This isn't a time to "just deal with it." Declining hormones affect far more than hot flashes—they impact your bones, heart, brain, metabolism, and quality of life. We don't wait for your health to fail. We act early to protect and optimize your long-term wellbeing.
Book Your Discovery CallPerimenopause typically begins in your late 30s or early 40s, as estrogen and progesterone levels start to fluctuate and decline. This transition can last 4-10 years before reaching menopause (defined as 12 consecutive months without a period). During this time, you may experience a wide range of symptoms that conventional medicine often dismisses as "normal aging."
But here's the truth: declining hormones don't just cause hot flashes. They affect your cardiovascular health, bone density, cognitive function, metabolic efficiency, mood stability, and sexual vitality. The years following menopause are when women face increased risks of osteoporosis, heart disease, cognitive decline, and metabolic syndrome. This is why proactive hormone optimization matters—not just for symptom relief, but for long-term health protection.
We use bioidentical hormone replacement therapy (BHRT) to restore estrogen, progesterone, and testosterone to optimal levels—not just to relieve symptoms, but to protect your long-term health. Our protocols are personalized, carefully monitored, and adjusted as your needs evolve.
Full panels measuring estradiol, progesterone, testosterone, DHEA, cortisol, thyroid function, and metabolic markers to create your baseline.
Estradiol replacement to relieve hot flashes, support brain health, protect bone density, and maintain cardiovascular function.
Bioidentical progesterone to support sleep, mood stability, and endometrial protection (for women with a uterus).
Often overlooked in menopause care, testosterone supports libido, muscle mass, energy, and cognitive sharpness.
Strategies to prevent menopausal weight gain, maintain insulin sensitivity, and support healthy body composition.
Thyroid dysfunction often emerges or worsens during menopause, contributing to fatigue, weight gain, and brain fog. We assess and optimize thyroid function (TSH, Free T3, Free T4, antibodies) to ensure your metabolism and energy are fully supported.
Proactive interventions to reduce your risk of osteoporosis and heart disease—two major health concerns post-menopause.
Most clients begin noticing symptom relief within 4-8 weeks of starting bioidentical hormone therapy, with continued improvements as their protocols are refined. But the benefits extend far beyond symptom relief—this is about protecting your health for decades to come.
"At 42, I thought I was losing my mind. Brain fog so bad I couldn't lead meetings. Anxiety that came out of nowhere. Weight gain despite training for a marathon. My doctor said 'welcome to your 40s' and offered antidepressants. ReNu'd You ran the right tests, found my progesterone had tanked, and created a protocol that brought me back to myself. I'm sharper, calmer, and stronger than I was five years ago."
Jennifer L.
42, Physician
When prescribed appropriately and monitored carefully, bioidentical hormone therapy is safe for most women. The outdated fears stem from older studies using synthetic hormones (like Premarin and Provera) at high doses. Modern bioidentical HRT, started at the right time and individualized to your needs, has a favorable safety profile and significant health benefits.
There's no arbitrary age cutoff for hormone optimization. If you're experiencing symptoms of hormonal decline—whether in your late 30s (perimenopause) or your 60s (post-menopause)—we can help. The key is personalized assessment and appropriate intervention based on your unique health profile.
Many women have tried conventional HRT and stopped due to side effects or lack of results. Often, this is because the dosing was wrong, the delivery method wasn't optimal, or other hormones (like progesterone or testosterone) weren't addressed. Our approach is different—we fine-tune every aspect of your protocol until you feel your best.
You don't have to accept brain fog, weight gain, and exhaustion as your new normal. Menopause is a transition—and with the right support, you can thrive through it and beyond.
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