Welcome to
Hormone Upgrade & Wellness Center
Where modern medicine meets holistic healing in a space designed for transformation. Led by an experienced, compassionate provider, our center is dedicated to uncovering the root causes of health concerns and restoring balance through personalized, evidence-based care.
Office Tour
Step inside a space designed with your comfort in mind. Our La Jolla office offers a modern, spa-like atmosphere that reflects the balance we help our patients achieve. From cozy consultation rooms to a clean, peaceful aesthetic, every detail is curated to make you feel at home.
We invite you to schedule a visit or explore our office through a virtual tour—because healing starts the moment you walk through our doors.
Meet The Professionals Behind Your Wellness Journey
Deborah Wainwright
DNP, ANP-BC, APRN

Deborah Wainwright, DNP, ANP-BC, APRN is a board-certified Nurse Practitioner with a Doctor of Nursing Practice (DNP) and over a decade of experience in Bioidentical Hormone Replacement Therapy. Since 2014, she has helped countless patients reclaim their vitality and take control of their health using a functional, root-cause medicine framework.
Deborah is the leading provider of hormone pellet therapy and BHRT in La Jolla, known for her personalized, results-driven approach. She integrates hormone optimization with lifestyle coaching, nutritional support, and natural therapies to help patients reduce dependence on medication and make empowered choices for long-term wellness.
Her educational background includes:
Bachelor of Science in Nursing
Master of Science in Nursing (Adult Nurse Practitioner)
Doctor of Nursing Practice
Board Certification in Bioidentical Hormone Optimization
Melissa Cosio
Lead Medical Assistant & Clinic Administrator

Melissa Cosio, a proud native of El Centro, CA, began her medical journey with a deep commitment to patient care and community health. After graduating from the Cal Regional Medical Assistant Program in 2016, she gained invaluable experience working in Orthopedics, Workers’ Compensation, and Medical Records. These formative years built a strong foundation in clinical operations and patient advocacy.
In 2021, Melissa discovered her passion for Naturopathic Medicine and began working closely alongside Deborah Wainwright, where her dedication and expertise quickly stood out. She became a phlebotomist in 2023 and now serves as the clinic’s Lead Medical Assistant and Administrator.
Outside the clinic, Melissa enjoys traveling and spending quality time with her family and friends, always bringing the same warmth and energy to her personal life that she brings to her professional role.
Why Choose Us
We’re more than a clinic—we’re your wellness partner. At Hormone Upgrade & Wellness Center, our approach is rooted in:
Personalized Care
We don’t believe in one-size-fits-all. Every treatment plan is customized based on advanced testing and a deep understanding of your unique health profile.
Holistic Approach
We treat the whole person—integrating physical, emotional, hormonal, and lifestyle factors to create lasting results, not just symptom relief.
Evidence-Based Expertise
Our therapies blend the latest medical research with proven functional medicine principles to deliver safe, innovative, and effective care.
Empowering Partnership
We believe knowledge is power. Our goal is to educate, support, and guide you toward a healthier, more vibrant life—every step of the way.