Your Hormones, Your Way: A Look Inside Our Optimization Menu

Feeling like yourself again shouldn't require guesswork or a one-size-fits-all prescription pad. Hormone optimization is a collaboration: we bring the science and the options, you bring your goals, your body, and your final say. Here's a general look at what we offer and how I think about building your plan.

Estradiol — The Foundation Piece

Estradiol is often the star of the show for hot flashes, sleep, mood, skin, and bone health. It is available through a range of delivery methods: patches, gels or creams, dissolvable troches, and localized vaginal options, so you can choose what fits your body and your lifestyle. Doses are individualized and adjusted over time based on how you feel and what your labs show, not a flat number applied to everyone.

Progesterone — The Balancing Partner

If you have a uterus, progesterone protects your endometrium and for many women, it's also the missing piece for sleep and calm. It is available as oral, vaginal, and topical forms, choosing the route that works best with your body.

Testosterone — Often Overlooked, Rarely Optional in the Conversation

Low libido, flat mood, brain fog, or that "lost my edge" feeling? Testosterone deserves a seat at the table for women too. We offer it as a topical cream or gel, or occasionally by injection and always at doses designed for women.

Non-Hormonal Options

Not everyone can or wants to use hormone therapy, and that's a completely valid path. We also offer non-hormonal medications for hot flashes and mood, vaginal comfort therapies, and lifestyle and stress-resilience coaching, either as a standalone plan or alongside hormones.

Troubleshooting Together: Side Effects Aren't the End of the Road

We problem-solve together by adjusting the route, the dose, the timing, or the formulation until we land on what works for you.

Thyroid: The Quiet Variable

Thyroid function can shift meaningfully through perimenopause and into menopause, sometimes mimicking or masking hormone symptoms such as fatigue, weight changes, hair thinning, mood shifts. We monitor thyroid labs alongside your sex hormones and offer thyroid support tailored to what your body actually needs, rechecking regularly since those needs can change as you move through this transition.

Weight & Metabolism

Hormonal shifts can move the scale even when nothing else has changed. We layer in metabolic support, including medication options where appropriate, along with nutrition and body composition tracking that looks beyond the number on the scale.

The Ongoing Part

Optimization isn't a single visit. Labs, symptom check-ins, and adjustments continue as your body changes, because feeling like your best self is a moving target worth chasing on purpose.

Every option above is discussed in full including the benefits, risks, and alternatives before we ever write a prescription. Your body, your data, your decision.