Understand microdosing GLP-1s for sustainable weight loss
Optimize It
A holistic program to support hormonal health as you age, with F45 Training
Personalized treatment for optimal results
Guidance through every stage of your treatment
Eligible for HSA/FSA pre-tax savings
F45 Training fitness + nutrition content
Don't suffer in silence through perimenopause, menopause or post-menopause. Help is here. Optimize It pairs clinically guided hormone therapy (HT) with virtual fitness and nutrition content from F45 Training—helping women counter their natural hormone decline to Optimize their energy, mood, sleep and so much more.
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Dr. B
Start a streamlined online consultation to review your health history, symptoms and blood work with a provider who specializes in hormone therapy. Then, feel confident in your care with unlimited clinical support from licensed providers and regular check-ins from the Dr. B team.
Start a consultationF45 Training
Patients unlock F45 Training's innovative, results-driven group workouts via their F45 mobile app, which features at-home exercise content, curated nutrition tools and empowering wellness solutions.
Learn more at F45 TrainingOwn It to Optimize It
Consultation
Take a seamless online AI consult to get the ball rolling—anytime, anywhere.
Video visit
Meet your doctor to discuss your symptoms, concerns, and health history—and get your HT questions answered.
Blood work
Track how vital biomarkers like hormones, blood sugar levels, and cardiovascular factors may be affecting how you feel.
Treatment
If your doctor determines that HT can help, they'll send prescriptions to your chosen pharmacy, and you'll come back in 3 months for updates and refills.
We work with insurers to lower your out-of-pocket costs.
*Insurance coverage not available in all states. Copays, deductibles, and coinsurance may apply.
Prescription HT medications
Dr. B offers a variety of hormone therapy treatment options.
Estradiol (Transdermal Patch)
This estrogen medication reduces menopause symptoms like hot flashes and vaginal dryness. It comes as a patch applied to the skin.
Prescription Length: 90 days
Application: Apply one patch to skin twice weekly
Medication prices start at
$15.50
at Costco, with a drug discount card. (No Costco membership required)Progesterone
This progestin medication increases progesterone hormone levels for those with deficiency. It comes as a capsule, taken by mouth nightly.
Prescription Length: 90 days
Application: Take one capsule by mouth once daily in the evening
Medication prices start at
$30.59
at Walmart, with a drug discount card.
Blisovi 24 Fe
This birth control medication stabilizes hormone fluctuations. It contains norethindrone (progestin) and ethinyl estradiol (estrogen).
Prescription Length: 90 days
Application: 1 tablet PO daily as directed
Medication prices start at
$7.12
at Costco, with a drug discount card. (No Costco membership required)Estradiol (Transdermal Patch)
This estrogen medication reduces menopause symptoms like hot flashes and vaginal dryness. It comes as a patch applied to the skin.
Prescription Length: 90 days
Application: Apply one patch to skin twice weekly
Medication prices start at
$15.50
at Costco, with a drug discount card. (No Costco membership required)Progesterone
This progestin medication increases progesterone hormone levels for those with deficiency. It comes as a capsule, taken by mouth nightly.
Prescription Length: 90 days
Application: Take one capsule by mouth once daily in the evening
Medication prices start at
$30.59
at Walmart, with a drug discount card.
Blisovi 24 Fe
This birth control medication stabilizes hormone fluctuations. It contains norethindrone (progestin) and ethinyl estradiol (estrogen).
Prescription Length: 90 days
Application: 1 tablet PO daily as directed
Medication prices start at
$7.12
at Costco, with a drug discount card. (No Costco membership required)More HT Prescription Treatments
Looking for a different medication? Here are some options
Featured On
Is it your hormones?
Perimenopause is a natural stage of aging that begins when hormone levels fluctuate and then gradually decline, eventually stopping menstruation altogether (menopause). This transition can span a third of your life—and every person's journey is unique. Not everyone experiences symptoms during this shift. But if you're dealing with hot flashes, debilitating fatigue, new mental health struggles, urinary challenges, cognitive fog, or other disruptive symptoms, hormone therapy (HT) may provide relief.
With Optimize It, a licensed provider specializing in HT will review your health history, symptoms and blood biomarkers. If they determine that HT can help, they'll prescribe the optimal prescription treatments tailored to help restore your energy, focus, virility, and so much more.
STEP ONE
Clarify It
Answer some guided questions about your symptoms and health history via our seamless, chat-like online platform so your doctor has everything they need to assess your hormone health.
Then, meet with your doctor via video to discuss your questions, concerns and possible treatment paths. They'll help you understand how HT works, and how treatment might help you regain energy, comfort, and clarity.
Program:$145/consult, or use insurance*
Medication:Use insurance* or self-pay with Dr. B's discount card
*Out-of-pocket costs with insurance coverage vary by plan. Copays, deductibles and coinsurance may apply.
STEP TWO
Optimize It
Complete comprehensive blood work to track hormone levels and other key factors that may impact your health and vitality—plus markers that signal treatment risks.
If your doctor reviews your results and determines that HT is right for you, they'll create a treatment plan and send your prescriptions to your chosen pharmacy. Then, Dr. B will email science-backed tips to support your hormone health and overall wellness.
Power up with F45 Training
F45 Training combines innovative functional group workouts with a motivating group mentality—so you achieve results no matter where you are in your fitness journey. As a member of Optimize It, you can unlock the loaded F45 Training app and utilize their results-driven tools wherever and whenever the motivation strikes you.
The F45 Training app
Workout wherever
Watch or cast workouts from your phone.
Get tailored meal plans
Dig into recipes and menus curated by world-class dietitians.
Upgrade to in-person workouts
Want a group workout? You'll also get exclusive in-studio membership upgrade offers!
Meet our advisors
Guided by medical expertise
“You don't need to suffer with these symptoms in silence. Hormone therapy affords us a very safe and valuable tool to help women improve their quality of life. And in many cases, even improve their health.”
Questions?
If you have a question we haven't answered, send us a message. We're happy to help.About Hormone Therapy (women)
What does women's hormone therapy treat?
Hormone therapy (HT) treats symptoms of perimenopause, menopause and post-menopause like hot flashes, vaginal discomfort, fatigue, and mood changes. Depending on symptoms and blood work results, providers may prescribe hormone therapies like estrogen and progesterone. Or they may offer non-hormonal treatments.
What prescription hormone therapy (HT) treatments are available with Optimize It?
Dr. B offers several HT treatments, which can be prescribed alone or in combination with others, as advised by a provider.
For example, a combination birth control containing estrogen and progestin (a form of progesterone) helps regulate the hormone fluctuations of perimenopause. Estrogen via vaginal tablets or transdermal patches treats hot flashes and vaginal dryness. Oral progesterone can be used with estrogens to reduce menopause symptoms.
I don't want to take a medication with hormones. Are there any other options?
Yes. For some patients, providers may find it appropriate to prescribe Veozah (Fezolinetant), which reduces hot flashes and night sweats by blocking a chemical in the area of the brain that helps regulate temperature. Or they may prescribe Paroxetine, an SSRI (Selective Serotonin Reuptake Inhibitor) medication that helps to manage menopause symptoms.
Discuss these options with your provider during your Optimize It consult if you do not want to take hormonal medications.
How long do symptoms of perimenopause and menopause last?
There is no "normal" timeline for perimenopause and menopause symptoms. Some studies suggest that they can happen over 30 years of a woman's hormonal transition. Some women will stop having symptoms when menopause is complete (they reach post-menopause). Others will continue to have symptoms for years or decades after final menstruation.
Will I have to be on HT medication indefinitely? When does treatment stop?
HT medications are prescribed to help ease symptoms of menopause and perimenopause. Treatment can continue as long as these symptoms last. But it can also end when hormone fluctuations resolve, and symptoms stop.
Are my symptoms from perimenopause, menopause, or something else?
Common symptoms include hot flashes, night sweats, mood changes, sleep disruption, decreased libido, vaginal dryness, painful sex, cognitive or mood changes, extreme fatigue, joint pain and bone fractures.
During Optimize It consultations, we screen for conditions that can cause some of these symptoms to make sure they are caused by hormonal fluctuations, hormone decline, or something else.
Side Effects
What are common HT side effects?
Common side effects of HT treatments may include breast tenderness, bloating or fluid retention, breakthrough bleeding (spotting or bleeding outside of an expected period), headaches and mood changes.
This is not a full list of possible side effects, as several different types of medication may be prescribed for HT. But most symptoms are typically mild and often go away a few months after starting treatment.
With Optimize It, patients are provided details about all prescribed treatments and their risks. And they get unlimited support from licensed providers to discuss these side effects and alter treatment, if necessary.
Cost & Coverage
How much does hormone therapy for women cost with Optimize It?
The Optimize It consult fee is $145 for those who self-pay. Those with insurance coverage may pay a copay or other price, as determined by their insurance plan benefits. Blood work fees vary, but Dr. B has secured a discounted self-pay price for all required blood work. Medication costs are determined by the type of medication prescribed and whether you pay with insurance coverage or out-of-pocket.
Why are blood work fees not included with Optimize It?
Hormone therapy is a complex treatment that requires specific routine monitoring in order to keep individual patients safe. Because of HT complexity, we offer a discounted price for all required labs.
I'm a Shed It patient. If blood work fees aren't included with Optimize It, why are the consultation fees both $145?
When creating our longevity programs, we have to consider the medical complexity of each treatment. GLP-1 treatment is certainly not one-size-fits-all. But as the hormonal fluctuations of perimenopause and menopause can vary over many years, corresponding treatment requires extensive time and monitoring from HT doctors. So we can't price Shed It and Optimize It equally.
Can I use insurance coverage for Optimize It?
Yes—and we can help you find out if your insurance benefits will cover the cost of online consultations and HT medications! During your consult, we'll invite you to share your insurance details so that we can provide a free benefits check. Within a few days, our Insurance Specialist Team will email your results.
How do refills work?
We'll send email reminders when it's time to take your next online consultation, and your provider will send your prescription to your pharmacy shortly after your consultation is complete.
