Waking at 3am, weight that won't explain itself, a mood that's harder to hold. These aren't things to “push through” — they're measurable, and they're treatable.
Perimenopause and menopause shift estradiol, progesterone and more — and those shifts ripple into sleep, weight, mood and metabolic health. Being told it's “just your age” isn't a plan.
We run a full baseline, use bioidentical hormone therapy where appropriate, and manage the metabolic picture alongside it — so you sleep through the night, hold your muscle, and feel like yourself again.
Fewer 3am wake-ups and night sweats.
Even keel instead of a rollercoaster.
Weight and insulin moving the right way.
Strength and drive protected through the change.
Not everyone is a candidate — and we'll tell you honestly at the consultation, before you spend anything.
A comprehensive baseline — not a single number — so nothing is guessed at.
You meet Dr. Dean, review what the labs show, and hear honestly whether this is right for you.
A protocol built for your body and goal, explained in plain language and in writing.
Delivered in office or via telehealth, on the schedule that fits your life.
Re-test, adjust, repeat. This is ongoing care, not a one-time visit.
Hormone therapy has benefits and risks that depend on your history and timing, and isn't right for everyone. Dr. Dean evaluates candidacy, individualizes the approach, and monitors with follow-up labs. Individual results vary.
It depends on your history and timing. We evaluate candidacy carefully, individualize the plan, and monitor — that's how it's done responsibly.
Yes — metabolic care and, where appropriate, GLP-1 therapy are part of the plan, alongside hormones.
Earlier is often easier. A baseline now gives us something to optimize against as things shift.
Many follow-ups are telehealth after your initial workup.
Usually sleep that breaks around 3am, a cycle that shortens or becomes unpredictable, mood that is harder to hold, new anxiety, weight that shifts to the middle, and brain fog — often years before periods stop, and often while every standard lab comes back within range. Perimenopause is diagnosed from pattern and history as much as from a number.
Bioidentical hormones are molecularly identical to the estradiol and progesterone your body makes; conventional HRT has historically used synthetic or animal-derived forms. Both are real medicine and both are prescribed against labs and history. Dr. Dean will explain which form he is recommending for you and why, including where the evidence is strong and where it is still debated.
No. Perimenopause is frequently where symptoms are worst and where treatment is most useful, and waiting for a 12-month gap is not a clinical requirement. What is required is an evaluation, a panel and an honest conversation about risks and benefits for your history.
The core program — comprehensive labs, an individualized plan, and dose adjustment driven by repeat testing.
GLP-1 therapy with monitoring built specifically to protect lean muscle through the loss.
Desire and function worked up from hormones and blood flow, not handed a prescription.
The same medicine measured over years: deeper diagnostics and risk found early enough to change.
Prescription peptide protocols chosen from your labs and reviewed alongside the rest of your plan.
Start with labs and a conversation. You'll leave knowing your plan and your price — no pressure.
13840 N Northsight Blvd #121, Scottsdale, AZ 85260 · serving Scottsdale, Paradise Valley, Phoenix & Fountain Hills
