About Us Weight Loss TRT Women's HRT Peptide Therapy
Rejuvenation
IV Therapy Laser Hair Removal Tixel Sculpt
Get Started
Get Started Call
Bioidentical hormone therapy for women at Optimized Health
Women's Health
Concierge Hormone Therapy

Hormones in balance. Life in motion.

Hot flashes. Brain fog. Weight that won't budge. Sleep that never comes. And every doctor says the same thing: "Your labs look fine." You know it's more than stress. And you're right.

It's not in your head. It's in your hormones — and we can help.

Clinician-Supervised No Initial Visit Fee Telehealth Available
Schedule Your Visit
 How it works

$125/mo · No contracts · HSA/FSA accepted

Scroll
Why Optimized Health

We Actually Listen

You've probably already been to a doctor about this. Maybe more than one. And you were told your labs looked "fine," or handed a prescription without much explanation, or simply told to wait it out. That's not how we work. We sit down with you, listen to what you're experiencing, dig into the full picture, and build something that's truly yours.

Comprehensive Testing

We don't guess, and we don't settle for basic lab work. When clinically indicated, we run detailed hormone panels — estradiol, progesterone, testosterone, thyroid markers, and more — to understand exactly where you stand. Lab work is available as an add-on to your membership.

Bioidentical, Not Synthetic

We use bioidentical hormones — molecularly identical to what your body produces naturally. Not Premarin. Not Provera. Hormones that work with your biology, not against it. Many patients tolerate them better, with results that feel natural.

A True Partnership

You'll never have to fight to be heard again. Your clinician checks in regularly, listens to how you're feeling — not just what the labs say — and adjusts your protocol together until you feel like yourself. This is collaborative care, not a 15-minute appointment.

The Whole Picture

Hormones touch everything — weight, sleep, energy, mood, mental clarity, libido. When appropriate, we coordinate your BHRT with weight management and peptide protocols so you're not just patching one symptom. You're optimizing the whole you. For women experiencing persistent fatigue alongside hormonal changes, IV nutrient therapy can provide targeted hydration and micronutrient support as a complement to your hormone protocol.

You're Not Imagining This

If This Sounds Like Your Life, Your Hormones May Be Why

These changes don't happen all at once. They creep in slowly — until one day you realize you don't feel like yourself anymore. If several of these sound familiar, you deserve more than "it's just stress."

Hot flashes and night sweats that disrupt your day and your sleep

Weight gain — especially around the midsection — no matter what you do

A tiredness that sleep never seems to fix

Brain fog so thick you forget words mid-sentence

Mood swings, anxiety, or sadness that feel out of character

A libido that quietly disappeared

Vaginal dryness or discomfort that no one talks about

Falling asleep fine, then wide awake at 3am with a racing mind

Hair that's thinning or skin that's suddenly dry

A feeling that you've lost the person you used to be

You're not broken. You're not "just getting older." These are real symptoms of hormonal change — and they respond beautifully to the right treatment. Let's find out what's going on.

Your Treatment Options

Bioidentical Hormones: Chosen for Your Body, Not From a Template

Bioidentical hormones are molecularly identical to the ones your body makes naturally. Your clinician selects the right combination — and the right delivery method — based on your labs, your symptoms, and how you want to feel. Everything is tailored to you.

Estradiol

Creams & gels (most common) · Patches · Oral

The primary estrogen your body has been producing your entire adult life — and the one that's declining now. Restoring estradiol can relieve hot flashes, night sweats, vaginal dryness, brain fog, mood instability, and bone density loss. Available as creams, gels, patches, or oral formulations depending on what works best for you. Creams and gels are our most commonly prescribed delivery method.

Progesterone

Oral · Cream · Troches

Essential for balancing estradiol, calming the nervous system, supporting deep sleep, and reducing anxiety. We use bioidentical progesterone — never synthetic progestins like Provera — because your body recognizes it as its own. Available in oral, cream, and troche forms.

Testosterone

Topical creams (female dosing)

Yes, women need testosterone too — and low levels are one of the most under-diagnosed causes of fatigue, low libido, brain fog, and muscle loss in women. We test for it routinely and optimize it when indicated, using appropriate female dosing via topical creams.

DHEA & Pregnenolone

As clinically indicated

These precursor hormones support your body's natural hormone production, adrenal health, and cognitive function. When your labs indicate they'd benefit you, we include them as part of your comprehensive protocol.

Thyroid Optimization

Comprehensive panels when indicated

Thyroid dysfunction is one of the most common — and most overlooked — drivers of fatigue, weight gain, and brain fog in women, especially during perimenopause and menopause. We don't just check TSH and call it a day. When clinically indicated, we run comprehensive thyroid panels (TSH, Free T3, Free T4, reverse T3, thyroid antibodies) and treat based on your symptoms and your full lab picture — not just a reference range.

Every hormone, every dose, every delivery method is chosen specifically for you. We use bioidentical hormones exclusively, and your protocol is built collaboratively with your clinician — then adjusted as your body responds. There's no template here. Just a plan that's yours.

Wherever You Are, We're Here

Hormone Care for Every Chapter

You don't have to wait until menopause to get help. Whether you're in your late 30s noticing the first shifts or well past your last period, we have protocols designed for where you are right now.

Stage 01

Perimenopause

Late 30s – Early 50s

This is where it usually starts — and where most doctors miss it. Irregular periods, new anxiety, disrupted sleep, creeping weight gain, and a general feeling that something is "off." Your hormones are fluctuating before they fully decline, and early support can make a profound difference in how you feel now and how smoothly you transition. Many perimenopausal women also benefit from our medical weight loss program to address hormonal weight changes alongside hormone therapy.

Our Specialty
Stage 02

Menopause

When Periods Stop

When periods stop, estradiol and progesterone drop sharply — and symptoms intensify. Hot flashes, night sweats, vaginal changes, mood instability, and cognitive fog become harder to ignore. BHRT addresses these directly by restoring what your body is no longer producing. Your clinician works with you to find the balance that feels right.

Stage 03

Post-Menopause

Ongoing Optimization

Hormone optimization isn't just about symptom relief. Post-menopausal women benefit from ongoing support for bone health, heart health, cognitive function, and overall quality of life. We continue monitoring and refining your protocol together — so you're not just surviving this chapter, you're thriving in it.

Ready to find out where your hormones stand?

Schedule Your Visit
Getting Started Is Easy

From "Something's Off" to Feeling Like Yourself Again

You don't need a referral. You don't need to wait. Most women start feeling relief within the first few weeks.

01

Your First Conversation

This is where it starts — a real conversation with a clinician who listens. Share what you've been experiencing, your health history, and what you want to feel like again. No pressure, no time limit on your questions. Free informational calls are also available if you want to learn more before committing.

02

Understanding Your Hormones

When clinically indicated, your clinician orders comprehensive lab work — going well beyond the basic tests most doctors run. We look at estradiol, progesterone, testosterone, thyroid markers, and more to get the full picture of what's happening inside your body. Lab work is available as an add-on to your membership.

03

Your Personalized Protocol

Based on your labs and your symptoms, your clinician builds a bioidentical hormone protocol in partnership with you. Every decision — which hormones, what doses, which delivery methods — is made together. Creams, gels, patches, oral options, and troches are all available depending on what suits your body and your life.

04

Ongoing Care & Refinement

Hormones shift — and so does your protocol. We check in regularly, recheck labs at 6-8 weeks and then quarterly, listen to how you're responding, and adjust together. This isn't a prescription and a wave goodbye. It's ongoing care from a team that's genuinely invested in how you feel. All included in your $125/month membership.

What Women Are Saying

Real Women. Real Results.

Read all 195+ patient reviews →

Your BHRT protocol is managed by a dedicated clinical team led by Mathew Hammons, PA-C, with support from Michelle Hammons, RN. Together our clinical team brings more than 45 years of combined experience in hormone optimization, women's health, and personalized care.

★★★★★

"I can't say enough good things about Optimized Health! Everyone is kind, professional, and truly invested in helping you feel your best. The environment is clean and welcoming, and the care is top-notch."

Kendra
via Google Reviews
★★★★★

"Professional, compassionate care. The staff is friendly and very knowledgeable. I enjoy my monthly visits and love my results"

Elizabeth S.
via Google Reviews
★★★★★

"Matt is always professional and takes time to listen to your concerns and help meet your goals. Definitely would recommend"

Melissa D.
via Google Reviews
★★★★★

"Everyone is very knowledgeable and listens to what I have to say. They give me great advice and are very encouraging!"

Amy E.
via Google Reviews
★★★★★

"Best experience ever, very kind, helpful and informative. They really care about you."

Shannon L.
via Google Reviews
★★★★★

"I can't say enough good things about Optimized Health! Everyone is kind, professional, and truly invested in helping you feel your best. The environment is clean and welcoming, and the care is top-notch."

Kendra
via Google Reviews
★★★★★

"Professional, compassionate care. The staff is friendly and very knowledgeable. I enjoy my monthly visits and love my results"

Elizabeth S.
via Google Reviews
★★★★★

"Matt is always professional and takes time to listen to your concerns and help meet your goals. Definitely would recommend"

Melissa D.
via Google Reviews
★★★★★

"Everyone is very knowledgeable and listens to what I have to say. They give me great advice and are very encouraging!"

Amy E.
via Google Reviews
★★★★★

"Best experience ever, very kind, helpful and informative. They really care about you."

Shannon L.
via Google Reviews

Results may vary. All treatments require clinical evaluation.

Simple, Transparent Pricing

Concierge Care That's Within Reach

We're a cash-pay concierge practice — which means no insurance runaround, no rushed appointments, and a team that has time for you. Here's what your membership includes.

Monthly Membership
$ 125 /month
No Initial Visit Fee
Your first consultation is included
What's Included
  • Personalized bioidentical hormone protocol — estradiol, progesterone, testosterone, DHEA, thyroid support, whatever your body needs
  • Comprehensive clinical evaluation and health assessment
  • Collaborative protocol design — you're part of every decision
  • Ongoing clinician monitoring and symptom tracking
  • Proactive dose optimization as your body responds
  • Thyroid evaluation and treatment when indicated
  • Concierge access to your care team
Lab work is available as an add-on when clinically indicated. Your clinician determines the right panel based on your symptoms and history.
HSA and FSA accounts accepted. No insurance billing — which means no one between you and the care you need.
No initial visit fee

Your first consultation is included. Come in, tell us what you've been experiencing, and let's figure out what's going on — together. No pressure, no commitment.

Schedule Your Visit Call (417) 707-1150

HSA & FSA accepted · No insurance billing · Cash-pay concierge practice

Is This Right for You?

You Don't Have to Keep Feeling This Way

If you've been feeling like a faded version of yourself — tired, foggy, heavier, anxious, and wondering what happened — you're not alone. And you're not imagining it. Hormonal changes are real, they're measurable, and most importantly, they're treatable. The first step is simply finding out what's going on.

BHRT may be right for you if:

  • You're experiencing symptoms like hot flashes, brain fog, low energy, weight gain, mood changes, sleep disruption, or low libido
  • You've been told your symptoms are "normal" or "just stress" — and you know there's more to it
  • You've never had a comprehensive hormone panel, or your doctor only checked one or two markers
  • You want bioidentical hormones — not synthetic alternatives
  • You want a clinician who listens, explains, and partners with you in your care
  • You're in MO, KS, IA, UT, or WA (telehealth) or can visit our Joplin, MO clinic

There's no separate initial visit fee and no long-term commitment required. This is simply a conversation — a chance to be heard and to get real answers.

Schedule Your Visit

Think you're a candidate? → Get started

How We Compare

You Deserve Better Than "Your Labs Look Fine"

Feature
Optimized Health
Women's HRT
Med Spas / Wellness Clinics
Your Current Doctor
Comprehensive female hormone panel
Estradiol, progesterone, testosterone, thyroid, DHEA, and more
Basic estrogen check (maybe)
TSH + FSH if you ask
Bioidentical hormones (not synthetic)
Always — never Premarin or Provera
Sometimes — depends on provider
Usually synthetic
Personalized, collaborative protocol
Built together, refined together
Take this dose, come back in 6 months
"Here's a prescription"
Thyroid evaluation & treatment
Comprehensive panel, treated when indicated
Not their specialty
Basic TSH only
Testosterone optimization for women
Tested and treated when indicated
Rarely addressed
Almost never considered
Regular monitoring + adjustments
Ongoing, included in membership
Annual at best
"Come back if you have problems"
Integrated with weight loss + peptides
Maximizing results across the board
Hormones only
Separate referrals
No initial visit fee
$125/mo — no initial visit fee
Usually charges $200+
Copay + limited time
Answers You Deserve

What Women Should Know About Bioidentical Hormone Therapy

What is bioidentical hormone replacement therapy (BHRT)?

Bioidentical hormone replacement therapy uses hormones molecularly identical to the estradiol, progesterone, and testosterone your body produces naturally. Unlike synthetic hormones such as Premarin and Provera, bioidentical hormones match your body's own chemistry, which many patients find easier to tolerate. At Optimized Health, every BHRT protocol is developed with your clinician after a thorough evaluation, with ongoing monitoring included in your $125/month membership.

What are the symptoms of hormonal imbalance in women?

Common symptoms include hot flashes, night sweats, unexplained weight gain (especially around the midsection), persistent fatigue, brain fog and difficulty concentrating, mood swings, anxiety, low libido, vaginal dryness, sleep disruption, and thinning hair. Many women live with these symptoms for years — being told it's "just aging" or "just stress" — before getting a proper hormonal evaluation. A comprehensive female hormone panel can determine whether hormonal decline is the underlying cause and point the way toward effective treatment.

When should women consider hormone therapy?

Women can benefit from hormone therapy well before menopause. Perimenopause often begins in the late 30s or early 40s, bringing disrupted sleep, new anxiety, irregular periods, brain fog, and early weight gain. You don't have to wait until your periods stop. If persistent symptoms are affecting your daily life, a clinical evaluation can determine whether BHRT is right for you. Our guide on what changes after 40 breaks down the factors.

Is bioidentical hormone therapy safe?

Bioidentical hormone therapy has a strong safety profile when prescribed and monitored by experienced clinicians. The concerns many women have heard about hormone therapy stem largely from the Women's Health Initiative study, which used synthetic hormones — not bioidenticals. Current research supports the safety and efficacy of bioidentical hormones when individually dosed and regularly monitored. At Optimized Health, we track your labs and symptoms on a structured schedule, adjusting your protocol proactively and collaboratively. All treatments are prescribed by a licensed clinician with more than 15 years of hormone optimization experience.

How much does bioidentical hormone therapy cost at Optimized Health?

Our BHRT program is $125 per month — no separate initial visit fee. The monthly membership includes your personalized bioidentical hormone protocol, ongoing clinical evaluation, collaborative protocol adjustment, thyroid treatment when indicated, concierge clinician access, and proactive optimization as your body responds. Lab work is available as an add-on when clinically indicated. HSA and FSA accounts are accepted. We're a cash-pay practice, which means no insurance hurdles between you and the care you need. Many women also benefit from combining BHRT with our IV therapy for energy and recovery support.

Last reviewed by Mathew Hammons, PA-C — March 2026
Frequently Asked Questions

Your Questions, Answered

Most OB/GYNs have limited training in hormone optimization and typically prescribe synthetic hormones at standard doses without comprehensive testing. We specialize in bioidentical hormone therapy — with detailed lab work, personalized protocols, and ongoing collaborative care. We test far more than just FSH or TSH. We listen to your symptoms. And we adjust your protocol based on how you feel, not just what a lab range says. We also integrate hormone therapy with weight management and peptide programs when appropriate.
Bioidentical hormones are molecularly identical to what your body produces naturally — estradiol, progesterone, testosterone. Synthetic hormones like Premarin (derived from horse urine) and Provera have a different molecular structure, which can lead to more side effects. Current research supports bioidentical hormones as having a more favorable safety and tolerability profile when properly monitored.
Yes — and it's one of the most under-diagnosed hormonal deficiencies in women. Testosterone levels decline with age just like estradiol and progesterone, and low levels can cause fatigue, low libido, loss of muscle tone, brain fog, and mood changes. When your labs indicate it, we prescribe bioidentical testosterone at appropriate female doses and monitor your response carefully.
For many women, yes. Hormonal decline — particularly in estradiol and testosterone — is one of the most common drivers of unexplained weight gain, especially around the midsection. Restoring optimal hormone levels can improve metabolism, reduce fat storage, and make it easier to maintain a healthy weight. Many of our patients combine BHRT with our medical weight loss program to maximize their results.
That depends on you and your goals. Some women use BHRT for a specific transition period — like perimenopause — and taper off once their body stabilizes. Others choose to continue long-term for ongoing benefits to bone health, heart health, cognitive function, and quality of life. There's no one-size-fits-all timeline. Your clinician will discuss your options openly, and you can adjust or stop whenever you choose. This is your protocol — you're always in control.
We offer creams and gels (our most commonly prescribed method), patches, oral formulations, and troches. Your clinician will recommend the best option based on your labs, your lifestyle, and your preferences — and we can always adjust if something isn't working well for you.
Yes. Thyroid dysfunction is one of the most common and most overlooked contributors to fatigue, weight gain, and brain fog in women — especially during perimenopause and menopause. We don't just check TSH. When clinically indicated, we run comprehensive thyroid panels and treat based on your full picture — symptoms and labs together — not just a reference range.
We typically recheck labs at 6-8 weeks after starting your protocol, then quarterly during your first year, and every 6-12 months once things are stable. All follow-up care is included in your $125/month membership and can be done via telehealth from the comfort of your home.
We currently serve patients via telehealth in Missouri, Iowa, Kansas, Utah, and Washington. In-person visits are available at our Joplin, MO clinic at 2727 E 32nd St, Suite 9.
Absolutely. Perimenopause — the years before your periods stop — is often when symptoms are at their worst. You don't need to wait. A comprehensive hormone panel can identify imbalances even while you're still cycling, and your clinician can build a protocol that's appropriate for your current stage. Many of our patients are perimenopausal women who were told to 'wait it out.' They didn't have to — and neither do you.
The fears most women have about hormone therapy come from the Women's Health Initiative study, which used synthetic hormones — Premarin and Provera — not the bioidentical hormones we prescribe. Current evidence supports bioidentical hormones as having a more favorable safety profile when individually dosed and properly monitored. Your clinician will take time to discuss your personal health history, answer every question you have, and make sure you feel confident in your plan. And with regular lab monitoring included in your membership, we're watching the data alongside you every step of the way.

Editorial Standards

This Page is Reviewed by a Clinician

Mathew Hammons, PA-C

Lead Clinician · Optimized Health · Joplin, MO

Mathew Hammons is a Physician Assistant with more than 15 years of clinical experience in obesity medicine, hormone optimization, and peptide therapy. He has overseen care for more than 5,000 patients at Optimized Health and is the practice's sole licensed prescriber. Every protocol, every adjustment, and every follow-up runs through him directly. He is licensed in Missouri with telehealth coverage in Kansas, Iowa, Utah, and Washington, and oversees every bioidentical hormone therapy protocol for women at the practice.

Last reviewed: May 19, 2026 · View full profile

Not sure where to start? No initial visit fee — just a real conversation about what you're experiencing. No pressure, no commitment.

You Deserve to Feel Like Yourself Again

$125/month. No initial visit fee. A team that listens.

Schedule Your Visit
Call (417) 707-1150

Bioidentical hormones. Collaborative, lab-guided care. A team that partners with you — not a prescription and a wave goodbye.