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Hormone Support for Menopause

BHRT for Longevity, Strength, and Confidence.

Menopause is the beginning of an exciting new chapter. At Second Peak, we provide evidence-based bioidentical hormone replacement therapy to help you move through menopause with clarity, balance, and confidence — so you can settle into this next chapter feeling strong, capable, and fully yourself.

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Image by Kateryna Hliznitsova

Exploring Menopause Symptoms

It's Not "Just Menopause"

Too often, women in menopause are told their symptoms are something they simply have to accept — or are given surface-level solutions that don’t address the root cause. Many are dismissed, undertreated, or left navigating confusing information on their own.

We take your experience seriously — and we take the time to understand what your body needs now.

Common Symptoms of  Menopause Can Include:

Brain Fog or memory changes

Sleep Disruption or Insomnia

Mood Swings

Weight Gain & Metabolic Changes

Joint Pain  or Stiffness

Skin & Hair Changes

Low Libido & Vaginal Dryness

Irregular or No Periods

Persistent Hot Flashes & Night Sweats

Decreased muscle or bone density

Difficulty concentrating

Urinary urgency or incontinence

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How Second Peak Supports Your Menopause Journey

Many women are still being given medical advice based on decades-old studies that have since been modernized. This often leads to a "do nothing" approach—leaving you to navigate profound biological changes with nothing but "woo-woo" trends or ineffective over-the-counter creams.

At Second Peak, we close the gap between outdated fears and modern medical reality. Doing nothing isn't just uncomfortable; it’s a missed opportunity to protect your long-term heart, bone, and brain health. Our approach is built on physician-led oversight and a commitment to longevity, providing the clinical precision you need to thrive through this transition rather than simply "waiting it out."

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Improved mood

stronger muscle & bone density

greater clarity

deeper sleep

enhanced performance

increased libido

renewed energy

healthier skin, hair & nails

Experience the Menopause Difference with BHRT

Don’t trust your long-term health to a "wellness" clinic or risk "woo-woo" trends like ineffective supplements.  We prescribe bioidentical hormones designed to molecularly match what your body naturally produces. By precisely optimizing your levels of Estradiol and Progesterone, we help you restore your biological edge and reclaim the clarity and strength you need to navigate this chapter with confidence.

...receive your customized BHRT Treatment Plan

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Getting Started with BHRT

Your Path to Peak

Our process is designed to be clear, thorough, and physician-led — giving you real answers and a plan built around your biology.

1. Connect

A free 15-minute Q&A to see if BHRT is right for you

2. Evaluate

During your 60-minute consultation, we take a deep dive into your symptoms, medical history, and goals. We then order comprehensive lab testing to understand your hormonal baseline.

3. Optimize

Once your labs are reviewed, you begin a personalized, lab-guided treatment plan with ongoing physician support and adjustments through our membership model.

Physician Led

Your care is managed by board-certified Emergency Medicine physicians with 20 years of experience.

Evidence Based

We use real science to debunk myths and provide safe, effective BHRT tailored to your symptoms and lab results.

Concierge Access

No more waiting weeks for a 10-minute appointment. Our subscription includes unlimited follow-up & care.

Our approach is medical, personalized, and designed to evolve with you.

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Currently accepting telemedicine patients in Or & MD

Discover Your Second Peak

Personalized bioidentical hormone replacement therapy and concierge care for women experiencing menopause symptoms in Oregon & Maryland.

What Makes Second Peak Different?

Bioidentical hormones for more precise dosing.

Board-Certified Physicians specialized in hormone care

Evidence-based care — no trends or guesswork

Lab-guided, personalized treatment plans

Concierge telemedicine with a private patient portal

Unlimited follow-up and ongoing adjustments

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Meet Your Doctor

Dr Nicole Klimt

Your care is led by a board-certified physician who creates a thoughtful, personalized hormone strategy to support your health, strength, and longevity beyond menopause.

✓ Serving Oregon

✓ Serving Maryland

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