Hormones shape your energy, mood, sleep, sex drive, and long-term health. When they shift in midlife, the right treatment can make a real difference.
We treat both women and men. Start here.


Estrogen, progesterone, and testosterone affect far more than reproduction. They shape sleep, mood, energy, muscle, bone, heart health, and sex. That’s why midlife hormone changes can show up in so many ways.
For men, see low testosterone and TRT, low libido, and erectile dysfunction.

Your first visit includes a full history, core labs, body composition analysis, and a physician exam. Then we build a plan together.
Many people notice changes in sleep, mood, and energy within a few weeks. Other benefits build over months.
Results vary. Your plan will be based on your own evaluation.

For most people, with the right monitoring, yes. In 2025 the FDA announced it was removing the boxed warning on menopause hormone therapy, and a large 2023 trial found testosterone didn’t increase heart attack or stroke risk in men with low testosterone. We’ll go over your own risks and benefits.
Hormone care is part of The Tune-Up membership: $299 to start, then $199/month, including check-ins, labs, body composition, and an annual exam. Medications are separate.
Women in menopause may prefer Pause Unpause, our menopause track.
Your hormone care is led by Dr. Jake Shank, a board-certified physician and Menopause Society Certified Practitioner, with symptoms leading, labs protecting, and honest answers throughout.
For most people, with the right monitoring, yes. We’ll go over your own risks and benefits.
We use FDA-approved hormones that are identical to the ones your body makes. Custom-compounded “bioidentical” products aren’t safer, and they’re less regulated.
Yes. We check labs at your first visit to keep treatment safe.
Not necessarily. Age and time since menopause matter for women, and we’ll talk through your situation.
Yes. See our pages on low testosterone, low libido, and erectile dysfunction.
Book a consultation and bring your questions, even the awkward ones. Especially the awkward ones.