Hot flashes, sleep disruption, mood shifts and bone density risk are hormone-driven and testable. We build a protocol around your labs, not a one-size prescription.
Perimenopause can start years before periods stop, with estrogen and progesterone swinging unpredictably rather than dropping in a straight line. That's why symptoms — hot flashes, night sweats, brain fog, mood changes, disrupted sleep — can show up long before menopause is "official." We test where you actually are in the transition, not guess from your age.
From there, care continues through menopause and beyond, adjusted as your hormones settle.
Estradiol, progesterone, FSH, LH, testosterone
TSH, free T3, free T4 — often shifts alongside menopause
Bone density markers, lipid panel, ApoB
Cortisol rhythm and other sleep-relevant markers
Screened alongside your hormone panel, not treated in isolation
Whether you're deep in perimenopause or years post-menopause, therapy is compounded and adjusted from your labs — for hot flashes, sleep, mood, bone density and libido.
A focused panel: estradiol, FSH, thyroid, bone and cardiometabolic markers.
A one-on-one read of your results and your symptom picture with your NP.
Bio-identical hormone therapy, dosed and delivered the way that works for you.
Adjusted every 90 days as your hormones — and your symptoms — shift.
Book a consultation to get your hormone panel scheduled and a plan mapped out.
