
About PeakMD Health
Most people who come to us aren't sick. They're in midlife and starting to feel the gap between how they're living and how they want to age.
The energy isn't what it was. The weight isn't responding. The labs come back "normal" but nothing feels normal.
At PeakMD, we specialize in helping people age intentionally by building a personalized plan around metabolic health, hormones, stress reduction, peak performance, and disease prevention using our North Framework™
– so you stay strong, capable and in control for decades to come.
This is medicine with a long view.
How it Works
Most people don't need more information.
They need a clear path–and a system that works in real life.
That's what we build at PeakMD.
01
Know Where You Are
Meet one-on-one with Dr. Gray for a comprehensive 90-minute physician Precision Consultation to understand your health, your physiology, your history, and your goals.
03
Build the Path
Take your roadmap and implement it on your own, or continue with Precision Plus for three months of structured coaching, implementation support, and a physician reassessment.
02
Find Your North
You leave with a comprehensive Precision Roadmap tailored around PeakMD's proprietary NORTH Framework™--looking beyond labs and symptoms to the whole picture of how you want to live and age.
04
Stay the Course
For those who want an ongoing relationship, a limited number of patients can continue with PeakMD through Stewardship--a long-term, proactive physician guidance designed to evolve with you.
Begin Where You Are

Precision Consultation
Physican-led precision health
Your entry point for personalized medical care, prevention, longevity, menopause, metabolic health and performance.
In one comprehensive 90-minute consultation, we connect the dots and build your personalized Precision Roadmap focused on your health today, and how you want to live 10, 20, and 30 years from now.
90-Minute Precision Consultation | $495
In person in Sisters, Oregon, or by telehealth in Oregon, California & Alaska.

Siobhan Gray, MD
Founder of PeakMD Health • Focused on helping people rebuild their health in midlife and beyond
I spent years in the ER watching people arrive in crisis – metabolic, hormonal, physical – that could have been prevented years earlier.
Conventional medicine is brilliant at emergencies. It's not built for the slow, frustrating decline that so many people exerience in midlife and beyond. The fatigue that won't lift. The weight that won't move. The labs that come back "normal" when you feel anything but.
That gap is why I built PeakMD.
I practice precision and longevity medicine because I believe most people aren't sick –they're under-supported. With the right data and the right plan, the body is remarkably capable of healing itself.
Credentials:
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Board Certified in Emergency Medicine
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Board Certified in Obesity Medicine
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Fellowship-trained in Precision / Longevity Medicine
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Menopause & Midlife Care Training
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NWHBS-certified Health & Wellness Coach
Your body has been trying to tell you something.
It's time to listen.
You don't need another one-size-fits all program. You need someone to look at your data, understand your story, and help you determine the right next step.
Ready to begin? Book your Precision Consultation.
Not sure yet? Let's talk.

