Estrogen Drops Roughly 60% by 40. Nobody Tells You That.
Hormone replacement therapy tailored to your labs and your symptoms, not to an average. Restoring balance addresses sleep, mood, energy and body composition together, rather than treating each one as a separate problem.
$129 initial labs and consult
Not one symptom at a time. The system underneath them.
Sleep
Night waking, temperature swings and the sleep debt that makes everything else harder.
Mood and stability
Emotional volatility and the anxiety that often arrives with perimenopause.
Energy
The kind of fatigue that does not respond to more sleep or more caffeine.
Body composition
Weight distribution changing while your training and diet stay the same.
Menopause symptoms
Hot flushes, night sweats and the symptoms most often dismissed as inevitable.
Bone and muscle
Preserving density and lean mass, which matters more each decade after 40.
Libido
Addressed directly, as part of the protocol rather than an afterthought.
You Weren’t Supposed to Just Get Used to It.
It starts with comprehensive bloodwork, then a personalised treatment plan under physician-guided care. Visits are unlimited and there is no long-term contract.
Claim Your Partner OfferCommon questions.
Am I too young for HRT?+
Hormonal decline starts well before menopause, and perimenopause commonly begins in the late thirties. Treatment is based on your labs and symptoms rather than your age.
What does the panel test?+
Estradiol, progesterone, testosterone, FSH, thyroid, plus metabolic and inflammatory markers, so your provider can separate a hormone problem from a thyroid or metabolic one.
Can I combine HRT with a GLP-1 protocol?+
Commonly, yes. Hormonal balance and metabolic health are closely linked, and many patients run both. Your provider designs the combined protocol.
How long until I feel different?+
Sleep and mood often shift within the first few weeks. Body composition and energy typically take two to three months as your dose is refined. Results vary.
Get the Member Guide
What each protocol does, what it costs, what bloodwork it needs, and how to pick. Emailed once, no drip campaign. Your SPENGA50 code comes with it.
You’re Already Doing the Hard Part. Let the Medicine Catch Up.
SPENGA has partnered with the best in medical wellness, Apex MD. Exclusive member access, physician-guided protocols, and $50 off your first month with code SPENGA50.