Led by Dr. Anastasiia Neelagaru

List of Consultation Services

  • We provide expert care for all stages of the menopause transition, including perimenopause, menopause, and postmenopause. Treatment options include hormonal and non-hormonal approaches for addressing symptoms such as hot flashes, night sweats, mood swings, osteopenia, brain fog, musculoskeletal syndrome of menopause and genitourinary menopausal symptoms.

  • We prescribe safe, FDA-approved bioidentical hormones following guidelines from The Menopause Society and ISSWSH.

    Our hormone therapy options include:

    • - Estrogen therapy (pills, patches, creams, gels)

    • -Progesterone therapy

    • - Testosterone therapy for women

    • - Customized combination therapy

    All treatment plans are individualized based on your symptoms, medical history, and preferences. We offer both systemic hormone therapy for whole-body symptoms and local vaginal estrogen for genitourinary symptoms.

  • After a careful review of your medical history and evaluation, we prescribe only FDA-approved medications for weight loss management, which are typically covered by your insurance plan.

    If your plan does not cover these medications, we also have extensive expertise in the use of savings programs such as Lilly Direct and NovoCare.

    Please note: We do not prescribe compounded injectable medications at this time. If this changes, we will inform you.

  • Comprehensive evaluation and treatment of elevated cholesterol and triglycerides using current cardiovascular prevention guidelines. Care may include:

    • Personalized 10- and 30-year cardiovascular risk assessment using the PREVENT-ASCVD framework

    • LDL-C and non-HDL-C goal setting based on individual risk

    • Lipoprotein(a) testing and, when appropriate, apolipoprotein B assessment

    • Selective use of coronary artery calcium (CAC) scoring to refine cardiovascular risk

    • Evaluation for familial or inherited lipid disorders

    • Lifestyle and nutritional counseling

    • Statin therapy and evidence-based non-statin treatments when indicated

    • Management of elevated triglycerides

    • Ongoing monitoring to ensure lipid goals are reached and maintained

  • Hormone replacement therapy (HRT) frequently serves as a cornerstone of POI management. POI is linked to a heightened risk of osteoporosis and bone fractures resulting from estrogen deficiency, underscoring the importance of adequate hormone replacement.

  • We treat the majority of cases involving osteopenia and uncomplicated osteoporosis. Additionally, we provide guidance on specific exercise routines that have been proven to enhance bone strength in clinical studies.

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