Areas We Serve · Fredericksburg, VA
Functional medicine and hormone therapy in Fredericksburg, VA
True You is a cash-based practice at 904 Princess Anne St, Suite 207, in historic downtown Fredericksburg. Brian C. Hoff, MD sees a deliberately limited panel of patients for hormone therapy, medical weight loss, thyroid care and root-cause work-ups. Start with a 60-minute initial appointment.
The practice in plain terms
True You Health and Wellness is a physician-led functional and integrative medicine practice in Fredericksburg, Virginia. The office is at 904 Princess Anne St, Suite 207, Fredericksburg, VA 22401. Brian C. Hoff, MD is the founding physician. We are open Monday through Friday, 9:00 am to 5:00 pm, and closed on weekends. You can book online or call (540) 701-0407.
We are cash-based and out-of-network. We do not bill insurance, which is what allows a first appointment of about 60 minutes, advanced lab work chosen for you rather than for a billing code, and direct access to the same physician at every visit. Costs are explained up front. Hormone therapy, medical weight loss, thyroid and Hashimoto’s care and general root-cause work-ups are the services most people come in for.
Getting to 904 Princess Anne St
The office is in the city itself, so most people arrive on one of three routes.
From I-95: take exit 130 onto Route 3 and head east. Route 3 becomes Plank Road and then William Street, and it runs straight into downtown. If you are coming from the south, exit 126 puts you on US 1 north, which also leads into the city. From the north, exit 133 (US 17) brings you toward the Rappahannock from the Falmouth side.
From the Stafford side of the river: the Chatham Bridge on Kings Highway crosses into downtown. Our Falmouth page covers that crossing in detail; it is about two miles and five minutes from the bridge to our door in normal traffic.
From inside the city and nearby Spotsylvania: Route 3, US 1 and Route 208 all feed downtown. If you live in Massaponax, Four Mile Fork or Lee Hill, see the Spotsylvania County page for the best route from your exit.
Our address is 904 Princess Anne St, Suite 207. If you are unsure where to go on your first visit, call us at (540) 701-0407 before you set out.
What Fredericksburg patients come to us for
Every program starts with the same thing: a long conversation and the right labs. These are the areas we are asked about most.
Hormone therapy (BHRT)
Bioidentical hormone therapy for women in perimenopause and menopause, and for men with low testosterone, dosed to labs and symptoms.
Hormone therapyMedical weight loss
Labs first, then a physician-supervised plan that can include GLP-1 medications such as semaglutide and tirzepatide when appropriate.
Weight lossThyroid and Hashimoto’s
A full thyroid panel with antibodies, for people told their thyroid is “fine” who still feel unwell.
Thyroid careMenopause and perimenopause
Hot flashes, sleep, mood, libido and weight, evaluated and treated with a plan built for your stage.
Menopause careMen’s health and TRT
Low energy, low drive and slipping strength, evaluated with a complete hormone work-up.
Men’s healthA longer visit, close to home
A common story from people who live in the city is that they have a regular doctor, a recent set of “normal” labs, and symptoms that have not gone away. Fatigue that starts in the afternoon. Weight that moved up in your forties and will not come back down. Sleep that breaks at 3 am. A thyroid number that sits inside the reference range while you feel cold and foggy.
None of that is unusual, and none of it is a reason to be dismissed. It is also hard to sort out in a short visit. A first appointment here is about an hour. Dr. Hoff goes through your history, medications, sleep, stress, food, family history and what you have already tried, then orders testing that fits what he hears. A second visit reviews the results, explains them in plain terms, and lays out options with the risks and benefits of each.
If you work shifts, commute north on I-95, or have a narrow window at lunch, say so when you book. Much of the follow-up after the first visit can be handled virtually, so you are not driving in for every check-in.
How it works
How the first month usually goes
The details are set around you, but the order rarely changes.
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01
Step 1
Book
Online or by phone at (540) 701-0407. Tell us what you want help with so the visit is scheduled for the right amount of time.
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02
Step 2
Initial appointment
In person at 904 Princess Anne St. A detailed history, a focused exam, and a plan for testing.
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03
Step 3
Testing
Lab work done in person, matched to your symptoms. Hormone, thyroid and metabolic panels are common starting points.
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04
Step 4
Results and plan
Dr. Hoff reviews your results with you, explains what they mean, and recommends a plan. Nothing is started that you have not agreed to.
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05
Step 5
Follow-up
Repeat labs and check-ins to adjust the plan. Many of these can be virtual.
Neighboring communities
Fredericksburg sits where several of the region’s main roads meet, and patients reach us from every direction. We have written a separate page for each area, with the route and the services that matter there:
Falmouth, across the Rappahannock; Stafford, up I-95 toward Quantico; Spotsylvania Courthouse and Spotsylvania County to the south; Locust Grove, Lake of the Woods and Orange to the west on Route 3; and King George to the east.
Cost, insurance and what to expect on price
We are asked about cost more than almost anything else, and the honest answer is that it depends on what you need. A person who comes in for a thyroid work-up has a different plan from someone starting hormone therapy or a weight-loss program, and each plan is built from your labs and goals. For that reason there is no single price list on this page, and we explain the costs of your specific plan during your consultation, before you commit to anything.
True You does not bill insurance. If you have out-of-network benefits, your plan can tell you what it reimburses; we cannot predict that for you.
Fredericksburg — common questions
Where can I find a functional medicine doctor in Fredericksburg, VA?
Where can I get hormone therapy in Fredericksburg?
How much does a visit cost?
What are your hours?
Is my first visit in person?
What should I bring to my first appointment?
Do you see patients who live outside Fredericksburg?
Do you take insurance?
Serving Fredericksburg, VA
Book an appointment with Dr. Hoff’s team, or call (540) 701-0407.