?

No. Virginia patients can complete eligible visits through telemedicine while physically located in Virginia.

Can Dr. Kourtney be my regular gynecologist in Virginia?

Dr. Kourtney's Virginia practice is focused on specialty virtual care rather than comprehensive general gynecology. Virginia patients should maintain a local gynecologist for routine examinations, Pap testing, acute gynecologic concerns, procedures and other care requiring an in-person evaluation.

Can I work with Dr. Kourtney if I have fibroids, PCOS or endometriosis?

Potentially. Dr. Kourtney may provide functional and integrative support focused on hormonal, metabolic, nutritional, lifestyle and other contributing factors. This complements rather than replaces appropriate local gynecologic evaluation and management.

Can Dr. Kourtney prescribe hormone replacement therapy to patients in Virginia?

For appropriate patients, hormone therapy may be considered as part of individualized menopause or hormonal care following medical evaluation. Whether a particular medication or treatment is appropriate is determined individually.

Can I use my health insurance for visits with Dr. Kourtney?

The Holistic Collaborative is an out-of-network practice and does not bill insurance directly. For eligible clinical services, patients may receive a receipt that can be submitted to their insurance plan for consideration under their out-of-network benefits. For eligible clinical services, you will receive a receipt documenting your service and payment, which you may choose to submit to your insurance company for consideration under your out-of-network benefits. We do not provide superbills. Coverage and reimbursement vary by plan, so we recommend checking with your insurer regarding your individual benefits.