Your Hormones Changed.
Your Care Should Keep Up.
Clinician-prescribed hormone replacement therapy for perimenopause, menopause, and hormone imbalance — personalized to your biology. Multiple formulations. Launching soon for Yakima residents, available in all 50 states + DC.
Symptoms Yakima Women
Often Describe
Hot flashes. Poor sleep. Mood changes. Brain fog. Vaginal dryness. These are not inevitable parts of aging — they are the documented effects of declining estrogen and progesterone, hormones that affect the brain, cardiovascular system, bones, metabolism, and urogenital health.
How Estrogen and Progesterone
Work — And Why Decline Matters
Estradiol, the primary form of estrogen, acts on receptors throughout the body — supporting mood, cognition, sleep, and temperature regulation in the brain; bone density in the skeletal system; and vaginal and bladder health in the urogenital system. Progesterone works alongside estrogen, balancing its effects and contributing independently to sleep and mood.
Four Paths, One Goal —
Personalized to Your Body
HRT is not one-size-fits-all. Your provider recommends a formulation based on your symptoms, health history, and whether you have had a hysterectomy. Waitlist members get early access to pricing when Yakima enrollment opens — anticipated pricing is shown below.
Estradiol Pill + Progesterone
Daily oral tablet. Most straightforward routine. Progesterone included for women with an intact uterus to protect the uterine lining.
Estradiol Patch or Cream + Progesterone
Patch worn on skin or cream applied daily. Bypasses first-pass liver metabolism — often preferred for certain cardiovascular risk profiles.
Estradiol Vaginal Gel + Progesterone
Applied vaginally with lower systemic absorption — targeted for women with primarily urogenital symptoms like vaginal dryness or discomfort.
Non-Hormonal Option
Paroxetine or Desvenlafaxine — both FDA-approved medications in their own right, for women who cannot or prefer not to use hormone therapy. Different regulatory status than the compounded hormonal options above.
What to Expect at Launch
Provider-Matched Formulation
Your provider reviews your symptoms and health history to recommend the formulation that fits — pill, patch, cream, vaginal gel, or a non-hormonal option.
No Insurance Required
A direct-pay subscription, billed quarterly — no prior authorizations, no claim denials, no surprise bills.
FDA-Registered Compounding Pharmacy
Hormonal formulations are compounded at FDA-registered 503A and 503B pharmacies. Non-hormonal options are FDA-approved medications in their own right — a different regulatory category.
Priority Access for Waitlist Members
Yakima residents who join the waitlist now are notified first and get early access to enrollment and pricing when the program launches.
Programs Yakima Women
Often Pair With HRT
Hormonal changes during perimenopause and menopause often overlap with weight and energy changes. These programs are live today for Yakima residents.
GLP-1 Weight Loss
Weight changes during perimenopause and menopause are often hormonally driven, not a willpower issue. Clinician-prescribed GLP-1 programs are available now for Yakima residents.
GLP-1 weight loss in Yakima →NAD+ & Longevity
Hormonal decline and cellular aging often compound each other. NAD+ and Sermorelin longevity programs are available now for Yakima residents.
Longevity programs in Yakima →Questions from
Yakima Residents
Nearby Cities in Washington
Be First in Line —
Yakima, Washington
Join the waitlist now. We'll notify you the moment HRT enrollment opens in Yakima and give waitlist members priority access.