A real evaluation
We map your symptoms, cycles, history and risk factors before anything is prescribed — including a candid conversation about what hormone therapy can and can't fix.
Night sweats, broken sleep, weight that won't move, brain fog, mood swings — these are treatable, not something to wait out. Our clinicians evaluate your symptoms and history, order the labs that matter, and build hormone therapy around you.
We map your symptoms, cycles, history and risk factors before anything is prescribed — including a candid conversation about what hormone therapy can and can't fix.
Thyroid, metabolic and hormone panels where they change decisions. Orders go to a lab near you and results are reviewed with you, not emailed without context.
Route, dose and formulation chosen for your body and risk profile, with vaginal estrogen for genitourinary symptoms when appropriate.
Hormones are one lever. We also address sleep, stress and nutrition with your coach and dietitian so the whole picture improves.
Regular nurse and clinician check-ins to review symptoms, side effects, breast and cardiovascular health, and whether to continue, adjust or taper.
Hormone shifts change metabolism. Your hormone plan and weight plan are written by the same team, not two clinics that never talk.
Perimenopause is diagnosed mainly by symptoms and cycle changes — irregular periods, sleep disruption, hot flashes, mood shifts, brain fog, low libido — often starting in your late thirties or forties. Labs can support the picture but rarely confirm it alone.
For many women starting within ten years of menopause, the benefits of hormone therapy outweigh the risks. Safety depends on your personal and family history, the type of hormone, the dose and the route. We review benefits, risks and alternatives with you before prescribing.
Options can include transdermal or oral estradiol, micronized progesterone, and vaginal estrogen for genitourinary symptoms, with testosterone considered case by case. We choose based on your symptoms, uterus status and risk profile.
Many women notice improvement in sleep and hot flashes within two to six weeks, with mood and energy following. We schedule a follow-up early to adjust dose rather than leaving you to wait it out.
What actually drives weight changes, when GLP-1s make sense, and the labs worth asking for — plus short updates from our clinicians as we get closer to opening.