Early evaluation and personalized evidence-based support for the hormonal shifts of perimenopause, from irregular cycles, fatigue migraines, sleep, mood, skin and hair changes, low libido, vaginal dryness and brain fog. 

Comprehensive support through menopause, from hormone /non-hormonal therapy options as well as addressing bone, cardiovascular and cognitive health. Treatment decisions carefully weigh your personal and family history, including cardiovascular, clotting, and cancer risk. 

Hormonal shifts during menopause affect weight, body composition, blood sugar, optimal cholesterol profiles, cardiovascular risk and bone health. We monitor these changes and build a proactive plan to support your metabolic health long term. This may include monitoring of labs, oral medications, injections and supplements.