Feel like yourself again. Prescribed online.
Weight loss, hormone therapy, peptides, and prescription skincare — clinician-prescribed, pharmacy-dispensed, shipped to your door. No waiting room. No referral. No runaround.
Expert Care Without
the Waiting Room
Beauty Refined was built on a simple premise: access to expert medical care shouldn't require a three-month wait, an expensive specialist, or driving across town. Our telehealth-first practice brings clinical-grade treatment directly to you — 100% online.
Amber Tomse, MSN, APRN, FNP-C is your provider from first consultation to long-term support. Not a chatbot. Not a questionnaire reviewed by a physician you'll never speak to. A real, board-certified clinician who knows your case.
Five Telehealth Programs, One Provider
Medical Weight Loss
GLP-1 medications — semaglutide and tirzepatide — prescribed and monitored by your provider with ongoing support.
Hormone Therapy
Bioidentical hormone replacement for women and men. Lab-guided, personalized, and continuously monitored.
Peptide Therapy
Anti-aging, recovery, gut health, and performance peptides. Custom protocol designed around your goals and labs.
Skin Rx
Custom prescription skincare — tretinoin, hydroquinone, and compounded formulas. No derm visit required.
Hair Rx
Online hair loss treatment for women and men. Finasteride, minoxidil, and peptide-based protocols.
From First Click to
First Shipment
Everything happens online — no waiting room, no referral, no driving across town. Most patients receive their first prescription within 48 hours of completing their intake.
See the Full ProcessComplete Intake
Fill out our comprehensive health questionnaire. Secure, HIPAA-compliant, and takes about 10 minutes.
~10 minutesMeet Your Provider
Amber reviews your intake and may schedule a brief video or async consultation to discuss your goals and history.
Video or asyncRx Sent & Shipped
Your personalized prescription is sent to our licensed compounding pharmacy and ships discreetly to your door.
Ships in 5–7 daysOngoing Support
Monthly check-ins, protocol adjustments, and easy refills through your patient portal. Your progress is monitored continuously.
Monthly check-ins
Amber Tomse
MSN, APRN, FNP-C · Board-Certified Family Nurse Practitioner
Amber founded Beauty Refined around a conviction that patients deserve more than rushed appointments and generic protocols. With advanced training in both functional wellness and medical aesthetics, she brings a comprehensive, whole-person perspective to every case she treats.
Whether you're managing a chronic weight struggle, navigating perimenopause, optimizing performance, or simply trying to feel like yourself again — Amber builds a protocol around your actual biology, your actual lifestyle, and your actual goals.
"The patients who come to me have usually been dismissed, undertreated, or given a one-size-fits-all solution that didn't work. My job is to actually listen — and then actually do something about it."
— Amber Tomse, MSN, APRN, FNP-CReal People, Real Results
"Amber is fantastic. She's so responsive. She knows what she's doing and she provides wonderful products. She's helped me lose weight and get to my goal weight and accomplish a lifetime goal. She's the best!"
"Amber is knowledgeable, experienced, and kind. I have seen her for a couple years now. I feel so comfortable with her. I am always happy with my results!"
"I had such a wonderful experience working with Amber throughout my weight loss and wellness journey. She has been incredibly supportive, knowledgeable, and truly cares about her patients' overall health."
"Amber is professional and is great at communicating, fast shipping too! I am a repeat customer."
"I was a bit apprehensive for my PDO threads but Amber was very sweet, knowledgeable and answered my myriad of questions. Highly recommend!"
"Amber is amazing!!! She is so knowledgeable and did exactly what I was looking for. 10/10, will definitely be back!"
4.9 ★ across 152 Google reviews · Read all reviews →
You Asked, We Answered
Do I have to be an existing patient to use telehealth?
No. New patients are welcome via telehealth. You'll complete a comprehensive intake form and Amber will review your health history before your consultation. No prior relationship with our clinic is required.
What states do you currently serve?
We serve patients in all 50 states. Everything is 100% online — complete your intake, consult with Amber, and receive your prescription shipped directly to your door.
Do you accept insurance?
We are a cash-pay practice. This means no insurance gatekeeping, no surprise bills, and transparent pricing. We can provide a superbill for potential HSA or FSA reimbursement upon request.
How fast will I receive my medication?
Most prescriptions are reviewed and sent within 48 hours of completing your intake. After the prescription is sent to our compounding pharmacy, medications typically arrive within 5–7 business days. Shipments are discreet with no indication of contents on the outside.
Is a video call required?
Not always. Many programs can be managed asynchronously — Amber reviews your intake and communicates via your secure patient portal. For hormone therapy and some other programs, a brief video consultation is preferred to ensure the protocol is right for you.
What's included in ongoing support?
Monthly check-ins, protocol adjustments based on your labs and progress, easy refills through your patient portal, and direct messaging with Amber. You're never left managing a prescription on your own.
Start Your Journey
Today
Complete a quick intake and receive a personalized protocol from a board-certified provider — no office visit required.