Our Services
Individualized support, built around where you are and where you would like to be.
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For women navigating the hormonal shifts of perimenopause and menopause, BHRT is one evidence-based option among several — never assumed, never pushed. Using precise, adjustable dosing guided by current clinical research, your plan is built around your history, your symptoms, and what matters most to you.
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A medically supervised, individualized approach to weight and metabolic health during midlife, when hormonal changes can shift how your body manages weight. Treatment options are considered collaboratively, based on your health history and goals — not a one-size-fits-all program.
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A quick, non-invasive scan measuring muscle mass, fat distribution, and visceral fat — available as part of a visit, or as a standalone appointment. Body composition shifts as estrogen declines through perimenopause and menopause, often in ways hormone levels don't capture.
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Perimenopause and menopause are diagnosed by history and symptoms, not a single lab value — testing isn't a required part of care here. For patients who want it, though, it's available, always following a conversation with your provider about what's actually worth checking and when.
If you're still having cycles: certain hormones only mean something when they're drawn at a specific point in your cycle — your provider will help time it accordingly.
If it's been 11–12 months since your last period: AMH and FSH are often the starting point, with estrogen and other markers added as needed from there.
General health: a CBC and CMP may also be part of the picture, along with other panels relevant to your specific history and goals — your provider will recommend what applies at your visit. If you've had recent labs done elsewhere, we'll work from those results rather than repeat them.
Labs ordered through REALM typically cost less than paying cash price directly at a lab — and as with everything else here, nothing gets ordered without that conversation happening first.