
About PeakMD Health
Most people who come to us aren't sick. They're in midlife and starting to feel the gap between how they're living and how they want to age.
The energy isn't what it was. The weight isn't responding. The labs come back "normal" but nothing feels normal.
At PeakMD, we specialize in helping people age intentionally by building a personalized plan around metabolic health, hormones, stress reduction, peak performance, and disease prevention using our North Framework™
– so you stay strong, capable and in control for decades to come.
This is medicine with a long view.
How it Works
Most people don't need more information.
They need a clear path–and a system that works in real life.
That's what we build at PeakMD.
01
Know Where You Are
Meet one-on-one with Dr. Gray for a comprehensive 90-minute physician Precision Consultation to understand your health, your physiology, your history, and your goals.
03
Choose Your Path
Take your roadmap forward on your own--or choose the level of support that fits your needs: focused hormone or weight loss medication management, Precision Plus for comprehensive implementation.
02
Find Your North
You leave with a comprehensive Precision Roadmap tailored around PeakMD's proprietary NORTH Framework™--looking beyond labs and symptoms to the whole picture of how you want to live and age.
04
Stay the Course
Your health evolves, and your plan should too. Continue relationship with annual Precision Consultations, ongoing prescription management, health coaching, training. All tailored to your needs.
Begin Where You Are

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

Daybreak Recovery Spa
Recovery + resilience +connection
Recovery isn't luxury. It's part of living well.
Daybreak brings together evidence-informed recovery tools, movement, and community in one welcoming space. From the infrared sauna and cold plunge to red light therapy, massage, and Peloton classes, there's something for everyone.
Come for a single session or make Daybreak part of your weekly rhythm.
Join the Daybreak Longevity Club for unlimited access at just $99/month

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