Semaglutide
From $299/mo with medication included, and every GLP-1 ships the same day.
Check my BMI eligibilityA licensed clinician reviews your health history before anything is prescribed.
Start a free consultationCellular support
ApoB, Lp(a), hs-CRP and more, reviewed by a licensed clinician.
Start with a free consultation$199 for 3 or more pets. You only pay if the clinician approves your letter.
Get your ESA letter$229 for 3 dogs. For housing and travel with a trained psychiatric service dog.
Get your PSD letterLabs & testing
Hair, skin & wellness
Mobile IV therapyFor decades, women were told to 'just deal with it.' The current evidence is clear: for healthy women within 10 years of menopause, HRT improves quality of life, protects bone, cardiovascular health, and cognitive function — with a favorable risk-benefit profile. HealifyNow makes good HRT accessible.
The current evidence on HRT is decisively different from the misinterpreted 2002 WHI findings that scared a generation off treatment. For healthy women under 60 within 10 years of their final menstrual period — the "window of opportunity" — transdermal estradiol with bioidentical progesterone provides significant symptom relief, supports bone density and cardiovascular health, and likely has cognitive protective effects.
The treatment landscape now includes transdermal estradiol (patches, gels, sprays), bioidentical micronized progesterone (Prometrium, taken at bedtime — also helps sleep), low-dose testosterone for women (off-label, well-supported), vaginal estrogen (highly effective for GU symptoms with minimal systemic absorption), and a range of non-hormonal adjuncts for women who can't or won't use hormones.
HealifyNow's HRT program runs comprehensive labs at baseline, builds personalized protocols, follows quarterly the first year, and re-tests to confirm the protocol is working. Your clinician explains every choice and adjusts based on how you feel and what labs show.
The classic vasomotor symptoms. HRT relieves these reliably.
Often the most disabling perimenopausal symptom. HRT, especially with bedtime progesterone, often restores sleep.
New-onset anxiety, irritability, word-finding glitches in your 40s-50s.
Long-term benefits beyond symptom relief, particularly important for women starting HRT within the 10-year window.
From your first message to your medication arriving at your door — clinician-guided, every step.
A care team member meets with you to understand your goals, medical history, and treatment preferences. The first visit is no-cost and no-commitment — we want you to be confident before moving forward.
Connect by secure video or phone with a U.S.-licensed physician or nurse practitioner who reviews your full picture — labs, prior treatments, current medications, and lifestyle — and decides what is clinically appropriate.
If your clinician determines treatment is right for you, they issue a prescription that goes to a licensed U.S. pharmacy. We coordinate discreet shipping, or you can fill it locally. Follow-up visits are built in.
Estradiol replacement. Transdermal forms (patches, gels) bypass the liver, avoiding the small VTE risk associated with oral estrogens. Doses are titrated to symptom relief and to physiologic levels — typically estradiol levels in the 40-100 pg/mL range. Symptom relief usually emerges within 2-6 weeks.
Progesterone. Required for women with a uterus to protect the endometrium from estrogen-driven proliferation. Bioidentical micronized progesterone (Prometrium) is preferred — taken at bedtime, where it also produces calming and sleep effects.
Testosterone. Off-label for women in the US but used routinely by HRT specialists. Low-dose testosterone cream or troche supports libido, energy, motivation, muscle, and bone. Dosed well below male replacement levels.
Vaginal estrogen. For women with primarily genitourinary symptoms (dryness, discomfort, recurrent UTIs), vaginal estrogen is highly effective with minimal systemic absorption.
Non-hormonal options. SSRIs/SNRIs for hot flashes, gabapentin for sleep, oxybutynin for night sweats, CBT adapted for menopause. For women who can't or don't want HRT.
Your clinician will review every relevant detail with you. Here are the most important points to know up front.
Requires careful discussion. Some treatments may still be appropriate with oncology coordination.
Personal or strong family history of VTE shifts the preferred form away from oral estrogens.
Best risk-benefit profile in this window. Outside, the discussion shifts.
Affects hormone metabolism; changes the approach.
All medications must be prescribed by a licensed provider based on medical necessity. Treatment is not suitable for everyone. Results may vary.
We discuss your symptoms, history, prior treatments, and what you want from HRT.
estradiol, progesterone, FSH/LH, total and free testosterone, DHEA-S, SHBG, full thyroid, full metabolic panel, lipids, hsCRP.
Your written protocol may include estradiol (patch/gel/cream), progesterone (oral or vaginal), testosterone (cream or troche), and/or vaginal estrogen, plus any non-hormonal adjuncts.
Your clinician is reachable for titration questions.
Quarterly for the first year. Annual after stable on a maintenance protocol.
Get a fast read on whether this is worth a deeper conversation.
Patients served across the U.S.
Member satisfaction with care team
Average review rating
From visit to medication shipment
We built HealifyNow because telehealth done badly is everywhere — and telehealth done right still feels rare. Here is what makes us different.
No waiting rooms, no faxed forms, no insurance hoops. Quick consults, simple intake, prescriptions handled digitally.
Real physicians, nurse practitioners, and specialists with active licenses. Not chatbots, not offshore call centers.
Medications ship from licensed U.S. pharmacies in plain packaging. Most orders arrive in 2-5 business days.
Reach a real human seven days a week. Most messages get a clinical reply within a few hours, not days.
HealifyNow prescriptions are reviewed and authorized by independently licensed physicians — real doctors with real credentials from top medical institutions in the United States.
A board-certified physician who brings a rigorous, pharmacology-driven lens to longevity medicine and weight management.
A Columbia-trained physician and former collegiate athlete focused on metabolic function, body composition, and healthspan.
A board-certified OB-GYN and ACOG Fellow with more than four decades of experience in women's health.
Real people, real results. Names and details published with permission.
"Eight years of waking at 3 AM, dismissed by three doctors. HealifyNow ran the labs, identified low estradiol, started a patch. Slept through the night by week three. Life-changing."
"Hot flashes were embarrassing in client meetings. Transdermal estradiol and progesterone — gone within a month. Energy and mood came back too."
"Added low-dose testosterone after estradiol stabilized things. Libido and motivation came back — felt like my actual self again. Best decision I've made in my 50s."
HealifyNow makes it easy to move forward with confidence. Here are the answers to what people ask us most.
The WHI was misinterpreted. The increased risks in that study were primarily in older women starting HRT well after menopause, on oral conjugated estrogens with synthetic progestin. For healthy women within 10 years of menopause, modern transdermal HRT with bioidentical progesterone has a favorable risk-benefit profile.
No fixed time limit. Many women stay on HRT 5-10+ years based on ongoing symptom control and periodic risk-benefit review.
Quite the opposite for many members — HRT tends to redistribute weight away from the visceral pattern that untreated perimenopause causes.
For estradiol, the molecule used in patches/gels is bioidentical. For progesterone, micronized progesterone (Prometrium) is bioidentical and preferred to synthetic progestins. Avoid compounded pellet HRT unless there's specific reason — pellets have specific risks.
Some hormone prescriptions are covered through insurance; many members find our cash-pay program more comprehensive and faster.
Yes. Full evaluation by phone or video call, labs via Quest/LabCorp, prescriptions via licensed mail-order pharmacy. The whole protocol is telehealth-native.
Yes — many members combine. HRT addresses hormonal perimenopause symptoms; GLP-1 addresses the metabolic side. The combination works well.
Sleep often improves within 1-2 weeks. Hot flashes within 2-4 weeks. Mood and brain fog within 4-8 weeks. Fine-tuning may take 3-6 months.
Book a free consultation, complete a short questionnaire, then meet a licensed clinician by secure video or phone. If hormone replacement therapy is appropriate, your clinician builds a plan and any prescriptions ship from a licensed U.S. pharmacy.
Hormone replacement therapy pricing is from $149/month. The first consultation is free, there's no insurance requirement, and your clinician confirms costs before you commit.
Hormone replacement therapy is typically suited to women with menopause or perimenopause symptoms after a review of personal and family history, including breast cancer and blood clots. Your clinician reviews your history, medications and goals before recommending anything.
Yes, when it's provided by licensed clinicians who evaluate you properly. Hormone replacement therapy is only prescribed when it's clinically appropriate.
Often, yes. Labs help your clinician confirm what's going on and choose the right dose, and they can be arranged at draw sites nationwide.
Many members see a clinician within a few days of booking. If medication is prescribed, most orders arrive within 2 to 5 business days.
Yes. Visits happen on a HIPAA-compliant platform, and medication ships in plain packaging with no reference to what's inside.
Book a free consultation. Comprehensive evaluation, evidence-based treatment, ongoing follow-through.