Questions, answered plainly.

Sanctuary is a private, physician-led practice, not a volume clinic or a subscription. You work directly with Dr. Goetz, who manages your full hormone system rather than chasing a single number, builds your protocol from your own labs and goals, and monitors and adjusts it over time. The difference is a relationship instead of a refill.

Yes. Optimization is offered to both men and women, including bioidentical hormone therapy for perimenopause and menopause. We address energy, mood, sleep, libido, body composition, and bone and long-term health, and we treat the female hormone picture as carefully as the male one.

Sanctuary does not bill insurance, which is part of how the practice stays small and unhurried. Programs are membership and package based, and the specific investment is shared with you transparently on the discovery call, once we understand what you actually need.

It is a complimentary, 20-minute private conversation about your goals, your symptoms, and your history. We explain how the practice and programs work, answer your questions, and tell you honestly whether you are a candidate. There is no pressure and no obligation.

Dr. Goetz is licensed in Arizona and Nevada. Arizona patients are seen in person at the Scottsdale practice at Optima Sonoran Village. Nevada patients receive the same standard of care by telehealth.

The practice centers on bioidentical hormones, which are structurally identical to the hormones your body makes. Therapy is individualized, grounded in current evidence, and provided only after a full evaluation and with ongoing monitoring by a licensed physician. Safety is managed actively, not assumed.

Because the roster is deliberately small. A limited number of patients is the only way to give each one a genuine relationship with their physician. Application and a discovery call let both sides confirm the fit before anyone becomes a patient.

It varies by individual and protocol. Many patients begin to notice changes in energy and sleep within the first several weeks, with body composition and other goals developing over months. Optimization is a trajectory we measure and refine, not an overnight switch, and results are never guaranteed.

Aesthetics is the secondary, optional complement to optimization. Treatments like Scarlet RF microneedling, regenerative skin protocols, and IV therapy are offered to patients of the practice as the finishing touch, once the internal work is underway.