What We Do
Evidence Based Hormone Care, Designed For You
Second Peak provides evidence-based bioidentical hormone replacement therapy through a personalized, concierge telemedicine model. We specialize in supporting women through perimenopause and menopause, with care that listens, adapts, and evolves over time.
In supporting women, we came to recognized the need for equally thoughtful, physician-prescribed hormones for their partners as well. We now offer BHRT for men seeking medically-guided hormone and testosterone therapy to support long-term vitality.
This is not one-size-fits-all medicine—and it’s not wellness trends or guesswork.
It’s real doctors, real science, and real partnership—built around your body, your goals, and your life.
We Offer Telemedicine Support For:
Perimenopause Symptoms
Menopause Symptoms
Hormonal Imbalances
Bioidentical Hormones
Low Testosterone
Male Andropause Symptoms
Personalized HRT
Long-Term Performance & Vitality
Midlife Medicine
Meet Your Physician Team
Second Peak is led by founder Dr. Nicole Klimt and co-founder, Dr. Michael Santiago, who first met during their Emergency Medicine residency in 2006. As a husband-and-wife physician team, they combine medical expertise, clinical rigor, and firsthand experience to support women, as well as men, and couples navigating midlife with clarity, compassion, and evidence-based care.
Women's Hormone Health
For women experiencing changes in energy, mood, sleep, or cycles who want medically grounded, personalized care.
Men's Hormone Health
For men noticing changes in energy, focus, strength, or drive who want medically supported, physician-led hormone guidance.
Our Mission
At Second Peak, our mission is to help women and couples to reclaim energy, clarity, and confidence through personalized hormone care that respects both science and individuality. We see this next chapter in your life as an opportunity to rise into a new phase — informed, supported, and strong.
How We Are Different
Our philosophy is simple: Real doctors, doing real science, doing real medicine.
We see too many women being offered one of two things:
The "Medical Shrug": Traditional doctors dismissing debilitating symptoms as "just aging."
The "Woo-Woo" Trap: Wellness clinics selling ineffective yam creams, risky pellets, or relying on inaccurate saliva tests.
Dr Nicole built Second Peak to offer a third way: Evidence-Based Hormone Replacement Therapy (HRT) delivered with the care and attention of a concierge doctor. We look at the data, we listen to your story, and we build a plan that works.
Bioidentical Hormones
Hormones that closely match what your body naturally produces, allowing for more precise dosing and truly personalized treatment.
Advanced Lab Testing
Comprehensive labs through our partner, Rupa Health, guide treatment based on data—not guesswork
Compound Pharmacy & Rx Home Delivery
Any medications prescribed will be shipped directly to your home from our trusted compounding pharmacy.
Unlimited Follow Up
Receive continuous medication management and adjustments as needed to fine-tune your treatment with our convenient subscription model.
Concierge Telemedicine
Secure, physician-led telemedicine with a private patient portal for direct messaging and easy follow-up scheduling with your doctor.
Working with Dr. Klimt to address my perimenopause symptoms has been transformative! She thoroughly reviewed all my symptoms and developed a personalized prescription plan. It’s great to feel so supported and know any concerns or questions will be addressed. Her expertise makes me much more confident that I will achieve my health goals.
Carrie P.
Baltimore, MD
Working with Dr. Nicole Klimt has literally changed my life and my health. After suffering for years with night sweats, random aches and pains, and sleeplessness, due to hormonal imbalance, I finally feel like myself again. Nicole listened with empathy and deep expertise and provided me with knowledge and treatments that have genuinely improved the quality of my life. She continues to monitor my symptoms and ongoing health, and we work together to ensure I am maximizing all tools available to live my best life as a busy, perimenopausal woman. I can’t imagine a better partner in health!
Stephanie c.
Towson, MD