Menopause & hormone care · 100% virtual
Menopause care for women who are done being told to just live with it
Midlife women get handed two bad options: doctors who shrug — "your labs are normal, it's just aging" — and clinics where the prescription was decided before anyone looked at your labs. Neither one is medicine.
Dr. Zuleikha Tyebjee, MD provides physician-led care for women in perimenopause and menopause: she evaluates your symptoms, history, and labs, then treats what is actually wrong — medical weight care, hormone care, or both. Each visit is $150, paid after the visit, with no subscription.
Medically reviewed by Dr. Zuleikha Tyebjee, MD, Board-Certified Family Medicine · Reviewed August 10, 2026
Book a $150 visitSound familiar?
- “Your labs are all normal.”
- “It's just part of being a woman your age.”
- “Try to manage your stress.”
- “Come back if it gets worse.”
None of those are an evaluation. You're not imagining what's happening, and you don't need to push through it — menopause medicine has moved a long way; a lot of the advice hasn't. Being told to live with it isn't a diagnosis. It's a dismissal.
Your weight stopped responding because your hormones changed
Most clinics treat one of those. Weight programs ignore hormones; hormone clinics ignore metabolic health. In midlife the two are the same conversation — falling estrogen and progesterone change sleep, mood, and how the body stores fat, and a weight plan that ignores that is working against biology.
Dr. Ty is one physician who treats both — which also means she has no reason to push either. If you need only hormone care, that is what she recommends. If you need only metabolic care, same. The treatment follows the medicine, not the menu.
Testosterone for women — done right
Many women arrive asking about testosterone, often after an experience at a clinic that offers little else. Here's the uncomfortable truth about that corner of medicine: if the prescription was decided before anyone looked at your labs, you weren't in an evaluation — you were in a sales funnel.
Testosterone can have a real place in women's hormone care — as one part of a complete picture that includes estrogen, progesterone, thyroid, and metabolic health. Dr. Ty's rule is simple: the evaluation comes before the prescription. No pellets by default, no one-hormone program for every woman who walks in. If testosterone is appropriate for you, it is prescribed in context — and if something else explains your symptoms, you'll hear that instead.
Testosterone cream — the form Dr. Ty actually prescribes
When testosterone is medically appropriate, Dr. Ty typically prescribes testosterone cream — a form many clinics don't offer. The reason she prefers it is control: a cream dose can be adjusted as your labs and symptoms respond, and it can simply be stopped. A pellet can't be taken back out. If you've only ever been offered pellets or injections, that wasn't the whole menu — it was the clinic's menu.
What you're feeling, and what Dr. Ty actually checks
| What you may be noticing | What gets evaluated |
|---|---|
| Weight gain that diet and exercise no longer touch | Metabolic health, insulin resistance, thyroid, hormone status |
| Hot flashes, night sweats, disrupted sleep | Perimenopause/menopause staging and whether hormone therapy is appropriate for you |
| Low energy, low mood, brain fog | Hormones, thyroid, sleep, and medication history — not assumptions |
| Low libido | The complete hormonal picture, including whether testosterone is appropriate — never testosterone alone by default |
| Told 'your labs are normal' but you feel wrong | The ranges and patterns that standard screening can miss |
Symptoms overlap between perimenopause, thyroid conditions, and metabolic changes — which is why the evaluation matters more than any single treatment.
What a visit looks like
- 1.A private 30-minute telehealth visit with Dr. Ty — your history, your symptoms, and what has and hasn't worked.
- 2.Labs where appropriate, reviewed in the context of midlife hormonal change — not just "in range / out of range."
- 3.A plan that fits your medicine: hormone care, metabolic and weight care, or both. Continuing care is normally one $150 visit a month, with no commitment either way.
Every visit is $150, paid after the visit. Medication, pharmacy, and labs are separate and billed by those providers.
Common questions
Do you treat menopause and weight together, or separately?
Either. Some patients need hormone care, some need medical weight care, and some need both. Dr. Ty evaluates your history, symptoms, and labs, then recommends what is medically appropriate for you — one, the other, or both. Nothing is sold as a package.
Do you prescribe testosterone for women?
When it is medically appropriate, yes — as part of a complete hormonal evaluation. Dr. Ty does not run a testosterone-only program. She looks at the whole picture, including estrogen, progesterone, thyroid, and metabolic health, before recommending any treatment.
Do you prescribe testosterone cream?
Yes — when testosterone is medically appropriate, cream is usually the form Dr. Ty prescribes. A cream dose can be adjusted, or simply stopped, as your labs and symptoms respond — unlike a pellet, which can't be removed once it's implanted. Many clinics don't offer the cream form at all. Whether testosterone belongs in your care in the first place is decided by the evaluation, never by default.
I'm in perimenopause, not menopause. Is this for me?
Yes. Perimenopause — the years of hormonal change before periods stop — is when many women first notice sleep problems, mood changes, and weight that stops responding. Care during perimenopause is individualized in the same way.
How much does it cost?
Each visit with Dr. Ty is $150, paid after the visit. There is no subscription, no membership, and no commitment. Medication, pharmacy, and labs are billed separately by those providers.
Is this in person or virtual?
Visits are 100% virtual. Dr. Ty is licensed in 15+ states, and your state is confirmed before your appointment.
Start with one visit. Decide everything else after.
$150, paid after the visit. No subscription, no membership, no commitment. 100% virtual, licensed in 15+ states.
Book a $150 visitThis page is general education, not medical advice. Whether any treatment — including hormone therapy or testosterone — is appropriate for you is a medical decision made with your physician after an appropriate visit.