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Welcome to NexTier Health & Wellness.

At NexTier, we believe wellness is personal. From bio-identical hormone replacement therapy and weight loss to IV therapy and supplements, every treatment is designed to help you feel your best.

Meet Alishia

Alishia Decker, FNP-C

With over 20 years of nursing experience, Alishia Decker brings a holistic, compassionate touch to modern wellness. She specializes in hormone replacement therapy, medical weight loss, and IV nutrition, blending clinical expertise with personalized care. Alishia’s mission is simple: help every patient feel better, live better, and thrive with tailored treatment plans that support whole-body wellness.

Wellness is not a luxury, it's your foundation.

At NexTier, we believe health is the key to a vibrant, fulfilled life. That’s why our care goes beyond symptoms. We dig deep, treat the root causes, and support your body from the inside out—so you can get back to feeling like you.

Bio-Identical Hormone Replacement Therapy Benefits

Bio-identical Hormone Replacement Therapy (BHRT) supports your overall health, helps reduce the risk of age-related diseases, and promotes long-term vitality. Here are just a few ways BHRT can make a difference in your daily life:

Renewed Energy

Reclaim your vitality and zest for life by restoring your body’s natural energy levels.

Improved Mood

Say goodbye to mood swings and irritability. BHRT can help stabilize your mood and enhance emotional well-being.

Enhanced Libido

Rediscover in intimacy and pleasure as BHRT addresses issues related to sexual health and desire.

Mental Clarity

Experience improved, cognitive function, sharper focus, and mental clarity.

How BHRT works. Understanding the science.

Bio-identical, hormone replacement therapy (BHRT) works by supplementing the body with hormones that are identical structure to those naturally produced. This precise molecular match ensures a seamless integration into your body‘s hormone receptor sites.

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Customized treatment.

Our approach begins with a thorough assessment of your hormone levels through a comprehensive lab testing based on these results our hormone expert create a personalized BHRT plan tailored to your specific needs.

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Hot or Cold Flashes
Lack of Focus and/or Anxiety
Low Libido
Difficulty Falling and Staying Asleep
Mood Swings
Lack of Energy
Decreased Strength
Feelings of Depression

Our Pricing

Transparent pricing for hormone therapy, weight loss, and wellness services.

Hormone Optimization

• Hormone Consultations – $100

• Pellet Implants women – $350

• Pellet implants men – $650+

• Oral/topical/injectable plans – $500

Book now

Medical Weight Loss

• Semaglutide
• Tirzepatide

Yearly fee – $300 + medications:

Book now

IVs, Injections, & Supplements

• Lipo-B12 & L-carnitine – $25

• Custom-mixed IV therapy for hydration, immunity, & hangovers – $150+

• Immune IV push – $60-$80

• Custom vitamin & supplement plans

Book now

Sick Visits

For non-emergent acute illness. - $75

Book now

Look what our patients say

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I went to visit Alisha to get my hormones evaluated, she educated me on so much I didn’t even know existed! She read my levels and I received hormone pellets based on her educated assessment and I literally didn’t feel a thing. No pain at all, I was like wow! I also received a Lipo shot, my second one, they are amazing. I highly recommend going to see her, she was amazing.

Summer Skinner
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I have been a patient of Alishia Decker for almost four years, and my experience has been nothing short of life-changing. She truly cares for her patients, taking the time to listen and address concerns with compassion and expertise. When it comes to HRT and other medical issues, she is incredibly attentive and ensures that you feel heard and valued as a person. Her dedication and genuine care have made all the difference in my health journey. I highly recommend her!

Jeana Ferry

One conversation. One step toward feeling like yourself again.

Sometimes, the first step is the hardest—but it can also be the one that changes everything. Whether you're struggling with energy, weight, hormones, or just not feeling like yourself, we're here to help. Schedule your personalized consultation with Alishia today and take the first step toward feeling better, living brighter, and getting back to you.

Feel good, Live well.

Explore the NexTier Blog

Apr 17, 2025
How Do I Know If It’s Time to Consider Hormone Replacement Therapy?

Feeling tired, foggy, or just not like yourself? Learn the common signs that it might be time to consider hormone replacement therapy—and how BHRT can help you feel like you again.

Apr 17, 2025
What to Expect at Your First Hormone Consultation

Nervous about your first appointment? Here’s what really happens during a hormone consultation—and how to prepare.

Apr 17, 2025
Top 5 Benefits of Balanced Hormones

More energy, better sleep, improved mood—balanced hormones can do more than you think. See what BHRT can help with.

Apr 17, 2025
What Is BHRT and How Is It Different from Traditional Hormone Therapy?

Curious about BHRT? Discover how bioidentical hormones work—and why many people prefer them over synthetic options.