Meet Elizabeth Bagan, APRN
Medicine should make sense.
You know when something has changed. Your energy is different. Your body is responding differently. Losing weight is harder. You do not feel as strong, sharp, rested or comfortable in your own skin as you used to. And you want more than being told everything looks “normal.”
At Precision Medicine & Wellness, we take the time to understand what has changed, look at the whole picture and create a plan based on what we find. I want you to understand what is happening in your body, what your options are and why I am recommending a particular path.
Because you should never feel like a passenger in your own healthcare.
Elizabeth G. Bagan, APRN, FNP-C, ENP
Founder & Clinical Director, Precision Medicine & Wellness
My path into medicine was not traditional, and neither was the path that shaped the way I practice it today.
Before healthcare, I graduated from the United States Merchant Marine Academy and worked in marine mechanical engineering. Engineering taught me to think in systems: when something is not working, you do not simply respond to the warning light. You look deeper, understand how the pieces are connected and figure out what is causing the problem.
I carried that way of thinking into nursing and advanced practice, eventually becoming a Family and Emergency Nurse Practitioner. I spent years in emergency medicine caring for people during some of the most frightening and vulnerable moments of their lives.
Then, I became the patient.
I experienced an emergent health crisis that resulted in an extended hospital stay, and for the first time I understood healthcare from the other side of the bed. I knew medicine. I knew the system. I knew how to ask questions. And I still experienced what it felt like to become just another patient.
I remember what it felt like to be vulnerable, to want someone to really listen, and to need more than a quick explanation before the next person walked into the room.
That experience changed me as a clinician. It made me more aware of how much the way we care for someone absolutely matters. Patients may not remember every laboratory value or every medical term we use, but they remember whether they felt heard. They remember whether someone took the time to explain what was happening. They remember whether they felt like a person or a diagnosis.
And my experience as a patient did not end when I left the hospital. As my own body began changing in midlife, I found myself asking many of the same questions the women who now come into my practice ask me.
Why am I so tired? Why is my body changing when I have not changed what I am doing? Why am I not sleeping? Why does my brain feel different? Why do I not feel like myself? Why am I so annoyed by every.single.person.or.thing?!?
I wanted answers too.
I know what it feels like to have symptoms that are easy for someone else to minimize. I know the frustration of knowing something has changed in your body while feeling as though your concerns are not being fully heard or taken seriously.
I am also an HRT patient and a person with obesity. Weight was not something I struggled with my entire life, but obesity has been part of my story for nearly half of my adulthood.
So when a woman sits across from me and tells me she does not feel like herself anymore, I understand that conversation from both sides of the exam room.
My personal experience does not replace clinical evidence, and it does not mean every patient needs the same treatment I do. It does mean that I understand how deeply these changes can affect the way you feel, function and experience your own life.
That combination of experiences has shaped the way I practice medicine. I listen first. I ask questions. I look for patterns. I measure when we need to measure. I explain what I am seeing and why it matters. And I do not want a patient leaving my office feeling dismissed, rushed or unsure of what happens next.
That is a large part of why Precision Medicine & Wellness exists. I wanted to create the kind of practice I would want to walk into as a patient: medically grounded, highly personalized and built around the belief that being heard is part of good medicine.
Feeling better matters. So does your future health.
Our goal is not simply to chase symptoms.
We look at what you are experiencing today while also thinking about your strength, metabolic health, body composition, function and quality of life in the years ahead.
That may involve hormone replacement therapy, medical weight management, regenerative aesthetics, body contouring, hair restoration, nutraceutical support or a combination of therapies when appropriate.
Not everyone needs everything. The plan depends on you. Your history. Your symptoms. Your examination and laboratory findings when appropriate. Your goals. Your risk factors. And what you are comfortable doing.
That is what personalized medicine should look like.
We start with what has changed.
We start with what has changed.
You know your body better than anyone else. The first conversation is about what you are noticing, how long it has been happening, what you have already tried and what you want to improve. Symptoms matter. And so do your goals.
We measure before we interpret.
When laboratory testing, examination, imaging or another assessment is appropriate, we use that information to help us understand the bigger picture. Numbers are important, but they are not interpreted in isolation. Your laboratory results need context. So do your symptoms.
We explain what we find.
You should understand what we think is happening and why. We review the findings with you, discuss the available options and explain the expected benefits, limitations, risks and alternatives. Sometimes there is one clear path. Sometimes there are several reasonable choices.
We create a treatment plan.
Treatment is individualized based on your clinical findings and goals. We are not interested in adding treatments simply because we offer them. There should be a reason for what we recommend.
We follow your response and adjust.
Good medicine is rarely “do this and see you next year.” We monitor your response, reassess when appropriate and make changes when the clinical picture changes. The goal is not simply to start treatment. It is to know whether the treatment is actually doing what we intended it to do.
Our areas of focus
Hormone health
Hormonal changes can affect far more than hot flashes or libido. Energy, sleep, cognition, mood, motivation “mojo”, muscle, bone, body composition and sexual health can all change as hormones change. We evaluate the symptoms, history and laboratory findings together and discuss appropriate treatment options. Hormone replacement is not one-size-fits-all. Depending on the patient, treatment may include pellet therapy or other prescription delivery methods. The goal is not simply to treat a laboratory number. It is to treat the person sitting in front of us.
Explore hormone replacement therapyMedical weight management
Weight is not simply a matter of willpower or loss of control. Obesity is a chronic, lifelong disease influenced by biology, hormones, appetite regulation, metabolism, medications, sleep, environment and many other factors. Our medical weight-management programs are designed around evaluation, appropriate medication when indicated, ongoing monitoring and a long-term strategy. Maintaining the result matters too, because weight management does not end when you reach your goal size or weight.
Explore medical weight managementRegenerative aesthetics
Aesthetic medicine should not be about chasing individual lines or changing the way you look. We assess how aging is affecting your skin, volume, structure and facial features, then create a treatment plan based on those findings. Often, the best result requires more than one type of treatment. Skin quality, collagen, volume, muscle activity and underlying structure all play different roles in how the face ages. Our goal is appropriate correction with a natural result that still looks like you, just better.
Explore aestheticsBody, hair & healthspan
Looking and feeling better is often connected to something bigger. Muscle matters. Body composition matters. Hair changes can provide clues about what is happening internally. Nutrition matters. And maintaining strength and function becomes increasingly important as we move through midlife and beyond. Our approach is to connect those pieces rather than treating each one as though it exists by itself.
Explore body contouringIt is more than a tagline. It is our mission.
The experience matters long before you ever sit down in an exam room. It starts with the first phone call. The first email. The first text message. The first time you reach out because you have a question, a concern or simply know that something has changed and you are ready to find out why.
From that first interaction, we want you to feel that someone is listening. We want communication to be clear. We want you to know what happens next. And we want you to feel like a person, not another name on a schedule.
That expectation continues when you walk through our doors. You should feel welcomed. You should understand what we are doing and why. You should have the opportunity to ask questions. You should know what your treatment plan is, what it is designed to accomplish and what follow-up looks like. And if something changes, you should know how to reach us.
That is what “The Experience Matters” means to us.
It also means experience in the clinical sense. Training matters. Judgment matters. And the experience of the clinician caring for you matters.
Elizabeth has spent more than 15 years in healthcare, with a clinical background that includes family medicine, emergency medicine, hormone health, obesity medicine and regenerative aesthetics. Her hormone practice includes extensive experience with hormone replacement therapy and more than 5,000 hormone pellet insertions. She continues to train in the evolving areas of hormone medicine, metabolic health, obesity medicine, regenerative aesthetics and longevity-focused care.
But clinical experience is about more than the number of years someone has practiced or the number of procedures performed. It is recognizing patterns. Knowing when something does not fit. Understanding when more evaluation is needed. Knowing when not to treat. Knowing when a plan needs to change. And having the judgment to understand that two patients with similar symptoms may still need very different approaches.
The experience you have with us matters. And the experience we bring to your care matters. That is the standard we are building Precision Medicine & Wellness around.
The Experience Matters.
Founder & Clinical Director
Elizabeth is also a wife and mother of four and has called the Jacksonville community home for over 30 years.
Her experiences as an engineer, emergency clinician, business owner, educator, wife and mother have all shaped the way she practices medicine today.
Teaching is part of the practice
I believe patients make better decisions when they understand their health. That same philosophy applies to our team.
Education is built into the culture at Precision Medicine & Wellness. We regularly teach and train around hormone health, weight management, aesthetics, medications, treatments and the science behind what we do.
I also precept Nurse Practitioner students and teach other clinicians because advancing medicine means sharing what we learn.
You should never be expected to blindly follow a treatment plan. My job is to help you understand it.
More than one provider. One standard of care.
Precision Medicine & Wellness has grown beyond one person.
Our clinical and aesthetic team works together to create an experience that feels personal, organized and informed from the first conversation through follow-up.
Every member of our team is expected to understand the treatments we offer well enough to educate and support you appropriately. And they are equally expected to know when a question belongs back with the clinician. That distinction matters.
How we publish medical information
We take medical information seriously. Health information should help you make informed decisions, not simply convince you to book an appointment. That is why the clinical information throughout this website follows a defined standard.
Clinical accountability
Our medical content is reviewed for clinical accuracy and updated when recommendations, labeling or relevant evidence changes.
Sources you can actually review
When a clinical claim deserves a source, we prioritize authoritative information such as FDA publications, peer-reviewed medical literature, specialty-society guidance and official medication or device information. Where appropriate, we link those sources so you can read them yourself.
Clear language without exaggerated promises
Medicine rarely fits into words like guaranteed, permanent or risk-free. We aim to explain what is known, what the evidence supports, where uncertainty exists and what results can realistically be expected.
Benefits are only part of informed consent
Potential risks, alternatives, downtime and reasons a treatment may not be appropriate deserve the same conversation as potential benefits. We want you to understand all of them before deciding whether treatment is right for you.
Information changes
Medicine evolves. We review our clinical content as new evidence, safety information and regulatory guidance become available and make updates when they are needed.
A different kind of medical visit
You do not need to know exactly what treatment you need before you come in. That is our job to help determine.
You can simply start with: “Something has changed.”
From there, we evaluate what you are experiencing, look for the reasons behind it and talk through what makes sense to do next.
No pressure to treat. No one-size-fits-all plan. And no expectation that you become a medical expert before walking through our doors. Just a thoughtful conversation about where you are now and where you want to go.
Where this information comes from
Primary sources only: regulator publications, specialty society patient guidance and manufacturer information. Not marketing pages.
Start with a consultation.
Your first appointment is an evaluation. We will listen to what has changed, evaluate the clinical picture and explain the options that may be appropriate for you.