Personalized hormone and metabolic care for women navigating weight gain and symptoms of perimenopause and menopause.
Perimenopause Changes More Than Just Your Cycle
What you’re doing what used to work, but suddenly your weight, sleep, mood, and energy feel different. Add hot flashes, brain fog, anxiety, and changes in your sex drive and you no longer feel like yourself.
Hormonal shifts during perimenopause and menopause can affect your whole body. The good news? There are options for managing the symptoms.
UNDERSTANDING YOUR HORMONE & METABOLIC HEALTH
Is it your hormones? Metabolism? Stress? Thyroid? Something else entirely? That’s why we’re here. We look at the full picture to understand what’s changing and determine what treatment may be right for you.
Women’s Hormone Replacement Therapy & Medical Weight Loss
A six-month hormone and metabolic health program for women in perimenopause and menopause combining hormone replacement therapy (HRT), GLP-1 medical weight loss, health coaching, and ongoing medical care to help relieve symptoms, optimize weight, improve body composition, and help you feel like yourself again.
What’s Included:
Personalized treatment roadmap.
Comprehensive lab testing & review.
Bioidentical Hormone Replacement Therapy (BHRT).
GLP-1 therapy.
Nurse Practitioner visits and one-on-one Health Coaching.
Nutrition & lifestyle guidance.
Body composition tracking.
Ongoing medical support.
HOW IT WORKS
Schedule Your Welcome Call
We’ll learn more about your goals and answer any questions you have about HRT or GLP-1s.
Complete Your Lab Work
We’ll run a comprehensive lab panel to capture your hormone and metabolic health.
Meet With Our Providers
We’ll review your lab results and build a treatment plan that’s personalized to you.
Start Seeing Progress
We’ll continue adjusting your treatment, monitoring your labs, and supporting you every step of the way.
More Good Days Ahead
The goal is to help you feel good in your body again: sleeping more soundly, waking up with more energy, feeling calmer and clearer, and seeing your body respond to the healthy habits you’re already working on. Whether that means fewer hot flashes, easier weight management, better intimacy, or simply feeling more like yourself, we’re here to help you get there.
-Stephanie, Founder of High Country Wellness
FAQs About Hormone Replacement Therapy & Medical Weight Loss
Yes. During perimenopause, shifts in estrogen and progesterone can affect how your body stores fat, maintains muscle, regulates appetite, and responds to insulin. Changes in sleep, stress, and energy can make weight management feel even harder. This is why the same diet and exercise routine that worked for years may suddenly stop producing the same results.
HRT and GLP-1 medications address different aspects of your health. HRT can help manage symptoms related to hormonal changes during perimenopause and menopause, while GLP-1 medications can support weight loss by helping regulate appetite and blood sugar. When appropriate, using both as part of a personalized treatment plan can help address hormone symptoms and weight concerns at the same time.
For many women, yes. When prescribed appropriately and tailored to your medical history, bioidentical hormone replacement therapy (BHRT) is considered a safe and effective treatment for many symptoms of perimenopause and menopause.
Bioidentical hormones are designed to be chemically identical to the hormones your body naturally produces. At High Country Wellness, we take the time to review your symptoms, lab work, medical history, and personal risk factors before recommending treatment. Every woman is different, which is why your care is personalized.
This is one of the most common questions we hear, and understandably so.
Much of the concern surrounding hormone replacement therapy began after the Women’s Health Initiative (WHI) study published in 2002. Following that study, many women stopped hormone therapy, and many healthcare providers became much more hesitant to prescribe it.
Since then, we’ve learned a great deal more. Researchers have continued studying hormone therapy, and today we know that the decision to use HRT is much more individualized than we once thought. Factors such as your age, the timing of treatment, your medical history, your family history, and the type of hormone therapy all play an important role in determining your risks and benefits.
At High Country Wellness, every treatment plan is personalized, and we’ll review your medical history, discuss your individual risk factors, and answer all of your questions before recommending hormone therapy.
For many healthy women entering perimenopause or menopause, hormone therapy can be a safe and effective treatment that significantly improves quality of life. Our goal is to help you make an informed decision based on the most current evidence, not fear.
Hormonal changes can begin years before menopause, often during perimenopause. Some of the most common symptoms include:
- Hot flashes and night sweats
- Weight gain or difficulty losing weight
- Poor sleep
- Brain fog
- Mood changes, anxiety, or irritability
- Fatigue and low energy
- Low libido
- Vaginal dryness or discomfort
- Joint aches and muscle loss
If these symptoms are affecting your quality of life, bioidentical hormone therapy may be one option to help restore hormonal balance and improve how you feel.
No. Many women begin experiencing symptoms during perimenopause, which often starts in your late 30s. If you’re noticing symptoms and they’re affecting your quality of life, you don’t have to wait until menopause to seek help.
Depending on your symptoms, goals, and medical history, hormone therapy may be prescribed as:
- Creams
- Pellets
- Injections
- Oral medications
We’ll discuss the pros and cons of each option and recommend the one that’s the best fit for you.
Most women tolerate hormone therapy very well. As your body adjusts, you may experience temporary side effects such as:
- Breast tenderness
- Mild bloating
- Spotting or irregular bleeding
- Headaches
- Mood changes
- Acne or oily skin (depending on the hormone)
Many of these improve over time or can be managed by adjusting your treatment. That’s one of the reasons ongoing follow-up is so important.
GLP-1 medications work by helping regulate the way your body controls hunger and metabolism. They reduce appetite, help you feel full longer, slow stomach emptying, and improve blood sugar regulation. When combined with healthy nutrition, strength training, and lifestyle changes, they can be an effective tool for sustainable weight loss.
GLP-1 medications may be appropriate for adults who struggle with weight resistance, appetite regulation, or metabolic imbalance. Eligibility is determined through a consultation and medical evaluation.
Not necessarily. Some women continue long-term, while others gradually reduce or discontinue their medication over time. We’ll work with you to develop a long-term plan based on your goals, your progress, and your overall health.
When prescribed appropriately and monitored by experienced providers, GLP-1 medications are considered safe for many individuals. Ongoing check-ins and adjustments help ensure safety and effectiveness.
We are a direct-pay practice and do not bill insurance for office visits. This allows us to spend more time with each patient and provide personalized, comprehensive care without the limitations often imposed by insurance companies.
Many services may be eligible for HSA or FSA use. We recommend confirming eligibility with your plan administrator.
Click “Book Now” at the top right of the screen and select the first option, “High Country Wellness NEW Patient Welcome Call” to schedule your 15-minute Introductory Call with us.

