Strength Program
Dr. Tierney's approach to metabolic health includes strength, sleep, and stress: the parts that don't come in a prescription. That's why Sorrel has partnered with Dr. Ali Novitsky's Total Strength & Mindset (TSM), a physician-designed program for the strength side: a 52-week system for $599 a year, $399 for Primary Care+ members, billed through Sorrel.
What it is
A 52-week strength and mindset program, physician-designed by Dr. Ali Novitsky.
It's built to be followed for a full year, week by week, rather than restarted from scratch every time you show up. The core commitment is three 10-minute sessions a week, designed to work with your body's own physiology and nervous system rather than against it. Longer 20- and 30-minute options are available at three fitness levels for whenever you have more time.
- 52 weeksA full year of programming, not a short reset.
- Physician-designedLed by Dr. Ali Novitsky.
- 10 minutes, three days a weekLonger 20- and 30-minute options at three fitness levels too.
- $599 for the full year$399 for Primary Care+ members, billed through Sorrel.
Why strength is part of the picture
Muscle and bone respond to how you use them, through every hormonal shift.
As estrogen shifts in perimenopause and menopause, bone density and insulin sensitivity shift with it. Strength training is one of the better-supported ways to work with both, and it's not something a single visit can deliver on its own. That's why it sits alongside Sorrel's own care instead of inside it.
- Bone density, long term. Resistance training is one of the few things shown to help maintain it through the menopause transition.
- Insulin sensitivity and blood sugar. Muscle is where a lot of glucose gets put to use.
- Strength and function, as hormones and body composition shift underneath you.
- Mindset, not just muscle. TSM pairs the physical training with coaching on the thinking that supports it.
How it works
TSM designs and delivers the program, through a partnership with Sorrel.
It isn't delivered by Dr. Tierney, and it isn't part of Primary Care+ or Metabolic Wellness itself. It's $599 for the full year, billed directly through Sorrel, $399 if you're a Primary Care+ member. If you're already a member, ask about it at your next visit.
Looking for metabolic health or menopause care from Dr. Tierney herself, without a membership?
See Specialty CareQuestions people ask
Is this run by Dr. Tierney or Sorrel?
The program itself is Dr. Ali Novitsky's, and Dr. Tierney isn't your coach here. Sorrel is a partner on this one and handles billing directly, so your payment goes through Sorrel, not TSM.
Is it included in my membership?
No, it's a separate purchase. But membership gets you $200 off: $399 for the full year instead of $599, billed through Sorrel.
How much time does it take?
The core program is three 10-minute sessions a week. Longer 20- and 30-minute options are available at three fitness levels if you have more time to give it.
Do I have to be a Sorrel patient to join?
No. The partnership is open to members and non-members alike. Members just pay $200 less.
How do I sign up?
Contact Sorrel to enroll: call or text 206.202.6156, or bring it up at your next visit. Total Strength & Mindset's own site has more on the program itself if you want the details first.
Care that considers the whole picture.
If you'd rather start with Sorrel, book a visit or a free 15-minute discovery call. No pressure either way.
Still deciding? Call and text 206.202.6156