Because Subtle
Changes Deserve Careful Attention

Midlife symptoms are often multi-factorial—hormone shifts, metabolic changes, stress physiology, nutrient status, sleep disruption, and inflammation can overlap. We help you identify the most likely drivers and build a realistic, clinically-appropriate plan

How We Help
Meet Your Provider
Based in VA, MD & D.C.
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I’m Keonte’ Fisher,
MSN, APRN, FNP-BC
Founder and Chief Clinical Officer of Discreet Health
Keonte’ Fisher is a board-certified family nurse practitioner and the Founder & Chief Clinical Officer at Discreet Health. Practicing as a nurse practitioner since 2012, she has cared for people of all ages through some of life’s most complex moments. Along the way she developed strength in medication stewardship, risk-benefit counseling, and symptom relief. To close gaps in midlife women’s health, she pursued additional coursework in hormone health and functional medicine and built a structured model for perimenopause and menopause care. Keonte’ pairs clear education with targeted labs, metabolic and thyroid assessment, sleep and nutrition strategies, targeted supplementation, and personalized hormonal and nonhormonal therapies. She emphasizes shared decision-making, evidence standards, and sustainable results. Her primary goal is serve the women who support everyone else, because when these women are well, everything they touch works better.

We Don't Guess. We Investigate.

Our comprehensive approach is designed to dig deeper. Through detailed history-taking and advanced testing, we identify whether your changes are due to hormonal shifts, vitamin deficiencies, or other hidden imbalances.
  • 1
    WHAT’S CHANGING

    We start with a real conversation about what’s changed in your body — symptoms, mood, sleep, weight shifts, energy, intimacy, all of it. You get unhurried time with a clinician who actually listens and takes you seriously.

  • 2
    ADVANCED LABS & METRICS

    We can go beyond basic labs. That may include hormones, thyroid, nutrient status, inflammation, metabolic health, and other advanced testing. You’ll always know what we’re testing and why — or simply because you want the data.

  • 3
    YOUR PERSONALIZED PLAN

    You get a plan built for your phase of life, not a generic handout. This may include hormone therapy when appropriate, targeted supplements, nutrition and sleep support, medication if needed, and small, realistic changes you can actually live with.

  • 4
    CONTINUOUS SUPPORT

    We check in, adjust, and keep supporting you instead of telling you to “follow up in a year.” You’ll have ongoing follow-ups and direct access for questions, so you’re never left to figure it out alone.

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Your symptoms
are real and treatable
You don’t have to keep guessing. Talk one-on-one with a clinician who actually understands perimenopause and midlife changes.

Get Your Free Hormone Health Quiz

We’ll translate your answers into a simple, actionable summary—what’s likely going on and where to begin.

We’ll email you a quiz interpretation guide. Results are educational, not medical advice. Plus, receive our weekly newsletter with hormone health tips and insights.
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Your symptoms
are real and treatable

Frequently Asked Questions

Get answers to common questions about our telemedicine hormone health program