You're exhausted. Moody. Not sleeping. Still told your hormones are normal.

Perimenopause and menopause care that measures what is actually changing: estrogen, progesterone, testosterone, a full thyroid panel, cortisol rhythm, insulin, gut, and nutrient status, read with you by a board-certified women's health nurse practitioner. Hormone therapy when it is right for you, in formulations that can be adjusted, with monitoring built in.

Book a Free Consultation How it works ↓
100+ five-star reviewsClinician-ledTelehealthHSA/FSA accepted

You’re exhausted. Moody. Not sleeping. Still told your hormones are “normal.”

You’re exhausted. Moody. Not sleeping. Still told your hormones are “normal.”

At HFW Longevity, we uncover what is driving perimenopause, menopause, and hormonal dysfunction — estrogen, progesterone, testosterone, thyroid, cortisol, insulin, inflammation, gut health, nutrient status, and cellular aging — then build a clinician-guided plan around your actual biology.

100+ Five-Star Reviews

Clinician-Led

100% Telehealth

Nationwide

HSA/FSA Accepted

Free Guide

The HFW Guide to Longevity & Advanced Compounds

24 pages on advanced testing, clinician-led protocols, and why strategy comes before any single compound.

Free PDF, instant download. No spam.

Trusted by 1000+ patients across USA

Your Hormone Program Includes

Advanced hormone testing shipped to your door
DUTCH Complete hormone analysis when clinically appropriate
Personalized hormone optimization protocol
HRT/BHRT support when clinically appropriate
Quarterly labs + ongoing optimization
No waiting rooms. No referrals. No guesswork.

You’ve pushed through the fatigue.
You’ve tried supplements.
So why do you still feel unlike yourself?

There is a reason your body feels different.

Stop being told to wait it out. Start finding out what your hormones are actually doing.

This may be you if...

Your body feels unfamiliar, but no one can explain why.

You are not falling apart. You are under-tested.

This may be you if

  • You feel exhausted after a full night of sleep, or you wake at 3 a.m. tired, wired, or anxious.
  • You are gaining weight, especially around the middle, eating the same way you always have.
  • Your mood swings, irritability, or anxiety feel intense and unfamiliar.
  • Your periods changed, or you have hot flashes, night sweats, or temperature swings.
  • Your libido, comfort, memory, or motivation feels different, or your hair is thinning.
  • You are 40 to 55 and were offered birth control, an antidepressant, or a sleep aid without deeper testing.

Your symptoms are real. Let's find out what is driving them.

Why this is different

One hormone value is a snapshot.

A single hormone value is a snapshot. Timing, cycle phase, collection method, medications, and which markers were run all change what it shows. HFW reads hormone results alongside your symptoms, where you are in the transition, your history, your goals, and your risk, rather than treating one number as the whole story. Sometimes the useful next step is repeat or better-timed testing, not treatment.

Not every woman with menopause symptoms needs hormone therapy. Some symptoms have correctable contributors such as thyroid patterns, metabolic health, nutrient status, sleep, or stress. When hormone therapy is appropriate, it is monitored and adjusted over time, not set once.

How it works

Test, correct, then treat what is left

Context first, then treatment, then monitoring.

1Free consultation.Which symptoms matter most, and where you are in the transition.

A free telehealth call with an advanced care clinician to review your symptoms, cycle or menopause stage, health history, and goals, and to decide what testing would actually change the plan.

2Testing and the Health Blueprint.Well-timed hormone and safety bloodwork, thyroid, metabolic, and more when it changes a decision.

Appropriately timed hormone and safety bloodwork, a full thyroid picture, and metabolic markers come first. TruHealth adds nutrients, inflammation, and immune patterns as a baseline to measure change against. DUTCH hormone testing is used when the extra detail on hormone production, metabolism, and cortisol rhythm would change the plan, and GI-MAP when the gut is part of the picture. Your clinician interprets it all together and builds a prioritized plan. See the testing →

3Correct and rebuild.Thyroid, blood sugar, sleep, stress, gut, nutrients.

Contributors that make hormonal changes feel worse are addressed first or alongside: thyroid patterns, insulin resistance, sleep, cortisol rhythm, gut function, and nutrient status. Many women feel a meaningful shift here before any hormone decision is made.

4Hormone therapy when it is right for you.Injectable or topical cream, selected with you. No pellets.

If hormone therapy is appropriate after evaluation, your clinician talks through benefits, risks, formulation, and timing with you. HFW offers injectable and topical cream formulations because they can be adjusted or stopped as your response and safety markers change. HFW does not use pellets, which deliver a fixed dose for months once inserted.

5Monitor and adjust.Ongoing bloodwork and scheduled clinician review.

Symptoms, response, and safety markers are reviewed on a schedule, and the plan continues, adjusts, pauses, or stops based on what they show. Members retest with TruHealth each quarter with a scheduled clinician review. See membership →

What we monitor along the way

Ten things we track, not one number

Progress is read across symptoms and markers together, reviewed with you on a schedule.

  • Sleep quality
  • Hot flashes and night sweats
  • Mood and anxiety
  • Cycle and bleeding patterns
  • Libido and comfort
  • Energy and motivation
  • Hormone patterns and cortisol rhythm
  • Thyroid markers
  • Insulin, HbA1c, and lipids
  • Body composition and bone

A full thyroid panel means TSH, free T3, free T4, reverse T3, and thyroid antibodies, not TSH alone. Bone and body composition matter because hormone changes affect muscle, visceral fat, and skeletal health.

Free Guide

The HFW Guide to Longevity & Advanced Compounds

24 pages on advanced testing, clinician-led protocols, and why strategy comes before any single compound.

Free PDF, instant download. No spam.

HEAL FROM WITHIN

MEMBERSHIP PROGRAM

Ongoing care. Advanced testing. Personalized protocols. Better results. For life.

CONVENTIONAL CARE MEMBERSHIP

Ideal for patients focused on foundational health, hormone balance, and preventive care.

$200/ month

FUNCTIONAL MEDICINE MEMBERSHIP

Ideal for patients seeking a deeper root-cause approach and functional medicine solutions.
$350/ month

INTEGRATED MEMBERSHIP

Ideal for patients seeking a deeper root-cause approach and functional medicine solutions.

$450/ month
Optional Add-On

Performance &
Accountability Coach

Anthony Reyes
Integration Health Coach
$50/ month

Ideal for patients focused on foundational health, hormone balance, and preventive care.

WHY MEMBERSHIP MATTERS

Proactive,
personalized care
Advanced testing & monitoring
Ongoing guidance from advanced care clinicians
Continuous optimization & adjustment
Prevent disease & protect your future
Maximize your healthspan & quality of life

Your best health isn’t a one-time visit—it’s an ongoing partnership.

Our members get the guidance, support, and strategies they need to feel better today and thrive for years to come.
Invest in your health. Invest in your future.

The HFW Difference

We do not just help you manage menopause. We find out why your hormones are affecting your whole system.
Conventional Hormone Care HFW Longevity

What they look at

Age, symptoms, basic labs, and isolated hormone ranges
Hormone patterns, hormone metabolism, cortisol rhythm, thyroid function, insulin, gut health, inflammation, nutrients, symptoms, and biological aging

What you hear

“This is normal for your age.”
“Your symptoms are real. Let’s find out what is driving them.”

Testing

Basic bloodwork, often called “normal”
Advanced hormonal, thyroid, metabolic, nutritional, gut, adrenal, and longevity testing when appropriate

Treatment

Birth control, antidepressants, sleep aids, or generic HRT
Root-cause hormone optimization plus targeted therapies when clinically appropriate

Support

Short visits and reactive care
Quarterly labs, regular check-ins, tracking, and protocol adjustments

Goal

Symptom management
Restore function, improve resilience, and support long-term hormonal health

Access

Office visits, referrals, long waits
100% telehealth with at-home or local testing options

What they look at

What you hear
Testing
Treatment

Support

Goal
Access

Most hormone plans never look at these factors

Your hormones are connected to your whole system.

What We Evaluate Why It Matters
Estrogen & Progesterone Patterns
Fluctuations can affect sleep, bleeding, mood, temperature regulation, cravings, and body composition.
Hormone Metabolism
How your body processes and clears hormones can influence symptoms, safety, and long-term hormone strategy.
Testosterone Activity
Testosterone may affect libido, motivation, mood, lean muscle, recovery, energy, and body composition.
Cortisol Rhythm
Cortisol dysregulation can amplify anxiety, insomnia, belly fat, fatigue, inflammation, and hot-flash intensity.
Thyroid Function
Thyroid patterns can affect weight, energy, mood, temperature regulation, hair, digestion, and metabolism.
Metabolic Health
Insulin resistance and glucose instability can worsen weight gain, cravings, fatigue, and inflammation.
Gut Health
Gut inflammation, dysbiosis, and poor absorption can influence estrogen metabolism, inflammation, and nutrient status.
Inflammation
Chronic inflammation can affect hormone signaling, recovery, pain, mood, and metabolic health.
Nutrient Status
Low magnesium, B vitamins, iron, vitamin D, amino acids, and other nutrients can worsen fatigue, mood, sleep, and recovery.
Mitochondrial Function
Cellular energy decline can make hormonal changes feel more intense and harder to recover from.
Bone & Body Composition
Hormone changes can affect muscle, visceral fat, skeletal health, and long-term aging risk.
Biological Aging
Chronic stress, poor sleep, inflammation, and hormone dysfunction can influence how your body ages over time.

Estrogen & Progesterone Patterns

Fluctuations can affect sleep, bleeding, mood, temperature regulation, cravings, and body composition.

Hormone Metabolism

How your body processes and clears hormones can influence symptoms, safety, and long-term hormone strategy.

Testosterone Activity

Testosterone may affect libido, motivation, mood, lean muscle, recovery, energy, and body composition.

Cortisol Rhythm

Cortisol dysregulation can amplify anxiety, insomnia, belly fat, fatigue, inflammation, and hot-flash intensity.

Thyroid Function

Thyroid patterns can affect weight, energy, mood, temperature regulation, hair, digestion, and metabolism.

Metabolic Health

Insulin resistance and glucose instability can worsen weight gain, cravings, fatigue, and inflammation.

Gut Health

Gut inflammation, dysbiosis, and poor absorption can influence estrogen metabolism, inflammation, and nutrient status.

Inflammation

Chronic inflammation can affect hormone signaling, recovery, pain, mood, and metabolic health.

Nutrient Status

Low magnesium, B vitamins, iron, vitamin D, amino acids, and other nutrients can worsen fatigue, mood, sleep, and recovery.

Mitochondrial Function

Cellular energy decline can make hormonal changes feel more intense and harder to recover from.

Bone & Body Composition

Hormone changes can affect muscle, visceral fat, skeletal health, and long-term aging risk.

Biological Aging

Chronic stress, poor sleep, inflammation, and hormone dysfunction can influence how your body ages over time.

Advanced diagnostics. Real answers.

We test what most hormone visits ignore.

Test What It Can Reveal
DUTCH Complete Hormone Test
Estrogen, progesterone, testosterone, androgen activity, cortisol rhythm, hormone metabolites, adrenal patterns, and hormone clearance
Comprehensive Hormone & Safety Bloodwork
Estradiol, progesterone, testosterone, SHBG, DHEA-S, CBC, CMP, lipids, liver markers, and safety markers when hormone therapy is being considered
Full Thyroid Panel
TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, and possible thyroid conversion issues
Comprehensive Metabolic Bloodwork
Fasting insulin, glucose, HbA1c, lipids, liver markers, inflammation, cardiovascular risk, and metabolic patterns
Adrenocortex Stress Profile
Cortisol output and stress rhythm patterns that may affect sleep, anxiety, recovery, metabolism, and inflammation
Metabolomix+ Nutritional Panel
Nutrient deficiencies, oxidative stress, amino acids, mitochondrial markers, gut metabolites, and cellular energy patterns
GI-MAP Stool Analysis
Gut dysbiosis, pathogens, inflammation, digestion, immune activity, and gut-related hormone or metabolic triggers
IgG Food Sensitivity Explorer
Immune reactivity patterns that may contribute to inflammation, digestive symptoms, fatigue, skin issues, and energy crashes
TruAge + TruHealth Testing
Biological age, pace of aging, and organ-system health across immune, metabolic, hormonal, and cardiovascular systems
Custom Blood Panel
A targeted panel built around your symptoms, history, medications, protocol, and health goals

DUTCH Complete Hormone Test

Estrogen, progesterone, testosterone, androgen activity, cortisol rhythm, hormone metabolites, adrenal patterns, and hormone clearance

Comprehensive Hormone & Safety Bloodwork

Estradiol, progesterone, testosterone, SHBG, DHEA-S, CBC, CMP, lipids, liver markers, and safety markers when hormone therapy is being considered

Full Thyroid Panel

TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, and possible thyroid conversion issues

Comprehensive Metabolic Bloodwork

Fasting insulin, glucose, HbA1c, lipids, liver markers, inflammation, cardiovascular risk, and metabolic patterns

Adrenocortex Stress Profile

Cortisol output and stress rhythm patterns that may affect sleep, anxiety, recovery, metabolism, and inflammation

Metabolomix+ Nutritional Panel

Nutrient deficiencies, oxidative stress, amino acids, mitochondrial markers, gut metabolites, and cellular energy patterns

GI-MAP Stool Analysis

Gut dysbiosis, pathogens, inflammation, digestion, immune activity, and gut-related hormone or metabolic triggers

IgG Food Sensitivity Explorer

Immune reactivity patterns that may contribute to inflammation, digestive symptoms, fatigue, skin issues, and energy crashes

TruAge + TruHealth Testing

Biological age, pace of aging, and organ-system health across immune, metabolic, hormonal, and cardiovascular systems

Custom Blood Panel

A targeted panel built around your symptoms, history, medications, protocol, and health goals

Testing before any hormone decision

The hormone testing behind the plan

Every test price includes a 60 to 90 minute clinician review of your results. Longevity Membership members pay less on most testing. See member pricing →

Hormone bloodworkBloodHormones, thyroid, insulin, safety.Lab-billed

Appropriately timed hormone and safety bloodwork, a full thyroid panel (TSH, free T3, free T4, reverse T3, antibodies), fasting insulin, glucose, HbA1c, and lipids. Ordered through a local lab and billed separately by the laboratory; recent usable results are reviewed first rather than repeated.

DUTCHUrineHow hormones are made, used, and cleared.$650

A dried-urine test of hormone production, metabolism, and clearance plus the cortisol rhythm behind sleep, anxiety, and recovery. Used when that extra detail would change the plan, not by default. It does not replace timed bloodwork.

AdrenocortexSalivaCortisol output across the day.$300

A saliva profile of cortisol across the day, for the stress physiology behind 3 a.m. waking, anxiety, fatigue, and stubborn weight. Ordered when knowing the rhythm would change the plan.

TruHealthDNA methylationNutrients, inflammation, and immune patterns.$450

105+ epigenetic biomarkers across nineteen systems from one at-home blood spot: the baseline membership is built on, repeated each quarter. Add TruAge ($750 for both) for pace of aging and eleven organ systems when bone, brain, or metabolic aging is part of the question.

What it costs

A managed plan, personalized to you.

Hormone therapy at HFW is a managed plan, not a prescription you are left to run on your own. When it is clinically appropriate, the monthly price covers the medication, your clinician's oversight, scheduled bloodwork reviews, and the adjustments your results call for. Because the plan is personalized, what it includes and what it costs follow your evaluation. Laboratory charges are separate.

How hormone care works at HFW

  • Injectable or topical cream formulations, selected with you
  • Ongoing bloodwork and scheduled clinician review
  • Continue, adjust, pause, or stop decisions made with you, not set once
  • Discounted pricing for Longevity Membership members and Functional Medicine Corrective Program patients
Managed hormone therapy plan
Starts at $150 a month
Longevity Membership members
Discounted pricing

Nonmember pricing shown; see member pricing →. Your exact monthly price depends on the hormones and formulation your evaluation supports. Hormone therapy is prescribed only after clinical evaluation and is not guaranteed. What is available depends on your state, clinician authorization, and pharmacy requirements. HFW is self-pay; HSA and FSA cards are accepted.

Book a Free Consultation
Longevity Membership

Make it part of a full year.

A prescription on its own is not a plan. Membership is for people ready to make a commitment to healthy aging, or to longer-term corrective care and health optimization: quarterly TruHealth retesting, scheduled clinician review, coaching, and preferred pricing on hormone therapy all year. The year runs in quarters: discover and correct, activate and improve, optimize, then sustain. Not every plan has to be a membership; focused care visits are available too.

Longevity Membership
$225a month
12-month initial commitment

What a year includes

  • Four TruHealth tests, one each quarter
  • Four scheduled consultations with an advanced care clinician, plus one on-demand provider visit
  • Your first quarter of clinician-selected targeted supplements
  • 15% preferred pricing on eligible peptide and GLP-1 protocol packages, TRT, and HRT
  • Ongoing review and plan adjustment as each new result comes in
  • Eight accountability and habit-coaching sessions
  • Patient Success coordination between visits

Begins after a separate $450 initial TruHealth assessment, which includes a 60 to 90 minute clinician review. Bloodwork, medications, and treatments are purchased separately.

Book a Free Consultation

Your personalized roadmap to hormonal health

Built around your biology. Depending on your testing, symptoms, history, and goals, your plan may include.

1

Hormone Optimization

A strategy to support estrogen, progesterone, testosterone, cortisol, thyroid, and hormone metabolism based on your actual patterns.

2

HRT / BHRT When Clinically Appropriate
Clinician-guided hormone therapy may be considered after reviewing symptoms, labs, history, risks, safety markers, and clinical fit.

3

Progesterone Support
Targeted support may be considered for sleep disruption, mood changes, cycle changes, bleeding patterns, or progesterone-related symptoms when appropriate.

4

Estrogen Support
Estrogen optimization may be considered for vasomotor symptoms, vaginal comfort, sleep, mood, bone health, and menopause-related changes when clinically appropriate.
5
Testosterone Support
Testosterone support may be considered for libido, motivation, recovery, energy, lean mass, and body composition when testing and symptoms support it.
6
Thyroid Optimization
Support for thyroid conversion, antibodies, low thyroid patterns, fatigue, weight resistance, hair changes, cold intolerance, and metabolic slowdown.
7

Cortisol & Stress Regulation

Support for stress physiology, adrenal rhythm, sleep quality, anxiety patterns, inflammation, and recovery capacity.

8
Metabolic Support
A strategy to address insulin resistance, glucose patterns, lipid changes, belly fat, cravings, and menopause-related body composition changes.
9
Gut Restoration
Targeted protocols to address dysbiosis, inflammation, digestion, absorption, and gut-related hormone or immune disruption.
10
Nutritional Repair
Professional-grade supplementation based on your deficiencies, symptoms, hormone patterns, and cellular needs.
11
Peptide Therapy
When appropriate, peptides may support recovery, sleep quality, tissue repair, inflammation regulation, body composition, mitochondrial function, and healthy aging.
12
Bioregulator Support
Bioregulators may be considered for cellular repair, organ-specific resilience, immune support, circadian rhythm, and long-term longevity optimization.

Your Menopause Health Journey

Step 1: Free Consultation

We review your symptoms, health history, hormone concerns, lifestyle, and goals to understand how menopause is affecting your health.

Step 2: HEAL Comprehensive Workup

Advanced testing helps identify hormone imbalances, metabolic changes, inflammation, nutritional status, and other factors contributing to your symptoms.

Step 3: HEAL Health Blueprint

Your provider translates your results into a personalized roadmap with clear priorities and recommendations for restoring hormonal balance and overall well-being.

Step 4: Correct & Rebuild

We address the underlying drivers of your symptoms through personalized hormone, metabolic, nutritional, and lifestyle strategies.

Step 5: Optimization

Your plan may include hormone therapy when clinically appropriate, nutrition guidance, supplements, lifestyle interventions, peptides or other advanced therapies, with ongoing monitoring.

Step 6: Maintain & Thrive

Regular follow-ups, progress tracking, and plan adjustments help you navigate menopause with greater energy, resilience, and long-term health.

What progress looks like over time

Gut healing is not a 7-day reset.
It is a rebuilding process.

Quarter Focus What This Means for Hormonal Health
Q1: Discover & Correct
Find the root. Build the foundation.
Hormone, thyroid, cortisol, metabolic, gut, inflammation, and nutrient evaluation; initial hormone-support strategy
Q2: Activate & Improve
Build momentum. Feel the shift.
Improved sleep, steadier mood, fewer crashes, better temperature regulation, better energy, symptom trend review
Q3: Optimize & Perform
Improve systems. Elevate resilience.
Hormone refinement, body composition support, libido and recovery support, thyroid/metabolic adjustments, advanced therapy consideration
Q4: Sustain & Thrive
Protect progress. Build longevity.
Long-term hormone strategy, bone and body composition review, biological age tracking, maintenance planning, relapse prevention

Q1

Discover & Correct

Find the root. Build the foundation.

Hormone, thyroid, cortisol, metabolic, gut, inflammation, and nutrient evaluation; initial hormone-support strategy.

Q2

Activate & Improve

Build momentum. Feel the shift.

Improved sleep, steadier mood, fewer crashes, better temperature regulation, better energy, and a symptom-trend review.

Q3

Optimize & Perform

Improve systems. Elevate resilience.

Hormone refinement, body composition support, libido and recovery support, thyroid/metabolic adjustments, and advanced therapy consideration.

Q4

Sustain & Thrive

Protect progress. Build longevity.

Long-term hormone strategy, bone and body composition review, biological-age tracking, maintenance planning, and relapse prevention.

What we monitor along the way

We Track Why It Matters
Sleep Quality
Shows how hormones, cortisol, stress, temperature shifts, and recovery are changing
Hot Flashes + Night Sweats
Helps track vasomotor symptom response and hormone stability
Mood + Anxiety Patterns
Helps identify estrogen, progesterone, cortisol, thyroid, and blood sugar influences
Cycle + Bleeding Patterns
Important during perimenopause, cycle dysfunction, and hormone therapy monitoring
Libido + Sexual Comfort
Helps track estrogen, testosterone, vaginal health, mood, sleep, and relationship-impacting symptoms
Energy + Motivation
Shows how hormone, thyroid, nutrient, mitochondrial, and cortisol patterns are responding
Hormone Patterns
Estrogen, progesterone, testosterone, DHEA, SHBG, and hormone metabolites guide personalization
Cortisol Rhythm
Helps identify stress-driven sleep, anxiety, inflammation, and metabolic issues
Thyroid Markers
Helps identify thyroid conversion issues, autoimmune patterns, and metabolic slowdown
Fasting Insulin + Glucose
Reveals metabolic resistance and blood sugar patterns affecting weight, cravings, and energy
HbA1c + Lipids
Tracks blood sugar and cardiovascular risk patterns that can shift during menopause
Inflammatory Markers
Shows whether inflammation may be worsening pain, fatigue, sleep, mood, or hormone signaling
Nutrient Status
Helps determine whether deficiencies are contributing to fatigue, mood, sleep, and recovery
Body Composition
Helps protect lean mass, reduce visceral fat, and support long-term metabolic health
Symptoms
Brain fog, cravings, bloating, mood, sleep, libido, energy, recovery, hair, skin, and temperature regulation

Sleep Quality

Shows how hormones, cortisol, stress, temperature shifts, and recovery are changing

Hot Flashes + Night Sweats

Helps track vasomotor symptom response and hormone stability

Mood + Anxiety Patterns

Helps identify estrogen, progesterone, cortisol, thyroid, and blood sugar influences

Cycle + Bleeding Patterns

Important during perimenopause, cycle dysfunction, and hormone therapy monitoring

Libido + Sexual Comfort

Helps track estrogen, testosterone, vaginal health, mood, sleep, and relationship-impacting symptoms

Energy + Motivation

Shows how hormone, thyroid, nutrient, mitochondrial, and cortisol patterns are responding

Hormone Patterns

Estrogen, progesterone, testosterone, DHEA, SHBG, and hormone metabolites guide personalization

Cortisol Rhythm

Helps identify stress-driven sleep, anxiety, inflammation, and metabolic issues

Thyroid Markers

Helps identify thyroid conversion issues, autoimmune patterns, and metabolic slowdown

Fasting Insulin + Glucose

Reveals metabolic resistance and blood sugar patterns affecting weight, cravings, and energy

HbA1c + Lipids

Tracks blood sugar and cardiovascular risk patterns that can shift during menopause

Inflammatory Markers

Shows whether inflammation may be worsening pain, fatigue, sleep, mood, or hormone signaling

Nutrient Status

Helps determine whether deficiencies are contributing to fatigue, mood, sleep, and recovery

Body Composition

Helps protect lean mass, reduce visceral fat, and support long-term metabolic health

Symptoms

Brain fog, cravings, bloating, mood, sleep, libido, energy, recovery, hair, skin, and temperature regulation

Test
Track
Analyze
Adjust
Improve

You should not have to wonder whether your hormone plan is working.

You should be able to see it.

From Menopause Relief to Long-Term Hormonal Health

HFW is built to help you restore hormonal balance, optimize your health, and navigate menopause with confidence for the long term.

Most patients work with us through a structured longevity membership that includes:

Who is this for?

We do not do hormone guessing. We build long-term hormonal resilience.

Meet your clinical team

Clinician-led care. Root-cause strategy. Long-term optimization
Christina Warner, APN-C
Board-Certified Nurse Practitioner
Hormone Optimization Women's Health Functional Medicine
25 years of clinical experience with a focus on hormones, gut health, chronic inflammation, womenu2019s health, and root-cause care.n
Dr. Eric Landi, KICP, DC
Longevity and Functional Medicine
Certified Peptide Therapy Practitioner

Over a decade of clinical experience with advanced functional testing, peptide therapy, metabolic optimization, and data-driven longevity protocols.

Dr. Saul Maslavi, MD

Medical Director

Board-Certified Family Medicine Physician
20+ years in clinical practice with expertise in metabolic support, testosterone optimization, inflammation-related conditions, biological age tracking, and physician-level oversight.

Real patient results

Real progress. Real support. No shame.

Why HFW

Why people work with HFW

  • Test first.Well-timed testing before any hormone decision.
  • Women's health expertise.Care led by a board-certified women's health nurse practitioner, with physician medical direction.
  • Adjustable, not fixed.Formulations that can be adjusted or stopped. No pellets.
  • Monitored all year.Symptoms, response, and safety markers reviewed on a schedule.
Patient reviews

What patients say

  • Dr. Landi connects to each of his patients on a personal level, works with you every step of the way, and makes you feel supported while navigating challenging health obstacles.

    Lauren Griffith
  • After getting my test results, Dr. Landi walked me through a number of helpful steps to restore my health. He is very knowledgeable and uses an in-depth functional medicine approach.

    Stella Blanch Apo

Who you'll work with

Clinician-led care with physician medical direction.

  • Christina Warner, APN-CChristina Warner, APN-CBoard-Certified Women's Health Nurse Practitioner · Advanced care clinician
  • Dr. Eric Landi, KICP, DCDr. Eric Landi, KICP, DCCo-Founder · Longevity and Functional Medicine
  • ARAnthony ReyesAccountability and Habit Coach
  • SDScott Davis, CPACo-Founder · Operations and Patient Experience

Medical direction: Dr. Saul Maslavi, MD, Board-Certified Family Medicine Physician

Meet the team →

You have been told to wait it out long enough.

Book a free telehealth consultation to talk through what is changing, what is worth testing, and whether we are the right team to help.

Book a Free Consultation

Based in Hillsdale, New Jersey. Care by telehealth.

You have been told to wait it out long enough.

Let’s find out what your hormones are actually trying to tell you.
Book a free virtual consultation to uncover the hormonal, thyroid, cortisol, metabolic, inflammatory, and nutrient patterns that may be driving your symptoms — and whether we are the right team to help you finally move forward.
HFW Longevity
Clinician-Led
100% Telehealth
Nationwide
HSA/FSA Accepted HIPAA-Compliant
All major credit and debit cards accepted
FAQ

Frequently asked questions

Short answers to what people ask before booking.

Frequently Asked Questions

Yes. Perimenopause is the transition leading up to menopause, and hormone patterns can begin shifting years before periods stop or become irregular. Symptoms during this window can include sleep disruption, mood changes, cycle changes, temperature symptoms, brain fog, changes in body composition, and changes in libido. Being told your labs are normal does not necessarily mean nothing is changing.

It is a fair question. A single hormone value is a snapshot, and timing, cycle phase, collection method, medications, and which markers were run all affect what it shows. HFW interprets hormone results alongside your symptoms, cycle or menopause stage, health history, fertility goals, medications, and risk rather than treating one number as the whole story. Sometimes the useful next step is repeat or better-timed testing rather than treatment.

A conventional menopause visit is often short and focused on deciding whether to start a standard therapy. HFW spends the evaluation on context: which symptoms matter most to you, where you are in the transition, what the testing actually shows about production and signaling, whether there are correctable contributors such as thyroid, metabolic, nutrient, sleep, or stress factors, your health history and risk, and your preferences. Then treatment is discussed, and it is monitored and adjusted over time rather than set once.

No. HFW does not move automatically from a symptom or one low laboratory result to hormone replacement. Some symptoms have correctable contributors such as thyroid patterns, metabolic health, nutrient status, sleep, or stress. Some patients benefit from hormone therapy and some do not, and the decision depends on symptoms, testing, health history, reproductive goals, risk, alternatives, and preference.

DUTCH is a specialty hormone test that can help evaluate hormone production, metabolism, signaling, and adrenal or stress-related patterns. HFW uses it when the additional detail could change the plan. It does not replace appropriately timed hormone bloodwork, and not every hormone patient needs it. Some questions are answered better through well-timed or repeated blood testing.

Hormone patterns can contribute to each of these, which is part of why symptoms during the menopause transition often show up together rather than one at a time. They are usually one contributor among several, alongside sleep, metabolic health, nutrition, training, stress, and thyroid function, and HFW evaluates them together rather than attributing everything to hormones.

TSH is one marker and is often the only one run. Depending on your question, a clinician may look at a broader thyroid picture alongside symptoms, nutrient status, medications, and metabolic context. A normal TSH does not by itself rule out every relevant pattern, and equally, an abnormal marker does not by itself establish a diagnosis. This is evaluated clinically, not from a website.

Estrogen plus progesterone is $190 per month for nonmembers, and active members and Functional Medicine Corrective Program patients are entitled to additional discounts. Estrogen plus progesterone plus testosterone is $220 per month for nonmembers, and members are entitled to additional discounts. Women’s testosterone alone is $150 per month for nonmembers, and members are entitled to additional discounts. Medication is included in those prices. Laboratory charges are separate. For nonmembers, a quarterly clinician consultation to review bloodwork and adjust the plan is generally $150 to $200.

HFW offers injectable and topical cream formulations, selected with you based on your symptoms, testing, history, risk, and preference. HFW does not use pellets, because a pellet delivers a fixed dose over months and cannot be adjusted or stopped once inserted, which conflicts with monitoring response and adjusting the plan over time.

Safety depends on the individual, the formulation, the dose, the timing relative to menopause, and personal and family health history. There are real benefits and real risks, and they differ from person to person. HFW’s position is that this decision requires an individual risk conversation with a clinician, ongoing monitoring, and a plan that can be adjusted. HFW does not claim any therapy is without risk or is right for everyone.

Not necessarily. Some situations call for long-term management and others are time-limited. HFW defines the objective, monitors response and safety with ongoing testing and clinician review, and revisits whether continuation remains appropriate. That decision is clinical and is made with you.

Through ongoing bloodwork and scheduled clinician review. Your clinician looks at symptoms, response, safety markers, and goals, then continues, adjusts, pauses, stops, or refers. Hormone care at HFW is not a prescription that is set once and left alone.

No. It adds a different kind of information. Some hormone questions are answered better through appropriately timed or repeated blood testing, and safety markers generally still require bloodwork. Your clinician selects the approach based on the question being asked.

No. Not every patient requires advanced hormone testing. For many people, well-timed or repeated bloodwork answers the question, and HFW does not add testing that would not change a decision.

Hormone production, how hormones are metabolized, signaling patterns, and adrenal or stress-related patterns. It is one input among several, interpreted alongside your symptoms, cycle or menopause stage, history, medications, fertility goals, and risk.

DUTCH is $650 for nonmembers, covering the test and the clinician review together. Longevity Membership members are entitled to additional discounts. The review is where your clinician interprets the results alongside your symptoms, history, and other testing rather than handing you a report to decode yourself.

No. DUTCH is a specialty test and is purchased separately unless expressly included in a package. Membership includes four TruHealth tests and the associated quarterly clinician consultations.

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