Perimenopause and Menopause Support

Personalized Hormone Support for Women Who Want to Feel Like Themselves Again

Perimenopause and menopause can affect sleep, energy, mood, metabolism, body composition, focus, and confidence. Dr. Tina looks at the whole picture so you can understand what is changing and make informed decisions about your next steps.

Dr. Tina Maru supporting women through perimenopause and menopause

25+ Years

Clinical experience and individualized care.

Provider-Led

Assessment, guidance, and appropriate oversight.

Women 40+

Care designed for the realities of midlife and beyond.

Midlife Deserves Better Answers

Common Does Not Mean You Have to Navigate It Alone

Hormone changes can influence many systems at once. A careful evaluation helps separate what may be hormone-related from other factors that can look or feel similar.

A Whole-Person View

A Broader View of Hormone Health

Hormones do not work in isolation. Dr. Tina considers the systems and daily patterns that can influence how you feel during this transition.

Your Symptom Pattern

The timing, intensity, and combination of symptoms help guide the evaluation.

Hormone Evaluation

Relevant history and testing may clarify changes that deserve attention.

Metabolic Health

Hormone shifts can intersect with insulin response, appetite, weight, and body composition.

Sleep and Recovery

Better sleep supports energy, mood, cognition, and metabolic resilience.

Nutrition and Muscle

Protein, strength, and personalized nutrition support healthy aging and independence.

Treatment Options

Nutrition, lifestyle, supplements, and plant-based bioidentical hormone therapy may be discussed when appropriate.

Personalized Care

Make Decisions With Context, Not Confusion

Your plan is based on your history, symptoms, goals, relevant testing, and preferences. Dr. Tina explains the reasoning behind each recommendation so you can participate confidently in your care.

Your Plan May Include

What to Expect

A Clear, Guided Process

1. Listen

Begin with your story, your priorities, and what has changed. Dr. Tina takes time to understand the full context.

2. Investigate

Review relevant history, lifestyle factors, existing results, and testing that may add useful clarity.

3. Personalize

Turn what you learn into focused next steps, clear priorities, progress markers, and ongoing support.

Frequently Asked Questions

Hormone Support Questions

Perimenopause is the transition leading up to menopause and often includes changing cycles and fluctuating symptoms. Menopause is reached after 12 consecutive months without a menstrual period.

No. Thyroid function, nutrition, stress, sleep, metabolic health, medications, and other factors can contribute. A broader evaluation helps avoid assumptions.

Plant-based bioidentical hormone therapy may be considered when appropriate. Recommendations depend on individual evaluation, clinical suitability, and the required medical oversight.

Hormones may influence appetite, sleep, insulin response, muscle, and body composition, but weight is multifactorial. The plan should address the full metabolic picture.

Testing is personalized. Existing records may be useful, and additional tests are recommended only when they can help guide decisions.

Request a discovery call to discuss your concerns and determine whether Dr. Tina’s approach fits what you need.

Midlife Can Be a Stronger, More Informed Chapter

Request a no-charge discovery call to talk through the changes you are noticing and learn what a personalized hormone-health evaluation may involve.