You deserve to feel like yourself at every stage.
From perimenopause through post-menopause and beyond, hormonal shifts affect everything. We use bioidentical hormones, molecularly identical to what your body produces, and build a protocol around your specific lab numbers.
These symptoms have names. And causes.
If you've been told your labs are "normal" but you still feel off, the problem is the word "normal." Standard lab ranges are built to detect disease, not to measure where you actually function best. A number in range doesn't mean your cells are responding to that hormone. Symptoms tell us what the number can't.
Most women aren't deficient in willpower. They're deficient in hormones.
- Hot flashes or night sweats
- Irregular or heavy periods
- Persistent fatigue
- Weight gain around the midsection
- Mood swings or irritability
- Brain fog and poor concentration
- Low libido
- Sleep disturbances
- Hair thinning or loss
- Vaginal dryness
- Persistent low mood or anxiety
- Loss of muscle tone despite exercise
A full picture, not just estrogen.
Sex Hormones
Estrogen (E1, E2, E3), progesterone, and testosterone, evaluated together, not in isolation. Ratios matter as much as levels.
Adrenal Hormones
Cortisol and DHEA. Chronic stress patterns often masquerade as hormone imbalance, so we check both.
Thyroid Panel
TSH, Free T3, Free T4, and thyroid antibodies. TSH tells you if your thyroid is producing. Free T3 tells you if your cells are using it. Most panels stop at TSH. We don't.
Metabolic Markers
Fasting insulin, glucose, and inflammatory markers. Hormones and metabolism are deeply connected.
Bioidentical hormones. Personalized protocols.
We use bioidentical hormones, molecularly identical to what your body produces. Protocols are built from your lab results and your symptoms together, not a standard dose. What your numbers show and how you're actually functioning are both part of the picture.
Every woman's protocol starts in a different place, because symptoms and life stage aren't the same for a 38-year-old in early perimenopause and a 55-year-old several years past her last period. We use creams, patches, or pellets depending on what fits your routine and how your body responds, starting low and titrating slowly while rechecking labs alongside how you're actually feeling. Progesterone is often the first hormone we address, not estrogen. For many women in perimenopause, the bigger issue is progesterone dropping off, not estrogen running low.
Supplement protocols are built alongside your hormone plan, targeting the nutritional gaps that often amplify hormonal symptoms.
Vitamin D and magnesium are the two gaps we see most often, and both affect sleep, mood, and how well your body responds to hormone therapy in the first place. We test rather than assume, and we'd rather correct a real deficiency than sell you a supplement you don't need. Your supplement plan, like your hormone protocol, is built around your labs and your symptoms together.
Symptoms are the signal. The research goes deeper.
Most women come to us because they feel off. But there's a second half of the conversation that rarely happens in a standard appointment: what the research shows about what happens when estradiol declines and stays low.
Decades of research links estradiol to bone density, cardiovascular markers, and cognitive function. Randomized controlled trials including the DOPS trial (10 years of oral estradiol in perimenopausal women) and the EPAT trial (measuring carotid plaque progression in postmenopausal women on oral estradiol) are part of the evidence base we work from. The Cache County Study in JAMA followed 70,000+ people over nearly two decades examining HRT and Alzheimer's disease risk.
We build protocols from this body of literature, not from a single headline study.
In 2002, the Women's Health Initiative made headlines: hormones cause breast cancer and heart attacks. What most coverage left out: the study used a synthetic hormone combination called Prempro, given to women averaging 63 years old, many of whom had pre-existing cardiovascular disease, who had been postmenopausal for 10 or more years. The control group included women who had already used hormones for over a decade.
Bioidentical estradiol is not Prempro. Natural progesterone is not a synthetic progestin. The molecular structures differ, and the evidence bases differ. The ELITE trial and WEST trial both used oral estradiol, not Premarin, and studied different populations and different endpoints.
We build our approach on that distinction. The NAMS 2022 position statement notes that for women under 60 or within 10 years of menopause with no contraindications, the benefit-risk profile for hormone therapy is favorable.
Ready to feel like yourself again?
Fifteen minutes. Just an honest conversation about where you are and whether we're the right fit.
Straight talk: if your labs show hormone therapy isn't right for you, we tell you plainly and refund your program fee in full. Marnie Predovich leads all clinical care, and we keep the patient panel small on purpose.
Women's hormone care FAQ.
We run a comprehensive panel that includes estrogen (E1, E2, and E3), progesterone, testosterone, SHBG, DHEA, cortisol, and a full thyroid panel including TSH, Free T3, Free T4, and thyroid antibodies. We also check metabolic markers like fasting insulin and inflammatory markers. Standard panels that only test TSH or estrogen miss most of what's actually going on.
Bioidentical hormones are molecularly identical to the hormones your body produces. Synthetic hormones, like conjugated equine estrogens and synthetic progestins (Provera, Prempro), have a chemically altered structure. This matters clinically: synthetic progestins have been shown in research to increase breast cancer risk. Bioidentical progesterone has not, and some studies suggest it's protective. We use bioidentical hormones exclusively, compounded to your specific labs and symptoms.
Yes. Perimenopause, menopause, and post-menopause are all within our scope. Hormonal shifts during these stages affect energy, sleep, mood, weight, cognition, and more. We evaluate your labs and your symptoms together, build a protocol around both, and adjust it as your body changes over time.
We offer both topical creams and injections. Your provider will recommend the delivery method that fits your protocol and your preferences. You're not locked into one option, and your delivery method can change as your protocol evolves.
This is exactly who we work with. "Normal" lab ranges are statistical averages built to detect disease, not to find where you feel your best. A number can be in range and still leave you well below optimal. On top of that, cells can resist hormones even when circulating levels look adequate. Your symptoms tell us what the numbers can't. We use both to build your protocol.
The fear comes from the 2002 Women's Health Initiative, which studied women averaging 63 years old who were given Prempro, a conjugated equine estrogen paired with a synthetic progestin (MPA). That combination was associated with increased breast cancer risk. Bioidentical estradiol is not Prempro. Natural progesterone is not a synthetic progestin. They have different molecular structures and a different evidence base.
The PEPI trial, the DOPS trial, the WEST trial, and others studied bioidentical estradiol and natural progesterone in separate and different populations. The DOPS randomized trial followed perimenopausal women on oral estradiol for more than 10 years. The WEST trial found no increased breast cancer rate with oral estradiol compared to placebo. The evidence base for bioidentical hormones is different from the WHI. We're happy to walk through the relevant studies on your welcome call.
Mostly. Your first visit can be in person at your home or office, and follow-up visits are by video. Bloodwork is drawn at your home or office. Medications are compounded and shipped to your door. We serve Colorado residents statewide.
More questions? See our full FAQ page or email us directly.