Our Services
Hormone Therapy for Women & Men
Address fatigue, weight changes, low drive, sleep disruption, and more.
Many men and women struggle with symptoms like fatigue, poor sleep, weight changes, brain fog, low libido, mood changes, anxiety, and low motivation—even after being told their lab work is “normal.”
We take a deeper, root-cause approach to hormone health. In addition to traditional bloodwork, we use advanced hormone testing including ZRT saliva testing and DUTCH urine testing to gain a more complete picture of how hormones are functioning in the body. These tests can help identify patterns and imbalances that are often missed with standard testing alone.
Our goal is not just to manage symptoms, but to understand what may be contributing to how you feel and create a personalized treatment plan designed around your body and your goals.
Weight & Metabolic Repair
A medically guided approach that looks beyond calories and willpower.
Weight gain and difficulty losing weight are often connected to deeper metabolic and hormonal factors—not simply willpower. At LEAP, we take a personalized, root-cause approach to medical weight loss by looking at the full picture of your health, lifestyle, metabolism, hormones, and goals.
We offer both injectable and oral weight loss medications, including GLP-1 agonists such as semaglutide and tirzepatide, as well as carefully selected oral medication options when appropriate. Medication decisions are made through a thoughtful conversation between provider and patient to determine the safest and most effective approach for your individual needs.
Our goal is not just short-term weight loss, but helping patients improve metabolic health, energy, confidence, and long-term wellness. Monthly follow-up appointments provide ongoing support, accountability, education, and treatment adjustments to help patients stay on track and achieve sustainable results.
Primary Care
We combine the foundation of traditional primary care with a more personalized, root-cause focused approach to help patients feel their best—not just avoid disease. With longer appointments, thoughtful conversations, and a strong emphasis on listening, we work closely with patients to connect symptoms that may otherwise be overlooked and create individualized care plans designed around long-term wellness and prevention.
Whether you’re managing chronic health concerns or simply know you don’t feel like yourself, our goal is to provide care that is comprehensive, proactive, and centered around you.
Gut Health
Gut health plays a major role in overall wellness and can affect far more than digestion alone. Imbalances in the gut may contribute to symptoms throughout the body, including fatigue, brain fog, inflammation, skin issues, mood changes, headaches, joint pain, bloating, constipation, diarrhea, food cravings, and difficulty with weight management.
We take a root-cause approach to digestive and metabolic health by offering advanced gut health testing and food sensitivity panels designed to provide deeper insight into what may be contributing to ongoing symptoms. These sophisticated tests can help identify patterns involving inflammation, microbiome imbalance, digestion, nutrient absorption, and potential food triggers that are often overlooked in traditional healthcare settings.
By understanding how gut health may be impacting the rest of the body, we are able to create more personalized treatment plans focused on improving digestion, reducing inflammation, supporting energy and immune function, and helping patients feel better from the inside out.
Women's Health
We provide comprehensive women’s healthcare in a comfortable, supportive, and personalized environment. Our services include annual wellness exams, pelvic exams, breast exams, contraception counseling and management, Pap testing, and preventive care designed to support women through every stage of life.
In addition to traditional women’s healthcare services, we take an integrated approach that looks beyond symptoms alone to better understand how hormones, stress, metabolism, sleep, and lifestyle may be impacting overall wellness. Whether you are seeking routine preventive care, support for hormonal concerns, or guidance through life transitions such as perimenopause and menopause, our goal is to provide thoughtful, individualized care that helps women feel heard, understood, and empowered in their health decisions.
Thyroid Dysfunction
Thyroid health can affect nearly every system in the body, influencing energy, metabolism, mood, weight, sleep, hair and skin health, digestion, and mental clarity. Many patients continue to experience symptoms of thyroid dysfunction even after being told their thyroid labs are “normal” or “well controlled.”
We take an integrated approach to thyroid care that focuses on treating the patient—not just the lab values. We look at the full clinical picture, including symptoms, lifestyle, hormone balance, stress, nutrition, and detailed thyroid testing when appropriate, to better understand how thyroid function may be impacting overall health and well-being.
Our goal is to identify underlying contributors to persistent symptoms and create a personalized treatment plan designed to support optimal thyroid function and help patients feel their best—not simply achieve numbers that fall within a standard laboratory range.
Emotional Wellbeing & Stress Reduction
Mental health and chronic stress can affect every aspect of physical and emotional well-being, contributing to symptoms such as anxiety, burnout, poor sleep, brain fog, fatigue, mood changes, difficulty concentrating, and feeling overwhelmed. We believe mental health care should go beyond simply masking symptoms and instead focus on understanding the underlying factors contributing to how a person feels.
Our integrated approach considers the connection between mental health, hormones, sleep, nutrition, stress physiology, lifestyle, and overall physical health to create a more complete picture of wellness. We take time to listen, identify contributing factors, and develop personalized treatment plans that may include lifestyle support, medication management when appropriate, hormone and metabolic evaluation, and innovative therapies such as Exomind to support mood, focus, and cognitive function.
Our goal is to help patients feel more balanced, resilient, energized, and supported—both mentally and physically.
EXOMIND
Exomind is a natural extension of our integrated, root-cause approach to healthcare. Many patients struggling with stress, anxiety, low mood, burnout, brain fog, poor focus, or mental fatigue are looking for options beyond simply adding another medication. Exomind is a non-invasive treatment designed to support brain health and cognitive function by helping regulate areas of the brain involved in mood, focus, stress response, and mental performance.
Just as we look deeper into hormones, metabolism, thyroid function, and gut health to better understand the root causes of physical symptoms, Exomind allows us to support the brain as another important part of whole-body wellness. By combining innovative therapies like Exomind with personalized, integrated medical care, we help patients address both the physical and mental factors that impact how they feel every day.
Our goal is to help patients feel clearer, calmer, more focused, and more resilient through a comprehensive approach that treats the whole person—not just isolated symptoms.
Trying to avoid medication for your mental wellness?
LEAP is proud to be one of the first offices in Loudoun County to provide Exomind therapy to our patients.
We believe in this technology and want to tell you more about it! Our patients report sleeping better, thinking more clearly, and say they no longer “sweat the small stuff.”
Meet the Leesburg, Virginia Team
Brooke Fields
MSPAS, PA-C
Co-Founder of LEAP Chief Medical Officer
Rachel Sposito
DNP, FNP-C
Co-Founder of LEAP Chief Executivel Officer
Meet the Milledgeville, Georgia Team
Katie Webster
Family Nurse Practitioner
Rachel Sposito
DNP, FNP-C
Co-Founder of LEAP Chief Executivel Officer
Ready to schedule?
Want to connect a different way?
Send us an email to office@leapih.com, or text 703-544-7145 to connect with our staff!
We have made the difficult decision to not bill insurance on behalf of our patients. We have seen the way insurance companies have limited the services patients can receive, restricted the time providers can get paid for and have dictated treatment methods. We want to talk to patients for a full hour. We want to offer traditional and alternative therapies. We want to recommend comprehensive testing to get to the root cause of illness. Your health is worth the investment!
Welcome to the LEAP Integrated Primary Care Blog
If you've ever left a healthcare appointment feeling rushed, unheard, or more confused than when you arrived, you're not alone. One of the most common things we hear from patients is that they know something doesn't feel right, but they haven't been able to find...
