
HORMONES, PEPTIDES & WEIGHT
Hormone care that starts with your heart
Menopause, perimenopause and male hormone care, guided by labs and cardiovascular risk.
What it is
Hormones affect sleep, mood, muscle, libido and metabolism. Our physicians assess symptoms and labs, then talk through options, including FDA-approved hormone therapies where appropriate, while weighing your cardiovascular and cancer risk.

Who it’s for
- Women in perimenopause or menopause with bothersome symptoms
- Men with symptoms and confirmed low testosterone on repeat morning testing
- Anyone who wants a careful second look at an existing hormone plan
What to expect
- A detailed visit covering symptoms, history and goals
- Labs timed correctly, often repeated to confirm
- A shared decision about lifestyle changes, therapy, or no therapy
- Follow-up labs and symptom review at regular intervals

The evidence, in plain language
For many women, menopausal hormone therapy is effective for hot flashes and some other symptoms, and its risks depend on age, timing and personal history. Testosterone therapy is appropriate for men with clinically confirmed deficiency, and its long-term cardiovascular safety continues to be studied. We follow professional-society guidance rather than trends.
Safety first
- Personal risk review for clots, breast or prostate cancer, and heart disease
- We do not prescribe hormones for “anti-aging” without a clinical indication
- Compounded hormones are discussed carefully, and FDA-approved products are preferred where available
Questions we hear
Do you offer bioidentical hormones?
We discuss all options, including FDA-approved bioidentical estradiol and progesterone.
Can I keep my own doctor?
Yes, and we are glad to coordinate with them.
What does it cost?
Pricing shared at your Discovery Visit.
Ready when you are
Start with a Discovery Visit. We will listen first, then recommend only what makes sense for you.
Refuah programs support, and never replace, care from your own physicians. Results vary from person to person and nothing here is a promise of a specific outcome. Imagery is illustrative.