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Combo Hormone Kits
Individual Bioidentical Hormone Therapy
You’ve done everything right. You manage your home, your work, your life. But lately, something feels off. Sleep is lighter. Energy is lower. Moods shift. Your body feels different.
It’s not just stress. And it’s not in your head.
As estrogen and progesterone levels shift during perimenopause and menopause, symptoms like brain fog, weight changes, night sweats, vaginal dryness, low libido, and mood instability can appear. These changes are hormonal. They are treatable.
Telezen MD provides physician-guided, bioidentical hormone replacement therapy (HRT) tailored to your symptoms, goals, and medical history. Whether you need estradiol patches, estradiol gel, vaginal estradiol cream, oral progesterone capsules, or a comprehensive combination protocol, your treatment plan is built around you.
With licensed medical oversight and discreet home delivery, you can restore balance, clarity, comfort, and confidence without disrupting your life.
You do not have to push through it. You can treat it.
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Yes. And this is incredibly common.
Hormone levels fluctuate daily and even hourly, especially during perimenopause and menopause. A single lab snapshot does not always reflect how you actually feel.
Many women are told they are “normal” while experiencing mood changes, anxiety, weight gain, brain fog, sleep disruption, or loss of motivation.
We treat based on symptoms and clinical presentation, not just numbers. If your body feels different, that matters.
For most healthy women, properly prescribed hormone therapy is considered safe and well studied.
Earlier fears were largely based on misinterpretations of older data. More recent reviews and updated guidance have clarified that when started at the appropriate time and individualized to the patient, hormone therapy can be both safe and beneficial.
Like any medical treatment, it is not one-size-fits-all. That is why we evaluate your history carefully before prescribing.
Our goal is thoughtful, personalized care. Not blanket treatment.
In most cases, no.
Hormone levels fluctuate significantly from day to day, so lab work can sometimes give a misleading picture. We do not require lab work to write a prescription.
We treat based on symptoms, medical history, and a detailed clinical evaluation.
If something in your history suggests additional testing would be helpful, your provider will guide you appropriately.
Some women notice improvements in sleep, mood, or hot flashes within a few weeks.
Other changes, such as energy, mental clarity, and body composition shifts, can take a few months as levels stabilize.
Hormone therapy is not meant to create a dramatic overnight shift. It is meant to restore balance gradually so you feel more like yourself again.
We monitor your response and adjust thoughtfully as needed.
The statements on this page have not been evaluated by the Food and Drug Administration. Compounded medications are not FDA-approved. All treatment decisions are made by a licensed provider based on your individual health profile and medical needs.
* Prices shown reflect the estimated monthly equivalent cost of our quarterly and semi-annual plans.
All multi-month plans are paid in full at checkout, or with buy now, pay later options. Actual pricing may vary based on the medication and treatment plan prescribed by your provider.
*The FDA does not review or approve compounded medications for safety or effectiveness. Compounded medications are prepared by licensed pharmacies pursuant to a valid prescription.
100,000+ Happy Patients
Bioidentical hormone therapy remains the gold standard for managing perimenopause and menopause symptoms when clinically appropriate. Backed by decades of research, estradiol and progesterone therapy can help restore hormonal balance at the source rather than masking symptoms.
At Telezen MD, treatment is guided by licensed clinicians and tailored to your individual biology. We offer FDA-approved and compounded options in capsules, patches, gels, and vaginal therapies so your care plan fits your body and your lifestyle.
Bioidentical HRT is proven safe and effective for addressing perimenopause & menopause symptoms.
Clinically guided estrogen and progesterone therapy designed to support hot flashes, sleep disruption, mood changes, vaginal symptoms, and hormonal imbalance. Personalized dosing, online evaluation, and ongoing provider oversight.
Best Value
Starting at $156/month
A balanced, bundled hormone plan combining systemic estrogen with progesterone when indicated. Designed for comprehensive symptom support in one streamlined kit.
Supports: Hot flashes, night sweats, sleep disruption, mood swings, hormonal instability
Most Popular
Starting at $146/month
Transdermal estrogen gel paired with progesterone for patients who prefer skin absorption with bundled protection. Flexible dosing with full systemic support.
Supports: Hot flashes, sleep changes, mood variability, stress sensitivity
Oral estrogen combined with progesterone when indicated. Ideal for patients who prefer a straightforward daily routine.
Supports: Hot flashes, night sweats, sleep changes, mood shifts
A transdermal estrogen option worn on a schedule for consistent delivery without daily application.
Supports: Hot flashes, temperature swings, sleep disruption
Daily transdermal estrogen applied to the skin for systemic absorption and adjustable dosing.
Supports: Hot flashes, mood shifts, night sweats
Targeted Relief
Starting at $79/month
Localized estrogen therapy designed specifically for vaginal and urinary symptoms without full systemic exposure.
Supports: Vaginal dryness, painful intimacy, urinary urgency
Sleep Support Favorite
Starting at $62/month
Oral progesterone commonly used to support sleep quality and emotional balance, and when needed alongside estrogen therapy.
Supports: Night waking, irritability, anxiety tension.
An oral estrogen option for systemic symptom support in a familiar, easy-to-follow format.
Supports: Hot flashes, mood changes, low energy
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Would recommend Telezen to their family and friends
What I have seen again and again is that hormones are often part of the picture.
Sleep gets lighter. Stress hits harder. Moods feel less predictable. Weight shifts in ways that do not make sense. It can look like depression. It can look like anxiety. It can look like burnout. Before we start treating each symptom in isolation, we evaluate whether hormones could be contributing.
If a woman needs deeper behavioral work or additional therapies, we absolutely address that. But more often than not, once hormones are supported appropriately, the intensity of those symptoms decreases significantly. In many cases, they resolve.
Hormones are not the answer to everything. But they deserve to be evaluated early, not as an afterthought.
Step
1
Complete a short online intake and connect with a licensed medical provider through Telezen MD’s secure telehealth platform. Your physician will review your health history and determine whether a personalized treatment plan is appropriate for you.
Step
2
If approved, your prescribed medication is prepared by our partner pharmacy and shipped directly to your home. Delivery is discreet, fast, reliable, and included with your care.
Step
3
Telezen MD provides continued physician oversight, 24/7 access to medical support, and a seamless patient portal experience—along with structured digital education and behavioral support designed to help you stay consistent and achieve results.
Telezen MD works exclusively with US-licensed, quality-audited 503A compounding pharmacies selected through a deliberate review process led by our medical and operations team. We do not partner with mass-production or lowest-cost facilities. Instead, we prioritize sterile environments, documented quality systems, and consistency from batch to batch. We build long-term relationships with our pharmacy partners to ensure treatments remain reliable, personalized, and aligned with long-term patient outcomes. This is how we deliver care with intention, accountability, and a higher standard than transactional telehealth models.
Telezen MD is led by a board-certified medical team dedicated to providing safe, effective, and science-backed treatments. Our U.S.-licensed healthcare providers carefully evaluate each patient and create personalized prescription treatment plans tailored to your unique goals — from vitality and wellness to longevity and aesthetic health.
Comprehensive family medicine, preventative care, and evidence-based treatment across the lifespan.
Education & Training:
Providing patient care through Telezen MD’s physician-led telehealth platform.
Obesity medicine, metabolic health, weight management, and long-term wellness-focused care.
Board Certifications:
Providing patient care through Telezen MD’s physician-led telehealth platform.
Internal medicine, telemedicine, and personalized care with a focus on accessibility and continuity.
Education & Training:
Providing patient care through Telezen MD’s physician-led telehealth platform.
Internal medicine, preventative care, chronic disease management, and telehealth-based patient care.
Education:
Providing patient care through Telezen MD’s physician-led telehealth platform.
Comprehensive family medicine, preventative care, and evidence-based treatment across the lifespan.
Education & Training:
Providing patient care through Telezen MD’s physician-led telehealth platform.
Obesity medicine, metabolic health, weight management, and long-term wellness-focused care.
Board Certifications:
Providing patient care through Telezen MD’s physician-led telehealth platform.
Internal medicine, telemedicine, and personalized care with a focus on accessibility and continuity.
Education & Training:
Providing patient care through Telezen MD’s physician-led telehealth platform.
Internal medicine, preventative care, chronic disease management, and telehealth-based patient care.
Education:
Providing patient care through Telezen MD’s physician-led telehealth platform.
When prescribed appropriately and monitored carefully, hormone therapy is considered safe for many healthy women in midlife. Risk depends on age, timing of initiation, personal medical history, and individual risk factors. Your provider evaluates these before recommending treatment.
Much of the fear around hormone therapy stems from early 2000s research that was widely publicized and often generalized beyond its original findings.
In 2025, the FDA announced it is removing black box safety warnings from estrogen-related products after reviewing updated scientific evidence. Current understanding reflects a more nuanced risk profile based on age, timing, formulation, and individual health history.
Hormone therapy is not risk-free, but it is no longer viewed the way it was portrayed decades ago. Treatment decisions are individualized.
Hormone therapy is not prescribed to prevent heart disease or stroke.
However, research has clarified that age and timing matter. In healthy women who begin therapy under age 60 or within 10 years of menopause, cardiovascular risk appears different from early interpretations of older data.
Research also supports benefits for bone density and reduction in osteoporosis-related fracture risk when appropriately prescribed.
We offer individualized hormone therapy plans that may include estrogen, progesterone, or a combination of both.
Estrogen is available in transdermal patches, gels, oral tablets, and vaginal therapy for localized symptoms. Progesterone may be prescribed separately or as part of a bundled combination plan when uterine protection is indicated.
Treatment format and dosing are selected based on your symptom pattern and provider evaluation.
No. Bloodwork is not required to begin treatment.
Hormone therapy in midlife is primarily guided by symptoms and medical history. Estrogen and progesterone levels can fluctuate significantly from day to day, especially during perimenopause, which means a single lab value often does not accurately reflect what is happening clinically.
If labs are clinically indicated, your provider will recommend them. Routine hormone testing is not required to prescribe therapy.
Common signs include hot flashes, night sweats, lighter sleep, anxiety, mood swings, brain fog, and unexplained weight changes. Symptoms vary widely, which is why we evaluate your full symptom pattern rather than a single complaint.
Bioidentical hormone therapy uses estrogen and progesterone that are structurally identical to the hormones your body naturally produces. During perimenopause and menopause, hormone levels fluctuate or decline, disrupting sleep, mood, and metabolic stability. Therapy works by stabilizing those levels to reduce symptom intensity.
Possible side effects depend on type and dose. These may include breast tenderness, bloating, spotting, or mild fluid retention. Most side effects are dose-related and can often be adjusted with proper monitoring.
Some women notice changes within a few weeks, especially with hot flashes and sleep. Others experience gradual improvement as dosing is adjusted and hormones stabilize.
Hormone therapy is structured as an ongoing treatment plan because hormones require consistent dosing and monitoring. You can cancel at any time through your patient portal.
We do not accept insurance. Many patients choose Telezen MD for predictable pricing and convenience. You may check with your insurance provider or HSA/FSA administrator regarding potential reimbursement eligibility.
Women with certain medical histories, including specific cancers, clotting disorders, or uncontrolled cardiovascular disease, may not be appropriate candidates. Your provider reviews your history carefully before prescribing.
Hormone therapy is available only to patients who qualify following an online medical consultation with a licensed healthcare provider. Any potential benefits described are based on published scientific research and clinical observations and are not guarantees of individual outcomes. Results may vary.
Hormone therapy is prescribed based on individual symptoms, medical history, and clinical evaluation. Laboratory testing is not required in all cases and may be ordered at the provider’s discretion when clinically appropriate.
Some prescriptions may be filled by licensed compounding pharmacies when clinically indicated to meet individual patient needs. Compounded medications are not reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety or efficacy. FDA-approved products may also be prescribed when appropriate.
The statements on this page have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease.
This information is provided for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional regarding any medical condition or treatment. If you experience adverse effects while using hormone therapy, contact your healthcare provider immediately.
Product packaging, labeling, and appearance shown on this website are for illustrative purposes only. Actual packaging may vary depending on the pharmacy, prescription type, and clinical determination.
Below is a selection of peer-reviewed research and official public health sources exploring hormone therapy in perimenopausal and menopausal women. These studies provide context on safety, timing, symptom relief, bone health, and cardiovascular outcomes. They are provided for informational purposes and reflect ongoing scientific investigation.
FDA Labeling Updates & Evolving Evidence
1. FDA Removes Black Box Warnings on Hormone Therapy – The FDA has recently removed longstanding boxed warnings from many hormone therapy products after reviewing updated scientific evidence, aiming to reflect current understanding about risks and benefits. FDA Removes Black Box Warning on Hormone Therapy (Reuters)
2. FDA Fact Sheet on Removing Black Box Warnings – The U.S. Department of Health and Human Services fact sheet outlines the rationale for removing outdated warnings and clarifying benefit–risk considerations. FDA Initiates Removal of “Black Box” Warnings from Menopausal Hormone Replacement Therapy Products
Bone Density & Symptom Relief
3. Hormone Therapy and Bone Mineral Density – Meta-analysis shows that menopause hormone therapy (MHT) helps preserve bone mineral density and may reduce osteoporosis risk in menopausal women. Impact of menopause hormone therapy and exercise on bone mineral density (PMC)
4. Estrogen With or Without Progestogen Improves Menopausal Symptoms – Review demonstrating that estrogen and combined hormone therapy effectively treats hot flashes, night sweats, and other symptoms. Review of hormonal replacement therapy options (PMC)
Timing & Cardiovascular Evidence
5. Early vs. Late Hormone Therapy Initiation (ELITE Trial) – The ELITE randomized trial supports the “timing hypothesis,” suggesting that initiating estradiol therapy closer to menopause may influence cardiovascular outcomes differently than later initiation. Early versus Late Intervention Trial with Estradiol (Wikipedia summary)
6. Timing Hypothesis Theory – Scientific overview of how the benefits and risks of hormone therapy may vary depending on age and time since menopause onset. Timing hypothesis (menopausal hormone therapy) scientific overview (Wikipedia)
Professional Society Recognition
7. Menopausal Hormone Therapy Guidance – Leading medical societies emphasize that hormone therapy is an evidence-based option for bothersome menopausal symptoms and should be personalized to individual risk and benefit. Women’s Health and Hormone Therapy Guidance by American Heart Association and other societies (Circulation summary)
How Hormone Therapy Eases Symptoms
8. Menopause Hormone Therapy and Symptom Outcomes – Menopause hormone therapy is supported by evidence as the most effective option for treating vasomotor symptoms such as hot flashes and night sweats. Hormone therapy as effective treatment for menopausal symptoms (MDPI)
Notes on Interpretation
