Whether you have one specific concern or want a doctor who knows your history, you start by being heard. Dr. Vandhana Kiswani-Barley is board-certified in Family Medicine, Obesity Medicine, and Pain Management. She reviews your history, medications, sleep, and lifestyle, recommends appropriate tests, and discusses treatment or referral. No membership fee, anywhere in Florida.
Transparent pricing, with a $$250 initial consultation for new patients. Telehealth has limits: no hands-on exam, and in-person, specialist, or emergency care when indicated.
Telehealth connects you with a board-certified physician from home, on a schedule that fits your life. It does not include a hands-on exam.
Dr. Kiswani-Barley provides primary care that can be done by video: preventive visits, chronic condition management, acute care, lab orders, prescriptions when appropriate, and referrals. She serves every Florida city by video, with labs done near you.
Acute care visits $100 · Labs and medications billed separately
Telehealth in FL · Same physician every visit · Why direct pay?
Time, attention, and a continuing physician relationship turn individual visits into care that builds around you.
To get started, register in the patient portal, complete your intake forms, and add a payment card. No upfront deposit is required. Visits are by secure telehealth, with current hours in the evenings and on weekends, by appointment only. No membership is required; you pay per visit.
Start with what is happening, how it affects your life, and what you want to improve. Dr. Kiswani-Barley listens, asks questions, and sets priorities with you, so you feel heard rather than hurried through a checklist.
Your symptoms, history, medications, nutrition, sleep, and lifestyle are considered together. Labs, imaging, or specialist consultation are recommended when appropriate to investigate possible contributors, not ordered automatically. If you need a hands-on exam, she will guide you toward in-person care.
You discuss your options and build a realistic plan around your health and goals. Prevention, chronic conditions, weight, and hormone health are considered as part of your whole health, with medication and lifestyle recommendations tailored to you when appropriate.
Follow-ups build on what Dr. Kiswani-Barley already knows about you. She reviews progress, adjusts treatment when needed, and helps you stay proactive with prevention and screening. You can raise questions through the patient portal, with follow-up visits arranged when appropriate.
For a medical emergency, call 911 or go to the nearest emergency department.
Have Questions Before Booking? Ask about services, fees, or getting started. This is not a medical consultation.
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Dr. Kiswani-Barley on camera
Dr. Kiswani-Barley explains how she considers weight, hormones, thyroid, metabolic health, and chronic conditions together when relevant, because your health is connected.
Dr. Kiswani-Barley is board-certified in Family Medicine, Obesity Medicine, and Pain Management, plus a Fellow of the American College of Healthcare Executives (FACHE), with over 15 years of clinical experience. She personally manages every patient's care, because complex clinical decisions deserve physician-level training and continuity.
Book a ConsultationDr. Kiswani-Barley provides comprehensive primary care for Florida patients, from routine wellness to complex chronic conditions, all via telehealth.
Preventive visits with screening recommendations suited to you
Diabetes, hypertension, high cholesterol, thyroid disorders, and obesity management
Focused visits for a single non-emergency concern
Blood pressure management, cholesterol optimization, and heart health monitoring
Anxiety and depression screening, stress management, and mental health support
Looking for contributors to fatigue, including sleep, medications, metabolic and hormonal factors
Need weight management, hormone therapy, or metabolic care? Dr. Kiswani-Barley integrates these specialty services into your primary care: one doctor, one practice.
Many symptoms have overlapping causes. Dr. Kiswani-Barley routinely uses lab testing in her diagnostic evaluations and orders imaging when needed. She interprets results alongside your symptoms, health history, and clinical findings to investigate possible causes and guide personalized care. Testing is one part of the evaluation and may not identify a single cause. From everyday primary care concerns to complex hormonal and metabolic conditions, she takes a comprehensive approach. The conditions listed below are examples, not a complete list. Care is individualized, with in-person evaluation or specialist care recommended when needed.
Persistent tiredness that does not improve with rest can signal thyroid dysfunction, iron deficiency, undiagnosed sleep apnea, hormonal imbalances, or vitamin D deficiency. An estimated 80% of moderate-to-severe sleep apnea cases go undiagnosed, making it one of the most overlooked causes of chronic fatigue.
Difficulty falling asleep, staying asleep, or waking unrefreshed can be caused by hormonal imbalances, elevated cortisol from chronic stress, thyroid dysfunction, or undiagnosed sleep apnea. Sleep problems also worsen other symptoms, including weight gain, brain fog, and mood changes, creating a cycle that requires root-cause intervention.
Persistent mental cloudiness, memory lapses, and difficulty concentrating can stem from thyroid dysfunction, hormonal changes during perimenopause or with low testosterone, sleep disorders, blood sugar instability, nutrient deficiencies in iron, B12, or vitamin D, and chronic stress. A physician-led evaluation, with lab testing chosen when appropriate, can help investigate these possible contributors and guide next steps.
Recurring headaches and migraines can be driven by hormonal fluctuations, thyroid imbalances, high blood pressure, nutrient deficiencies such as magnesium or B2, sleep disorders, and chronic stress. Identifying the pattern and triggers through a comprehensive evaluation is the first step toward meaningful relief without relying solely on pain medication.
When diet and exercise are not producing results, there is usually a metabolic explanation. Insulin resistance, thyroid dysfunction, hormonal imbalances, elevated cortisol, and poor sleep quality can all prevent weight loss. FDA-approved GLP-1 medications like semaglutide and tirzepatide, combined with root-cause evaluation, help break through plateaus.
Losing muscle mass, feeling weaker than expected, or struggling to build strength can indicate hormonal deficiencies, particularly low testosterone in men and declining estrogen in women. Thyroid dysfunction, vitamin D deficiency, inadequate protein intake, and metabolic conditions also contribute to progressive muscle loss.
Often called the silent killer, high blood pressure affects nearly half of American adults and usually has no symptoms until it causes damage. Root causes include insulin resistance, sleep apnea, chronic stress, kidney dysfunction, and excess sodium intake. Regular monitoring, lifestyle modifications, and targeted treatment reduce the risk of heart attack, stroke, and kidney disease.
Elevated LDL cholesterol and triglycerides increase cardiovascular risk, but a standard lipid panel only tells part of the story. Advanced markers like Lp(a), ApoB, and LDL particle count provide a more complete picture. Diet, exercise, thyroid function, and metabolic health all influence cholesterol levels, and treatment should address the underlying drivers.
Heart palpitations, a racing heartbeat, or skipped beats can feel alarming. While often benign, they can signal thyroid dysfunction, electrolyte imbalances, hormonal changes during perimenopause, anemia, excessive caffeine intake, or anxiety. A thorough evaluation with labs, EKG when indicated, and a review of contributing factors helps determine the cause.
Chest pain and tightness require careful evaluation. While some causes are musculoskeletal or related to acid reflux, others can indicate cardiovascular concerns. Chronic stress, anxiety, and costochondritis are common drivers. A comprehensive assessment with appropriate testing helps rule out serious causes and address the underlying issue.
Persistent worry, panic symptoms, or anxiety that affects daily life deserves attention. Dr. Kiswani-Barley considers emotional stress, sleep, medications, and possible medical contributors alongside your history. Together, you discuss treatment options and whether behavioral health support or specialist care is appropriate.
Persistent sadness, loss of interest, changes in sleep or appetite, and difficulty concentrating can have several contributors. Evaluation considers your emotional wellbeing and physical health together, with testing when indicated. Dr. Kiswani-Barley discusses an individualized plan, follow-up, and referral when needed.
Stress and changing moods can affect relationships, sleep, and everyday function. Care starts with understanding what has changed in your life and health. Sleep, coping strategies, medications, and hormonal or other medical factors are considered when relevant, rather than assuming a single cause.
Hot flashes affect approximately 75% of women during the menopausal transition. Along with night sweats, mood changes, sleep disruption, and vaginal dryness, these symptoms are driven by declining estrogen and progesterone. FDA-approved bioidentical hormone therapy can provide significant relief, often within 2 to 4 weeks.
Perimenopause can begin in a woman's late 30s to early 40s, years before periods stop. Symptoms include irregular cycles, worsening PMS, new-onset anxiety, sleep disruption, and weight gain. Many women are told these changes are just stress when they actually reflect shifting hormone levels that can be identified and addressed.
Vaginal dryness, pain during intercourse, and urogenital discomfort are common during perimenopause and menopause due to declining estrogen. These symptoms affect quality of life and intimate relationships but are treatable. Local and systemic hormone therapy options can restore comfort and tissue health.
Polycystic ovary syndrome affects up to 12% of women of reproductive age and is a leading cause of irregular periods, weight gain, acne, and hair thinning. Insulin resistance is a central driver in most cases. Treatment focuses on addressing insulin sensitivity, optimizing nutrition, and managing hormonal imbalances with formulations specific to PCOS, which differ from standard menopausal HRT.
Chronic pelvic pain, severe menstrual cramps, and pain during intercourse can indicate endometriosis, fibroids, or other gynecologic conditions. An estimated 1 in 10 women has endometriosis, and diagnosis is often delayed by 7 to 10 years. A thorough evaluation helps identify the source of pain and guide appropriate management.
Recurrent urinary tract infections and bladder discomfort in women are often connected to declining estrogen levels, which thin the urogenital tissues and reduce protective bacteria. Women in perimenopause and menopause are especially susceptible. Addressing hormonal factors alongside acute treatment can break the cycle of recurrence.
Fatigue, declining muscle mass, low libido, irritability, and brain fog in men often trace back to low testosterone. Testosterone levels decline approximately 1 to 2% per year after age 30. The TRAVERSE trial confirmed that FDA-approved TRT is cardiovascular-safe, and the FDA has since removed cardiovascular warning labels.
Erectile dysfunction often serves as an early warning sign of cardiovascular disease, hormonal deficiency, or metabolic dysfunction. Low testosterone, insulin resistance, high blood pressure, elevated cholesterol, and psychological stress can all contribute. A physician-led evaluation, including metabolic and cardiovascular labs when appropriate, can help assess treatable contributors and guide care.
Chronic bloating, irregular bowel movements, food sensitivities, and acid reflux often connect to gut health and immune system activation. These symptoms can also be linked to thyroid dysfunction and hormonal changes. Identifying food triggers and optimizing gut function can address multiple symptoms at once.
Chronic acid reflux and GERD are more than just discomfort. Long-term reflux can damage the esophagus and affect quality of life. Contributing factors include diet, meal timing, stress, obesity, and certain medications. Addressing root causes rather than relying on long-term acid suppression leads to more sustainable relief.
Seasonal allergies, food allergies, chronic sinus congestion, and environmental sensitivities can significantly affect daily life. Allergy testing, when appropriate and interpreted alongside your symptom history, can help assess possible triggers, and treatment plans can include avoidance strategies, targeted interventions, and addressing underlying immune system function.
Frequent colds, recurring infections, and slow recovery can indicate an overworked or weakened immune system. Common contributing factors include chronic stress and elevated cortisol, poor sleep, vitamin D deficiency, zinc deficiency, and underlying metabolic issues. A physician reviews your infection history and health concerns, with lab testing when appropriate to assess possible contributors.
Hair thinning and hair loss in both men and women can signal thyroid dysfunction, iron deficiency, hormonal imbalances, elevated stress hormones, or nutritional deficiencies in biotin, zinc, or vitamin D. In women, hair loss during perimenopause and menopause is particularly common as estrogen declines. A physician-led evaluation, with lab testing when appropriate, can help investigate possible contributors and guide treatment.
Adult acne, unexplained rashes, dry skin, and skin changes can reflect internal imbalances including hormonal shifts, insulin resistance, thyroid dysfunction, gut health issues, and food sensitivities. In women, hormonal acne often worsens with PCOS or during perimenopause. Addressing the internal cause produces more lasting results than topical treatments alone.
Over 37 million Americans have diabetes, and another 96 million have prediabetes, most without knowing it. Insulin resistance often develops silently for years before blood sugar levels rise enough for a standard diagnosis. We screen with fasting insulin, HbA1c, and fasting glucose to catch metabolic dysfunction early. Treatment combines lifestyle modifications, nutrition optimization, and when appropriate, FDA-approved medications including GLP-1 therapies that address both blood sugar and weight.
Thyroid conditions affect an estimated 20 million Americans, and up to 60% of those with thyroid disease are unaware of it. Hypothyroidism causes fatigue, weight gain, cold intolerance, hair loss, and brain fog. Hyperthyroidism causes anxiety, weight loss, rapid heartbeat, and heat intolerance. Hashimoto's thyroiditis, one of the most common autoimmune conditions, is frequently underdiagnosed. Based on your symptoms, health history, and initial results, your physician may select thyroid tests including TSH, free T3, free T4, and thyroid antibodies to help evaluate thyroid function and possible autoimmune disease.
Non-alcoholic fatty liver disease affects up to 25% of adults and is the most common chronic liver condition. It is closely linked to insulin resistance, obesity, high triglycerides, and metabolic syndrome. Most people have no symptoms until the disease progresses. Liver function tests, metabolic panels, and imaging can detect it early. Weight loss of even 5 to 10% can significantly improve liver health.
Ongoing care for asthma and COPD, including emphysema, can include medication review, inhaler guidance, symptom monitoring, and care coordination. Breathing tests, an in-person examination, or pulmonology care may be needed. New or worsening shortness of breath requires prompt evaluation; severe breathing difficulty needs emergency care.
Chronic kidney disease affects 1 in 7 adults, and 9 out of 10 people with early kidney disease do not know they have it. Diabetes and high blood pressure are the leading causes. Routine screening with eGFR, creatinine, and urine albumin-to-creatinine ratio can help detect kidney dysfunction early, when intervention is most effective. Patients with diabetes or hypertension should be screened annually.
When you are sick with a cold, flu, sinus infection, strep throat, or bronchitis, you need care quickly. Thrive RX offers acute care telehealth visits for single focused concerns at $100. You can see the same physician who manages your ongoing care, ensuring continuity and avoiding repeated medical histories. Prescriptions are sent directly to your pharmacy.
COVID-19 evaluation, testing guidance, and treatment are available via telehealth. For patients experiencing long COVID symptoms such as persistent fatigue, brain fog, shortness of breath, and exercise intolerance, a physician-led evaluation, with inflammatory markers, metabolic labs, and thyroid function testing when appropriate, can help investigate treatable contributors to ongoing symptoms.
Acute bronchitis, upper respiratory infections, and lingering coughs are among the most common reasons for urgent care visits. Since most cases are viral, telehealth evaluation focuses on symptom management, ruling out pneumonia warning signs, and determining whether further testing or treatment is needed. Patients with frequent respiratory infections may benefit from evaluation for contributing factors such as allergies, asthma, or immune function.
UTIs are one of the most common acute conditions managed in primary care, with symptoms including burning during urination, frequency, urgency, and lower abdominal discomfort. Telehealth evaluation and prescription management allow for fast treatment without an office visit. Recurrent UTIs in women may indicate hormonal factors that benefit from further evaluation.
Many skin rashes, contact dermatitis, hives, and minor skin infections can be evaluated via telehealth using high-quality photos and video examination. Identifying whether a rash is allergic, infectious, autoimmune, or stress-related guides appropriate treatment. Severe, rapidly spreading, or blistering rashes may require in-person evaluation. Recurrent skin issues may warrant investigation into underlying hormonal or metabolic factors.
Chronic back pain is one of the most common reasons adults visit a doctor. While some causes require imaging or physical therapy referral, many are connected to systemic inflammation, vitamin D deficiency, poor sleep, elevated stress hormones, and sedentary lifestyle. A thorough physician-led evaluation can help assess contributing factors and guide a treatment plan that considers both the pain and its possible causes.
Joint pain and stiffness can reflect osteoarthritis, injury, inflammation, or other conditions. Dr. Kiswani-Barley reviews your symptoms, function, and history and recommends appropriate treatment, testing, an in-person examination, or specialist evaluation when needed.
Osteoporosis affects over 10 million Americans and causes 2 million fractures per year. Women lose up to 20% of bone density in the 5 to 7 years after menopause due to declining estrogen. Men with low testosterone are also at increased risk. Vitamin D, calcium, weight-bearing exercise, and hormone optimization all play critical roles in bone preservation. Early screening with DEXA scans and vitamin D testing allows for intervention before fractures occur.
Iron deficiency is the most common nutritional deficiency worldwide and a major cause of fatigue, weakness, dizziness, shortness of breath, and brain fog. Women with heavy periods, vegetarians, and endurance athletes are at higher risk. When appropriate, a complete blood count with iron studies, ferritin, and TIBC can help your physician assess iron status and guide targeted supplementation and dietary strategies.
An estimated 42% of American adults are vitamin D deficient, and B12 deficiency affects up to 15% of the general population. Symptoms of nutrient deficiency overlap with many other conditions, including fatigue, brain fog, mood changes, muscle weakness, numbness, and immune dysfunction. Your physician may choose lab tests based on your symptoms and risk factors to help assess specific deficiencies and guide supplementation rather than relying on generic supplements.
Preventive care is the foundation of long-term health. Comprehensive annual labs, metabolic screenings, hormone baselines, cardiovascular risk assessment, and age-appropriate cancer screenings catch problems early when they are most treatable. Our approach goes beyond checking boxes, providing a deep-dive into your health with same-physician continuity year after year.
If you take multiple medications, regular review is essential. Drug interactions, unnecessary prescriptions, and side effects that mimic new symptoms are more common than most patients realize. We review your complete medication list, assess whether each one is still necessary, check for interactions, and adjust dosages or find alternatives when appropriate.
Age-appropriate cancer screenings save lives through early detection. We coordinate and order screenings including colorectal cancer screening, breast cancer screening referrals, cervical cancer screening, prostate cancer screening discussions, lung cancer screening for eligible patients, and skin cancer risk assessment. Family history review helps identify patients who need earlier or more frequent screening.
Lab testing is tailored to your health concerns, history, and clinical findings. When appropriate, Dr. Kiswani-Barley selects tests from a broad range of options, including metabolic panels, thyroid panels with antibodies, advanced lipid profiles, fasting insulin, inflammatory markers like CRP and ESR, iron studies, vitamin D, B12, hormone levels, and more. Labs are completed at Access Labs or Quest Diagnostics near your Florida location, and results are reviewed in detail during your visit.
You do not need to wait until symptoms appear to take action. Baseline lab panels, family history review, lifestyle optimization, and early metabolic markers help identify risks before they become problems. Our virtual primary care model gives you consistent access to a physician who knows your complete health picture, with transparent pricing and no insurance hassles.
Care is individualized. Your physician may recommend labs, imaging, or a specialist consultation as appropriate, and will advise an in-person visit when a concern needs a hands-on exam. New or severe chest pain, trouble breathing, or other emergency symptoms need immediate care. For a medical emergency, call 911.
Medically reviewed by Vandhana Kiswani-Barley, MD. All content is for informational purposes and does not replace professional medical advice.
Clear visit pricing, so you know what a visit costs before you book.
Initial Consultation
Every new patient starts here, for any service. Labs and medications are billed separately. Follow-up pricing is shown below.
Follow-up visits
Acute Care Visit
A single focused, non-emergency concern. Evening and weekend hours; availability varies.
Primary Care Visit
Up to 3 chronic conditions. Includes preventive care, wellness exams, and ongoing management.
Complex Care Visit
4 or more chronic conditions. Coordinated care planning.
Dr. Kiswani-Barley provides telehealth primary care to patients in every city across the state. No matter where you are in Florida, board-certified care is just a video call away.
Weston
Florida
Fort Lauderdale
Florida
Miami
Florida
Tampa
Florida
Orlando
Florida
Jacksonville
Florida
Boca Raton
Florida
Naples
Florida
Coral Springs
Florida
Pembroke Pines
Florida
Hollywood
Florida
St. Petersburg
Florida
Don't see your city? We serve all Florida residents via telehealth. Call (954) 300-4094 to learn more.
"I highly recommend Dr. Kiswani-Barley to anyone looking for a compassionate and professional physician. The level of medical expertise and attentiveness is unmatched. Staff included provide exceptional care. They take the time to answer all questions and never make you feel rushed."
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"I can't say enough good things about Dr. Kiswani! I am currently a hormone therapy patient of hers, but she has gone above and beyond to help me with my health. She truly cares about her patients and takes the time to listen and understand your concerns."
Originally posted on Google
Common questions about finding a primary care doctor, telehealth appointments, pricing, and what to expect.
Dr. Kiswani-Barley is accepting new primary care patients from across the state of Florida. Board-certified, physician-led care with transparent pricing, all via telehealth.
Or register online at thriverx.md-hq.com/registration
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