Hello Alpha Menopause Review: What $79 Every 30 Days Actually Buys
Before you pay Hello Alpha
Hello Alpha may fit broad primary-care needs, but the tier, medication, insurance, testing, and cancellation details matter. Match your state, coverage, symptoms, and route preference before starting care.
This Hello Alpha menopause review has a clean verdict: menopause care requires the $79 Alpha Plus+ plan, billed in 30-day periods, while medication, testing, and outside labs can cost extra. It fits best when you need care for several conditions. It fits poorly for one prescription, federal-plan users, testosterone seekers, or anyone who needs a specific product confirmed before paying.
Last verified: August 2026 · Researched and written by The HRT Index editorial team · Educational only — not medical advice · Editorial research, not reviewed by a clinician · We earn no commission from Hello Alpha
That's the short version. Here's the part the pricing page does not settle.
For this Hello Alpha menopause review, we read the current membership page, menopause and perimenopause pages, medication directory, Terms of Use, telehealth consent, prescription policy, leadership page, public reviews, FDA records, and the actual Mississippi and North Carolina medical-board documents.
We found three partial menopause medication lists that do not answer the same question, an at-home hormone panel promoted on one page while another Hello Alpha page says blood work is rarely necessary, two shipped creams whose exact finished formulations are compounded rather than FDA-approved, and a public board order involving the executive Hello Alpha now lists as its Medical Affairs Officer.
None of that makes Hello Alpha a bad company. Some of it makes Hello Alpha a genuinely good fit for a specific kind of woman. But you should know all of it before your card gets charged.
We are not a Hello Alpha partner. There is no affiliate link to Hello Alpha on this page, and we earn nothing if you start care there. Where we point to an alternative that may pay us, the disclosure sits beside the link—not buried at the bottom.
Best for you if…
- You have no regular doctor and want one plan covering menopause plus thyroid care, blood pressure, birth control, mental health, weight management, or other primary-care needs.
- You already pay for Alpha Plus+ for another condition. A menopause visit does not add another membership charge, although it uses one of the four online visits included in the 30-day benefit period.
- You have commercial pharmacy coverage and want a clinician who can send an eligible prescription to your preferred retail pharmacy, subject to clinical judgment, state law, and your plan's formulary.
- You prefer a mostly asynchronous, written care model rather than booking a standard appointment every time.
- You may need help with a prior authorization. Hello Alpha says it supports the required paperwork, while the insurer still makes the coverage decision.
Not for you if…
- You rely on Medicare, Medicaid, or another government-funded plan. Hello Alpha says those programs cannot be used for its services or for prescriptions written by an Alpha provider; cash payment may be possible only if your plan allows it.
- You want only one inexpensive prescription, especially local vaginal estrogen. The recurring care fee may outweigh the medication cost.
- You need someone to confirm the exact patch, pill, progesterone product, or strength before payment. Hello Alpha does not publish a complete menopause formulary.
- You are on the $29 Basic plan and assumed menopause was covered. It is excluded from that tier.
- You want testosterone. Hello Alpha says it does not prescribe controlled substances, and testosterone is a Schedule III controlled substance in the United States.
- You want a broad refund safety net. Plan fees are non-refundable after charging, and the safest cancellation deadline is five days before renewal.
The 30-second cost picture
Answer: Alpha Plus+ costs $79 for each 30-day benefit period and includes four online visits covering up to 100 listed conditions, including menopause and hormone health. Basic costs $29 and excludes both. Medication, shipped cream, testing, outside laboratory work, taxes, deductibles, copays, and pharmacy charges are not included in that headline price.
| Current plan fact | Alpha Basic | Alpha Plus+ |
|---|---|---|
| Advertised price | $29 per month | $79 per month |
| Visits listed by Hello Alpha | 2 per month | 4 per month |
| Conditions listed | 80 | 100 |
| Menopause | Not included | Included |
| Hormone health | Not included | Included |
| Weight loss, diabetes, mental health, fertility | Not included | Included |
| Prescription guaranteed? | No | No |
Provider-stated plan data checked on the Hello Alpha membership page on August 24, 2026. The page uses check icons for Plus+ and close icons for the excluded Basic features. Hello Alpha's Terms define plan benefits as 30-day periods.
Medication is separate. The two shipped cream prices are separate. The at-home test has no public price. Outside lab fees may also apply. We'll show you what the published numbers actually do—and do not—add up to.
The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.
Before you keep reading
The right online HRT provider isn't the same for every woman — it depends on your symptoms, your age and whether you have a uterus, your medication route preference (patch, pill, gel, or vaginal estrogen), your risk history, your insurance or cash-pay situation, and your state. Some situations belong with an in-person clinician first. Because a general answer can't resolve those for you, use The HRT Index's Find My HRT Path tool to match your situation to the right provider — and to flag when online care isn't the right starting point — before your first consult.
What we actually verified
Answer: We separated provider-stated facts from independent regulatory checks, opened the current commercial and legal pages ourselves, and dated every volatile item. The ledger below shows the source behind the price, billing, formulary, insurance, FDA-status, review, leadership, and board-action claims—and it leaves unresolved facts unresolved instead of filling the gaps with guesses.
| What we checked | What the current source says | Verification status | Checked |
|---|---|---|---|
| Plan tiers | Plus+ is $79 and includes menopause; Basic is $29 and excludes it | Provider-stated; icon behavior independently checked | Aug. 24, 2026 |
| Billing period | Plan benefits renew in successive 30-day periods | Verified in current Terms | Aug. 24, 2026 |
| Shipped cream prices | $59.99 for one month; $89.99 for two; $139.99 for three plus one free | Provider-stated | Aug. 24, 2026 |
| Shipped cream specifications | Estradiol 0.1%; estradiol 0.01% + DHEA 0.75% | Provider-stated | Aug. 24, 2026 |
| Cream regulatory category | Neither exact finished formulation matches an FDA-approved product | Independently checked against FDA labeling | Aug. 24, 2026 |
| Complete menopause formulary | Not published; three pages provide three partial views | Independently compared | Aug. 24, 2026 |
| Insurance | No claim processing for visits; an eligible retail pharmacy may use commercial coverage | Verified in membership page and Terms | Aug. 24, 2026 |
| Federal plans | Services are not eligible for Medicare, Medicaid, or other government-program reimbursement; Alpha prescriptions cannot use those plans | Verified in consent and membership page | Aug. 24, 2026 |
| Cancellation | Five-day advance deadline; plan cancellation does not cancel prescription refills | Verified in current Terms | Aug. 24, 2026 |
| Controlled substances | Hello Alpha says its providers do not prescribe them | Verified in prescription philosophy | Aug. 24, 2026 |
| Leadership | Loni Belyea, MD is Chief Medical Officer; Mary Jacobson, MD is Medical Affairs Officer | Verified on current leadership page | Aug. 24, 2026 |
| Mississippi action | 90-day Mississippi telehealth prohibition plus a required PROBE course | Verified from the executed consent order | Aug. 24, 2026 |
| North Carolina action | Public letter of concern; expressly not disciplinary and not a license restriction | Verified from the board letter | Aug. 24, 2026 |
| Public reviews | Trustpilot 4.2 from 8,309 reviews; 64 in the prior 12 months | Verified on live profile | Aug. 24, 2026 |
Primary commercial sources: membership, menopause, perimenopause, available medications, Terms, telehealth consent, prescription philosophy, and leadership.
Five things Hello Alpha does not publish clearly enough for us to confirm
- A public state-by-state service list. The Terms require a clinician licensed for your location, but the public site does not give one stable menopause availability list.
- The at-home hormone-test price. The menopause page lists the six-analyte panel without publishing its cost.
- A complete menopause formulary. The site names categories and scattered products, not a definitive list of what a clinician can prescribe in each state.
- The exact dose of either shipped cream. Concentration and frequency are published; grams per application and applicator calibration are not.
- The compounding pharmacy for those two creams on the public product page. The general consent says Hello Alpha works with compounding partners, but the menopause page does not identify the pharmacy tied to these products.
Found something we got wrong? partners@thehrtindex.com. We'll correct it and date the correction.
Hello Alpha menopause review verdict: is it worth $79 every 30 days?
Answer: Hello Alpha is worth considering when the same $79 plan will solve several healthcare needs, or when you already pay for Plus+. It is harder to justify for one menopause prescription. The first 365 days can contain 13 separate $79 charges—$1,027—because the legal billing period is 30 days, not a calendar month.
The right answer depends on whether you are buying a menopause visit or buying an online primary-care relationship.
The $29 plan looks like it mentions menopause. It still does not include it.
Open the membership page on a phone and both tiers list rows called Menopause and Hormone health. The difference is the icon: Plus+ uses the site's check icon; Basic uses its close icon.
That design is easy to misread in extracted text, accessibility output, or a quick skim. But the underlying page and the menopause funnel agree on the outcome: the menopause page tells you to choose Alpha Plus+, and the Basic icons mark menopause and hormone health as excluded.
Menopause care requires the $79 tier. Not the $29 tier.
“Per month” is not the whole billing story
Hello Alpha markets Plus+ as $79 per month, but its Terms define benefits as the 30-day period after the renewal commencement date and say the plan renews for successive periods of the same length.
That creates two honest numbers:
- Prorated annual rate: 365 ÷ 30 × $79 = about $961.17.
- Actual first-365-day cash flow: if the first charge is on day 1 and renewal occurs every 30 days, a 13th charge can land around day 361. Thirteen $79 charges total $1,027 and carry coverage beyond the one-year anniversary.
The first number is an annualized rate. The second is the charge pattern your bank account can actually see. A subscription cannot bill 0.17 of a renewal.
For Basic, the same first-365-day pattern can produce thirteen $29 charges, or $377, if it stays active continuously.
“As low as $44/mo” is not the lowest published unit price
Hello Alpha's menopause page advertises the shipped vaginal creams at “As low as $44/mo.” Its own FAQ publishes these purchase amounts:
- $59.99 for a one-month supply = $59.99 per month
- $89.99 for a two-month supply = $45.00 per month when divided evenly
- $139.99 for three months plus one free = $35.00 per month across four months
So the promoted $44 figure does not equal the two-month arithmetic—the result is $45.00—and it is not the lowest unit price on the same page. The four-month bundle works out to roughly $35.00 per month.
The footnote also says membership fees are separate. That is the line that changes the offer.
What the first 365 days can cost from Hello Alpha's published prices
Answer: A continuously active Plus+ plan can generate $1,027 in membership charges during the first 365 days. Adding a full year of one shipped cream brings the published-price cash outlay to roughly $1,446.97 with four-month bundles, $1,566.94 with two-month packs, or $1,746.88 when bought one month at a time.
| Sample purchase pattern | Plus+ charges in first 365 days | Published cream purchases | Sample cash outlay |
|---|---|---|---|
| Plus+ only | $1,027.00 | $0 | $1,027.00 |
| Plus+ + three four-month cream bundles | $1,027.00 | $419.97 | $1,446.97 |
| Plus+ + six two-month cream packs | $1,027.00 | $539.94 | $1,566.94 |
| Plus+ + twelve one-month cream orders | $1,027.00 | $719.88 | $1,746.88 |
Assumptions, out loud: the plan starts with an initial charge and remains continuously active for 365 days; the 13th 30-day charge may arrive near day 361 and extends access beyond the anniversary; one cream is purchased often enough to cover twelve months; the published product amounts do not change. Taxes, the at-home test, outside labs, other prescriptions, retail-pharmacy costs, insurance cost-sharing, and any separately quoted shipping charge are excluded. This is reproducible arithmetic, not a checkout quote.
Now flip it, because this is the honest other half
Everything above assumes you want one thing from Hello Alpha.
If you already pay for Plus+ for weight management, thyroid care, mental health, birth control, or another listed condition, your additional membership charge for opening a menopause visit is $0. The visit still counts against the plan's four-visit allowance for that benefit period, and medication remains separate, but you are not buying a second subscription.
If you have no regular clinician and need care for several conditions, $79 every 30 days can be competitive because the same plan covers a broad list of primary-care needs with provider messaging. That breadth is the reason to consider Hello Alpha. It is not a footnote.
For the woman who wants one menopause prescription, the care fee can cost more than the treatment. For the woman who needs one online front door for several conditions, the same fee can make sense fast.
Does the second description sound like your situation? See Hello Alpha's current membership page and confirm that Plus+ is the tier selected →
Direct provider link. We earn nothing from it. A prescription is never guaranteed.
Does Hello Alpha take insurance?
Answer: Hello Alpha does not process insurance claims for membership or visits, and its providers do not submit those claims for you. An eligible prescription can be sent to your preferred retail pharmacy, where commercial pharmacy benefits may apply. Medicare, Medicaid, and other government-funded programs are excluded from the service and prescription route.
| What you are paying for | Current Hello Alpha position | What it means in practice |
|---|---|---|
| Membership and virtual care | Cash pay; Hello Alpha and its providers do not process claims | You owe the posted care charge regardless of later reimbursement |
| Medication at your retail pharmacy | Some pharmacies may accept commercial insurance | Your formulary, deductible, copay, quantity limits, and prior-authorization rules apply |
| Shipped medication through a partner pharmacy | Price shown separately where published | Do not assume your pharmacy benefit applies; confirm before ordering |
| Medicare, Medicaid, or another government program | Not eligible for the service; cannot be used for Alpha prescriptions | Use a plan-participating route or ask whether cash payment is legally allowed by your plan |
| HSA or FSA | Hello Alpha says you may be able to submit expenses for reimbursement | It does not provide a Tax ID, diagnosis, or diagnostic codes for visits; ask your administrator what documentation is required |
The local-pharmacy option is a real strength
Hello Alpha's prescription philosophy says it is a virtual-care platform, not a pharmacy, and that an Alpha provider will transfer a prescription to the pharmacy of your choice upon request, subject to applicable law.
That matters because it gives a commercially insured patient a chance to use a standard retail-pharmacy benefit rather than being locked into a product bundle. It does not guarantee that a clinician will prescribe the exact product you want, that your plan will cover it, or that no prior authorization will be required.
Hello Alpha also says it will support prior-authorization requests. The insurer still decides whether the drug is covered.
In a verified Trustpilot review dated May 27, 2026, Christina Powell Scott described the practical result in eight words: “Easy to get the medicine sent to pharmacy.” In another verified review dated May 20, 2026, Rachelle Heine said Hello Alpha rewrote an asthma prescription as a three-month supply after her insurer required it. Those are customer-service experiences, not evidence that menopause treatment was medically appropriate or that the same result is typical.
The HSA/FSA catch is the care fee, not usually the pharmacy receipt
Hello Alpha states that it operates on a cash-pay model and does not provide a Tax ID number, diagnosis, or diagnostic codes for visits. Some HSA/FSA administrators ask for documentation that Hello Alpha says it does not supply.
A retail-pharmacy receipt normally contains medication and transaction details that Hello Alpha says it does not provide for the $79 care charge. Clear both expenses with your plan administrator before paying.
Want the visit billed through commercial insurance instead of paying a recurring cash membership? Read our verified Midi Health review and check your exact plan before booking →
The Midi review contains affiliate links. We may earn a commission if you continue through one and start care, at no extra cost to you. Midi says it is in-network with most PPO plans; it is not covered by Medicare and cannot treat Medicaid or Medi-Cal patients.
Can I use Medicare or Medicaid with Hello Alpha?
Answer: No. Hello Alpha's consent says its services are not covered by Medicare or Medicaid and are not eligible for reimbursement through a government-funded program. Its membership page also says those programs cannot be used for prescriptions written by an Alpha provider. Cash payment may be possible only if your plan allows it.
This is more than “Hello Alpha does not submit the claim.” It is a hard federal-plan exclusion in Hello Alpha's own documents.
The clean route is to start with a clinician or telehealth service that participates in your exact plan. Call the number on the back of your card, ask for participating primary-care or gynecology telehealth options, and confirm both the visit and pharmacy benefit before the appointment.
Local menopause symptoms can need long-term treatment. The Menopause Society says genitourinary syndrome of menopause usually worsens over time without treatment, unlike hot flashes, which typically improve. That makes a sustainable prescription route especially important—not just a cheap first month.
If Medicare, Medicaid, or another government-funded plan is your coverage, do not pay Hello Alpha expecting the plan to reimburse you later. Start with a participating clinician.
No provider button here. No commission. That's just the right door.
What menopause medications does Hello Alpha actually prescribe?
Answer: Hello Alpha publishes three partial medication views, not one complete menopause formulary. Its menopause page names treatment categories and two shipped creams. Its perimenopause page lists vaginal products, sleep medicines, and contraceptives. Its A–Z directory shows five menopause brands with “up to” prices. Confirm the exact product before paying.
| Current Hello Alpha page | What it publishes | What it does not settle |
|---|---|---|
/menopause | Estrogen; estrogen plus progestin; antidepressants; gabapentin; ospemifene; two shipped creams | No named systemic patch, pill, gel, or progesterone product |
/perimenopause | Estring, estradiol cream, Estrace, Femring, Premarin, Vagifem, Intrarosa; several contraceptives; doxepin and ramelteon | No full systemic menopause formulary, dose list, state limits, or price list |
/available-medications | Activella, Alora, Angeliq, Brisdelle, and Climara with “up to” cash ceilings | No statement that these five are exhaustive; no generic list; no product-specific prescribing promise |
Three pages, three different jobs
The menopause page is a marketing funnel. It names broad treatment categories and the two creams Hello Alpha can ship.
The perimenopause page looks more like a condition-specific catalog. It names vaginal products and birth-control options, but its “Relief for Vasomotor Symptoms” section currently opens to doxepin and ramelteon under “Sleep Medications.” That is not a complete hot-flash treatment list.
The available-medications directory shows five menopause entries: Activella, Alora, Angeliq, Brisdelle, and Climara. Many other condition sections on the same page also stop at five alphabetically early products. Our editorial read is that the display is likely truncated rather than a complete formulary. The page never says those five are the only options.
That inference is good news for Hello Alpha's possible breadth. It is bad news for a woman trying to confirm a product before paying.
The perimenopause page has three label errors worth knowing
The current page calls:
- Premarin a generic for conjugated estrogens, although Premarin is the brand name.
- Vagifem both a generic and a brand for Vagifem, which is circular.
- Intrarosa a generic for prasterone, although Intrarosa is the brand name for the prasterone vaginal insert.
These look like content-maintenance errors, not evidence of what a clinician would actually dispense. But a page that mislabels brand and generic status cannot answer the brand-versus-generic question for you.
The five A–Z prices are ceilings, not quotes
Hello Alpha currently publishes these “up to” out-of-pocket amounts:
- Activella pill — up to $400 per month
- Alora patch — up to $205 per month
- Angeliq pill — up to $290 per month
- Brisdelle capsule — up to $320 per month
- Climara patch — up to $215 per month
Those numbers do not prove that you would pay the ceiling, that your clinician would choose the product, or that a lower-cost generic would not be available. They do prove that the headline membership price is not an all-in medication price.
The useful move is to ask for the exact prescription route in writing
Put this in the intake:
“If hormone therapy is clinically appropriate for me, do you prescribe a systemic estradiol patch in my state? Which products and strengths are available? Can you send the prescription to my preferred pharmacy, and can you consider a covered generic when medically appropriate?”
That asks for a clinically appropriate option. It does not pretend the patient can order a prescription from a menu.
One hard limit: no testosterone
Hello Alpha says its providers do not prescribe controlled substances. The DEA lists testosterone as a Schedule III controlled substance, so this policy excludes it.
There is no loophole in the wording. If testosterone evaluation is your main reason for choosing a provider, Hello Alpha is not the route.
Want one menopause evaluation without committing to a compulsory care membership? Compare the current pay-per-visit routes we verified →
That comparison explains what each payment actually buys, which prices exclude medication and labs, and which pages contain affiliate links. A visit buys a medical evaluation—not a guaranteed prescription.
Are Hello Alpha's vaginal creams FDA-approved?
Answer: No. Hello Alpha lists estradiol 0.1% cream and estradiol 0.01% plus DHEA 0.75% cream. Those exact finished formulations are compounded preparations, not FDA-approved drugs. Hello Alpha's general telehealth consent discloses that compounded medication may be offered, but the menopause product-and-price section does not label these two creams compounded.
This is the section where precision matters most.
Why the exact finished products are compounded
The FDA-labeled estradiol vaginal cream is 0.01%, equal to 0.1 mg of estradiol per gram. Hello Alpha advertises one cream at 0.1%, ten times that concentration.
The FDA-approved vaginal prasterone product, Intrarosa, is a 6.5 mg vaginal insert. Hello Alpha's second product is a cream combining estradiol 0.01% with DHEA 0.75%.
Those are different finished products. The two Hello Alpha formulations are compounded preparations.
The FDA's position is direct: compounded drugs are not FDA-approved, and the agency does not verify their safety, effectiveness, or quality before they are marketed. Compounding can meet a legitimate patient need, but it is not the same regulatory category as an FDA-approved finished drug. See the FDA's compounding questions and answers, the estradiol vaginal cream label, and the Intrarosa label.
The disclosure exists—but not where a buyer needs it most
Hello Alpha's current telehealth consent contains a general compounded-medication paragraph. It says an Alpha provider may offer a compounded medication and states that compounded drugs are not FDA-approved.
The problem is placement. The menopause page names the two formulations, tells the reader how often treatment is typically used, publishes the bundle prices, and describes minimal systemic absorption—but it does not label those exact products compounded in the product section.
A consent document after account creation is not the same as a clear product label before the buying decision. That is the disclosure gap.
0.1% is a concentration, not a dose
This distinction stops the scary math from becoming bad math.
- 0.01% estradiol cream contains 0.1 mg per gram.
- 0.1% estradiol cream contains 1 mg per gram.
- So 0.1% is ten times the concentration of 0.01%.
But Hello Alpha does not publish grams per application, applicator calibration, or a complete product label. Without the amount dispensed each time, nobody outside the prescribing and dispensing team can calculate the actual dose.
That is why a per-week microgram ladder based on an assumed one-gram application does not belong on this page. Concentration is verified. Dose is not.
“Minimal systemic absorption” is Hello Alpha's claim, not an FDA finding about these creams
Hello Alpha describes both products as having minimal systemic absorption. The FDA-approved 0.01% estradiol vaginal cream label says systemic absorption may occur and tells clinicians to consider the warnings associated with systemic estrogen.
That does not prove Hello Alpha's statement is false. It means the company has not published enough product-specific evidence on the public page for us to independently validate the claim for either compounded formulation.
Ask these five questions before accepting a shipped cream
- Is this exact prescription compounded?
- Which pharmacy will compound and dispense it, and is that pharmacy licensed for my state?
- What is the concentration and the exact number of grams per application?
- What is the starting schedule, maintenance schedule, and step-down point written on my label?
- Why is this formulation being recommended instead of an FDA-approved product for my situation?
Those questions do not tell a clinician what to prescribe. They make the regulatory category, dose, pharmacy, and rationale visible before you use the medication.
Do I need Hello Alpha's at-home hormone test?
Answer: A single hormone panel cannot definitively identify the stage of perimenopause, and Hello Alpha does not publish the test price. Its menopause page promotes a six-analyte finger-prick panel, while its perimenopause page says blood work is rarely necessary and most women can be assessed from a detailed history. Ask whether the result will change care.
Two current Hello Alpha pages pull in opposite directions.
The menopause page makes “Get at-home test and/or treatment” step three and lists FSH, LH, estradiol, progesterone, testosterone, and TSH. It does not show a price.
The perimenopause page says: “Blood work is rarely necessary.” It adds that clinicians can identify perimenopause in most women from a detailed medical history.
Both statements can coexist only if testing is selective rather than automatic. The page does not explain who needs the panel or what decision each result changes.
What the independent medical source says
The Menopause Society states that there is no laboratory test or biomarker that definitively determines a woman's perimenopause stage. Hormone levels fluctuate, symptoms overlap with other conditions, and a single snapshot can be difficult to interpret.
Testing can still matter when the history is atypical, when another condition is plausible, or when early or premature loss of ovarian function is being evaluated. The Menopause Society notes that a blood test showing elevated FSH can contribute to evaluating primary ovarian insufficiency in a woman younger than 40.
That is why the same broad panel should not be treated as a routine gate for every 45-year-old with classic cycle changes and hot flashes.
Read the current The Menopause Society discussion of perimenopause and its premature menopause guidance.
Two questions settle the buying decision
- What is the full cash price of the at-home panel?
- Which result could change my diagnosis, prescription, dose, or referral plan?
If the care plan would be identical with or without the panel, the test has not earned its price. If a clinician is investigating thyroid disease, pregnancy, abnormal bleeding, early menopause, or another diagnosis, the testing question is different—and the clinician should explain why.
Is Hello Alpha legitimate?
Answer: Yes, Hello Alpha is a real US telehealth platform connecting patients with licensed medical practices, named leaders, US pharmacy partners, and a LegitScript certification. That does not erase a material regulatory record: Mississippi imposed a 90-day telehealth restriction on Mary Jacobson, MD, now Hello Alpha's Medical Affairs Officer, and North Carolina later issued a non-disciplinary public letter of concern.
| What we checked | Current evidence | What it establishes | What it does not establish |
|---|---|---|---|
| Corporate and medical-practice identity | Terms name Hello Alpha, Inc. and affiliated medical practices | Traceable operating structure | Quality of an individual encounter |
| Leadership | Gloria Lau is CEO; Loni Belyea, MD is CMO; Mary Jacobson, MD is Medical Affairs Officer | Named, attributable leaders | Independent credentialing of every clinician |
| Clinician types | Hello Alpha describes physicians, physician assistants, and nurse practitioners licensed in the US | Licensed clinician categories provide care | A specific credential or specialist for your visit |
| Pharmacy position | Hello Alpha says US partner pharmacies are licensed in the states served | A stated pharmacy-licensure policy | Identity of the pharmacy for either menopause cream |
| Care model | Asynchronous messaging by default; synchronous care may be offered or requested depending on state and condition | The interaction format is disclosed | A questionnaire can replace every exam in every state |
| LegitScript | Seal displayed in the site footer | Third-party healthcare-merchant certification | Endorsement of every clinical decision |
| Medical-board record | Mississippi consent order and North Carolina public letter | A documented issue involving one executive physician | A finding against every Hello Alpha clinician or encounter |
Correct the leadership record first
The draft version of this review called Mary Jacobson Hello Alpha's chief medical officer. That is no longer current.
Hello Alpha's leadership page lists:
- Loni Belyea, MD — Chief Medical Officer
- Mary Jacobson, MD — Medical Affairs Officer
The regulatory record still matters because Dr. Jacobson remains on the leadership page. It needs to be described with the right title and the actual primary documents.
What the Mississippi order actually says
The Mississippi State Board of Medical Licensure consent order, accepted in November 2025, says Dr. Jacobson practiced through Alpha Telemedicine and that the board received a complaint alleging prescriptions through Hello Alpha without a physical examination or in-person monitoring.
The order states that the conduct constituted:
- failure to establish a valid physician-patient relationship;
- use of store-and-forward technology to replace real-time physician-patient interaction;
- use of a questionnaire instead of a physical examination; and
- unprofessional conduct under the cited Mississippi rules.
Dr. Jacobson entered the consent order to avoid an evidentiary hearing and admitted the stated facts and allegations subject to the order's terms.
The sanction was not a full suspension of her medical license. It prohibited her from practicing medicine by telehealth in Mississippi for 90 days, or until February 10, 2026, and required completion of the CPEP PROBE course. The order says the restriction would lift automatically after the requirements were satisfied.
The dated 90-day period reached February 10, 2026. The same order tied automatic lifting of the restriction to satisfaction of its requirements. Because we found no separate public completion notice, we report the order and its dates but do not claim the current status of every condition.
What North Carolina did—and did not—do
The North Carolina Medical Board's March 26, 2026 letter says the board reviewed the Mississippi action and decided not to commence formal proceedings at that time.
It issued a public letter of concern and urged Dr. Jacobson to prevent recurrence. The same letter explicitly says a public letter of concern is not a disciplinary action and not a limitation or restriction on her North Carolina medical license.
That proportional wording matters. Calling it a reprimand or license restriction would be inaccurate. Omitting it would also be inaccurate.
What the board record means—and what it does not
It means: one state board documented that the telehealth method used in a specific matter failed Mississippi's physician-patient-relationship and examination rules. A second board considered the matter serious enough for a public concern letter.
It does not mean: every Hello Alpha clinician, patient, prescription, state, or asynchronous visit was found deficient. The orders do not establish that a patient was harmed. They do not say Dr. Jacobson will review your intake. They do not make asynchronous telehealth illegal nationwide.
The useful question for any questionnaire-first provider is:
“What finding makes you require a live visit, an examination, diagnostic testing, or an in-person referral instead of prescribing from the written intake?”
A clear escalation rule tells you more than a “legit” badge.
Hello Alpha under The HRT Index Verification Standard
- Clinical legitimacy — Identifiable company, named affiliated practices, named leadership, licensed clinician categories, US pharmacy-partner policy, and a LegitScript seal. The Mississippi order and North Carolina concern letter are material counter-evidence that belongs beside those positives.
- Care quality — Convenient asynchronous access with written follow-up and the possibility of synchronous communication. The model depends heavily on complete intake review, response time, continuity, and a reliable escalation threshold.
- Medication fit — Broad treatment categories and retail-pharmacy routing, but no complete menopause formulary. No controlled substances. Two shipped compounded creams whose product page does not name the regulatory category.
- Price transparency — Membership tiers and cream bundle amounts are public. The 30-day cash-flow effect, test price, outside-lab cost, full medication price, and exact product before intake remain unresolved.
- Access — Wide condition breadth and appointment-free entry. No public state list. Medicare, Medicaid, and other government-funded plans are hard exclusions.
No numeric score. A number would pretend to a precision the evidence does not support.
What do Hello Alpha reviews actually say?
Answer: Hello Alpha's live Trustpilot profile shows a 4.2 score from 8,309 reviews, with 64 posted in the previous 12 months. That recent slice equals about 0.77% of the lifetime total. Reviews lean strongly positive, but the recent sample is small enough that the aggregate score should not carry the decision by itself.
| Source | Useful for | Not proof of |
|---|---|---|
| Hello Alpha testimonials | The experiences the company chooses to feature | Typical satisfaction, safety, or treatment results |
| Trustpilot | Service themes, communication, billing, pharmacy friction | Whether a prescription was clinically appropriate |
| Medical-board documents | The scope of an official action | Generalizing one matter to every clinician |
| Our verification | Current commercial, regulatory, and labeling facts | Personal medical advice |
The number behind the number
On August 24, 2026, Trustpilot showed:
- 4.2 out of 5
- 8,309 total reviews
- 64 reviews in the prior 12 months
- 81% five-star and 9% one-star
- replies to 42% of negative reviews, typically within two weeks
Sixty-four divided by 8,309 is about 0.77%. That does not mean 99.23% of the score was earned under one particular price model; Trustpilot does not publish enough weighting detail for that claim. It means the visible recent-review volume is a very small share of the lifetime archive.
Hello Alpha's current recurring membership model is what you are buying. Treat the 4.2 as a long-run service signal, then read recent reviews for current operations.
What the current reviews praise
The strongest repeated themes are convenience, an easy portal, fast answers in many cases, and getting prescriptions to a local pharmacy. Christina Powell Scott, in her verified May 27, 2026 review, wrote: “The whole process is extremely smooth and not complicated.”
Rachelle Heine's verified May 20, 2026 review described an insurer requiring a three-month asthma prescription and said Hello Alpha resent it in that form. That is the exact kind of pharmacy and prior-authorization friction Hello Alpha may handle well.
What the current reviews criticize
The live Trustpilot summary identifies communication delays, slow treatment or medication handling in some cases, and conflicting guidance from different practitioners.
A June 2026 three-star reviewer described a split experience: positive weight-management care, but multi-day delays for common acute issues and repeated questions that had already been answered in the intake. Hello Alpha apologized publicly and said that delay was not the service level it aimed to provide.
That is not a menopause outcome. It is still useful because it exposes the central tradeoff of asynchronous care: written access can feel frictionless when the thread moves quickly and painfully slow when each question adds another day.
Read reviews for operations. Do not use them to decide whether hormone therapy is safe or appropriate for you.
Will Hello Alpha prescribe hormone therapy, or just birth control?
Answer: Hello Alpha presents both menopause hormone therapy and hormonal contraception as possible routes. If you still have periods, its perimenopause page says birth control may be appropriate because menopausal hormone therapy does not reliably prevent ovulation, while contraception can address pregnancy risk and bleeding. The clinician—not the marketing page—decides which route fits.
Hello Alpha's explanation is clinically coherent: sporadic periods do not prove pregnancy is impossible, and menopausal hormone therapy is not a contraceptive.
The Menopause Society likewise says pregnancy remains possible during perimenopause and recommends contraception until menopause is confirmed one year after the final menstrual period for women who do not want to become pregnant.
That does not erase the expectation gap.
A woman who searched for an estradiol patch can feel blindsided if the recommendation is a combined oral contraceptive. The fix is not to demand a prescription. The fix is to make the decision you are asking the clinician to explain unmistakable.
Put this in the intake:
“I am seeking an evaluation for menopausal hormone therapy. I understand contraception may be recommended if pregnancy or bleeding control is a priority. Please tell me which route you recommend for my history, why, whether it prevents pregnancy, and which exact product you would prescribe before I accept the treatment plan.”
You will get the distinction in writing instead of discovering it at the pharmacy.
Want a menopause-focused provider with publicly separated FDA-approved and compounded product categories? Read our verified Winona HRT review and check the current state and age rules →
The Winona review contains affiliate links. We may earn a commission if you continue through one and start care, at no extra cost to you. Winona offers FDA-approved patches, tablets, and progesterone capsules and also sells compounded creams; those categories are not equivalent and our review keeps them separate.
How do I cancel Hello Alpha—and what does canceling not cancel?
Answer: Cancel inside your account under Account → Plan and Payment → Plan Details, and do it at least five days before the next scheduled charge. Canceling the membership does not cancel automatic prescription refills. You must separately message the care team and, when medication goes to your own pharmacy, contact that pharmacy about future fills.
This is the section to save before you sign up.
Two cancellation sentences create one safest deadline
The current Terms say:
- automatic renewal must be canceled at least five days before the next scheduled charge; and
- monthly plan fees are non-refundable once charged, while another plan sentence refers to canceling before the date of charge.
Those wordings are not identical. The consumer-safe instruction is simple: act on the earlier rule and cancel at least five days before renewal.
The reminder arrives on the named cutoff
Hello Alpha says it sends an automated email five days before the renewal date as advance notice.
That is the same interval as the advance-cancellation requirement. Do not treat the email as the beginning of a leisurely five-day decision window. If you already know you want out, cancel when the notice arrives—or earlier.
Canceling the plan does not cancel the medicine
The Terms say plan cancellation does not cancel upcoming or automatic prescription refills. Medication can continue to be refilled and charged through the remaining prescription refill period unless you separately cancel it.
Two actions:
- Cancel the plan in Account → Plan and Payment → Plan Details.
- Message the care team to stop shipped prescription refills. If the prescription is at your retail pharmacy, contact the pharmacy as well.
This is not fine-print trivia. It explains why someone can cancel access and still see a medication charge.
What is refundable—and what is not
- Plan fees: non-refundable after charging.
- A consultation after a provider accepts the relationship: generally non-refundable under the Terms.
- If no provider can accept you for telehealth treatment: Hello Alpha says it will notify you, and its Terms provide for a refund when the service cannot be provided under the stated eligibility conditions.
- Prescription products already processed for shipping: no returns or exchanges.
Do not translate that into “everything is refundable if I do not get the prescription I wanted.” Membership does not guarantee a prescription.
The arbitration opt-out exists for 30 days
The Terms route covered disputes to binding individual arbitration administered by JAMS and include a class-action waiver. They also allow a written opt-out within 30 days after first becoming subject to the arbitration agreement.
The current notice address is:
Hello Alpha 1032 E Brandon Blvd, #1194 Brandon, FL 33511
The Terms also list contact@helloalpha.com for the opt-out notice. Read the live Terms for the required identifying information before sending it.
Your cancel-safely card
Write these dates down the day you join:
- Signup and first charge date: ____________________
- Next renewal date shown in account: ____________________
- Personal cancel-by date, at least five days earlier: ____________________
- [ ] Canceled the plan under Account → Plan and Payment → Plan Details
- [ ] Separately messaged the care team to stop shipped prescription refills
- [ ] Contacted the retail pharmacy if a prescription was sent there
- [ ] Saved the cancellation confirmation email or screenshot
- [ ] Checked the card statement after the expected renewal date
- [ ] Considered the arbitration opt-out before the 30-day window closed
Read the current Hello Alpha Terms of Use before relying on any saved version of this checklist.
Is Hello Alpha available in my state?
Answer: Hello Alpha does not publish a stable public state list for menopause care. Its legal documents say you must be in a jurisdiction where a properly licensed provider can treat you, and the interaction may be asynchronous or synchronous depending on the state and condition. Start the intake and verify eligibility before payment.
“Available in my state” is not one question. It is five:
- Does the platform accept your current physical location?
- Is an affiliated clinician licensed there and available for menopause care?
- Does that state's rule allow the proposed asynchronous method, or will a real-time visit be required?
- Can the prescribed product and dispensing pharmacy legally serve the state?
- Can any required blood pressure reading, examination, test, or outside lab be completed and accepted there?
The Mississippi order is the reason question three belongs on the list. A workflow that is routine in one state can fail another state's relationship or examination rule.
Do not infer nationwide menopause availability from national marketing language. Begin the intake, enter your actual location, and confirm the care format, clinician licensure, pharmacy route, and total charge before paying.
Hello Alpha vs. Midi Health vs. Sesame Care vs. Winona
Answer: These providers sell four different things. Hello Alpha sells recurring primary-care access. Midi bills per menopause-focused visit and works with many commercial PPO plans. Sesame offers provider-selected video care and subscriptions without requiring one universal membership model. Winona sells ongoing menopause treatment through a product subscription. Match the billing structure before comparing prices.
| Decision fact | Hello Alpha | Midi Health | Sesame Care | Winona |
|---|---|---|---|---|
| Core model | $79 recurring Plus+ care plan | Per visit; insurance-first or self-pay | Marketplace and menopause-care options; price shown by service/provider | Medication-and-care subscription |
| Visit insurance | Does not process claims | In-network with most PPO plans; verify exact plan | Cash pay; Sesame does not accept third-party insurance | Cash-pay subscription |
| Medicare | Service and Alpha prescriptions excluded | Not covered; beneficiary may self-pay under Midi's stated rules but cannot submit related claims | Not accepted; self-pay only | Not an insurance-billed route |
| Medicaid | Service and Alpha prescriptions excluded | Cannot treat Medicaid or Medi-Cal patients, even self-pay | Not accepted; self-pay only | Not an insurance-billed route |
| Interaction | Mostly asynchronous; real-time may be offered or required | Scheduled menopause-focused virtual visit | Video visit with selected provider; messaging/support varies by product | Online intake and physician messaging |
| Prescription destination | Preferred retail pharmacy or partner shipping | Retail pharmacy for standard prescriptions | Preferred local pharmacy | Winona's dispensing route and shipment |
| FDA-approved options | Named on partial site lists; exact prescription not guaranteed | Standard FDA-approved menopause options when appropriate | Hormonal and nonhormonal prescriptions depend on clinician | FDA-approved patches, tablets, and progesterone capsules available |
| Compounded products | Two shipped vaginal creams | Product-specific; confirm the exact prescription and regulatory category | Product-specific; confirm with the selected clinician | Compounded creams also sold; separate category |
| Public state list | No stable menopause list found | All 50 states | Provider and service availability varies | Public state pages; check current list |
| Broad non-menopause care | Yes—100 listed conditions on Plus+ | Midlife women's health focus | Broad marketplace | Menopause focus |
| Commission relationship on this page | None | Internal review may contain affiliate links | No direct paid link used here | Internal review may contain affiliate links |
Comparator facts checked from Midi's current pricing and insurance disclosure, Sesame's menopause-treatment page, and Winona's HRT product explanation and state directory on August 24, 2026. Availability, networks, and product menus change; verify at booking.
The table is not a ranking. It is a model match.
- Choose Hello Alpha when broad primary-care access is the value.
- Consider Midi when commercial insurance and a menopause-focused scheduled visit are the value.
- Consider a pay-per-visit route when you want one evaluation without a compulsory care membership.
- Consider Winona when a menopause-specific shipped-treatment model fits and you have checked the exact product category, state, age rule, and cancellation terms.
So who should actually use Hello Alpha?
Answer: Hello Alpha fits best for a woman who already has Plus+ or needs menopause care alongside several other primary-care services. It fits worst for someone seeking one cheap prescription, relying on a government-funded plan, wanting testosterone, or requiring a named product before payment. Find your row below and follow the instruction beside it.
| If this is you… | The practical move |
|---|---|
| Already paying for Plus+ | Open the menopause visit. There is no second membership charge, although medication is separate and the visit counts toward the benefit-period allowance. |
| No regular clinician and several ongoing needs | Hello Alpha can be a strong value because one plan covers menopause and broad primary care. |
| Commercially insured and want a retail-pharmacy prescription | Workable—but confirm the exact product, generic/brand route, formulary, and prior authorization before accepting treatment. |
| Want your clinical visits processed through a PPO | Read the Midi Health review and verify your exact network status. |
| Want one visit with no compulsory care subscription | Use the pay-per-visit comparison. |
| Medicare, Medicaid, or another government-funded plan | Use the plan's participating clinician directory. Do not pay Hello Alpha expecting reimbursement. |
| Want only vaginal estrogen | Compare the recurring care fee with the cost of using an existing clinician or a one-visit route. |
| On Basic | Menopause is excluded. Decide whether the $79 upgrade earns its cost before opening the visit. |
| Want testosterone | Not here. Hello Alpha does not prescribe controlled substances. Use Find My HRT Path to identify routes that explicitly handle controlled-substance evaluation. |
| Any bleeding after menopause | Arrange prompt diagnostic evaluation. ACOG says bleeding after menopause is not normal and should be assessed; an online form must not replace that workup. |
The honest limitation, stated once
Hello Alpha is not a menopause-only specialty clinic. It is a broad online primary-care model with menopause inside the higher tier. It does not publish a complete hormone formulary, promise a specific menopause specialist, identify the product before clinical review, or bundle the $79 fee with every possible medication and lab cost.
If your priority is a dedicated menopause appointment with the product route clarified early, another model may fit better.
But that same lack of narrow specialization is the reason Hello Alpha can win. The $79 plan is not only buying menopause care. It can also be the place you address thyroid concerns, blood pressure, contraception, mental health, urinary symptoms, or other listed conditions without opening another clinic account.
And because Hello Alpha allows prescriptions to go to a preferred retail pharmacy, a commercially insured patient may be able to use her pharmacy benefit for an eligible standard prescription instead of buying a platform-only bundle.
For a woman with no regular clinician and several things going on at once, that is a real offer—not a consolation prize.
Not sure which row is yours? Use Find My HRT Path to match your symptoms, state, insurance, route preference, and safety flags to the right starting point →
The 8 questions to ask Hello Alpha before you pay
Answer: Every unresolved buying risk on this page collapses into eight questions: plan eligibility, exact systemic product, uterine protection, compounded-cream dose and pharmacy, test price, retail-pharmacy routing, escalation rules, and renewal timing. Send them during intake, save the written answer, and do not accept a treatment or charge you do not understand.
- Is menopause included in the exact tier I am selecting? Plus+ includes it; Basic does not.
- Do you prescribe a systemic estradiol patch in my state? Which products and strengths are available?
- If I have a uterus, what uterine-protection plan would you use with systemic estrogen, and what exact progestogen product is it?
- Is the vaginal cream compounded? Which pharmacy makes it, what is the concentration, how many grams are used per application, and what is the starting and maintenance schedule?
- What is the full price of the at-home hormone panel, and which result could change my treatment or referral?
- Can you send an eligible prescription to my preferred retail pharmacy and consider a covered generic when clinically appropriate?
- What finding would make you require a live visit, examination, diagnostic test, or in-person referral instead of prescribing from the written intake?
- What is my exact next charge date, what is the five-day cancel-by date, and are any medication refills enrolled separately?
Take a screenshot of the answers. That is your pre-pay record.
Got clear answers and the model still fits? Start on Hello Alpha's menopause page and confirm the charge before submitting →
Direct provider link. We earn nothing from it. Starting an intake does not guarantee treatment or a prescription.
Frequently asked questions
Is Hello Alpha the same as Alpha Medical?
Yes. Hello Alpha, Inc. was formerly known as Alpha Medical Group, Inc. Older reviews and documents may use Alpha Medical or Alpha Telemedicine, while the current consumer brand is Hello Alpha.
Does Hello Alpha prescribe HRT?
Hello Alpha presents estrogen, estrogen plus progestin, vaginal treatments, and nonhormonal options as possible menopause treatments. Its A–Z directory names Alora and Climara estradiol patches. It does not publish a complete formulary or guarantee a prescription, so confirm the exact product during intake.
Does Hello Alpha prescribe testosterone for women?
No. Hello Alpha says its providers do not prescribe controlled substances. The DEA lists testosterone as a Schedule III controlled substance in the United States, so it falls outside Hello Alpha's published policy.
How much is Hello Alpha for menopause?
The required Alpha Plus+ tier is advertised at $79 per month, and the Terms define benefits as 30-day periods. A continuously active first 365 days can therefore contain 13 charges, totaling $1,027. Medication, shipped cream, testing, outside labs, taxes, and pharmacy cost-sharing can be separate.
Is menopause included in the $29 Basic plan?
No. The Basic column displays close icons beside menopause and hormone health, while Plus+ displays check icons. The menopause page also tells users to choose Alpha Plus+.
Does Hello Alpha take insurance?
Not for the membership or visits: Hello Alpha and its providers do not process those claims. An eligible prescription sent to your preferred retail pharmacy may use commercial pharmacy coverage, subject to the formulary, deductible, copay, and prior-authorization rules.
Can I use Medicare or Medicaid?
No. Hello Alpha's consent says its services are not covered by Medicare or Medicaid, and the membership page says government-funded plans cannot be used for prescriptions written by an Alpha provider. Cash payment may be possible only when the plan permits it.
Can I use an HSA or FSA?
Maybe. Hello Alpha says you may be able to submit membership and medication expenses, but it does not provide a Tax ID number, diagnosis, or diagnostic codes for visits. Ask your HSA/FSA administrator what documentation it requires before paying.
Does Hello Alpha do video visits?
The default model is asynchronous, store-and-forward communication. The Terms say a provider may offer—or the patient may request—real-time communication depending on the state and condition. Do not assume every case stays messaging-only.
Does membership guarantee a prescription?
No. Hello Alpha says providers prescribe under clinical guidelines and membership does not guarantee medication. The clinician may recommend another treatment, require more information, escalate to a real-time visit, or direct you to in-person care.
How do I cancel Hello Alpha?
Go to Account → Plan and Payment → Plan Details and cancel at least five days before the next scheduled charge. Then separately message the care team to stop shipped prescription refills, because plan cancellation does not cancel them. Contact your retail pharmacy as well when relevant.
Are Hello Alpha's vaginal creams FDA-approved?
No. Hello Alpha lists estradiol 0.1% cream and estradiol 0.01% plus DHEA 0.75% cream. Those exact finished formulations are compounded preparations, not FDA-approved drugs. The FDA does not premarket-review compounded drugs for safety, effectiveness, or quality.
Is Hello Alpha available in every state?
Hello Alpha does not publish one stable public menopause state list. Eligibility depends on your physical location, clinician licensure, state telehealth method rules, medication, pharmacy, and any required testing. Enter your state during intake and confirm eligibility before paying.
Is Hello Alpha legit?
Yes, it is a real telehealth platform with named affiliated practices, leaders, licensed clinician categories, US pharmacy partners, and a LegitScript seal. The fair answer also includes the Mississippi consent order and North Carolina public letter involving Medical Affairs Officer Mary Jacobson, described in full above.
How we researched this page
We are The HRT Index, and this review follows The HRT Index Verification Standard.
We read every current published price we relied on, separated FDA-approved products from compounded preparations, checked insurance and federal-plan language, compared the site's three medication views, opened the legal cancellation clauses, verified current leadership, read the primary medical-board documents, checked the live review count, and dated the work.
We evaluate every provider using the same five pillars, in the same order: clinical legitimacy, care quality, medication fit, price transparency, access. We do not issue invented per-provider scores.
This is editorial research. It has not been reviewed by a clinician, and we say that plainly rather than implying clinical review we do not have. Nothing here is medical advice or a substitute for a clinician who knows your history.
Our commercial position: we earn no commission from Hello Alpha. Our Midi and Winona review pages contain affiliate links and may generate a commission if a reader continues through one and starts care. The Hello Alpha conclusions above do not change based on which company pays us.
Primary medical and regulatory sources
- FDA: Compounding and the FDA—Questions and Answers
- DailyMed: Estradiol Vaginal Cream 0.01% labeling
- FDA: Intrarosa 6.5 mg prasterone vaginal-insert label
- DEA: Drug Scheduling
- The Menopause Society: Perimenopause
- The Menopause Society: Hormone Therapy
- ACOG: Bleeding After Menopause
- Mississippi State Board of Medical Licensure: Jacobson Consent Order
- North Carolina Medical Board: Jacobson Public Letter of Concern
Found an error? partners@thehrtindex.com. We'll correct it and date the correction.
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