The conversation every woman deserves to have.

This is the one appointment where you won’t walk away with more questions than you came in with. You’ll understand why your labs can look normal while you feel terrible. You’ll learn what’s driving the brain fog, the rage, the weight gain, the sleep disruptions, and the anxiety that arrived out of nowhere.

The first visit will be a deep dive into your unique health story. We’ll go in depth with your personal medical history, symptoms, comprehensive lab work and your top concerns. You’ll walk away with an actionable plan and specific recommendations.

What’s included:

  • Comprehensive lab panel, including estrogen, progesterone, testosterone, thyroid panel (not just a TSH), fasting insulin, C-reactive protein, homocysteine, and more

  • [Add-on] Gut health panel: Tests for inflammation, digestion and absorption markers as well as immune response in the gut through an at-home, mess-free stool collection (an imbalanced gut worsens hot flashes, mood swings, weight gain and brain fog)

  • 60 minute consultation with Czarina, connecting your results to your specific symptoms

  • Personalized nutrition protocol based on your findings

  • Targeted supplement recommendations

  • Treatment recommendations with hormonal and non-hormonal options

    Starting at $497

Treatment program costs are separate and personalized to your needs.

I'M READY!

Frequently Asked Questions

  • Getting started is simple. Reach out through our contact form or schedule a call—we’ll walk you through the next steps and answer any questions along the way.

  • I am a cash-pay practice and do not bill insurance directly. However, I do accept FSA and HSA, and can provide a superbill upon request that you may submit to your insurance for potential reimbursement, depending on your plan.

  • Yes — this is exactly the situation I'm trained to address. Standard hormone reference ranges are built on population averages, not on what's optimal for you individually. A result that's technically 'normal' may still represent a significant drop from your personal baseline. My labs are also more comprehensive than a conventional provider. I take a symptom-first, full-picture approach rather than treating labs as the final word. If you feel terrible, that matters — regardless of what a single blood draw says.

  • Yes. Perimenopause can begin 8 to 10 years before your final menstrual period — which means it can start in the late 30s for many women. Early perimenopause is less about things stopping and more about things becoming inconsistent: hormones fluctuating unpredictably rather than declining steadily. This is why early symptoms are often dismissed — they don't follow a script, and a single lab draw can look completely normal. Feeling 'off' in your late 30s is worth investigating.

  • Many women start to see results within a few weeks, though it varies from person to person.

  • That's exactly what a consultation is for. Perimenopause overlaps significantly with thyroid dysfunction, ADHD, depression, anxiety, and other conditions. A thorough evaluation looks at the full picture — timing, symptom patterns, labs, and your history — rather than jumping to a single explanation. Sometimes it's perimenopause. Sometimes it's perimenopause plus something else. And sometimes it's something else entirely. Getting clarity is the first step to feeling better.