Hormone Optimization for Women & Men

Feeling "Off"? Let's Look at the Whole Picture.
Changes in hormones can affect energy, sleep, mood, weight and more. You deserve a thorough evaluation and a personalized plan, not guesswork or one-size-fits-all protocols. We look at your hormones, metabolism and overall health together.
Symptoms That May Be Related to Hormone Changes
Hormone changes show up differently for everyone. Common symptoms include:
Fatigue: waking up tired, dragging through the afternoon, or relying on caffeine
Weight changes: gaining weight or having difficulty losing it, especially around the midsection
Mood changes: irritability, anxiety, brain fog, or feeling overwhelmed
Poor sleep: insomnia, night sweats, or frequent waking
Low libido: a noticeable drop in sex drive
Temperature sensitivity: hot flashes or feeling cold often
These symptoms can also come from other conditions, which is why we start with an evaluation.
Concerns We Evaluate
Perimenopause and menopause: symptom evaluation and treatment options
Low testosterone in men: evaluation based on symptoms and lab results
Thyroid conditions: including hypothyroidism, evaluated by symptoms and lab testing
Stress, sleep and energy concerns: lifestyle-focused evaluation and support
How It Works
Your first visit includes a comprehensive health, hormone and metabolic assessment: a detailed symptom review, lab recommendations tailored to you, and a personalized care plan. Depending on your evaluation, options may include hormone therapy, non-hormonal treatments, nutrition and lifestyle guidance, and supplements. We explain the potential benefits and risks of every option. Hormone care involves follow-up and monitoring, so we offer an ongoing care model.
Curious how it works? Schedule a free consultation to discuss your symptoms and learn about our care model. Memberships start at $199/month after a $347 initial visit.
Frequently Asked Questions
Do you offer hormone therapy in Glendale, AZ?
Yes. In Harmony Health and Wellness offers hormone evaluations and, when appropriate, treatment in Glendale, AZ, in person or by telehealth for patients located in Arizona.
Who should get a hormone evaluation?
Adults with symptoms such as fatigue, hot flashes, sleep changes, mood changes, weight changes or low libido may benefit from an evaluation. We also check for other possible causes.
What happens at my first hormone visit?
Nadia Applegate, MSN, FNP-C, reviews your health history, symptoms and goals, and recommends labs tailored to you. The visit lasts about 60 minutes. Once results are in, we go over your options together at a follow-up.
What are the signs of perimenopause?
Perimenopause is the transition before menopause. It often begins in a woman's 40s, sometimes earlier, and can last several years. Common signs include irregular periods, hot flashes, night sweats, sleep changes and mood changes. Because these overlap with other conditions, an evaluation with history and labs helps identify the cause.
How is low testosterone diagnosed?
Diagnosis requires both symptoms and consistently low testosterone on blood tests, typically measured in the morning on more than one occasion. We review both before discussing whether treatment is appropriate.
How is hypothyroidism diagnosed?
It's diagnosed with symptoms plus blood tests, usually TSH and often free T4. Results guide whether treatment is needed.
Do I need labs?
Usually, yes. Labs, together with your symptoms and history, help us decide what's appropriate and how to monitor it safely.
Is hormone therapy safe?
Hormone therapy can be appropriate for some people and unsuitable for others, depending on your age, health history and the type of therapy. Certain cancers, blood clots, stroke or liver disease may make it unsuitable. We review benefits and risks before starting and monitor you afterward.
Are your hormones FDA-approved?
Some options are FDA-approved products, and others are prepared by compounding pharmacies, which are not FDA-approved. We'll explain what's recommended for you and why.
Do you treat low testosterone?
Yes, when appropriate after an evaluation and labs. Testosterone is a controlled substance, and treatment may affect fertility and other health measures, so we discuss the risks and monitor you regularly.
Do you treat thyroid problems?
We evaluate thyroid function with lab testing and treat when appropriate.
Are non-hormonal options available?
Yes. Depending on your evaluation, options may include nutrition, sleep and stress management, supplements, or other medications.
How soon will I notice a difference?
Timing depends on the symptom, the treatment and the individual. Some people notice changes within weeks, others take months, and some don't respond. We recheck symptoms and labs at follow-ups.
Why ongoing care instead of a single visit?
Hormone treatment generally requires follow-up, lab monitoring and adjustments over time, so a single visit is rarely enough.
Can I do this by telehealth?
Yes, for patients physically located in Arizona. Some visits or services may need to be in person.
What does it cost?
Memberships start at $199/month after a $347 initial visit. We offer three tiers so you can choose the level of care that fits your needs, goals and budget.
Do you take insurance?
We are a self-pay practice and don't bill insurance. We can provide a receipt for your records, and your HSA/FSA administrator can tell you whether your membership or services are eligible.
Is the free consultation a medical visit?
No. It's a conversation about your concerns and our care model. Medical advice and treatment begin after a full evaluation.
Reviewed by Nadia Applegate, MSN, FNP-C, Board-Certified Family Nurse Practitioner | Last updated: 9/2026
Let's Connect and Take the Next Step Together
Ready to take control of your health and feel like yourself again? Reach out to us today to discuss how we can help you find personalized solutions tailored to your needs. We’re here to listen, support, and guide you every step of the way. Let’s start the conversation!
