You're Not Tired.
Something Changed.
Hormone therapy for men and women — the energy, sleep, mood, and body composition that shifted and never came back. Labs first, provider-led dosing, and a clear answer either way.
No insurance required · Licensed providers in all 50 states · Labs before treatment
What's Included
- A comprehensive hormone lab panel
- A real consultation with a licensed provider
- Treatment only where labs and symptoms support it
- Provider-led dosing, adjusted on re-checks
- Scheduled follow-up bloodwork
- A care team reachable by phone and email
The Symptoms Most Visits Never Get To.
These get written off as stress, age, or a bad stretch of sleep. Sometimes that's exactly what they are. Sometimes there's a measurable reason — and that's worth knowing.
Energy that's gone
Not sleepy — flat. The kind of tired that a full night's sleep doesn't fix and coffee only papers over.
Sleep that broke
Waking at 3am, night sweats, or sleep that never gets deep enough to count.
Mood and focus
A shorter fuse, low motivation, or brain fog that makes familiar work feel harder than it used to.
Body composition
Strength and muscle slipping while weight moves the other direction, despite no change in what you're doing.
Labs First. Always.
We don't treat hormones off a symptom questionnaire. We measure, then decide.
Book your consultation
Free, online, no insurance. Tell us what changed and when.
Get your labs drawn
A comprehensive hormone panel at a lab near you. This is the step most telehealth skips — and it's the one that makes the answer real.
Review with your provider
Your numbers, in plain language, alongside your symptoms. If treatment is indicated, you'll get a plan. If it isn't, you'll get told.
Titrate and re-check
Dosing adjusted on follow-up bloodwork, not on how you think it's going. Ongoing monitoring is part of the program.
For Men and For Women.
Different biology, different panels, different treatment paths — same standard of care.
For Men
Evaluation and treatment of symptomatic low testosterone — guided by labs rather than by an ad on your phone.
- Total and free testosterone, plus the supporting panel
- Treatment only where levels and symptoms both support it
- Provider-led dosing with scheduled re-checks
- Monitoring of the markers that matter on therapy
- Honest conversation about fertility and long-term use
For Women
Perimenopause and menopause care — the symptoms that get 90 seconds at the end of an annual visit, given the time they actually need.
- Hot flashes, night sweats, and disrupted sleep
- Mood changes, irritability, and brain fog
- A full panel, not a single number
- Treatment options explained with their trade-offs
- Adjusted over time as symptoms and needs change
A Clear Answer — Either Way.
Plenty of places will put anyone who asks on hormone therapy. That's a business model, not medicine.
Sometimes the answer is no.
If your labs and symptoms don't support treatment, we'll tell you — and we'll help you think about what else could explain how you feel. Thyroid, sleep apnea, iron, and depression all produce symptoms that look like a hormone problem and aren't.
Measured, not assumed
A comprehensive panel bef ore treatment, and follow-up bloodwork af ter. Numbers drive the dose
Treated by a provider
A licensed clinician in your state makes the call. No intake form auto-approves hormone therapy here.
Adjusted over time
Your dose isn't set once and forgotten. It moves with your labs, your symptoms, and where you are in life.
Honest About the Hard Parts.
Hormone therapy is a real medical treatment with real trade-offs. Here's what patients ask about most before starting.
Bloodwork is required
Before treatment and on a schedule after. If you're not willing to do labs, this isn't the right program.
It takes time
Most people notice changes over weeks to months, not days — and the first thing to shift is often sleep or energy rather than the thing that bothers you most.
Risks and side effects
Every option has them, and they differ by treatment and by person. Your provider will walk through yours specifically before you start.
Reaching us
A real care team by phone and email. When something feels off, you talk to a person — not a chatbot or a ticket queue.
Before You Book.
Do I need labs before I can be treated?
Yes. A comprehensive panel comes first, every time. We don't prescribe hormone therapy off a symptom questionnaire.
Where do I get my blood drawn?
At a lab near you. Your provider orders the panel and we help you find the closest location.
How soon will I feel different?
It varies by person and by treatment. Most patients describe changes over weeks to months. Anyone promising a specific timeline hasn't seen your labs.
What if my labs come back normal?
Then we'll say so and talk through what else might explain your symptoms. A clear no is a useful answer — and it's cheaper than a treatment that was never going to work.
Is this covered by insurance?
We're cash-pay, so you'll know what everything costs before you commit. No claims, no prior authorizations, no surprise bills.
Can I get this through my employer?
Often, yes. If your employer partners with us, you'll have access at group rates. Ask your HR team, or point them to our employer page.
Find Out What's Actually Going On.
A free consultation with a licensed provider. Labs first, answers either way.
Hormone therapy is prescribed only where clinically appropriate, following laboratory evaluation and a consultation with a provider licensed in your state. Individual results vary. Hormone therapy carries risks that differ by treatment, by sex, and by individual health history; your provider will review these with you before treatment begins. This page is for general information and is not medical advice.