Estradiol. Progesterone. Testosterone. Compounded and prescribed by licensed clinicians who actually look at your labs and adjust as your numbers change.
You've been told wrong. What you're feeling is the predictable consequence of a hormonal shift no one warned you about. The same shift HRT was designed to address.
From your late 30s onward, estradiol, progesterone, and testosterone start declining unevenly. Your cycle changes. Your sleep changes. Your body composition changes. The receptors in your brain, bones, gut, and cardiovascular system that depended on those hormones start running on less.
Most of the symptoms women blame on stress, age, or willpower are signals from those receptors going hungry.
Most primary care visits don’t test estradiol, progesterone, testosterone, FSH, LH, SHBG, or DHEA. The standard labs they run will look “normal” while you feel anything but.
Even when hormone labs are pulled, “normal range” for a 25-year-old isn’t the same as optimal for a 47-year-old. You don’t want to feel statistically average. You want to feel like yourself.
The hormones we prescribe are molecularly identical to what your body makes. This is not the synthetic Premarin/Provera era your mother heard about.
Most retail pharmacies only carry standard doses. We work with compounding pharmacies that can dial in your exact estradiol, progesterone, and testosterone levels.
Patches, creams, pellets, troches, oral. Not every body absorbs every form the same way. Your provider matches the route to your physiology and lifestyle.
Your hormone needs change as you progress through perimenopause and menopause. Your protocol changes with them, based on real biomarkers, not guesses.
Your HRT plan isn’t a prescription delivered in the mail. It’s a relationship with a clinician, a comprehensive view of your biology, and an evolving protocol.
Estradiol, progesterone, testosterone (free + total), FSH, LH, SHBG, DHEA-S, and supporting markers. Not the 3-marker version your doctor runs.
Unrushed. A licensed provider reviews your labs, history, and goals before writing a thing. Asynchronous messaging stays open after.
Compounded for your dose. Multiple delivery routes available. Calibrated to your numbers, not the standard order form.
Re-check labs and symptoms. Adjust dose, route, or supporting protocol. Most women need at least one calibration in the first 90 days.
Your body changes. Your protocol should too. Standing 6-month labs keep your numbers in the optimal window, not the “normal” one.
You don’t need to book another appointment to ask a question. Message your clinician between visits when something changes.
A short intake captures your symptoms, history, and goals so your clinical team walks in with full context. Takes about 90 seconds.
Your medical team orders a 50+ marker panel covering hormones, thyroid, metabolic, inflammatory, cardiovascular, and nutrient markers. At-home phlebotomy is available in many areas. Results back in 5 to 7 business days.
Two private visits. Your RN walks through your symptoms and history, then your prescribing clinician reviews your labs and builds your HRT protocol.
Compounded bioidentical HRT, peptides where appropriate, and personalized supplements ship to your door. Standing 6-month re-tests keep optimization ongoing as your body changes.
Start The Hormone Audit if you're not sure where you land. We'll tell you straight what's right for your biology.’re on. No pressure, no charge.
The 2002 Women's Health Initiative study used synthetic Premarin and Provera in older, post-menopausal women, and its findings have been widely revisited and clarified. Modern bioidentical HRT, started in or near the menopause window, carries a meaningfully different risk profile. We walk through the actual data on your call.
For most women, current evidence does not show meaningful increases in cancer risk with bioidentical HRT properly dosed and monitored. Personal and family history matters, which is why your provider reviews both before prescribing.
There is no fixed end date. Many women stay on HRT through and well past menopause for ongoing benefits to bone, brain, cardiovascular, and metabolic health. Some pause or stop. Your protocol gets re-evaluated regularly.
No. In fact, perimenopause is when most women feel the worst, and when intervention can be most stabilizing. We see clients across the full perimenopause-to-post-menopause arc.
Yes. In fact, hysterectomy often changes the protocol (progesterone may not be required if the uterus is removed). Your clinician will tailor the plan to your surgical history.
For most women in perimenopause and menopause, HRT helps preserve muscle, improve sleep, regulate appetite, and stabilize the metabolic shifts that drive midlife weight gain. It works with your biology, not against it. Real outcomes depend on training, nutrition, and protocol fit.
The Hormone Audit is the most comprehensive look at your biology you've ever had. Your full diagnostic, two private clinical visits, and a personalized protocol built from your numbers.
Start Your Journey$299 all-in. HSA / FSA eligible. No subscription.
