Now taking appointments for the first week of September.

Lake Ozark, Missouri 573-693-1222

Where Wellness Meets Aesthetic Excellence

Science-backed aesthetic and wellness treatments designed to restore vitality, balance, and confidence.

Explore treatments

Founder & Owner

Mariann Noyes, RN

Fourteen years in healthcare watching people get treated for symptoms nobody traced back to a cause. Mariann built TrueBalance to do the opposite.

She holds a Bachelor of Science in Nursing from Alverno College in Milwaukee, and she practices the way she wishes medicine had been practiced around her — hormone optimization, medical weight loss, peptide therapy, IV vitamin therapy and aesthetic injectables, all of it starting from the same question: what is actually driving this?

She would rather you understood your treatment plan than simply agreed to it. That is the whole reason the clinic exists.

When we optimize health from the inside out, confidence naturally follows.

Medical Director — Hormone & Weight Loss

Dr. Adeeb Saleh, DO

Board-certified emergency physician with over a decade in emergency and urgent care, and dual A4M certifications in Hormone Replacement Therapy and Weight Loss Medicine.

Dr. Saleh sets the medical protocols behind our hormone and weight-loss programs, and sees those patients himself. Licensed in Missouri, he can see you by video — so your care happens wherever you are, with no drive and no waiting room.

The Lake of the Ozarks from the TrueBalance suite

The suite at Lake Ozark

Injectables, IV therapy, vitamin injections and red light therapy — delivered in person by Mariann, under physician-set protocol.

100 Crossings E, Suite 1

See in-clinic treatments

Or stay right where you are.

Hormone therapy and medical weight loss, managed online under Dr. Saleh — evaluation, labs, prescription and follow-up. No drive to the lake, and no waiting room.

Anywhere in Missouri — no drive, no waiting room

How telehealth works

Private consultation room at TrueBalance, Lake Ozark

The first conversation

A consult, not a sales pitch.

We listen, run the right labs, and build a plan you understand before anything is decided.

Start your intake

What we treat

Every service has a real page: what it does, who it suits, what it costs and what happens at the first visit.

Balance is not a trend. It is a measurement. And we measure carefully.

Treatment room at TrueBalance, Lake Ozark

What the first visit looks like

You book, and tell us what’s going on

A short intake before you arrive, so the consult is spent on you rather than paperwork.

We look at real numbers

Full labs where they matter — hormones, metabolic panel, whatever your symptoms point at. No guessing.

You leave with a plan and a price

Written down, in plain language, including what it costs and what happens if it doesn’t work.

Complete your intake before you arrive

Labs typically return within 7–10 days. We review them with you before anything is prescribed.

Coming soon

Tell us what you would want

We are building a membership for patients who want regular, prioritized access to IV therapy, vitamin injections, red light and aesthetic touch-ups.

Start with a consult.

Twenty minutes, no obligation. We will tell you honestly whether we can help and what it would cost.

Call 573-693-1222

Or leave a number and we will call you.