Hormones

Feel like yourself again

Peri rewrites the rules. HRT, the energy peptides, and a provider who takes you seriously. That's the route.

$90–320/mo

The short version

What this is and why it works

Perimenopause can start in your mid-30s and last a decade. The symptoms — brain fog, tanked libido, sleep that doesn't refresh, mood swings, hot flashes — are not "just stress" and you are not imagining them. HRT (hormone replacement therapy) is the evidence-backed first line. Peptides like PT-141 and kisspeptin address the pieces HRT doesn't always fix. This plan starts with the proven foundation and builds from there.

The plan

Three levels, one stack

Start at the top. Go as deep as you want. Every item has a real price and the evidence behind it named in plain words.

01

Start here

Estradiol patch or gel + micronized progesterone

The gold standard HRT combo. Estrogen for symptoms, progesterone for uterine protection. Bioidentical, not the old Premarin.

$30–90/mo
Comprehensive hormone panel

FSH, estradiol, progesterone, total and free testosterone, DHEA-S, thyroid. Baseline before you start anything.

$0–200 (insurance variable)
02

Go deeper

Testosterone cream (compounded, low-dose)

For libido, energy, and muscle preservation. Compounded, applied daily. Not FDA-approved for women but widely prescribed off-label.

$40–80/mo
PT-141 (bremelanotide)

For the part of your life nobody makes products for. FDA-approved for hypoactive sexual desire. Subcutaneous, on-demand.

$95/mo
03

Full stack

DHEA (vaginal or oral, low-dose)

For vaginal dryness and urogenital symptoms that estrogen alone doesn't fully address. Oral or vaginal insert.

$20–50/mo
Kisspeptin

Emerging peptide that stimulates GnRH. Early data in hypogonadism and desire. Research-grade, not mainstream yet.

$120–200/mo

What to expect

The timeline

Weeks 1–2 Hot flashes and night sweats improve
Month 1–2 Sleep and mood stabilize
Month 2–3 Brain fog lifts
Month 3–6 Libido, energy, and body comp shift

Where to go

The provider path

Find a menopause specialist or an endocrinologist who actually prescribes HRT (many don't). The North American Menopause Society has a provider directory. Telehealth options: Midi Health, Evernow, Alloy. Avoid anyone who says "you're too young for HRT" without running labs.

Find my provider path →

You've seen the plan. Now build yours.

Three questions. We show you the protocol, the prices, and the evidence before we ask for your email.

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