Dr Tina Chee

04/23/2026

We hear it all the time: "I didn't know hormone therapy was an option for me."
Here's what the FDA has approved it for:

🌿 Hot flashes and night sweats that are affecting your quality of life
🌿 Protecting your bones from osteoporosis after menopause
🌿 Restoring estrogen when your ovaries aren't producing enough — whether from a medical condition, surgery, or premature menopause
🌿 Vaginal dryness, painful s*x, or vulvovaginal discomfort

You don't have to just push through these symptoms.

There are real, proven options — and we're here to help you figure out which ones make sense for you.

📅 Book your menopause consultation today.

04/20/2026

Hormone therapy isn't right for everyone — and that's okay.
There are meaningful, evidence-based options for women who can't or choose not to use HRT.
The right plan is built around your health history, your preferences, and your goals — not a one-size-fits-all protocol.
You have options.
Let's find yours together.

04/19/2026

Let's clear some things up.
❌ MYTH: Menopause only happens in your 50s.
✅ TRUTH: Perimenopause can begin in your late 30s or early 40s.

❌ MYTH: If you're still having periods, you're not in perimenopause.
✅ TRUTH: Perimenopausal women often still have periods — sometimes heavier ones.

❌ MYTH: Hormone therapy causes cancer.
✅ TRUTH: Decades of updated research show HRT can be safe and beneficial for most women when started at the right time.

❌ MYTH: It only lasts a year or two.
✅ TRUTH: The menopause transition can span 7–14 years.

You deserve accurate information, and a physician who has it.

04/18/2026

The original ACA subsidy was 180 dollars on a 300 dollar premium. It is now 3,500 dollars on a premium that has been inflated to match. That is roughly ten times the rate at which employer plan premiums have climbed.

The subsidies did not lower your patients' costs. The subsidies raised them.

Paula Muto, vascular surgeon and founder of UBERDOC, explains how this actually happened on the ground. States that expanded Medicaid went to hospitals and cut deals to reimburse at rates well above commercial, not at Medicaid rates. The old Medicaid floor became the new commercial ceiling. Every employer plan in those markets got pulled upward with it. And because the federal subsidy formula scales with premium, the total spend kept climbing automatically.

Now look at where it actually went. Not to your office overhead. Not to primary care. Not to breast cancer reimbursement, which she says is now so low most physicians can no longer afford to treat those patients. A significant portion of these healthcare subsidy dollars has been routed to housing, food, childcare, and administrative middlemen. In Massachusetts, Medicaid stopped paying physicians for four consecutive months in 2024. Four months. While the subsidy line item on the federal ledger was at an all-time high.

This is the part every physician I know has been screaming about in the workroom and nobody outside medicine seems to hear: the money is there. It is just not reaching the people who take care of patients.

Paula is now serving on one of the new frontline physician advisory committees in Washington, and her pitch is simple. Fund the patient directly. Give them a health savings account they actually own. Keep catastrophic insurance for the hospital admission and the hit-by-a-truck moment. Let the other 90 million annual outpatient visits happen without three middlemen, two prior authorizations, and a data breach.

If you are an independent physician watching your Medicare Advantage networks collapse and your panel shrink, send this to the colleague who told you last month they were thinking about dropping commercial insurance entirely. They are not crazy. The math is finally catching up to what you have been feeling.

Listen to the full conversation on The Podcast by KevinMD. Link in the comments.

For physicians reading this: what percentage of your Medicaid patients still have a functioning specialist network in your region right now?

04/12/2026

Menopause is the chapter for you to finally prioritize you. With the right care, you can feel energized, balanced, and yourself again.
Our menopause care goes beyond symptom management — we look at bone health, cardiovascular risk, s*xual wellness, and mental health too. Because this season of life can be powerful, not just something to survive.

Learn more about our programs at UpdesignHealth.com

Dr. Tina Chee as Your Personal Concierge Physician Optimize Your Health Achieve Your Wellness Goals Your Doctor, Health Coach, & Partner Become 1 of 500 PatientsInstead of 1 of 2500 Best Primary Care Doctor Experience in Syracuse, Upstate, Central New York Services Concierge Direct Primary CareCompr...

04/11/2026

Hot flashes at 2AM. Brain fog that won't lift. A body that feels like it belongs to someone else.

Menopause deserves real medical attention — not a "just deal with it" attitude.

We specialize in menopause care that actually addresses your symptoms, and help you live your life.

Learn more about our programs at UpdesignHealth.com

04/10/2026

Menopause doesn't have to mean "pausing" your life. A evidence based physician who truly listens and guides your lifestyle changes and hormone therapy can make a profound difference.

Whether you're perimenopausal or years post-menopause, it's not too late — or too early — to get support.

Learn more about our programs at UpdesignHealth.com

Dr. Tina Chee as Your Personal Concierge Physician Optimize Your Health Achieve Your Wellness Goals Your Doctor, Health Coach, & Partner Become 1 of 500 PatientsInstead of 1 of 2500 Best Primary Care Doctor Experience in Syracuse, Upstate, Central New York Services Concierge Direct Primary CareCompr...

07/09/2025

You’re ready. We’re ready. Let’s make this your healthiest year ever. This isn’t another diet or quick fix.
It’s a physician-led program that helps you build real, lasting habits—designed around your life, your health needs, and your goals.
Next small group starts this August. Enroll now at https://www.updesignprimarycare.com/bookweightloss/

With Dr. Chee, you’ll practice:
✅ What actually works for your body
✅ How to stay consistent when life gets busy
✅ How to shift your mindset—for good

07/07/2025

Summer is a time for cultivating our energy.
If you’re feeling sluggish, frustrated, or stuck—it might be time for something different.

Dr. Chee’s Healthy Living and Weight Loss Program is designed to help you:
✅ Reset your habits
✅ Boost your health
✅ Feel amazing - long-term

Its an incremental, sustainable transformation program, led by a physician who gets it.

Sign Up at
https://www.updesignprimarycare.com/bookweightloss/

06/20/2025

☀️ Summer is here—and so is your fresh start!
If you’ve been thinking, “I don’t want to start another diet that won’t last,” we've got you. This August Dr. Chee launches a physician-guided weight loss program focused on sustainable change, not restriction.

💬 Physician coaching
🧠 Mindset shifts
📈 Resources and support

✨ Be first in line - Sign Up at
https://www.updesignprimarycare.com/bookweightloss/

10/02/2024

Every U.S. household is eligible to order 4 free at-home COVID19 tests. Get yours now!

COVID-19 testing can help you know if you have COVID-19 so you can decide what to do next, like getting treatment to reduce your risk of severe illness and taking steps to lower your chances of spreading the virus to others.

08/30/2024

Mental health is just as important as physical health. Take time for self-care, seek support when needed, and remember—it's okay to not be okay. Concierge/ DPC offers you unhurried time with your physician to truly focus on your mental well-being. 🧠

Find out more today at updesignhealth.com