Estradiol
PatchGelPill
Estrogen therapy is the best-studied option for hot flashes and night sweats. Your clinician picks the form, dose and schedule that fit your history.
A clinician decides whether estradiol fits you.
Women's health · Hormones · Peptides
Hormone care built around your changes, not a template.
Sleep, mood, temperature and focus shift through menopause. Aurelle reviews your symptoms, labs and history, then a licensed clinician decides what fits.
Led by Sofia Marin NP (menopause) and Dr. Priya Raman DO (endocrinology). A licensed clinician decides who is eligible.
Menopause and hormone care
Start with what you are noticing.
Pick the symptoms that affect your days or nights. We will show what we may discuss at your visit. Nothing here is a diagnosis.
What we may discuss
Select one or more symptoms above and we will list the topics a clinician may cover with you.
Topics are starting points for a conversation. A licensed clinician decides what, if anything, is right for you.
Symptoms are real. The plan should be built around your life, not a template.
Sofia Marin NP, menopause care
Progesterone
Oral capsuleWith estradiol
Usually added when you still have a uterus, to protect the uterine lining. Timing and form vary, and sleep is one reason people ask about it.
A clinician decides whether progesterone belongs in your plan.
Non-hormonal options
PrescriptionLifestyle
Some prescription medicines and daily habits can ease hot flashes, sleep changes and joint pain. Which options are safe depends on your health history.
A clinician decides which non-hormonal path fits.
Nothing starts without a visit and a review of your labs and history. Hormone therapy has risks as well as benefits, and your clinician will walk through both.
Peptide therapy
Clinician-guided, where appropriate.
Peptides are an emerging area. We discuss them only when a clinician believes they fit your goals and history. We do not promise outcomes.
Sermorelin
A synthetic peptide related to growth hormone releasing hormone. We discuss it with people whose goals and labs suggest it may be a fit.
- Typical form
- Small subcutaneous injection, usually at bedtime, as your clinician prescribes.
- What we review first
- Your labs, current medications and goals.
Compounded, not FDA-approved. Compounded medications are made by a pharmacy and have not been reviewed by the FDA for safety or effectiveness.
NAD+
A coenzyme present in every cell that takes part in energy metabolism. Human research is early, and results differ widely between people.
- Typical form
- Subcutaneous injection or IV infusion, as your clinician prescribes.
- What we review first
- Kidney and liver function, current medications and goals.
Compounded, not FDA-approved. Compounded medications are made by a pharmacy and have not been reviewed by the FDA for safety or effectiveness.
Peptide questions are welcome at your assessment. A clinician will tell you whether they are appropriate for you, or whether another option makes more sense.
Lab panel
What we may check
Your clinician chooses which tests you need. Results are reviewed with you at a follow-up visit.
Hormones 6 markers
- Estradiol (E2)Hormone
- FSHPituitary signal
- LHPituitary signal
- ProgesteroneHormone
- Testosterone, total and freeHormone
- DHEA-SAdrenal hormone
Markers 8 markers
- TSH and free T4Thyroid
- FerritinIron stores
- 25-OH vitamin DBone and mood
- Fasting glucose and HbA1cBlood sugar
- Lipid panelCholesterol
- CBCBlood cells
- CMPKidney and liver
- ProlactinPituitary
Reviewed by your care team. Sofia Marin NP and Dr. Priya Raman DO read the panel with you before a plan is set.
Safety
Safety, and who this is not for.
Not a fit if you
- Are pregnant, breastfeeding or planning a pregnancy
- Have a history of breast or uterine cancer, unless a specialist has reviewed your case
- Have a history of blood clots, stroke or heart attack
- Have vaginal bleeding that has not been explained
- Have active liver disease
- Are under 18
What to expect
- Hormone therapy carries risks as well as benefits. Your clinician reviews them with you before anything starts.
- Compounded medications are not FDA-approved. We say so wherever they come up.
- Peptides have limited human research. Individual results vary.
- Eligibility is always decided by a licensed clinician.
Call 911 right away for chest pain, sudden severe headache, trouble speaking, one-sided weakness, or a painful, swollen leg.
Pricing
One plan covers hormones and peptides.
Complete
$349/mo
- Menopause and hormone consults with a clinician
- Peptide consult and review where appropriate
- Quarterly lab panel review with your care team
- Messaging with your care team between visits
Essentials$99/mo
Weight Care$249/mo
Complete$349/mo
Medications and lab tests are billed separately. Your clinician confirms the full cost before you start.
Compare all plans ↗Questions
Five questions we hear most.
A licensed clinician. We review your history, symptoms, labs and goals first. Nothing is prescribed from a form alone.
Usually, yes. A clinician orders the panel that fits your symptoms and history, then reviews the results with you at a follow-up visit.
A compounded medication is mixed by a pharmacy for an individual prescription. Compounded medications are not FDA-approved, and we say so wherever they come up.
Not yet for most uses. The evidence is still emerging, so we offer peptides only where a clinician judges them appropriate. We do not promise results.
Yes. Ask your clinician to adjust or stop a treatment at any point, or to move you to a different option.
Next step