Women's health telehealthYour hormones changed. Your care should keep up.

Hot flashes, weight that won't move, thinning hair, or energy that disappeared. Each has a clinician-prescribed path. Tell us what you're feeling and we'll show you exactly what's available, and what's coming.

Confident woman feeling like herself again
Where are you right now?Age 45
354045505560

Perimenopause often starts in your 40s

Estrogen and progesterone start to swing, often years before periods stop. Sleep, mood, and weight are common first changes.

Hot flashesNight sweatsSleep changesMood shiftsBelly weight

An illustration of typical hormone changes, not a diagnosis. Everyone's timing is different. A licensed provider reviews your history before recommending treatment.

Start here

Which of these sounds like you?

The weight gain wasn't a failure of willpower. Your biology changed. Pick what's off. We'll show you the clinician-prescribed path and exactly what's included.

Which of these describes you? Pick any that apply.

Not sure? Take the 90-second quiz. Your provider looks at the whole picture, including labs when needed.

Hormone changes, hot flashes and sleep

Sleep better. Think clearer. Feel like yourself again.

Hot flashes and night sweats. Mood swings or new anxiety. Trouble falling or staying asleep. Falling estrogen and progesterone drive much of this, and it's treatable.

HRT is live in all 50 states. One price covers every formulation: $79/mo, billed $237 every 12 weeks.

Available now

Estradiol pill + progesterone

Oral estradiol with progesterone for hot flashes, night sweats, mood, brain fog, and sleep.

OralDaily
Helps withHot flashesNight sweatsSleepMood
From$79/mo
  • Provider review and dosing
  • Medication from a U.S.-licensed pharmacy
Available now

Estradiol patch or cream + progesterone

Estradiol through the skin, with progesterone, for women who prefer a topical option.

Patch or cream
Helps withHot flashesNight sweatsSleepMood
From$79/mo
  • Provider review and dosing
  • Medication from a U.S.-licensed pharmacy
Available now

Estradiol vaginal gel or insert + progesterone

Targeted vaginal estradiol for dryness and discomfort, with progesterone support.

Vaginal
Helps withVaginal drynessPain with sexIrritation
From$79/mo
  • Provider review and dosing
  • Medication from a U.S.-licensed pharmacy
Available now

Non-hormonal option

For women who can't take hormones or prefer not to, prescribed after a provider review.

Oral
Helps withHot flashesNight sweats
From$79/mo
  • Provider review and dosing
  • Medication from a U.S.-licensed pharmacy
PillPatch or creamVaginal
How oftenDailyPatch once or twice a week, cream dailyA few times a week
Best forWhole-body symptomsWhole-body symptoms, if you prefer skin over a pillDryness and discomfort

Your provider talks through which form fits your health history.

Why progesterone?

If you still have a uterus, progesterone is prescribed with estrogen to protect its lining. If you've had a hysterectomy, you may not need it.

Is hormone therapy safe for me?

For many women in their 40s and 50s, it's a well-studied option. It may not be a fit if you've had breast cancer, blood clots, a stroke, heart disease, liver disease or unexplained vaginal bleeding. Your provider reviews your history before prescribing.

What to expect

Your provider orders labs when they're clinically indicated. GLP-1 and hormone therapy can be prescribed together when your provider decides it's appropriate, addressing the metabolic and hormonal sides at the same time.

See full HRT program details

State eligibility checker

See what's available where you live

Most programs are available in all 50 states. A few are still rolling out state by state. Pick your state to see exactly what you can start today.

Choose a state to see availability.

Weight that won't move

Get your metabolism working for you again.

Abdominal weight gain, a slowing metabolism, and insulin resistance are common as hormones shift. GLP-1 medications and lower-dose microdosing help restart progress.

Available now

GLP-1 weight loss

Compounded semaglutide or tirzepatide as a weekly injection, or semaglutide as a daily tablet. Your provider reviews PCOS or insulin resistance history.

BMI 27+Injection or tablet
Helps withBelly weightCravingsStalled weight loss
From$209every 4 weeks
  • Provider review and ongoing oversight
  • Medication from a U.S.-licensed pharmacy
  • A coach every two weeks
  • Same price at every dose
Available now

Metabolic microdosing

A lower-dose GLP-1 approach, including a formula built around perimenopausal sleep and metabolic changes.

BMI over 20Weekly
Helps withMetabolismAppetiteBody composition
From$179every 4 weeks
  • Provider review and a guided protocol
  • Medication from a U.S.-licensed pharmacy
  • A coach every two weeks
14.9%average weight lost, semaglutide (STEP-1, 68 weeks)
22.5%average weight lost, tirzepatide (SURMOUNT-1, 72 weeks)

Published NEJM trials of brand-name medications alongside diet and exercise. Not results of compounded medication. Individual results vary.

How weight and hormones connect

Falling estrogen shifts where your body stores fat and how you handle blood sugar. GLP-1 medications work on appetite and blood sugar. Microdosing is a lower-dose start, often for a BMI between 20 and 27. Full GLP-1 is for a BMI of 30 or more, or 27 or more with a weight-related condition. Your provider can prescribe GLP-1 alongside hormone therapy when it's appropriate.

Hair thinning

Catch it early. Keep it.

Female pattern thinning is often hormonal and very treatable when caught early. Compounded topical and oral options target the cause.

Available now

Women's topical formula

A finasteride-free topical with minoxidil, designed for common female thinning patterns and scalp sensitivity.

Topical
Helps withThinning hairWidening part
From$85every 4 weeks
  • Provider review and ongoing check-ins
  • Medication from a U.S.-licensed pharmacy
Available now

Oral minoxidil protocol

Oral minoxidil with biotin and nutrients, for women who prefer a pill or haven't responded to topicals.

Oral
Helps withThinning hairWidening part
From$75every 4 weeks
  • Provider review and ongoing check-ins
  • Medication from a U.S.-licensed pharmacy
Available now

Spironolactone review pathway

Spironolactone with a provider review, for hormone-driven thinning where it is clinically appropriate.

Oral
Helps withThinning hairWidening part
From$65every 4 weeks
  • Provider review and ongoing check-ins
  • Medication from a U.S.-licensed pharmacy

How hair treatment works

Female thinning is often hormonal. Minoxidil helps follicles grow, and spironolactone blocks the hormones that shrink them. Most women need 3 to 6 months to see a change. Spironolactone isn't used during pregnancy.

Always tired, foggy-headed

Get your energy back — without the crash.

Cellular energy naturally declines with age, independent of weight or hormones. NAD+ and sermorelin are provider-prescribed programs for energy, sleep, and recovery.

Available now

NAD+ program

Provider-tailored NAD+ for cellular energy, as an injection, nasal spray, or oral dropper.

Injection, nasal, or oral
Helps withEnergyBrain fog
From$229every 4 weeks
  • Provider review and ongoing oversight
  • Medication from a U.S.-licensed pharmacy
  • Messaging support
Available now

Sermorelin program

A provider-supervised peptide pathway commonly used for sleep and recovery goals.

Injection
Helps withSleepRecovery
From$229every 4 weeks
  • Provider review and ongoing oversight
  • Medication from a U.S.-licensed pharmacy
  • Messaging support

Complete pricing

Transparent. Flat. No surprises.

One monthly price for your provider, medication, and portal. It never rises as your dose does. Cancel anytime on monthly plans. FSA and HSA accepted.

Weight loss
Compounded semaglutide injectionWeekly
$209per month
Compounded semaglutide oralDaily dissolving tablet
$259per month
Compounded tirzepatide injectionWeekly, dual GIP and GLP-1
$249per month
Metabolic microdosingLower-dose GLP-1, BMI over 20
$179per month
Energy and recovery
NAD+ programInjection, nasal, or oral
$229per month
Sermorelin programInjection
$229per month
Hormone therapy (HRT)
Hormone Replacement Therapy (HRT)Pill, patch/gel, vaginal cream/insert, or non-hormonal -- one price for every formulation
$79/mo, billed $237 every 12 wks

Compounded medications are prepared by U.S.-licensed pharmacies and aren't FDA-approved. Eligibility is confirmed by a licensed provider. Programs marked coming soon announce pricing at launch.

Your care team

Not just a prescription. A complete care system.

How it works

What a typical patient journey looks like.

From your first answer to your ongoing care, here's what happens and when.

  1. Day 1

    Take the quiz

    Ninety seconds about your health and goals. We route you to the program that fits.

  2. Days 2 to 3

    A provider licensed in your state reviews your case

    They review it within 24 to 48 hours, and order labs when your treatment calls for them.

  3. Days 4 to 10

    Treatment ships

    If you're prescribed, it ships from a U.S.-licensed pharmacy in discreet packaging.

  4. Ongoing

    Ongoing care

    Check-ins with your provider, messaging in between, and a coach every two weeks on GLP-1 and microdosing plans.

What women ask before they start.

Straight answers. If your question isn't here, our care team will answer it.

View the full FAQ

Your biology isn't the problem. The wrong program was.

Take the free 90-second quiz. A licensed provider reviews your case within 24 to 48 hours.