Personalized, evidence-based care for perimenopause and menopause. Each package combines clinical expertise with the flexibility to start where you are. Hormone therapy (HRT) is individualized and qualification will be based once you are evaluated at a Care Planning Appointment. Book today!
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Free 15-Minute Discovery Call
Before you commit to an appointment, you're welcome to a complimentary 15-minute phone call to ask questions about hormone therapy safety, what to expect, or which package fits your situation. This call is informational only and does not include medical advice, diagnosis, or treatment.
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Care Planning Appointment: $75
A 30-minute appointment that can be booked online. During this appointment, we will go over the Menopause Care Packages and which one would work best for you. We will discuss which labs to order and if you wish to pay for these separately or try to use your Insurance and PCP to gather them. I will just need to have the results prior to your Comprehensive Intake appointment based on which plan you decide to choose going forward. You will be given paperwork that will go thoroughly into your menopause symptoms and your past medical history. This paperwork will be needed for your Comprehensive Intake. At the end of the 30 minutes, we can schedule your Comprehensive Intake appointment and truly begin your path to getting back to feeling like yourself again.
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Standard Plan: $350
For the woman who wants expert hormone care, visit by visit. No ongoing membership required.
• 60-minute Comprehensive Intake: full symptom history, health history, and a personalized hormone therapy plan, with prescriptions called into your pharmacy of choice. This is your time to be seen and heard and to truly explore the feeling of "I don't feel like myself." It lays the foundation for your menopause journey.
• Follow-up visits scheduled as needed and billed per visit, online or in person: 30 minutes $75, 15 minutes $40.
• At the 4-month mark, the $350 cycle starts new with another 60-minute appointment to manage symptoms and medications. Lab work may or may not be needed at this time.
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Advanced Plan: $450
For the woman who wants ongoing, direct access to her provider.
• 60-minute Comprehensive Intake: full symptom history, health history, and a personalized hormone therapy plan, with prescriptions called into your pharmacy of choice. This is your time to be seen and heard and to truly explore the feeling of "I don't feel like myself." It lays the foundation for your menopause journey.
• Monthly membership, $100: direct messaging access to me between visits for questions about symptom changes, side effects, pharmacy concerns, nutrition, movement, and lifestyle.
• Discounted follow-up visits, online or in person: 30 minutes $50, 15 minutes $25.
• At the 4-month mark, the $450 cycle starts new with another 60-minute appointment to manage symptoms and medications. Lab work may or may not be needed at this time.
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A Note on Cash-Pay Care
Bespoke Menopause and Wellness is a cash-pay practice and does not bill insurance or Medicare. This is a deliberate choice that keeps every visit focused on your health rather than prior authorizations and billing codes. Cash-pay pricing lets you see upfront exactly what your care costs. If you have an HSA or FSA, many of these services may be eligible for reimbursement; please check with your plan administrator.
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On the Safety of Hormone Therapy
Hormone therapy is one of the most researched treatments in women's health, and current guidance from The Menopause Society supports its use, for most healthy women, as a safe and effective option for menopause symptoms when started at the appropriate time and individualized to each patient's health history. Every plan I create is based on your personal and family history, your labs, and your goals, never a one-size-fits-all protocol.

Peptide Therapy
Modern peptide protocols designed to support your body's natural repair, recovery, and metabolic function, uniquely tailored to your needs. Our nurse-practitioner-led approach focuses on evidence-based, individualized care. Peptide therapy is only considered after an appointment and clinical evaluation. Join the waitlist to be notified, and you will be evaluated at an appointment to see if you qualify once it becomes available.
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What to Know
• Available only after a comprehensive intake and clinical evaluation -- not prescribed sight-unseen.
• Plans are individualized; results vary and are not guaranteed.
• Ongoing follow-up and monitoring are part of every plan.
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Compounded Peptide Therapy -- Prescription-Based, Pending FDA Determination
Bespoke Menopause & Wellness supports patient access to compounded peptide therapies through a regulated, prescription-based pathway. The peptides below are currently under FDA review for inclusion on the agency's approved compounding list (503A Bulks List). Availability of each peptide depends entirely on the FDA's final determination.
• BPC-157
• KPV
• TB-500
• MOTS-c
• Emideltide (DSIP)
• Semax
• Epitalon
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Important Compliance Notice (Updated July 2026)
The FDA's Pharmacy Compounding Advisory Committee met July 23-24, 2026 to review these exact seven peptides for the 503A Bulks List. Per current reporting, FDA staff entered the meeting recommending AGAINST adding all seven, citing insufficient human clinical evidence of safety and efficacy. This is not yet a final agency decision. None of the peptides listed above are currently confirmed legal to compound or prescribe pending the FDA's final rule. No claims of safety or effectiveness are made for these peptides given the lack of clinical evidence cited by the FDA. This section will be reviewed and updated promptly once the FDA's final determination is published.

GLP-1 Therapy
Personalized GLP-1 therapy designed around your metabolic health goals, prescribed only after a thorough clinical evaluation. Our nurse-practitioner-led protocols pair medication with ongoing monitoring for safe, sustainable results. Whether GLP-1 therapy is right for you is decided only after an appointment. Book a GLP-1 Consultation to be evaluated and see if you qualify.
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GLP-1 Consultation -- $75, 30 Minutes
Before starting therapy, you'll complete a 30-minute consultation with your nurse practitioner to review your health history and goals. Intake forms are provided in advance so you can arrive prepared and make the most of your visit.
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What to Know
• Available only after a comprehensive intake and clinical evaluation -- not prescribed sight-unseen.
• Plans are individualized; results vary and are not guaranteed.
• Ongoing follow-up and monitoring are part of every plan.
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NP-Administered vs. Self-Administered
GLP-1 therapy can be given as an in-office injection administered by your nurse practitioner, or, once you're established in your treatment plan, as a self-administered injection you give at home following hands-on training. Your provider will help determine which option fits your comfort level, goals, and lifestyle.
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Call or submit your contact info and we can discuss pricing and the plans that are available. Nurse practitioner-administered injections are also available if you'd prefer an in-office visit -- ask about options at your consultation.