Frequently Asked Questions

Pineland Aesthetic Medicine is LegitScript-certified. LegitScript independently evaluates healthcare businesses against its certification standards for transparency and regulatory compliance.

Learn More →

All consultations are free. Wellness visits are often available the same day or next day, while other appointments are typically available within 7–10 days.

Please complete all required intake paperwork in your patient portal before your appointment to prevent delays.

No. Pineland Aesthetic Medicine is a cash-pay, membership-based telehealth practice. We do not accept insurance or submit claims to insurance companies.

A 10% military discount is available for qualifying patients.

When you enroll in a Pineland program, you are paying for participation in a comprehensive medical program—not simply for medication.

Program fees support medical evaluation, individualized treatment planning, provider oversight, ongoing guidance, monitoring, follow-up, and administrative support. Medication may be included when appropriate for the specific program.

Prescriptions are never guaranteed. Treatment and prescribing decisions are based on your clinical evaluation, safety, monitoring, applicable regulations, and independent provider judgment.

Payments & Refunds

Program fees are paid in advance or on a recurring basis, and a valid payment method must remain on file. Payments are non-refundable. Declined payments may result in suspension of care until the balance is resolved.

Chargebacks

Please contact Pineland before disputing a charge with your bank. A chargeback or payment dispute initiated after services have been rendered results in a $50 administrative fee in addition to the disputed balance, and may result in termination of care and referral to collections.

Cancellation

Cancellation requests are submitted in writing through the secure patient portal and are confirmed by the practice within 1 business day. Cancellation begins a 30-day Medication Discontinuation & Monitoring Period. Many medications should not be stopped without provider oversight, so this period is used to monitor your transition off medication.

During this period, your program fee covers an off-boarding visit scheduled by the practice, a written discontinuation or taper plan where clinically indicated, a mid-period monitoring check-in, and portal access for non-urgent concerns. Billing continues during the period and is owed in full whether or not you attend the off-boarding visit or respond to monitoring outreach. No refills are issued after the period ends. To avoid an additional billing cycle, submit your request at least 30 days before your next renewal date.

Missed Appointments

Appointments must be canceled or rescheduled at least 24 hours in advance. A $50 missed appointment fee may apply.

Full terms are provided in the Master Program Agreement signed at enrollment. Billing questions: hello@pinelandaestheticmedicine.com

Yes. Pineland Aesthetic Medicine provides care through telehealth.

At the time of each appointment, you must be physically located in a state where Dr. Karla Gochenour, DNP, FNP-BC is actively licensed: North Carolina, Virginia, Colorado, Connecticut, or Florida.

Treatment and prescribing laws vary by state, so certain services or prescriptions may not be available in every licensed state. Testosterone therapy is not available by telehealth in Connecticut.

We offer multiple medical weight-management options that may include injectable or oral medications, stimulant or non-stimulant treatments, GLP-1 medications, and other therapies that address appetite, cravings, or emotional eating.

Treatment is individualized based on your medical history, goals, contraindications, response to treatment, and provider judgment.

Some medications may be compounded when legally permitted and clinically appropriate. Compounded medications are not FDA-approved in their compounded form.

Prescription weight-management and metabolic medications may be considered when medically appropriate. GLP-1 medications are not the only option available.

Some medications may also be compounded when legally permitted and clinically appropriate for an individual patient. Compounded medications are not FDA-approved in their compounded form.

During your free consultation, available treatment options can be discussed based on your goals, medical history, safety considerations, and individual needs.

GLP-1 medications act on pathways involved in appetite, fullness, digestion, and glucose regulation. They may reduce hunger, help you feel full longer, and reduce overall food intake.

Response and tolerability vary from person to person, and medication is only one part of a medical weight-management plan.

Phentermine is a controlled medication with potential for abuse and dependence. Our practice generally prefers alternative weight-management options.

Whether phentermine or another treatment is appropriate can be discussed during your individual consultation.

Not always. Both injectable and oral weight-management medications may be available.

During your consultation, your preferences, medical history, treatment goals, and clinical needs will be reviewed to determine which options may be appropriate.

Weight-loss results vary. Your response depends on the medication or treatment selected, your medical history, nutrition, activity, adherence, tolerability, and other individual factors.

Weight-loss treatment is not one-size-fits-all, and no specific amount or rate of weight loss can be guaranteed.

At Pineland Aesthetic Medicine, we collaborate with licensed partner pharmacies to help patients receive prescribed medications and support order fulfillment.

You may contact the dispensing pharmacy directly regarding prescriptions, medication, or order fulfillment. If you are unsure which pharmacy is fulfilling your treatment plan, contact Pineland for assistance.

When Your Medication Arrives

• Open the package promptly.
• Review the medication label and packaging.
• Follow all storage instructions exactly.
• Confirm that all expected supplies are present.
• Contact the pharmacy using the information on the medication label if something is missing or damaged.
• Contact your provider if you have questions before use.

Always follow the instructions provided by your dispensing pharmacy and medical provider.

You may request a free independent consultation with Pineland Aesthetic Medicine.

Testosterone therapy is not determined by insurance coverage or patient request alone. Dr. Karla evaluates your symptoms, medical history, appropriate laboratory results, possible causes of testosterone deficiency, contraindications, treatment risks, and other relevant clinical factors before determining whether treatment is appropriate.

Schedule a Free Consultation →

No. You should not intentionally lower your testosterone level simply to transfer care.

If you are transferring from another TRT practice, Dr. Karla will review your current treatment, laboratory results, symptoms, medical history, and monitoring.

Transfer of care does not guarantee continuation of the same prescription, dose, or treatment plan. Any changes are based on your individual clinical evaluation.

No. Laboratory testing is separate from the TRT program fee.

When laboratory testing is clinically appropriate through Pineland's lab program, the lab fee is $179 per draw. Beginning January 1, 2027, the lab fee for new patients increases to $199. Follow-up labs for existing patients remain $179.

You may also provide eligible laboratory results obtained elsewhere for provider review at no additional review fee.

Your initial follow-up after beginning testosterone therapy is typically scheduled 8–10 weeks after treatment begins or after a dose change. Ongoing laboratory and follow-up requirements are determined by your provider based on your treatment and clinical needs.

Required laboratory testing and follow-up must remain current. Refills will not be issued when required monitoring is overdue.

You can monitor laboratory due dates through your patient portal. Once results are received, a team member may contact you to schedule your review appointment.

Shipping and tracking procedures vary by pharmacy. Some pharmacies provide tracking information directly, while others may not.

For the most current information about your order, contact the dispensing pharmacy directly.

Keep your shipping address current and retrieve delivered medication promptly. Temperature-sensitive medication should be stored according to the pharmacy's instructions.

Inspect your shipment when it arrives. If it is damaged, incomplete, lost, or appears compromised, contact the dispensing pharmacy and Pineland promptly and retain the packaging if a carrier claim is needed.

Lost or stolen medications are not replaced. When applicable, the patient is responsible for initiating the carrier claim and providing the requested documentation.

Learn More →

Learn More →

Learn More →