Wellness starts from within

Hormonal changes in perimenopause and menopause can be inconvenient, and frustrating. There are nonhormonal and bioidentical hormone supplementation options. Here we customize a hormone or nonhormone therapy regimen for you so you can optimize your function as a mother, daughter, wife and friend. We will address decreasing brain fog, improved sleep, reduce hot flashes, improved sexual function, and metabolic health. We may check lab work. Labs may include estrogen, estrone, progesterone, T3, T4, TSH, and total and free testosterone levels. 

Initial visits are 60 minutes in length so that we have time to discuss your whole history.  $300, Follow up visits are 30 minutes every 6-12 weeks $150.

As our hormones change, so does our response to blood sugar. On average we gain 10-20 lbs during perimenopause without changing our diet or exercise routine or intensity. At this time in our lives, chronic disease can ensue such as elevated lipids and blood pressure  and insulin resistance. Weight loss will mitigate these conditions and set you on the right path as you start HRT and your improved metabolic picture. We will check labwork to evaluate  where we are starting from. Labs include fasting insulin, Lipids, A1c, CBC, CMP. 

Initial visit 60 minutes. $300 consultation and $ 150/month for follow up. Medications delivered to your home directly from the pharmacy.

Lifestyle change can be challenging. This is why all visits include lifestyle coaching.  This approach takes into account a discussion of the correct ratios of macronutrients in your diet to further encourage weight loss and muscle preservation. We discuss supplements to help you look, feel better and think more clearly. We will check a panel of labs. Including CRP, lipids, Vit D, Iron, Omega 3. These are not routinely checked by your PCP. 

Initial visit 60 minutes for $300, Follow up visit 30 minutes for $150.

Direct Primary Care is available as a monthly subscription with 24/7 access to a physician.  Two way messaging available 24/7.