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BHRT for Perimenopause

Stop Guessing, Start Optimizing

If you’re nearing or in your 40s and feel like your body has gone rogue  – despite doing "everything right"– you aren’t alone. At Second Peak, we provide evidence-based BHRT using bioidentical hormones to help you navigate the "climb" of perimenopause and reach your next summit.

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Exploring Perimenopause Symptoms

It's Not Just In Your Head

Are you experiencing symptoms that your OB/GYN or primary doctor dismissed as "just part of aging"? Many women are told to "just wait it out" or are offered antidepressants as a quick fix. We listen to what others have ignored.

Common Signs You’ve Entered Perimenopause Could Include:

Brain Fog

Sleep Disruption

Mood Swings

Unexplained Weight Gain

Recurring Injuries

Skin & Hair Changes

Low Libido

Irregular Periods

Hot Flashes & Night Sweats

Hiking

How Second Peak Supports Your Perimenopause Journey

Don’t trust your hormones to a "wellness" clinic or a med spa. We differentiate ourselves from "woo-woo" trends like ineffective yam-creams or risky pellet therapies.

 

We prescribe bioidentical hormones designed to closely match the hormones your body naturally produces. This allows for more precise dosing, individualized treatment, and care that can adapt as your hormones fluctuate—always guided by labs, symptoms, and physician oversight.

a winding blue road leads upward

Improved mood

better sleep

increased libido

stronger muscle & bone density

healthier skin, hair & nails

greater clarity

enhanced performance

renewed energy

Experience the Perimenopause the Difference with BHRT

We combine clinical precision with ongoing guidance to clear your path forward. By optimizing your levels of Estradiol and Progesterone with hormones molecularly identical to your own, we help you end the unpredictability of perimenopause and restore the vitality you need to navigate this change 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 online for women experiencing perimenopausal symptoms. Find answers and science-backed solutions with a board certified doctor.

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

Dr Nicole Klimt

Meet Your Doctor

Dr Nicole Klimt

Your care is guided by a board-certified physician who takes the time to listen, identify early hormonal shifts, and tailor treatment to your body—not a generic protocol.

✓ Serving Oregon

✓ Serving Maryland

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