Raleigh’s Premiere Vitality Practice
Raleigh, NC
Restore your vitality.
Essential Health – Raleigh is a precision longevity and performance practice for high-achieving adults who want to feel more powerful, clear, and deeply well. We partner with our clients to restore vitality – physiological resilience, cognitive clarity, and relational presence – and create a roadmap to sustainable longevity using cutting-edge diagnostics, advanced regenerative therapies, and highly personalized care rooted in functional medicine.
Our suite of advanced services and personalized guidance from our highly credentialed team of medical experts helps you reach executive level vitality and optimal performance for decades to come.
What to expect:
Physician-led longevity medicine. Move beyond wellness “hype” and into evidence-based care guided by leading experts in longevity medicine.
Primary care depth with advanced optimization science. Dive deeper into your biology and optimize your health with a full spectrum of support.
A sustainable approach to executive health & vitality. Build physiological resilience to reach your potential while preventing burnout.
We are with you every step of the way, every day.
If you are a current patient, please contact your care team by sending a secure message through your patient portal.
After submitting your information, please check your email to schedule a complimentary Meet & Greet or to provide additional information about your request.
We don’t just treat symptoms. We explore the underlying mechanisms of:
Optimize Vitality & Peak Performance in Raleigh, NC
Explore Our Services in Raleigh
All programs begin with a Discovery Call where we pair you with your best fit provider to meet and review your story and goals, then help guide your journey to restored vitality and executive-level performance. A Discovery Call is a one-time fee of $150 that applies to select services.
Advanced Longevity Protocols
Our advanced longevity protocols are designed for individuals who want to live long and live well. Through a highly personalized, physician-led approach, we integrate cutting-edge, evidence-based practices that deliver precision longevity care for those who expect to perform at their peak for decades to come.
Enjoy exclusive access to protocols designed to improve cellular health and longevity, including Hyperbaric Oxygen Therapy, Extracorporeal Blood Oxygenation & Ozonation, NAD+ infusions, & VO2 max testing. All services can be built into a personalized stack to meet your needs.
Executive Health & Performance
Our Executive Health & Performance services are built for leaders, entrepreneurs, and high-achieving individuals who operate under constant demand.
We start by exploring system-wide factors that affect executive performance, including cognitive function, hormones, cardiovascular health, and stress physiology. We then craft a personalized approach to sustainable vitality that powers peak performance, sustained energy, and mental clarity so you can execute at the highest level.
Our Executive Health & Performance protocols include Essential Health Assessments, Executive Coaching, Alpha-Stim Therapy, and Executive Circuit Memberships (unlimited access to Infrared Sauna, Red Light Therapy, gym, whole-body vibration plate, shower facilities, and café amenities Monday-Friday).
Peptide Therapy
Peptides represent the forefront of optimal health and performance. These natural, targeted signaling molecules work at the cellular level to optimize existing pathways in the body.
We offer a comprehensive approach to peptide therapy that help enhance performance, support longevity, and optimize metabolism. Our advanced peptide protocols are highly personalized, using pharmaceutical-grade compounds sourced with the highest standards of safety and efficacy and dosed to your particular body and needs.
Direct Primary Care
Our Direct Primary Care model offers an elevated primary care experience with longer appointments, little wait time, direct provider access, and a relationship built on trust and longitudinal care. We focus on prevention, early intervention, and root-cause healing, while providing you with an open, trusted space to discuss concerns and goals.
We offer several primary care memberships based on your needs:
Essential Primary Care: The perfect blend of functional and conventional medicine, ensuring that you receive the highest care possible to achieve whole-body optimization. Includes 24/7 access to your provider and extensive personalized health assessments annually.
Pricing: Total Care $535/month | Preventive Care: $360/month
Discount available for second adult.
Essential Collective Care: Excellence in primary care without concierge benefits. A lower-investment option for care to meet you where you need us most.
Pricing: Total Care: $340/month | Preventive Care: $165/month
Please note: All Essential Primary Care programs in Raleigh are currently on a wait list. We are currently not accepting new patients into these programs. A Primary Care membership is not required to enjoy other services.
Hormone Balancing
Hormones are the foundation of how you feel, think, and perform. When hormone levels are suboptimal, even the most disciplined lifestyle can often fall short. Optimizing hormone balance helps build a strong foundation of health that supports energy, mood, metabolism, and vitality.
Our hormone balancing program for women and men takes a comprehensive approach to restoring optimal hormone production and regulation. Through advanced testing and personalized optimization plans, we address imbalances in thyroid, adrenal, appetite, and sex hormones using lifestyle changes, peptides, and bioidentical hormone replacement therapy when appropriate.
Pricing: $625/quarter
Please note: The Essential Hormone Balance program in Raleigh is currently on a wait list. We are currently not accepting new patients into this program.
Anti-Aging & Regenerative Medicine
Aging is inevitable; decline is not. We focus our anti-aging and regenerative medicine protocols on repairing, restoring, and revitalizing the body at the cellular level.
We utilize advanced therapies to support tissue regeneration, reduce inflammation, and enhance the body’s natural healing processes. These include musculoskeletal regeneration, regenerative therapies for pelvic floor rehabilitation, hair restoration, regenerative lung health protocol, and Shockwave Therapy.
Functional Medicine Assessments
Your health story is more complex than standard labs can reveal. Our Functional Essential Health Assessment analyzes the interconnected systems that drive your physiology and creates a clear, personalized plan to optimize your health.
We evaluate micronutrients, hormones, detoxification pathways, metabolic function, and more to uncover root causes rather than mask symptoms. We aim to help address chronic issues and improve your health with the tools and guidance to reach long-term vitality. Includes extensive labs and testing, 3 hours with your doctor, full summary and action plan.
Pricing: $2,400+
Specialty Testing & Diagnostics
Precision care begins with precision data. Our specialty testing and diagnostics provide an advanced view into your biology, uncovering hidden imbalances and early risk factors long before they manifest as disease.
From cardiovascular markers to genetics, gut microbiome testing, and advanced longevity biomarkers, we equip you with the knowledge needed to make informed, high-impact decisions about your health.
Menopause & Perimenopause Care
Our menopause and perimenopause care is designed to support women throughout their lives with clarity, confidence, and control. Our team of board-certified providers has a deep understanding of the intricacies of women’s health and is dedicated to helping women manage and resolve hormone issues so they can maintain vitality, performance, and a strong sense of self in any stage of life.
We address symptoms such as fatigue, weight changes, mood fluctuations, and cognitive shifts through bioidentical hormone replacement therapy, peptides, and lifestyle strategies.
Men’s Health
Men’s health is often overlooked until performance declines. We support men’s health by addressing concerns such as low energy, reduced strength, brain fog, changes in body composition, and other medical issues related to low testosterone or other hormone imbalances.
Our programs help men increase energy and vitality through medically supervised solutions including lifestyle modifications, peptide therapy, and bioidentical hormone replacement therapy when appropriate.
Advanced IV Infusions
IV therapy is an efficient way to replenish the body and optimize performance by delivering targeted nutrients, antioxidants, and hydration directly into the bloodstream for maximum absorption and immediate impact.
In addition to foundational IVs that support hydration, immune health, energy, and detoxification, we offer an assortment of advanced infusions, including NAD+, Glow IV, Fitness IVs, Immune IVs, Energy IVs, Detox IVs, High-dose Vitamin C IVs. Select advanced IV infusions require completion of a Wellness Consultation prior to treatment.
Weight Loss
Our weight management services combine medically supervised weight loss rooted in functional medicine with the support and accountability you need to establish habits that lead to optimal health. We identify the underlying drivers of weight resistance, from insulin dysfunction to hormonal imbalances, and create a tailored plan that delivers lasting results and restores metabolic health and long-term vitality.
Medical Aesthetics
A refined aesthetic is a reflection of internal vitality. Using advanced, physician-led techniques, we focus on skin health, collagen support, and regenerative treatments that align your appearance with how you feel internally: confident, vibrant, and fully optimized.
Our services include microneedling, plasma facials, medical-grade chemical peels, and medical-grade skincare from our exclusive product line, Eleon.
Your Care Team
Alli Webb, MD, ABIM, ABPN
Internal Medicine – Psychiatry Longevity & Executive Health Physician
Dr. Webb is passionate about whole-person care and her clinical focuses include executive performance optimization, mental resilience, hormone balance for men and women, and mind-body comprehensive primary care.
Currently not accepting new patients
Nikki Fowler, FNP-C, AANP
Longevity & Functional Medicine Provider
Nikki emphasizes collaborative goal setting and building relationships with her patients. Her areas of special interest are women’s health, hormone optimization, metabolic and cardiovascular health for longevity, and stress management.
Accepting new patients!
Elizabeth Sierakowski, MD, ABFM, ABOIM, ABAARM
Founder
Dr. Sierakowski’s practice emphasizes advanced lifestyle medicine, hormone and gut health, cellular nutrition, and whole-body regenerative therapies to advance active longevity. She continuously drives innovation and incorporates leading clinical technologies to expand Essential Health’s model of optimal, personalized care.
Currently not accepting new patients
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Essential Health – Raleigh
Phone
919.208.2314
Address
Essential Health – Raleigh
1920 Falls Valley Drive
Suite 130
Raleigh, NC 27615
Hours
Monday – Friday 7:30 am – 4:30 pm




