Hormone Therapy,
Personalized
Bioidentical HRT prescribed online by a board-certified nurse practitioner. Restore your energy, balance, and sense of self — 100% telehealth.
Turnaround
Process
Hormones
Provider
You Shouldn't Have to
Feel This Way
These symptoms are real. They have clinical explanations. And they're treatable — with the right assessment, the right hormones, and the right provider guiding your protocol.
Fatigue & Low Energy
Tired despite full sleep. No stamina for daily activities — even simple ones feel draining.
Hot Flashes & Night Sweats
Sudden heat waves, sleep disruption, and temperature dysregulation throughout the day and night.
Mood Swings & Irritability
Emotional volatility that feels disconnected from circumstances — reactive and hard to control.
Brain Fog
Difficulty concentrating, memory lapses, and mental cloudiness that affects your daily function.
Unexplained Weight Gain
Weight accumulating especially around the abdomen despite no meaningful lifestyle changes.
Low Libido
Loss of interest in intimacy, vaginal dryness, reduced sensation — common and treatable.
Your Path to Balance
A structured, lab-guided process that takes the guesswork out of hormone health.
Complete Your Intake
Fill out our detailed hormone-focused questionnaire covering symptoms, cycle history, sleep, mood, energy, and medications.
~12 minutesLab Review Consultation
Amber reviews your intake and hormone labs. If you don't have recent labs, she'll order a comprehensive panel at a nearby lab.
30-min video callCustom BHRT Protocol
Amber designs a bioidentical hormone protocol specific to your levels — delivered as cream, troches, capsules, or injections.
Fully personalizedMonitoring & Optimization
Labs repeated at 90 days to verify optimal levels. Dosing adjusted based on how you feel and what your labs show.
90-day labs includedYour Hormone Panel
A comprehensive approach to hormonal health. We don't just treat the obvious — we look at the whole picture.
Estrogen
Estradiol (E2) · Estriol (E3)Declining estrogen drives hot flashes, vaginal dryness, bone loss, and cognitive changes. Bioidentical estradiol restores balance without the risks of synthetic estrogens.
Progesterone
Natural Bioidentical ProgesteroneOften the first hormone to decline in perimenopause. Low progesterone causes anxiety, poor sleep, heavy periods, and mood swings.
Testosterone
For Women & MenYes, women need testosterone too. Low testosterone causes fatigue, low libido, muscle loss, and brain fog in both sexes.
Thyroid
TSH · Free T3 · Free T4Thyroid dysfunction is frequently missed on standard panels. We assess the complete picture — not just TSH.
DHEA
Adrenal Support HormoneDHEA is a precursor to multiple sex hormones and declines sharply with age and chronic stress. Optimizing it supports energy and immunity.
Cortisol & Insulin
Adrenal · Metabolic MarkersElevated cortisol and insulin resistance interact directly with sex hormones — you can't optimize one system in isolation.
How You'll Feel
Most patients notice initial improvements within 2–4 weeks. Full optimization typically occurs over 3–6 months as dosing is refined.
Energy Returns
The heavy persistent fatigue that no amount of sleep fixes begins to lift. Most patients notice improvement within 3–6 weeks.
Sleep Improves
Night sweats diminish, sleep becomes deeper, and you wake feeling actually rested. Progesterone normalization often helps fastest.
Mental Clarity Returns
Brain fog lifts, focus improves, and that word-finding difficulty becomes less frequent as hormones normalize.
Mood Stabilizes
The emotional volatility and irritability that felt uncontrollable eases. Many patients describe feeling "like themselves again."
Weight Becomes Manageable
Hormone-driven weight gain becomes responsive to diet and exercise once hormonal resistance is corrected.
Libido & Intimacy Restore
Many patients experience meaningful improvement in libido, comfort, and interest in intimacy within the first 60–90 days.
Amber Tomse
MSN, APRN, FNP-C · Board-Certified Family Nurse Practitioner
Amber has a particular interest in hormonal health and how it intersects with everything from weight and energy to mood and longevity. She approaches each hormone case as the unique clinical puzzle it is — looking at the full picture, not just the obvious numbers.
"My goal is simple: give every patient the kind of thoughtful, personalized care I'd want for my own family — whether they're across town or across the country."
Hormone Therapy FAQ
Still have questions? Send us a message — we typically respond within a few hours.
Is BHRT safer than conventional HRT?
Bioidentical hormones are structurally identical to hormones your body produces naturally. While no therapy is without risk, many clinicians and patients prefer BHRT for this reason. Amber will review your personal risk profile in full.
Do I need labs before starting?
Yes — hormone therapy is always guided by labs. If you have recent results (within 6 months), bring them. If not, Amber will order a comprehensive panel through a convenient local lab. Results typically return in 3–5 business days.
Is HRT right for men too?
Absolutely. Testosterone decline in men (andropause) produces fatigue, muscle loss, weight gain, low libido, and mood changes. We offer testosterone optimization and complete male hormone assessment.
How long before I feel a difference?
Initial improvements — especially in sleep and mood — are often noticed within 2–4 weeks. Full optimization typically takes 2–3 months of dosing adjustment.
What forms of BHRT do you prescribe?
Depending on your preference and which hormones are being addressed: topical creams, troches (dissolving tablets), oral capsules, or subcutaneous injections. Your provider will discuss what's appropriate for your protocol.
Do you accept insurance?
Our telehealth programs are self-pay. This allows us to provide highly personalized care without the restrictions of insurance networks. We can provide superbills for potential HSA/FSA reimbursement.
Is there an increased cancer risk?
The relationship between HRT and cancer risk depends on the type of hormone, delivery method, duration, and individual history. Amber reviews your personal and family history in detail and prescribes accordingly.
Do I need to stay on HRT forever?
Not necessarily. Some patients use it for a defined period to get through perimenopause. Others continue long-term for quality-of-life and bone/heart health benefits. It's a decision made together, over time.
Ready to Feel Like
Yourself Again?
Complete your intake and Amber will review your case personally. Select the form that applies to you.