You’re not falling apart.
Your hormones are changing.
Helping women 35+ find relief with unpredictable cycles, sudden heat surges, mood swings and restless nights
Raise your hand if this sounds like you…
You cut calories and exercise endlessly without the scale moving
You’re bloated by the afternoon no matter what you eat
You rely on caffeine yet have afternoon crashes by 2pm
You’re tired yet completely wired at bedtime
You snap quickly at your partner or kids for asking simple questions
You’re okay one minute then crying in the bathroom the next
You’ve gained weight around the midsection which won’t go away
You’re always anxious that it wakes you up in the middle of the night
You’re in a cold room and get a sudden wave of heat
You decline girls night because socializing became a chore
You forget words mid-sentence and doom scroll if you have “early onset dementia”
Hi, I’m Czarina, a board certified Family Nurse Practitioner.
I got tired of watching women get dismissed, over-prescribed with antidepressants and left to figure out perimenopause on their own. There’s a better way.
I became a perimenopause specialist because my patients kept leading me there. I kept noticing a pattern: women in their late 30s and 40s doing everything right and getting no results. Perimenopause was sitting underneath the weight gain, brain fog, fatigue, mood swings and anxiety. Nobody had connected it for them.
This is the work I was meant to do - and it starts by taking you seriously.
How I Can Help
Every area perimenopause touches - addressed together.
Perimenopause affects your brain, bones, sleep, weight, mood and sex life simultaneously. A real plan addresses all of them - not just the loudest symptom.
HORMONE ASSESSMENT & LABS
A full picture of where your hormones actually are - not just whether you’re “in range”. Includes estradiol, progesterone, thyroid panel, gut health map, and more.
SLEEP & MOOD SUPPORT
The 3am wake-ups, the anxiety that came out of nowhere, the brain fog - these have a hormonal explanation and real solutions. We address them directly.
BONE & HEART HEALTH
Perimenopause is when bone loss accelerates - silently. We get ahead of it with InBody scans, targeted supplementation, and proactive planning.
HORMONE REPLACEMENT THERAPY
Evidence-based treatment tailored to your symptoms, history, and goals. No outdated fears - just current research, honest conversation, and the right fit for you.
WEIGHT & METABOLISM
Your body composition is changing because your hormones are changing - not because of willpower. We build a plan that works with your biology, without extreme diets and workouts.
SEXUAL HEALTH
Dryness, discomfort, and libido changes are medical - and very treatable. This is a conversation we have openly, without embarrassment, and with real options.
Getting started
From wondering what’s wrong to having a real plan.
1) Book your consultation
In person or telehealth. Same level of care either way.
2) We review your full picture
Symptoms, labs, history, lifestyle. Not just whether your numbers are “normal”.
3) You get a real plan
Evidence-based, personalized, and explained in plain language. No one-size-fits-all.
4) We adjust together
Perimenopause is a transition, not a single appointment. We check in, refine, and keep going.
Resources
Start understanding your body right now.
The Perimenopause Health Audit
6 areas, 5 minutes. See exactly where perimenopause is affecting your health right now.
You’re Not Losing Your Mind: A Conversational Guide to Perimenopause
The book I wrote for every woman who’s been told her labs were normal, were handed a sleeping pill, and sent home without answers. Everything I tell my patients - all in one place.
Peri/Menopause 101: Self Paced Video Course
A comprehensive, clinician-led program that gives you the medical knowledge, practical tools, and self-advocacy skills to navigate perimenopause with confidence - on your schedule, for life.