Janine Changed Her Life at 59

“I started feeling so much better. I wasn’t in pain. My libido is up. I had energy that I’d never had in years.”

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Our Services

Estradiol Replacement Therapy

Estradiol lowers in women as they age, up until the time of menopause and then production stops. Not only does low estradiol trigger the physical symptoms of menopause such as hot flashes, night sweats, weight gain, and vaginal dryness but it also increases long term risks to mental and physical health in women.

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Progesterone Replacement Therapy

Progesterone is the hormone that no woman should be without! It is calming, mood stabilizing, and protects against breast cancer. Progesterone enhances everything that is great about estradiol and opposes any unwanted effects. It is also the treatment of choice for PMS!

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Testosterone Therapy for Women

Women past the age of 40 have nearly half the testosterone that they had in their 20s. With the decrease in testosterone comes uncomfortable symptoms of aging like changes to body composition, moodiness, low energy levels and so on.

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Perimenopause Therapy

Perimenopause is the period of time leading up to menopause and is often the most difficult time in a woman’s life hormonally speaking. The transition into menopause may take several years and for some is a slow and uncomfortable process. Proper management of key hormones can help to ease uncomfortable symptoms of perimenopause.

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Menopause Therapy

The transition into menopause can be accompanied by bothersome symptoms. Sometimes they can be so severe that they significantly interfere with daily life. Hormone Replacement Therapy will help you live a healthy, vibrant life.

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How to Enroll in Our Telemedicine Program


Schedule a Consultation

Complete the form on this page and one of our team will call you back to help you get started on your optimization journey.


Physical & Lab Work

Get a physical exam from a healthcare provider near you and we will order the necessary bloodwork


Telemedicine Appointment

We’ll schedule your first telemedicine appointment.



We’ll enroll you in our program. Military, law enforcement, and firefighters get discounted rates. We also have convenient payment plans.


Custom HRT Plan

Based on your lab work and symptoms, we’ll create a custom BHRT plan that will be monitored and adjustments made monthly until your symptoms are resolved.


Follow up

You’ll have unlimited access to our HIPPA compliant patient portal and phone appointments at no additional charge. Any time you want to talk to us, we’re here for you.

Your Life Without Optimized Hormones

  • Weight gain, especially in midsection
  • Loss of lean muscle mass
  • Degenerative disease (diabetes, cancer, heart disease, osteoporosis)
  • Compromised immune system
  • Thinning of the skin.
  • Depression and stress
  • Cognitive decline/forgetfulness
  • Insulin resistance
  • Loss of sex drive
  • Fatigue
  • Sleep disorders
  • Muscle aches and pains
  • Bone loss
  • Heat/cold intolerance
  • Indecision
  • Erectile dysfunction
  • Thinning hair
  • Irritability
  • Hot flashes
  • Heart palpitations
  • Vaginal dryness


I’ve recommended hundreds of people to Tier1 Health & Wellness. If you’re a man or woman who’s looking to get your hormones optimized… I give them my highest endorsement

Jay Campbell

Best-selling author of the Testosterone
Optimization Therapy Bible


Schedule Your Free Consultation

Ready to get started? Just want to talk to a real person? Enter your details in the form and someone from our team will call you back within 24 hours.