Our Services
Services
Start with what is getting in the way: energy, hormones, weight, pain, pelvic floor, mood or skin. Each category below takes you to every service that treats it, for women and men.

Service category
Integrative medicine & longevity
Root-cause care from a clinical team run by a physician. Full lab panels, the Integrative Membership, IV therapy and telehealth.
View services
Service category
Hormones & menopause
Hormone care for women and men. Bioidentical hormone therapy, menopause care, hair loss, vaginal symptoms and weight gain.
View services
Service category
Weight & metabolism
Medical weight loss with GLP-1 medications, body optimization and EMSCULPT NEO for muscle building.
View services
Service category
Sexual health & pelvic wellness
Integrative care plus EMSELLA for pelvic floor strength, bladder leaks, vaginal health and libido.
View services
Service category
Mental wellness
Integrative mental wellness with EXOMIND inside. Mood, anxiety and focus, worked up alongside hormones and sleep.
View services
Service category
Regenerative aesthetics
EMFACE, EXION, microneedling, chemical peels, PRF and PDO threads, for the skin and the facial muscles under it.
View services
Pain we treat
Pain, chronic or acute
Muscle, joint and recurring pain have their own work-up here. These are the treatments we use for it, alongside integrative care that looks for the reason the pain keeps coming back.

Weight & metabolism
EMVITAL pain laser
Laser treatment for chronic and acute pain — back, joints and muscle — with no needles and no surgery…
View Treatment
Weight & metabolism
EMSCULPT NEO
Smoother lines, stronger muscles, less pinch at the waistband.
View Treatment
Regenerative aesthetics
Regenerative joint injections with PRF
Targeted relief for stubborn joint pain using your body’s own healing cells.
View Treatment

FAQ
Common questions about the
Sarasota practice
Lesh Lifestyle is a physician-led practice in Sarasota. Dr. Sarah studies your full history before any plan is written and reads your labs herself, with a small clinical team working under her direction. Hormones, weight, sleep, pain and mood are worked up together rather than referred out piece by piece, and your plan keeps moving between visits instead of waiting for the next annual.
Our office is at 1800 2nd St #819, Sarasota, FL 34236, in downtown Sarasota. Patients drive in from Lakewood Ranch, Bradenton and Siesta Key, and parking and building access details come with your appointment confirmation.
Integrative Medicine is the core: hormone and menopause care for women and men, medical weight loss with GLP-1 medications, gut health, mental wellness and IV therapy. Device treatments run alongside the medical plans — EMSCULPT NEO for muscle building and pain, the EMVITAL pain laser, EMSELLA for pelvic floor, EMFACE and Exion for skin, and PRF regenerative treatments. Dr. Sarah recommends what fits once she has read your labs.
You book a short discovery call through Practice Better, and Dr. Sarah calls you herself. She listens to what has been going on, then explains how she works. No referral is needed, and you do not need to know which service you want first.
Yes. Dr. Sarah owns Lesh Lifestyle and is an ABEM-certified emergency physician. She takes every discovery call personally, and all care at the practice runs under her direction — all-around care from a clinical team, led by a physician from the first call.
The medical care here is physician-led, and Dr. Sarah is the physician behind every plan. Charles Jones, RN, BSN, performs all microneedling and Exion treatments. The practice is family-operated, so the same two people follow your care over time.
Visits are self-pay. Many patients use HSA funds, and we provide superbills you can submit for out-of-network reimbursement. Cherry payment plans cover qualifying services. Self-pay is also what gives Dr. Sarah the time to work through a complex case properly.
Your first appointment is a comprehensive visit with Dr. Sarah. She goes through your history, your symptoms and any labs or records you already have, then orders new bloodwork where it is needed and explains why. Once results are back you review them together, and you leave with a clear written plan.
The Integrative Membership is $200 per month. It covers your ongoing care between appointments: follow-up visits, labs re-read as your numbers change, and plan adjustments as your body responds. Start with a free discovery call and Dr. Sarah will explain which membership fits your situation.
Yes. Men come to Lesh Lifestyle for fatigue, weight that will not move, low testosterone, poor sleep and declining strength. The work is the same either way: read the labs and the history, find what is driving it, then build a plan.