Bioidentical hormone therapy for women.
Perimenopause and menopause, done differently—symptom-first, individualized, and optimized to how you actually feel and function, not just where a lab says “normal.”
A lab result inside the “normal” range only means you’re not the sickest fraction of the population being tested. It says very little about whether you feel well. We start with your symptoms—sleep, mood, energy, libido, brain fog, cycle changes—and optimize your hormones to where you thrive, not merely where you scrape past a reference range.
Using bioidentical hormones—molecules identical to what your body makes, often individually compounded—we personalize estradiol, progesterone, testosterone, DHEA, and desiccated thyroid to you. The goal reaches past symptom relief toward how you live: cognition, mood, sleep, libido, muscle, and long-term cardiovascular and metabolic health.
Hormones, personalized to you.
Estradiol & progesterone
The foundation of menopausal and perimenopausal care—used bioidentically and individualized, with progesterone for those who need it. Symptom-first, honest about benefits and trade-offs.
Testosterone — yes, for women
Testosterone isn’t just a “male” hormone. A growing body of research and international expert consensus supports its thoughtful use in women for libido, energy, mood, and well-being—an option too often overlooked.
Thyroid & DHEA
Because how you feel is rarely about one hormone in isolation. We look at thyroid (including desiccated thyroid where appropriate) and DHEA as part of the whole picture.
Perimenopause, not just menopause
The years before your last period can be the most symptomatic—and the most dismissed. You don’t have to wait until labs look “abnormal” to feel like yourself again.
“My labs are normal, but I feel awful.”
If you’ve been told your bloodwork is fine while your life quietly gets smaller, you’re not imagining it. Reference ranges are population averages—not a definition of optimal for you. We treat the person, not the printout.
That means real time with your clinician, comprehensive testing to understand the full picture, and a plan that’s adjusted as you improve—delivered by secure telehealth, so you can be seen from home.
Getting started
Your initial consultation is $350—and it’s really two appointments in one. First is an in-depth visit (about 90 minutes) where Luke Swift, DNP, reviews your full history, symptoms, and goals. He then orders comprehensive labs, and you return for a second visit to review those results together and map a plan. Both visits are included in the single fee.
BHRT for women, answered plainly.
Is bioidentical hormone therapy safe?
Hormone therapy is individualized medicine, and safety depends on your history, your goals, and thoughtful monitoring. Much of the fear people carry comes from misreadings of older studies that used non-bioidentical formulations in specific populations. We use bioidentical hormones, personalize your plan, monitor carefully over time, and talk through the real benefits and trade-offs together so you can make an informed decision.
Do you use compounded hormones?
Often, yes. Individually compounded bioidentical hormones let us tailor the exact hormone and dose to you rather than fitting you to an off-the-shelf product. Compounding, done through a reputable pharmacy, is a legitimate and long-standing part of personalized hormone care.
Can you help with perimenopause, or only menopause?
Both. Perimenopause, the years leading up to your last period, is often the most symptomatic phase and the most frequently dismissed. You do not have to wait for your labs to look abnormal to get help feeling like yourself again.
Is it ever too late to start?
It is almost never too late. The right time to start is individual and something we decide together based on your symptoms, your history, and your goals. Research continues to reshape old assumptions about timing, and many people benefit from optimized hormones well beyond the years they were told the window had closed.
Related care
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NAD+, low-dose naltrexone, methylene blue, peptides, and more—tools that work at the cellular level.
Learn more →ServicesGender-Affirming Care
Compassionate, evidence-based gender-affirming hormone therapy with careful monitoring throughout.
Learn more →ServicesMetabolic Psychiatry
Mental health is metabolic health—we target the energy, inflammation, and hormones underneath mood and focus.
Learn more →Ready to feel like yourself again?
Book a virtual consultation and we’ll build the plan around you—your symptoms, your labs, your goals.